The Arizona Chronic Disease Strategic Plan is a 3-year plan designed to address chronic disease prevention and control. The plan was developed by Arizona stakeholders, both those who currently are and are not engaged in chronic disease prevention and control. To ensure the plan is not “top down” and driven by priorities identified by the state health department, community stakeholders were engaged in developing this strategic plan from the start. This plan was created through a community process and represents voices from across the state.

From May 2005 to June 2005, the Arizona Department of Environmental Quality conducted a study, Potable Well Sampling Task 4.0, to determine if the chromium and chromium VI plume due to the discharge of the Pacific Gas and Electronic Topock Compressor Station has migrated under the Colorado River and impacted water supplies in Arizona. The ADEQ investigated the total chromium and hexavalent chromium (chromium VI) concentrations in (1) public water supply wells, (2) combined industrial and domestic water supply wells, and (3) private domestic water supply wells at Topock and Golden Shores, Arizona. The communities of Topock and Golden Shores have expressed their concerns regarding the findings. Thus, the ADEQ requested the Arizona Department of Health Services to evaluate the potential health effects of exposure to well water contaminated with chromium.

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.

This plan outlines a comprehensive approach to reducing the burden of cardiovascular disease through the most efficient, cost-effective, and evidence-based strategies available. This plan supports current efforts in primary prevention and proposes new primary prevention activities that are specific to cardiovascular disease. The majority of the plan addresses secondary prevention efforts and controlling risk factors in those who already have cardiovascular disease.

This plan is intended to provide state level agencies, communities, health care providers, funding agencies, organizations, policy and decision makers, and consumers' direction and support in creating a system of care that proactively addresses the prevention, early detection, and treatment of chronic disease in Arizona. It is hoped the framework presented will encourage the development of partnerships to promote a comprehensive and integrated approach to reducing mortality and morbidity due to chronic disease.

This report evaluates the potential exposure pathways associated with vermiculite concentrate processing activities at the Ari-Zonolite facility. The site is located in the near downtown area of Glendale, approximately ½ mile from the city hall, downtown shops, and other buildings. The former Ari-Zonolite facility received vermiculite from the Libby, Montana, mine. From 1951 to 1964, the site was leased the site to the Ari-Zonolite Company. Following the removal of the vermiculite concentrate processing equipment in 1964, several businesses have occupied the site. None of these businesses were involved in vermiculite processing activities. The last occupant of the former vermiculite processing building was an automotive restoration business, which vacated the site in 2002.

The officials of Sunnyside High School District and a United States Representative have expressed great concerns regarding the potential adverse health effects due to beryllium exposure in the vicinity of Brush Ceramic Products. The Arizona Department of Health Services was asked to determine whether beryllium released from Brush Ceramic’s plant poses a health threat to school children and employees, and residents in the vicinity of the facility.

The W.R. Grace facility in Phoenix, Arizona, received vermiculite concentrate from the Libby, Montana, vermiculite mine. W.R. Grace Company has owned and operated the Arizona site since 1964. In 1964 W.R. Grace purchased the company that had previously occupied the site and, following the relocation of its vermiculite exfoliation furnace from Glendale, Arizona, began processing vermiculite concentrate and marketing it under the Zonolite® brand. The objective of this health consultation is to evaluate exposure pathways and potential health effects in those persons who, between 1964 and 2002, may have been exposed to Libby asbestos as a result of vermiculite concentrate processing activities and waste materials from the W.R. Grace exfoliation facility in Phoenix.

The Arizona Department of Health Services reviewed existing data and performed a health consultation to evaluate the potentially adverse health effects due to VOCs created by air emissions from the Miller Road Treatment Facility. Prior to the existence of our current environmental regulations, local industries improperly disposed of organic solvents directly onto the ground or into dry wells. This subsequently contaminated all three levels of the aquifer.