Since the release of the CDC’s recommendations to improve preconception health in 2006, the Arizona Department of Health Services and its partners across the state have made steady progress in improving awareness about preconception health and increasing access to preconception health services. The Bureau of Women’s and Children’s Health assessed internal programs serving women and children to identify opportunities for integrating preconception health education and services into program policies and procedures.

This report was compiled by members of the Injury Prevention Advisory Council Subcommittee on Violence. Its purpose is to present an overview of youth violence in Arizona, using data from the health care and criminal justice systems. Presenting both the health care and criminal justice perspectives presents a more comprehensive picture of youth violence and provides greater opportunities for developing solutions.

A plan to improve the health of Arizonans over the next decade based upon the national Healthy People 2010 planning agenda using a unique community-based approach that is best suited to our large and
diverse state. While there are literally hundreds of health issues that are being addressed in Arizona, this plan focuses on twelve areas which health experts and communities themselves have agreed are of priority.
Each area includes strategies that ADHS and county and tribal health departments are involved with. But beyond those there are also many strategies designed to engage all sectors of the community: businesses, schools, fire and police, volunteer groups, religious organizations ... the list goes on!

To lessen the impact of an influenza pandemic, the State of Arizona has created this Influenza Pandemic Response Plan to promote an effective response throughout the pandemic. The plan was originally crafted in 2000, through a coordinated effort of the Arizona Department of Health Services, Arizona Division of Emergency Management, local health departments and other partners and stakeholders. It is also an annex to the Arizona State Emergency Response and Recovery Plan.

The Rodeo-Chediski Fire Complex began as a small blaze in a remote region of east-central Arizona and within days erupted into the largest wildfire in Arizona history. Fortunately, no lives were lost. However, from June 18, 2002 to the time of its containment on July 7, 2002, the Rodeo-Chediski fire destroyed over 490 structures and 467,000 acres of ponderosa pine and pinyon-juniper woodland—an estimated 500 million to 1.3 billion board feet of timber. Jurisdictions involved included the Fort Apache Indian Reservation, the Apache-Sitgreaves National Forest, the Tonto National Forest, and private lands adjacent to Highway 260, from the Town of Forest Lakes east to the City of Show Low. Virtually all of the acres burned were in Navajo County, with some damage in the contiguous counties of Coconino, Apache, and Gila Counties. This health assessment describes the fire events and summarizes the resulting public health impacts from the fire.

The Arizona Department of Health Services completed this health consultation at the request of the Arizona Department of Environmental Quality. This consult evaluates whether soil vapors from volatile organic compounds in the subsurface near the Silver Creek Subdivision in Tucson, Arizona are present at levels that may cause adverse health effects.

The purpose of this health consultation is to evaluate the air monitoring conducted by the Arizona Department of Environmental Quality at Mary McLeod Bethune School (Phoenix, AZ) and evaluate the potential impact on public health. The air monitoring data includes particulate matter and metals. The ADEQ’s primary objective of this air sampling is to provide an understanding of the hazardous air pollutants in the Phoenix area.

The Blue Ridge Elementary School began receiving complaints from parents and staff in 1996. The primary complaints were related to air quality problems associated with renovation activities. The school responded to these complaints by hiring a consultant to evaluate the environmental conditions at the school. The school received a report in 1997 containing several recommendations that the school implemented in 1997. A group of parents continued to express concerns about environmental conditions at the school. This group suggested that environmental exposures might be causing some students to be absent from school. In response to these complaints, the school hired another environmental consultant to conduct a follow up environmental assessment in December 2002. This report summarizes and evaluates the environmental data collected for the school and examines school attendance rates to determine whether students are absent more than at similar schools and if so, whether environmental conditions could be a contributing factor.

This health consultation evaluates results of irrigation well samples collected by the Arizona Department of Environmental Quality in October 2003. Previous results obtained by the Blue Ridge Elementary School District in the summer of 2003 indicated trichloroethylene levels above the U.S. Environmental Protection Agency’s Maximum Contaminant Level. In addition, the most recent (2002) Annual Water Quality Report from the drinking water supplier, Arizona Water Company, was reviewed. A previous health consultation (Blue Ridge Elementary School, Lakeside, Navajo County, Arizona Health Consultation-April 30, 2003) reviewed environmental conditions at Blue Ridge Elementary School. Parents and school staff were concerned that environmental exposures were causing students to be absent from school. Drinking water quality reports, indoor air quality data, food safety, environmental sanitation records, student attendance rates, and the results of an annual parent satisfaction survey were evaluated in the consultation. Arizona Department of Health Services concluded that environmental conditions at Blue Ridge Elementary School posed no apparent public health hazard, and that attendance rates were similar to statewide attendance rates. As part of the 2003 health consultation, ADHS requested that the school district conduct water sampling from the on-site irrigation water wells for the school grounds. Those sampling results were not available when the 2003 health consultation was completed.

In March 2004, the U.S. Environmental Protection Agency requested information on efforts to monitor and protect children from exposure to lead in drinking water at schools. The Arizona Department of Health Services reviewed the state lead poisoning registry, and analyzed drinking water samples from 45 randomly selected schools. The Office of Environmental Health provided this consultation to help document our findings and supplement our response to the EPA. This work was also undertaken to help provide useful information should hazardous waste sites be discovered in the future near these schools. We also wanted to apply the ATSDR health assessment process in support of state and federal efforts to protect the health of children.