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.

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.

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.

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.

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.

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.