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.

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.

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 Stoneridge subdivision is a growing rural community with approximately 5,000 residents. The Prescott Valley Water Company (Prescott Valley, AZ) provides drinking water for residents in this area. A resident in the community indicated that there is a “paint thinner” type odor coming from the tap water. The Prescott Valley Water Company sampled the water due to request of the resident. On July 27, 2004, the resident called the Arizona Department of Health Services to express his/her concern regarding the analytical results of benzene in tap water samples collected from faucets inside the house. As a result, the Arizona Department of Health Services completed a health consultation to evaluate if benzene and other volatile organic compounds in the water supplied by the Prescott Valley Water Company pose any adverse health effects.

The Arizona Department of Environmental Quality and the California Department of Toxic Substance Control worked together to assess background levels of naturally occurring metals in groundwater wells at Topock and Golden Shores, Arizona. The communities expressed concerns regarding the findings, thus the ADEQ requested the Arizona Department of Health Services to evaluate whether these naturally occurring metals in groundwater wells are present at levels that may cause adverse health effects.