The Arizona Department of Health Services Bureau of Tobacco Education and Prevention began its strategic planning process in August of 2007 and aimed to create a model that focused on effective tobacco control which would engage stakeholders at the local, state and national levels. As such it was critical to ensure that the process was both transparent and participatory, and included input and involvement from the full diversity of populations and regions across Arizona.

The Arizona Department of Health Services initiated the development of this plan with the intent to set priorities by formulating objectives and suggesting strategies to address chronic obstructive pulmonary disease as a serious public health issue in Arizona. This plan begins with a detailed description of chronic obstructive lung disease followed by a discussion of proposed objectives and strategies. The overriding goals of this plan are those stated in the Healthy People 2010: Objectives for Improving Health.

Adult tobacco use represents an important and ongoing morbidity, mortality and health care cost problem. The Arizona Department of Health Services Tobacco Education and Prevention Program has been working since 1996 to reduce tobacco use in Arizona. This report presents data from the 2005 Adult Tobacco Surveys in Spanish on adult tobacco use prevalence rates, cessation behaviors, and home smoking bans.

The Arizona Department of Health Services sponsored the development of this plan with the intent to set priorities and suggest strategies to address asthma as a serious chronic disease and public health issue. The plan continues the focus placed on asthma in the Healthy People 2010 report. The plan is meant to serve as an ambitious and comprehensive approach to improving the health and quality of life for those with asthma living in Arizona.

The revision is a separate document to the Arizona Regional Haze State Implementation Plan submitted December 2003. The Revision meets specific commitments outlined in the December 2003 SIP (Enclosures 2 through 7) as well as a correction to the authorizing regional haze statutes. The submittal contains a SIP completeness checklist and seven enclosures.

This document includes an attainment demonstration and formal request to the United States Environmental Agency to redesignate the San Manuel, Arizona area, a nonattainment area for sulfur dioxide (SO2), to attainment for the health-based 24-hour average and annual average SO2 National Ambient Air Quality Standards (NAAQS). It summarizes the progress of the area in attaining the SO2 standard, demonstrates that all Clean Air Act requirements for attainment have been adopted, and includes a maintenance plan to assure continued attainment after redesignation.

In a rule published July 2, 2002, EPA found the Arizona Department of Environmental Quality’s "Plan for Attainment of the 24-Hour PM10 Standard – Maricopa County PM10 Nonattainment Area" (May 1997), inadequate to achieve attainment of the 24-hour National Ambient Air Quality Standards for particulate matter 10 microns or fewer in aerodynamic diameter (PM10) at the Salt River monitoring site. The 1997 ADEQ SIP revision included attainment and Reasonable Further Progress demonstrations for the 24-hour NAAQS at the Salt River air quality monitoring site of the Maricopa County PM10 Serious Nonattainment Area, as well as at three other monitoring sites in the Phoenix area, - the Maryvale, Gilbert, and West Chandler sites. On August 4, 1997, EPA approved ADEQ’s attainment and RFP demonstrations for the Salt River monitoring area, which showed that the 24-hour PM10 NAAQS would reach attainment in the area by May 1998. Due to continuing violations of the 24-hour PM10 NAAQS at the Salt River air quality monitoring site since May 1998, EPA subsequently required Arizona to submit a revision to correct SIP inadequacies. This document consists of Arizona’s revisions to the state implementation plan for the Maricopa County PM10 Serious Nonattainment Area as described by EPA in its Federal Register notice of disapproval.