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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.
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.
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.
The Bureau of Women’s and Children’s Health holds a vision of: Healthy Women, Healthy Children, Healthy Tomorrow. The Bureau resides within the Division of Public Health Services of the Arizona Department of Health Services, and serves as the lead state agency for maternal and child health in Arizona.
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.
The Arizona Department of Transportation’s (ADOT’s) process for working with Local Public Agencies (LPAs) in the development and delivery of their transportation projects has evolved over the years. Recent changes in Arizona’s economy have reduced the distribution of state funds for local transportation projects, which has increased the demand for federal funding sources. In response to the anticipated increase in LPA projects desiring the use of federal funds and the continuing need to meet state and local transportation requirements, this updated manual highlights the steps necessary to capably deliver LPA projects in compliance with federal, state, and local requirements.
The ADOT Local Public Agency Projects Manual has been a collaborative effort among the various Divisions, Groups, and Sections within ADOT, as well as the Federal Highway Administration (FHWA) Arizona Division, with input from LPAs. ADOT would like to express sincere gratitude to Logan Simpson Design Inc. for successfully facilitating that effort and for their contribution to the production of this manual. Their hard work and in-depth coordination with ADOT and FHWA staff has been invaluable to the preparation of this manual.
"This guidelines and procedures manual is intended to be used by the staff of the Arizona Department of Transportation (ADOT) and Arizona's regional transportation planning agencies, which include Councils of Governments (COGs), Metropolitan Planning Organizations (MPOs), and Transportation Management Areas (TMAs). In addition to outlining the guidelines and procedures for regional transportation planning functions, this manual provides an overview of the programs administered by the ADOT Multimodal Planning Division (MPD)."--Introduction, Page 1-1
