1983- Title XIX Funding

RESOLUTION: Supportive of a Continuum of Long Term Care Services for the Elderly and Disabled

WHEREAS: The current health care services in Arizona fail to meet the needs of the older and the disabled population, and

WHEREAS: The Arizona Health Care Cost Containment System (AHCCCS) does not include long term care services in its covered benefit package, and

WHEREAS: The Arizona Public Health Association supports accessible, comprehensive and economical health care services for the elderly and disabled,

THEREFORE: BE IT RESOLVED, that the Arizona Public Health Association seek legislative and regulatory support for the development and implementation of a continuum of long term care serves for the elderly and disabled, including from health care, and the utilization of the Title XIX funds in the State of Arizona.

APPROVED: 9/29/83
Submitted by Nursing Section

98~1983_(1) Title XIX funding (elderly, disability, healthcare

1983- Support for Nogales Sonora Flood

WHEREAS: Members of the Arizona Public Health Association have, as a group, enjoyed the gracious hospitality of the citizens of Nogales, Sonora, on several occasions, and

WHEREAS: Citizens of both Sonora and Arizona are jointly engaged in improving health conditions in the border area, and

WHEREAS:The citizens of Nogales, Sonora, have just experienced a tragic flash flood which has compounded their economic and health concerns, and

WHEREAS:The Arizona Public Health Association recognizes that when some people suffer, all people are affected,

NOW THEREFORE BE IT RESOLVED THAT:
1. The Arizona Public Health Association expresses to the officials and citizens of Nogales, Sonora, its deep concern over the effects of the flooding, and its empathic support of efforts to alleviate the resulting problems, and its strong good will to the people of Nogales, and
2. That the Arizona Public Health Association encourage federal, state, and local public health agencies to provide technical and medical services, where legally possible, to help prevent disease which may result from the flood, and
3. That the Arizona Public Health Association respectfully request of Governor Babbitt and Executive consideration for mobilizing appropriate environmental and other health care assistance
(which may tie facilitated through the Arizona-Sonora Commission), and
4. The Arizona Public Health Association expresses to the officials and citizens of Nogales, Sonora, its sincere appreciation for the hospitality and friendship they have shown and pledges itself to promote and to continue that same hospitality and friendship in Arizona.

APPROVED BY THE BOARD OF DIRECTORS
Arizona Public Health Association September 30, 1983
CrdZ

100~1984_(1) Minimium age for alcohol purchase (public safety, alcohol)

1984- Minimum Age for Alcohol Purchase

WHEREAS: Motor vehicle accidents are a leading cause of death and disability for Arizona young people; and the age group 19 to 24 have a disproportionately greater number of alcohol-related accidents when compared to the population as a whole; and

WHEREAS: eighteen to twenty year olds are in general: inexper­ienced drivers, inexperienced drinkers and within the most active drinking group; and

WHEREAS: younger persons have a greater impairment of coordination and of judgement at lower blood alcohol levels; and

WHEREAS: research results show that lowering of Arizona’s legal minimum drinking age in 1972 has resulted in a 26% increase in fatal accidents (141 per year) and a 36% increase in traffic fatalities (235 per year);

THEREFORE: the Arizona Public Health Association resolves to:
l. actively support the initiative measure to re-instate the minim4m age for purchase and sale of alcoholic beverages to 21 years of age. Amending Section 4-112, 4-117, 4-246, 4-244 and 41-1794 Arizona Revised Statutes;
2. encourage elected and appointed government officials to support this measure;
3. notify the public through the media of this position.

Research cited: An Impact Assessment of Arizona’s Lowered Legal Drinking Age and a Review of the Previous Research 1981 Arizona Department of Public Safety.

PASSED AT BOARD OF DIRECTORS MEETING
Jan 13, 1984

1984-Reducing Smoking in the Workplace

WHEREAS: cigarette smoking is the largest single preventable cause of illness and premature death in the United States;

WHEREAS: it is the major single cause of cancer mortality in the United States and the most important cause of chronic obstructive lung disease;

WHEREAS: it is associated with coronary artery disease and peripheral vascular disease;

WHEREAS: maternal cigarette smoking is associated with poor pregnancy outcomes;

WHEREAS: other public and private organizations have already taken steps to control smoking in the workplace; and

WHEREAS: the Arizona Department of Health Services is the lead public health agency in Arizona;

THEREFORE BE IT RESOLVED: that the Arizona Public Health Association call upon the Arizona Department of Health Services to initiate internal policies to reduce or eliminate smoking in the workplace. Such policies should include elimination of smoking in all con­ference and public meeting areas, the setting aside of smoking
and non-smoking areas in its lunchrooms, and the development of policies to protect non-smokers in office work areas from passive smoke inhalation, and

BE IT FURTHER RESOLVED: that this resolution is presented to the Director of the Arizona Department of Health Services as a call for action.

101~1984_(1) Reducing smoking in the workplace (tobacco, public safety)

1985- AIDS Prevention

RESOLUTION

The following resolution was voted on and passed unanimously by the Arizona Public Health Association at the Association’s 57th Annual Meeting, eptember 13, 1985 in Mesa, Arizona.

WHEREAS, approximately 13,000 Americans and 56 Arizonans have developed AIDS, the Acquired Immune Deficiency Syndrome, and
WHEREAS, the reported incidence of AIDS is currently doubling every ten to twelve months, and

WHEREAS, there is currently no cure for this often fatal disease, and

WHEREAS, there is an increasing sense of public concern and anxiety
concerning AIDS, resulting in discrimination and calls for actions which are not warranted from a public health standpoint,

THEREFORE, BE IT RESOLVED, that the Arizona Public Health Association calls for major increases in funding for AIDS prevention and public education efforts, and that the Association will take active measures in the Legislature and other appropriate bodies to bring about this increased funding,

AND BE IT FURTHER RESOLVED, that the Arizona Public Health Association finds that discrimination in education, housing, employment and health care services are not warranted from a scientific or public health standpoint, and the Association will actively make this stand public on an ongoing basis, as necessary and appropriate.

PASSED: 9/12/85
AzPHA Board of Directors and Membership

102~1985_(1)Aids prevention (education, HIV-AIDS, prevenative health)

1985- Smoke-Free Hospital Environment

Leland L. Fairbanks, M.D. Director, Office of
Continuing Education Clinical Support Center Indian Health Service 4212 N. 16th Street Phoenix, Arizona 85016

Dear Lee:

The Arizona Public Health Association supports the adoption of resolutions on smoke free hospitals.
The Arizona Medical Association can be a very signi­ficant force in promoting smoke free hospitals. We endorse the resolution now before the Arizona Medical Association.

Sincerely,

Patricia A. Nolan, M.D. President,
Arizona Public Health Association

THE ARIZONA MEDICAL -ASSOCIATION. INC
HOUSE OF DELEGATES Date 2/20/ 85
RESOLUTION
Introduced by ENVIRONMENTAL HEALTH COMMITTEE
Subject Smoke-Free Hospital Environment

iJ – ESOLVED,
24
25 ·
26
27
28

WHEREAS, A growing body of evidence Indicates that Involuntary smoking may pose a health hazard to the general population. Certain groups of patients who often find themselves In hospitals (e.g., those with chronic cardiovascular or pulmonary disease) are especially susceptible to the Ill effects of secondhand tobacco smoke; and

WHEREAS, Tobacco smoking in hospitals undermines air quality, harms smokers and nonsmokers, and increases fire danger and litter; and

WHEREAS, The Surgeon General and the American Medical Association have en­dorsed “A Smoke-Free Society by the Year 2000; 11 and

WHEREAS, The Arizona Lung Association, the Arizona Thoracic Society, the Arizona State Dental Association, the Arizona Nurses Association, the Arizona State Council of Hospital Pharmacists, the Arizona Soci­ ety for Respiratory Therapy, and the Arizona Coalition for Cost Effective Quality Health Care have expressed support for this con­ cept; and

WHEREAS, Physicians and other health professionals are the most qualified to serve as role models and educators in this effort; therefore, be it

THEREFORE: The Arizona Medical Association encourage Arizona hospitals, individually and through the· Arizona Hospital Association, to ban smoking in hospitals by all staff, employees, visitors, and patients, except for those inpatients who may be allowed to smoke by doctor’s order only In specially designed areas which minimize the possible effects of sidestream ·smoke.

103~1985_(1) Smoke free hospital environment (healthcare, public safety, tobacco)

1986- Support of Bilingual Healthcare Providers

Arizona Public Health Association Annual Meeting
September 17, 1986

WHEREAS, there are 502,000 Hispanics in the State of Arizona, comprising 17 percent of the state’s population; and

WHEREAS, 63 percent of Arizona Hispanics speak Spanish at home, indicating their preference or necessity to function in Spanish; and

WHEREAS, persons receiving medical care have a right to informed consent, so as to understand the treatment, alternatives, risks and benefits; and

WHEREAS, hospitalization for illness, accident or surgery can be particularly alienating and frightening for those who don’t speak English;

THEREFORE, the Arizona Public Health Association resolves to:

1. Urge hospitals and other health care providers in Arizona to recruit Spanish-speaking professional staff;

2. Urge hospitals and other health care providers to have Spanish interpreters with some medical training on duty, if there is a lack of Spanish-speaking health professionals;

3. Encourage health care providers to establish Spanish language training for non-Spanish speaking staff;

4. Encourage Spanish-speaking persons to enter the health field.

5. Send a copy of this resolution to hospital clinic administrators statewide and to Governor and the Population data from Phoenix/Tucson Latin Market Study by Strategy Research Corporation, 1985.

104~1986(1) Support of bilingual health care providers (education, spanish, healthcare)

1986- Non-smoking measures

Arizona Public Health Association Annual Meeting
September 17, 1986

RECOGNIZING, that each year 350,000 Americans die prematurely from the effects of smoking and millions more live with crippled lungs and damaged hearts; and

RECOGNIZING, that the “passive and evidence is continually mounting that smoking” is harmful to the non-smoking;

RECOGNIZING, that smoking is a definite danger to the health and a material annoyance, inconvenience, discomfort and a health hazard to those present in confined spaces; and

RECOGNIZING, the efforts of the cities of Phoenix, Mesa, Tempe,Tucson, Prescott, and others in establishing smoking ordinances for the purpose of serving the public health, safety and welfare,

NOW, THEREFORE, the Arizona Public Health Association resolves to:

1. Support the continuing efforts of the United States Public Health Service, the Surgeon General and others in efforts to reduce and/or eliminate smoking from enclosed public places and places of employment;

2. Encourage State and pro-active stances local officials to adopt regarding non-smoking measures in their locales;

3. Send a copy of this resolution to the Governor, State Legislators, County Supervisors, and Mayors of Arizona cities and towns.

105~1986_(1)Non smoking measures (tobacco, legislation, public safety)

1986- Continued Insurance for Non Profit Health Programs

Arizona Public Health Association Annual Meeting
September 17, 1986

WHEREAS, several small not-for-profit and voluntary health programs in Arizona have recently experienced can­ cellation of liability insurance; and

WHEREAS, these health programs have either been unable to find any insurance carrier willing to write new policies or, if willing to write new policies, only at a price programs cannot pay; and

WHEREAS, loss of these health programs will unavailability of health care services Arizonans; and result in for some

THEREFORE, state and local governments cannot indemnify these health care programs,

Be it resolved that the Arizona Public Health Association call for the requirement that all insurance carriers in Arizona accept assignment of these risks for voluntary and small not-for-profit health care programs; and

BE IT FURTHER RESOLVED, that this Association call upon the Governor, the State Insurance Director, and the legislature to take any and all steps necessary to insure the continued insurance of such health care programs.

106~1986_(1)Continued insurance for non profit health programs (healthcare, insurance)

1986- Smokeless Tobacco (snuff and chewing tobacco)

February 22, 1986

Lloyd Novick, M.O.
Director
Arizona Department oF Health Services 1740 W. Adams
Phoenix, AZ 85007

Dear Or. Novick:

Attached is a copy oF the Resolution regarding smokeless tobacco which was voted upon and passed at our February 21, 1986 Board oF Directors meeting.

Please let the Association know whenever a bill is intro­duced regarding this, so that we may take appropriate action.

Sincerely,
Phyllis Primas, A.N., Ph.D.
President

ARIZONA PUBLIC HEALTH ASSOCIATION
February 1986

SUBJECT: Smokeless Tobacco (Snuff and Chewing Tobacco)

WHEREAS, some 22 million people (one in every 12-15 Americans) use smokeless tobacco and its use has grown 11% per year since 1974; and

WHEREAS, epidemiological studies have found a relationship between use of smokeless tobacco products and oral cancer; and

WHEREAS, an estimated 27,000 inqividuals in the United States are afflicted with oral cancer each year that results in an estimated 9,200 deaths; and

WHEREAS, smokeless tobacco contains nicotine which is a dependence­ producing drug; and

WHEREAS, smokeless tobacco contributes to dental problems such as re­ ceding gums, abrasion of teeth, discolored teeth, and possible dental decay, and also decreases taste sensitivity and limits sense of smell; and

WHEREAS, the use of smokeless tobacco is rapidly increasing, especially among male high school and college students; and

WHERAS, the tobacco industry relies heavily on using well known athletes and entertainers to advertise for the sale of smokeless tobacco; and

WHEREAS, the Arizona Public Health Association considers prevention and education related to the use of tobacco a priority;

NOW THEREFORE, BE IT RESOLVED:
That the Arizona Public Health Association go on record in support of efforts to reduce use of smoking products to include smokeless products; and

BE IT FURTHER RESOLVED, that Arizona Public Health Association re­ quests the Surgeon General to warn the American public on hazards associated with use of smokeless tobacco, and

BE IT FURTHER RESOLVED, that Arizona Public Health Association requests the U.S. Olympic Committee to drop smokeless tobacco products as official sponsors; and

BE IT FURTHER RESOLVED, that Arizona make sales and taxing of smoke­ less products consistent with smoking products; and

BE IT FURTHER RESOLVED, that NIH/NCI increase efforts to investigate the relationship between smokeless products and oral cancer, and factors that contribute to their use; and

BE IT FURTHER RESOLVED, that Arizona be encouraged to pass laws prohibiting the sale of any tobacco products to minors; and

BE IT FURTHER RESOLVED, that the Arizona Public Health Association work with all other agencies and organizations which share this common concern which can assist in accomplishing these goals.

PASSED BY BOARD OF DIRECTORS
February 21, 1986

Patricia Zurick Executive Secretary
107~1986_(1)Smokeless tobacco (tobacco, education, legislation) (1)