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 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 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.

The Santa Cruz County Health Department and the sheriff's office, along with the U.S. Border Patrol have expressed concerns regarding incidental contact with the water in Nogales Wash, Arizona. The public has expressed significant concern about direct public exposure to waters flowing in the wash. The Arizona Department of Health Services completed this health consultation to evaluate the levels of organic and inorganic chemicals at the request of the Santa Cruz County Health Department.

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.

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.

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 Division of Adult Education in the Arizona Department of Education and the Arizona Adult Literacy and Technology Resource Center contracted with the Morrison Institute for Public Policy to develop an evaluation system for Arizona's adult education program. During phase I, the institute analyzed existing program data on Arizona's adult education providers. Interviews were conducted in January and February 1997 of 379 current and past program participants; they were done in English or Spanish, as appropriate. Interviewees were asked 10 questions about reasons for entering the program, amount of time spent in the program, and feelings about what the program did or did not help them accomplish. Past participants were asked an additional question about their reasons for leaving the program. Findings indicated that over 90 percent of interviewees felt their adult education experiences had met their needs and been positive overall. The proportions of participants who mentioned having entered with a specific goal, e.g., preparing to take the General Educational Development tests or to get a job, were closely aligned with the proportions who said their participation in the program had helped them reach that particular goal. More than one-quarter of program participants in 1996 showed improvement on three indicators that suggested they were becoming more self-sufficient: moving off public assistance, gaining employment, and maintaining or improving their job situation. (Appendixes contain 10 references, 3 data tables, and interview forms.)

In preparation for new federal legislation that promotes unprecedented levels of comprehensive planning and service integration at state and local levels, an analysis of state issues relevant to comprehensive service delivery is necessary. This paper examines such state issues, with a focus on Arizona's at-risk population, and presents a framework for comprehensive service delivery. It provides the rationale for such service delivery, summarizes the literature on research-based practices, illustrates district approaches to comprehensive service delivery, and sets forth guidelines for developing a comprehensive plan. System components of an effective plan are discussed in detail--student education, parent/family involvement, social/economic services, health services, and professional development. Five general principles underlie success: philosophy, people, processes, promising practices, and partners. Recommendations for developing comprehensive service delivery programs include the following: (1) build on existing information; (2) consolidate knowledge; and (3) think long-term. Contains 11 figures and over 250 references. Appendices contain information on Arizona practitioners' views and an illustration of a side-by-side program analysis.