The continued growth of the human-built environment in Pima County, Arizona will result in the “incidental take” of species that are listed under the Endangered Species Act. To avoid, minimize, and mitigate impacts to both listed and unlisted species and their habitats, Pima County is submitting this Multi-species Conservation Plan for 44 species that may be impacted as a result of the otherwise lawful activities of Pima County and its development community. The Incidental Take Permit, also called a Section 10 permit, will be for 30 years. This MSCP is part of the required documentation needed to receive an Incidental Take Permit under Section 10(a)(1)(B) of the ESA.

The Multiple Species Conservation Plan will complete the land use planning process in a conflict between competing interests on the question of growth. A path of balance was chosen by advancing the Sonoran Desert Conservation Plan. This second draft will be posted on the website and distributed to interested community and committee members. A public process will be conducted so that during 200t the document can be finalized and submitted to the U.S. Fish and Wildlife Service as part of the application for a federal endangered species permit.

The Arizona Department of Health Services (ADHS) has prepared this report on the health status of Arizona women to highlight its commitment to the health and wellness of all Arizonans throughout the lifespan and its focus on prevention. It is the intention that the data contained in this report will serve as a baseline and that, in future reports, we will see progress toward creating a healthier Arizona.

This brief includes mortality data with an underlying cause of death coded to ICD-10 codes X20-X29, and hospital discharge data coded to ICD-9 codes 905.0-905.9. The hospital discharge data only include information from private, acute-care facilities. Data from rehabilitation hospitals, urgent care centers, or federal facilities, including Indian Health Services or Veteran’s Administration facilities, are not available.

The data presented in this report show that poisoning is a public health problem that impacts the lives of thousands of Arizona residents each year. These injuries can occur throughout the life span, and like so many injuries, poisonings are predictable and preventable. Understanding the circumstances of poisonings is an important step towards educating and empowering communities and implementing prevention strategies.

As one of the largest Federal block grant programs, Title V is the key source of support for promoting and improving the health of all the nation‘s mothers and children. Each year, all states are required to submit an Application and Annual Report for Federal funds for their Maternal and Child Health Services Title V Block Grant to States Program to the Maternal and Child Health Bureau in the Health Resources and Services Administration.

Abusive head injury fatalities were identified in Arizona’s Child Fatality Review annual reports. Non-fatal hospitalizations and emergency department visits due to abusive head injuries (shaken infant or shaken impact syndrome) were identified using methods from a study conducted in 2005. Infants and children under the age of two years with a code for shaken infant syndrome in any diagnostic fields were included. Additionally, cases with a diagnostic code for skull fracture or intracranial injury, retinal hemorrhage, or intracranial hemorrhage with an external cause of injury code for known or suspected homicide/assault were included.

In this initial (interim) report, 21 different natural resource based outdoor recreational activities are identified. These activities are believed to represent the most popular natural resource based recreational activities in eastern Pima County. Based on the best information available, the document provides an overview and description of each of the noted activities. Information is also provided regarding the primary or preferred locations where the subject activity occurs. Data on participation in the individual activity is included where available. Use patterns, such as seasons when the activity is most prevalent, have been identified and trends related to changes in participation levels are discussed. Finally, issues related to the recreational activity vis-a-vis the goals of the Sonoran Desert Conservation Plan are also presented.