In September 2005, some concerned Walker residents contacted the Arizona Department of Health Services in regards to the quality of groundwater in the area. The residents petitioned ADHS to perform well water tests to determine the character of the water, and whether there is any potential health risk associated with consuming or using the water. In response to the concerned community members and in agreement with the Agency for Toxic Substances and Disease Registry, ADHS collected water samples from the site and completed a health consultation. This health consultation evaluates if the levels of lead and other metals in the private wells in Walker area pose any adverse health effects.

The Arizona Department of Health Services Cancer Registry has identified 7 cases of childhood leukemia in the Sierra Vista, Arizona area since 1995. Five of the childhood leukemia cases were identified as a class of lymphoid leukemia and 2 of the cases were a class of myeloid leukemia. Based on random variation, a total of 6 or fewer cases of leukemia would have been expected over those seven years. An analysis of the data suggests that the number of cases is statistically elevated for the time period 1995 to 2001. The objective of this report is to determine whether there are any documented environmental exposures from drinking water, ambient air or waste sites that may have placed residents of the Sierra Vista, Arizona area at greater risk of developing childhood leukemia.

Previous studies at Lake Havasu and Lake Powell, combined with other national data indicate that carbon monoxide poisoning from recreational watercraft can create a significant health hazard. The current study was designed not to repeat the 2003 study. Instead, it was designed to explore the potential health effects of carbon monoxide under the conditions of Humbug Cove. Humbug Cove is known for congregating idling boats, higher frequency of alcohol consumption, and being a location that was secluded and sheltered from breezes or wind.

The Arizona Department of Health Services conducted a carbon monoxide exposure survey among recreational boaters at the Maricopa County Lake Pleasant Regional Park during the 2003 Labor Day weekend. To investigate the extent that recreational boaters are exposed to carbon monoxide from a variety of watercraft, ADHS measured exhaled carbon monoxide to determine the amount of carboxyhemoglobin (COHb) present in their blood. To determine whether a widespread public health hazard exists because of carbon monoxide exposure from watercraft, the ADHS health consultation, "Investigation of Carbon Monoxide Exposure, Rotary Beach at the London Bridge, Lake Havasu, Arizona, May 25-26, 2003", recommended conducting further biomonitoring studies at other recreational lakes in Arizona. ADHS asked the Agency for Toxic Substances and Disease Registry (ATSDR), under its Cooperative Agreement Program with ADHS, to interpret data from the Lake Pleasant survey and to determine whether carbon monoxide exposure is a public health hazard among recreational boaters at Lake Pleasant.

In September 1999, the U.S. Environmental Protection Agency contacted the Arizona Department of Health Services, Office of Environmental Health, concerning potential contamination of private drinking water wells along Lynx Creek in the Walker, Arizona, mining district. Historical mining activities in the area might have resulted in contamination of groundwater by acid mine runoff as well as metals from extraction processes. EPA and ADHS determined the historical mining activity had caused environmental damage and the potential for adverse human health impacts. ADHS initiated a private well sampling program to determine if the mining activity has had an adverse impact on the quality of water from these wells. Several area residents have expressed concerns about their water quality. The objective of this public health consultation is to evaluate the potential for health effects from exposure to contaminants in private drinking water wells in the Walker, Arizona area.

Until recently carbon monoxide poisonings were thought to occur in enclosed, poorly ventilated areas. However, open-air cases of poisoning have recently been reported including exposures from exhaust from various kinds of watercraft including houseboats, cabin cruisers and ski boats. Unlike automobiles, boat engines do not have mechanisms to reduce carbon monoxide emissions. The density of watercraft and the large numbers of people using the channel creates the opportunity for individuals to be exposed to excessive carbon monoxide emissions. This exposure investigation examines the extent of carbon monoxide exposure in recreational boaters in the Rotary Beach area near the London Bridge in Lake Havasu City, Arizona during the Memorial Day Holiday in 2003. The objective of the investigation is to determine whether a public health hazard from carbon monoxide exposure exists in an area heavily used by recreational boaters.

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.

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.