The Arizona Department of Health Services (ADHS) has prepared this report on the health status of Arizona women to highlight its commitment to the health and wellness of all Arizonans throughout the lifespan and its focus on prevention. It is the intention that the data contained in this report will serve as a baseline and that, in future reports, we will see progress toward creating a healthier Arizona.

This brief includes mortality data with an underlying cause of death coded to ICD-10 codes X20-X29, and hospital discharge data coded to ICD-9 codes 905.0-905.9. The hospital discharge data only include information from private, acute-care facilities. Data from rehabilitation hospitals, urgent care centers, or federal facilities, including Indian Health Services or Veteran’s Administration facilities, are not available.

The data presented in this report show that poisoning is a public health problem that impacts the lives of thousands of Arizona residents each year. These injuries can occur throughout the life span, and like so many injuries, poisonings are predictable and preventable. Understanding the circumstances of poisonings is an important step towards educating and empowering communities and implementing prevention strategies.

As one of the largest Federal block grant programs, Title V is the key source of support for promoting and improving the health of all the nation‘s mothers and children. Each year, all states are required to submit an Application and Annual Report for Federal funds for their Maternal and Child Health Services Title V Block Grant to States Program to the Maternal and Child Health Bureau in the Health Resources and Services Administration.

Abusive head injury fatalities were identified in Arizona’s Child Fatality Review annual reports. Non-fatal hospitalizations and emergency department visits due to abusive head injuries (shaken infant or shaken impact syndrome) were identified using methods from a study conducted in 2005. Infants and children under the age of two years with a code for shaken infant syndrome in any diagnostic fields were included. Additionally, cases with a diagnostic code for skull fracture or intracranial injury, retinal hemorrhage, or intracranial hemorrhage with an external cause of injury code for known or suspected homicide/assault were included.

The purpose of this plan is to provide information and recommendations to guide Arizona State Parks and other agencies in Arizona in their management of motorized and nonmotorized trail resources, and specifically to guide the distribution and expenditure of the Arizona Off-Highway Vehicle Recreation Fund, trails component of the Arizona Heritage Fund and the Federal Recreational Trails Program. This plan includes both motorized and nonmotorized trail information, public involvement results and recommendations for future actions regarding trails in Arizona.

This planning document details the results of extensive surveys of Arizonans’ thoughts, preferences and priorities regarding trails and off-highway vehicle routes. Throughout the year 2008, staff at Arizona State Parks and faculty at Arizona State University partnered to solicit information from more than 5,500 Arizonans about what types of motorized or non-motorized trails they use, how often they use trails, what they like or don’t like about trails, and what trail managers should focus their time and dollars on to make the trail experience better.