The Arizona Department of Environmental Quality asked the Arizona Department of Health Services to evaluate the health threat to residents from exposures to ash fallout from a fire at an asphalt plant located on the Salt River Indian Reservation in Mesa, Arizona. The facility has recently been bought by Vulcan, Inc. The site is located just north of the Salt River between Dobson and Alma School Roads. April 13, 1999.

This public health assessment evaluates the potential public health hazard from exposure to contaminated groundwater in the vicinity of the Tucson International Airport. The Tucson International Airport Area superfund site consists of a main plume of contaminated groundwater and three smaller areas of groundwater contamination east of the main plume. This report focuses on one of these areas of contamination called Plume B and evaluates the public health hazard posed by Plume B to residents of the area of south Tucson bounded by Valencia Road, Campbell Avenue, Irvington Road, and 6th Avenue.

The United States Environmental Protection Agency asked the Arizona Department of Health Services, Office of Environmental Health, to provide an evaluation of the health hazards that may result from exposure to soil and soil gas contaminants present on the West-Cap site, located just north of the Tucson International Airport. Improper waste disposal practices from previous industrial activities at the site have resulted in contamination of on-site soil and soil gas. The objective of this health assessment is to assess the potential adverse health impact to on-site workers from exposure to the on-site contaminated soil and soil gas. Community exposures are not presented in this public health assessment.

The Agency for Toxic Substances and Disease Registry has asked the Arizona Department of Health Services, Office of Environmental Health, to conduct a health assessment for the off-site residential area located adjacent to the Tucson Industrial Center, also known as the 3 Hangars site, within the larger Tucson International Airport Area Superfund site, in Tucson, Arizona. Previous investigations found that elevated levels of polychlorinated biphenyls (PCBs) in the drainage areas at the TIC site had migrated off-site into residential areas presenting a health threat to residents. The purpose of this Public Health Assessment is to evaluate if a public health hazard still exists since the remediation activities have been conducted at the off-site El Vado residential area. ADHS concludes that no current public health hazard exists as a result of ingestion, dermal, or inhalation exposures by residents, children, or transients to the post remediated soil in the residential areas on El Vado Road. Replacement of the top soil with certified clean soil has removed all contact with the soil containing PCBs eliminating any future public health hazard.

The Arizona Department of Health Services prepared this report to evaluate whether a public health hazard exists as a result of potential environmental exposures from the contamination at the Phoenix Goodyear Airport North site. Another objective of this report was to investigate and address the health concerns of the residents in the Goodyear area, including former Unidynamics workers. This report uses available environmental data from the site and information collected from members of the community regarding their health concerns. There were many concerns, including health concerns, of residents and former Unidynamics workers that were related to living near the PGA North site or previous employment at the former Unidynamics facility. These community concerns are identified and addressed in the public
health assessment.

While virtually all children have contact with the health care system at some point, many problems may not be detected until children enter school. By offering low-income families and children access to health care and a regular point of contact, the AHCCCS program is uniquely positioned to provide high-quality, comprehensive preventive services that help assure the healthy development of children.

This report analyzes Contractor Performance Indicators in three perinatal areas: 1) Low Birth Weight Deliveries; 2) Prenatal Care in the First Trimester; 3) Initiation of Prenatal Care. The results of this analysis should be viewed as indicators of access to services, rather than absolute rates for how well AHCCCS and/or its Contractors provide care.

This report includes results for the measurement period from October 1, 2000, through September 30, 2001. Results of the indicators are reported in aggregate by urban (Maricopa and Pima counties) and rural areas, and by individual Contractors that provide services to Medicaid recipients.

This report includes Performance Indicators for services provided to children and adolescents enrolled with AHCCCS acute-care Contractors (health plans). The results reported here should be viewed as indicators of access to services, rather than absolute rates for how successfully AHCCCS and/or its Contractors provide care.

This report includes results for the measurement period from October 1, 2000, through September 30, 2001. Results of the indicators are reported in aggregate by urban (Maricopa and Pima counties) and the combined rural counties, as well as by individual Contractors. Results for the current measurement period are reported as a relative percentage change from the previous year. The report also indicates whether this change (increase or decrease) is statistically significant; that is, whether the change is probably true and not merely due to chance. The statistically significant value is calculated using the Pearson chi-square test.

This is the sixth annual assessment of influenza immunizations and pneumococcal vaccinations. This report analyzes Arizona Long Term Care System (ALTCS) Contractor performance.

Results of this study were based on measurements of a select group of members who were continuously enrolled from September 1, 2001, through April 30, 2002. The results did not include members who were not eligible to receive Medicare, those who received acute care services only, those who enrolled into ALTCS after December 1, 2001, or those who expired during the measurement period.

Results for the current measurement period are reported as relative changes from the previous measurement period, where applicable. The report also indicates whether this change is statistically significant, that is, whether the change is probably true and not merely due to chance.

While this project measured whether members received a minimum of one Hb A1c test annually according to HEDIS criteria, clinical practice guidelines recommend Hb A1c testing at least twice a year for patients who have stable glycemic control and quarterly for patients who are not meeting glycemic goals. To further improve care and health outcomes for members with diabetes, Contractors should continue to focus on ensuring that members with diabetes receive Hb A1c tests and other preventive-care services at the recommended intervals.