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 Environmental Quality (ADEQ) requested the Arizona Department of Health Services to determine whether exposure to tetrachloroethylene (PCE) in the indoor air of a vacant dry cleaning facility and an attached convenience store posed a health threat to workers renovating the former dry cleaners and the patrons and employees of the convenience store. The former Viking Cleaners operated from 1954 until 2000. The building houses two businesses, Viking Cleaners, which is currently vacant but under renovation, and an attached convenience store that is currently in operation.

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 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.

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 purpose of this report is to document the evaluation of the public health effects of the air emissions from the Central Garden and Pet Supply Warehouse fire that was verbally provided during the response efforts to the fire event. The facility contained a variety of lawn and garden supplies including pesticides, herbicides, and pool maintenance chemicals. The fire also involved a portion of a pharmaceutical supply firm which contained medical supplies ranging from liquid and pill-form medicines to sterile syringes and other physical supplies.

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 was asked by the Arizona Department of Environmental Quality to evaluate the potential health effects from inhalation of toxic vapors as a result of an unplanned, concentrated nitric acid release. According to Hudson Farms, at approximately 1 pm on July 1st, concentrated nitric acid began escaping from a small leak in a 33,000 gallon storage tank. By 4:30 pm, the first responding fire department units observed an orange colored plume that was moving with the wind direction. The large plume continued to dissipate throughout the area until about 8:30 pm that night. Small amounts of nitric acid that was generally restricted to the Hudson property continued to leak until approximately 8 am the morning of July 2nd when pumping of acid waste waters into emergency storage tanks was completed. It is estimated by ADEQ that a total of 4,0 00-4,500 gallons of concentrated nitric acid was released from the storage tank. Approximately 600 people from the town of Laveen and the Gila River Indian Community were immediately evacuated. Residents were allowed re -entry to their homes the following day, July 2nd at approximately 10 am.