Prior to 1967, Arizona had one of the highest infant mortality rates in the country. That year, in an effort to reduce the high infant mortality and morbidity rates, Arizona applied for and received a federal demonstration grant. The grant was designed to reduce infant death by transporting critically ill newborns born in rural hospitals into intensive care centers. As a result, there was a dramatic decrease in neonatal mortality. Part of that grant was to provide home based Community Nursing Services to the infants and their families. Community Health Nurses provided follow-up home visits for the NICP infants and their families up to one year of age.

The Project conducted a State‐level environmental scan to develop a more comprehensive picture of the early childhood‐serving environment in Arizona. An effort was made to identify current funds utilized across multiple State agencies that support programs to address the physical, emotional, social, cognitive, and behavioral health of children from birth to eight years of age. This report describes the landscape of systems, programs and other resources currently available in Arizona that are working to address challenges facing young children, birth to age eight, and their families.

Health Start is a neighborhood outreach program that helps high-risk pregnant women obtain early and consistent prenatal care and, for their children, timely immunizations. Its mission is to educate, support, and advocate for families at risk by promoting optimal use of community based family health and education services through the use of community health workers, who live in, and reflect the ethnic, cultural, and socioeconomic characteristics of the community they serve.

In order to continue to provide crucial sexual violence prevention and education services to its statewide community, the Arizona Department of Health Services, Sexual Violence Prevention and Education Program began comprehensive planning in November 2006, the second year of a five-year funding cycle. The plan was developed as a means of achieving the vision of a culture that supports healthy, respectful relationships through primary prevention efforts and zero tolerance of sexual violence in Arizona communities.

Vision screening of children, unlike hearing screening, is not currently mandated by Arizona state law. The purpose of this document is to provide information, guidance and recommendations for implementing a vision screening program for children ages 3 and older in school and community settings. This document provides guidance and practical information on the screening process, appropriate screening tools, referral criteria and follow-up procedures.

A massive pile of wood debris caught fire and burned from October 27 to October 31, 2001, in northern Pinal County, Arizona. The fire consumed wood debris from citrus trees that had been stored in an approximately 25-acre area in Pinal County near the Queen Creek area. The fire generated a large quantity of smoke. Persons reported smelling the smoke up to 40 miles away from the fire. Meteorological conditions during the fire intermittently created conditions that limited lift, especially at night, causing smoke to settle in residential neighborhoods in the Queen Creek area. The Arizona Department of Health Services issued public health advisories for the evenings of October 29 and 30. This report summarizes the events that occurred during the fire and analyzes the data collected by the Arizona Department of Health Services and the Arizona Department of Environmental Quality to determine the extent of the public health threat from the fire.

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 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.

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 Agency for Toxic Substances and Disease Registry has asked the Arizona Department of Health Services, Office of Environmental Health, to conduct a health assessment for the off-site residential area located adjacent to the Tucson Industrial Center, also known as the 3 Hangars site, within the larger Tucson International Airport Area Superfund site, in Tucson, Arizona. Previous investigations found that elevated levels of polychlorinated biphenyls (PCBs) in the drainage areas at the TIC site had migrated off-site into residential areas presenting a health threat to residents. The purpose of this Public Health Assessment is to evaluate if a public health hazard still exists since the remediation activities have been conducted at the off-site El Vado residential area. ADHS concludes that no current public health hazard exists as a result of ingestion, dermal, or inhalation exposures by residents, children, or transients to the post remediated soil in the residential areas on El Vado Road. Replacement of the top soil with certified clean soil has removed all contact with the soil containing PCBs eliminating any future public health hazard.