Because we care deeply about the well-being of every family in our state, we want to talk openly about water safety. Drowning remains the leading cause of unintentional injury and death for children ages 1 to 4, both nationally and in Arizona. It is a heartbreaking reality that touches parents, caregivers, first responders, and entire communities. 

Child drownings can happen to any family regardless of education, race, culture, or economic background. Fortunately, there are effective actions families can take to reduce the risk and help keep children safe around water. By following the ABCDs of water safety, families can take practical, proven steps to help protect children and prevent tragedies.

The ABCDs of Water Safety

Building a safe environment around water is all about overlapping habits. When one layer slips, another is there to keep your child safe.

A is for Adult Supervision

The most important step in preventing drowning is providing constant, attentive adult supervision whenever children are in or near water. 

• Assign a “Water Watcher:” Designate one adult whose only job is to watch the water actively. Swap turns every 15-20 minutes so everyone stays alert and attentive.
• Put away distractions: Put phones on silent.  Save reading or chatting for when you are rotated off of “Water Watcher” duty. 
• Touch Supervision: For infants, toddlers, and weak swimmers, stay within arm’s reach at all times.

A child can drown in seconds and often without making a sound. Never leave a child unattended around water, even for a moment!

B is for Barriers

Children are naturally curious, and pool barriers act as essential safeguards. 

• Check your pool fences and gates: Per Arizona law, pool fencing must be at least 5 feet tall, have no openings through which a spherical object 4 inches in diameter can pass, and be equipped with self-closing and self-latching gates that open outward. Please check your local ordinances, as they may have stricter pool fencing requirements. 
• Maintain door and window alarms: Install and consistently test all alarms on all doors leading to the pool area.
• Clear the pathway: Store pool toys, ladders, and patio furniture away from pool  fences so curious toddlers and children can’t climb on them. 
• Secure temporary pools: Always fence or immediately drain kiddie pools and inflatable pools after use. 

C is for Classes

Teaching children how to be safe around water and how to swim from a young age can save lives. Adults should also consider taking CPR and first aid classes so they are prepared to respond in an emergency. For resources, see the links at the end of this blog.

While swimming lessons are an important layer of protection, they do not replace active adult supervision. Even strong swimmers need someone watching over them at all times.

D is for Devices

When boating or participating in open water activities, children should always wear a properly fitted U.S. Coast Guard-approved life jacket. Water wings, inflatable toys, and pool noodles should never be relied on as a life-saving device or as a substitute for supervision.

Protecting Our Community Together

During Drowning Impact Awareness Month and throughout the year, take a few minutes to review the ABCD steps to ensure that every occasion by the pool or at the lake ends with happy memories. 

Every family in Arizona deserves peace of mind and safe summers. By looking out for one another and practicing the ABCDs, we can protect all swimmers from drowning. 

Local Arizona Water Safety Resources 

If you are looking for local swim programs, CPR certification, or safety guidelines, these community resources are here to support you:

• Phoenix Children’s Hospital Water Safety Program
• Local City Aquatic Center: Search online for your city’s low-cost, seasonal swim lessons and safety clinics.  
• YMCA Swim Lessons: Year-round youth swim lessons and water safety instruction at YMCA locations statewide. Check the website of your local YMCA, YWCA Metro Phoenix, or YWCA Southern Arizona for information on lessons.
• Drowning Webinar – Centers for Disease Control Foundation (CDCF): Thursday, August 20, 2026 at 10:00am MST. Register now!
• Child Fatality Report: Data, community guidance, and statewide prevention initiatives.

Agosto es el Mes Nacional de Concienciación sobre el Impacto de los Ahogamientos: Protege a tu Familia con los ABCD de la Seguridad Acuática

En Arizona, el agua no es solo una forma de refrescarse. Es donde nuestras familias se reúnen, donde se crean recuerdos de la infancia y cómo prosperamos durante los calurosos meses de verano. Desde las barbacoas junto a la piscina del patio trasero hasta excursiones al Lago Pleasant o a las fuentes del agua locales, el agua une a nuestras comunidades.

Como nos preocupa profundamente el bienestar de cada familia en nuestro estado, queremos hablar abiertamente sobre la seguridad del agua. El ahogamiento sigue siendo la principal causa de lesiones y muertes no intencionales para niños de 1 a 4 años, tanto a nivel nacional como en Arizona. Es una realidad desgarradora que afecta a padres, cuidadores, socorristas y a comunidades enteras.

Los ahogamientos de niños pueden sucederle a cualquier familia, sin importar su educación, raza, cultura o situación económica. Afortunadamente, hay acciones efectivas que las familias pueden tomar para reducir el riesgo y ayudar a mantener seguros a los niños alrededor del agua. Al seguir los ABCD de la seguridad en el agua, las familias pueden tomar medidas prácticas y comprobadas para ayudar a proteger a los niños y prevenir las  tragedias.

Los ABCD de la Seguridad en el Agua

Construir un entorno seguro alrededor del agua se trata de hábitos superpuestos. Cuando una capa falla, otra está ahí para mantener a sus hijos seguros.

A es para Supervisión de Adultos

El paso más importante para prevenir el ahogamiento es proporcionar supervisión constante y atenta de un adulto siempre que los niños estén cerca del agua.

• Asigne un “Vigilante del Agua”: Designe a un adulto que la única tarea sea observar el agua activamente. Cambien de turno cada 15-20 minutos para que todos se mantengan alertos y atentos.
• Guarde las distracciones: Ponga los teléfonos en silencio. Reserve cualquier distracción para cuando esté fuera del turno de “Vigilante del Agua”.
• Supervisión al Alcance: Para bebés, niños pequeños y nadadores débiles, manténgase a una distancia de alcance en todo momento.

Un niño puede ahogarse en segundos y a menudo sin hacer ruido. ¡Nunca deje a un niño desatendido alrededor del agua, ni siquiera por un momento!

B es para Barreras

Los niños son naturalmente curiosos, y las barreras en las piscinas actúan como salvaguardias esenciales.

• Revise sus cercas y puertas de la piscina: Asegúrese de que la cerca de la piscina tenga al menos 5 pies de altura con puertas que se cierren y se aseguren solas y que se abran hacia afuera. No debe haber espacios en la cerca por donde un niño pueda pasar.  De acuerdo con la ley de Arizona, la cerca de la piscina debe tener al menos 5 pies de altura, no tener aberturas por las que pueda pasar un objeto esférico de 4 pulgadas de diámetro y contar con puertas de cierre y seguro automáticos que se abran hacia afuera. Consulte las ordenanzas locales, ya que podrían exigir requisitos más estrictos para las cercas de piscinas
• Mantenga las alarmas de puertas y ventanas: Instale y constantemente pruebe  todas las alarmas en todas las puertas que conducen al área de la piscina.
• Despeje el camino: Guarde los juguetes de la piscina, escaleras y muebles de patio lejos de las cercas de la piscina para que los niños pequeños curiosos no puedan utilizarlos para trepar la cerca.
• Asegure las piscinas temporales: Siempre guarde o inmediatamente drene  las piscinas inflables y las piscinas para niños después de cada uso.

C es para Clases

Enseñar a los niños cómo estar seguros alrededor del agua y cómo nadar desde una edad temprana puede salvar vidas. Los adultos también deberían considerar tomar clases de CPR y primeros auxilios para estar preparados para responder en una emergencia. Para recursos, consulte los enlaces al final de este blog.

Si bien las lecciones de natación son una capa importante de protección, no reemplazan la supervisión activa de un adulto. Incluso los nadadores fuertes necesitan que alguien los vigile en todo momento.

D es para Dispositivos

Al navegar o participar en actividades en aguas abiertas, los niños siempre deben usar un chaleco salvavidas aprobado por la Guardia Costera de los EE. UU. Las alas de agua, los juguetes inflables y los fideos de piscina nunca deben considerarse un dispositivo salvavidas o un sustituto de la supervisión.

Protegiendo Nuestra Comunidad Juntos

Durante el Mes de Concienciación sobre el Impacto del Ahogamiento y durante todo el año, tómese unos minutos para revisar los pasos ABCD y asegurarse de que cada ocasión junto a la piscina o en el lago termine con recuerdos felices.

Cada familia en Arizona merece tranquilidad y veranos seguros. Al cuidarnos unos a otros y practicar los ABCD, podemos proteger a todos los nadadores del ahogamiento.

Recursos Locales de Seguridad en el Agua en Arizona

Si estás buscando programas de natación locales, certificación de CPR o recomendaciones de seguridad, estos recursos comunitarios están aquí para apoyarle:

• Programa de Seguridad en el Agua del Phoenix Children’s Hospital
• Centro Acuático Municipal: Busque en línea clases de natación y clínicas de seguridad económicas en su ciudad.
• Clases de Natación  de la YMCA: Clases de natación para jóvenes durante todo el año e instrucción sobre seguridad acuática en las sedes de la YMCA en todo el estado. Visite el sitio en línea de su YMCA local, de YWCA Metro Phoenix o de YMCA Southern Arizona para obtener más información sobre las clases.
• Centers for Disease Control Foundation (CDCF): Seminario Web Sobre Ahogamientos Jueves, 20 de Agosto de  2026, a las 10:00 a. m. (MST). ¡Regístrese ahora!
• Informe sobre Mortalidad Infantil: Datos, orientación para la comunidad e iniciativas de prevención a nivel estatal.

Children and teenagers are particularly susceptible to heat-related illness because their bodies heat up faster and take longer to cool down than adults. Recognizing the signs of heat illness and taking proactive steps ensures every student can participate in sports, recess, and school activities safely.

Here are key heat safety reminders to keep in mind as we kick off the new school year together.

Before You Leave for School Reminders

Waiting until a child says they are thirsty usually means they are already mildly dehydrated. Hydration is a full-day habit that starts before students even step out the door.

• Start in the morning: Encourage kids to drink a glass of water before leaving for school.
• Pack reusable water bottles: Send a labeled, insulated water bottle with your child every day, and encourage them to refill it throughout the day.
• Dress for the weather: Encourage loose-fitting, lightweight, and light-colored clothing. Applying broad-spectrum sunscreen before school helps protect exposed skin from UV rays.

Smart Adjustments for Outdoor Activities & Sports

Physical activity is vital for young people’s health, but high temperatures mean adjusting how and when outdoor play and sports practice take place.

• Schedule wisely: Whenever possible, outdoor practices, recess, or conditioning should be scheduled for the early morning hours before temperatures peak. If an Extreme Heat Warning is issued, consider moving outdoor activities inside. 
• Mandate shaded hydration breaks: Integrate basic heat safety rules into school routines, such as taking breaks in shaded or air-conditioned spaces and drinking water.
• Replace lost electrolytes: For PE, sports games and practice, or any activities outside, consider providing cold low-sugar beverages with electrolytes paired with light, healthy snacks (like fresh fruit or trail mix) to help replace lost essential minerals.
• Acclimate gradually: For youth participating in fall sports, give their bodies 10–14 days to gradually adapt to playing in warmer weather rather than jumping into full-intensity practices on day one.

Know the Signs of Heat-Related Illness

Recognizing the early indicators of heat illness allows us to step in early and prevent a minor issue from becoming a medical emergency.

Foster Open Dialogue & the “Buddy System”

Kids and teens often want to push through fatigue or heat to avoid missing out or letting their team down.

• Normalize speaking up: Remind children to tell an adult if they feel dizzy, overheated, or nauseous. This is a sign of smart self-care, not weakness.
• Use a buddy system: Teach students to keep an eye on their classmates or teammates during recess and sports. If someone looks unusually flushed or seems confused, encourage them to alert a teacher or coach.

Stay Informed & Access Local Resources

Keeping our kids safe is a community effort. For real-time updates, local cooling resources, cooling centers, and detailed guidance on protecting your family during extreme weather, please explore these official state resources:

• heat.az.gov — Arizona’s central hub for heat safety, active alerts, cooling centers, and family preparedness tools.
• azdhs.gov/heat — The Arizona Department of Health Services page for heat-related health data, warnings, and educational safety guides.

Together, with a little preparation and careful attention, we can make this school year both safe and successful for all our students!

Recently, there has been national news coverage regarding an increase in cyclosporiasis, pronounced (sigh-clo-spore-EYE-uh-sis), reported in regions across the country. 

Here in Arizona, our numbers of reported cases of cyclosporiasis remain low. However, because summer is the peak season for this illness, the Arizona Department of Health Services (ADHS) wants to make sure that you have the facts and simple tools you need to keep your kitchen safe, healthy, and worry-free. 

What is cyclosporiasis?

Cyclosporiasis is a stomach illness caused by a microscopic parasite called Cyclospora. 

Because it is a parasite and not a bacteria, it behaves a little differently than your typical “stomach bug”: 

• It comes from contaminated food or water: People usually get infected by eating fresh produce that came into contact with the parasite somewhere along the agricultural chain. 
• It does not spread person-to-person: Unlike the flu or a typical stomach virus, you cannot catch cyclosporiasis directly from someone else.
• It is completely invisible: You cannot see, smell, or taste Cyclospora or on your food. 

Simple, Empowering Kitchen Habits 

While washing your produce is a great habit, it’s important to know that Cyclospora can cling tightly to fruits and veggies, meaning washing alone might not completely remove it. However, following safe food-handling practices greatly reduces your overall risk.

You do not need to stop eating fruits and vegetables! Instead, just weave these simple steps into your daily cooking routine:

• Wash your hands before and after: Always wash your hands with warm water and soap for at least 20 seconds before handling fresh produce.
• Rinse thoroughly: Wash all fresh produce under clean, running water before eating, cutting, or cooking it.
• Scrub firm surfaces: Use a clean produce brush to scrub the outer skin of firm fruits and veggies like melons and cucumbers before slicing into them. 
• Cut away bruises: Trim away any damaged or bruised areas on your produce, as these spots can harbor bacteria and parasites.
• Keep it cold: Put cut, peeled, or cooked fruits and vegetables into the refrigerator within two hours of preparation. 
• Cook when you can: Heating to 158 degrees will kill Cyclospora. If you are cooking for young children, older adults, or those with weakened immune systems, opting for cooked vegetables and herbs is an excellent extra layer of safety. 

Please note: Chemical produce washes or sanitizing sprays have not been proven to kill Cyclospora, so stick to clean, running water. 

Which Foods Need a Little Extra Attention?

Because investigators across the country are working hard to pinpoint the exact source of the current national rise in cases,  there isn’t one specific item you need to cross off your grocery list. The vast majority of what you see in Arizona grocery stores is completely safe. 

However, looking at past outbreaks, Cyclospora is most frequently found on items that are imported or packed together and typically eaten raw. By adjusting your prep routine for these specific foods, you can keep your kitchen safe: 

The “Wrapped Produce” Myth

A common misconception is that if a piece of produce comes tightly wrapped in plastic, it is clean and ready to go. Wrapped items like English cucumbers, romaine hearts, and pears still need to be unwrapped and thoroughly washed under running water before you eat or cook them. 

Lettuce and Leafy Greens

Pre-packaged salad kits and bagged lettuce blends are summer staples because they are so convenient. However, because many individual leaves are mixed together in large facilities, if the parasite is on one leaf, it can easily spread to the rest of the bag.

• The Preparation Tip: Consider buying whole heads of lettuce instead of pre-washed, bag mixes. Pull off and throw away the outer 2-3 layers of leaves, then wash the inner leaves thoroughly under running water. For sturdy greens that can take the heat, cooking is always your safest option. 

Fresh Herbs (Cilantro and Basil)

Fresh herbs add wonderful flavor, but their delicate, textured leaves make it easy for microscopic hitchhikers to cling on tightly.

• The Preparation Tip: Pluck and separate the leaves completely, then wash them thoroughly under running water to clear out hidden crevices. These are safest when cooked thoroughly into warm dishes like pasta or stir-fry.

Green Onions

These crunchy favorites are frequently chopped raw as a garnish, but they require some extra care during peak season. 

• The Preparation Tip: Trim off the root end completely and peel away the very outer layer of skin before washing thoroughly under running water. Sautéing or cooking your green onions is the safest option. 

Raspberries

Biting into a ripe berry is one of the best parts of summer. However, because raspberries have a bumpy surface, the parasite can easily hide in those tiny crevices, making it especially hard to clean.

• The Preparation Tip: Wash them gently but thoroughly under running water. Raspberries are safest when cooked down into delicious baked pies or jams. You can also consider frozen raspberries as an alternative; while freezing doesn’t completely guarantee elimination, it can help reduce the risk. 

Snow Peas

These are a great crunchy addition to summer salads and veggie platters. 

• The Preparation Tip: Wash them under running water while actively rubbing the surface with your fingers to loosen any microscopic parasites. A quick toss in a pan or wok keeps a great crunch while ensuring safety. 

Recognizing the Symptoms 

If someone does ingest the parasite, symptoms typically show up about one week later (though it can range anywhere from two days to two weeks). 

The most common sign is frequent, watery diarrhea. Because this parasite can be stubborn, symptoms can last for a few days to a month or more, sometimes disappearing and then coming back again. 

Other common symptoms to watch for include: 

• Stomach cramps, bloating, or increased gas 
• Loss of appetite and nausea
• Unintended weight loss
• Fatigue (feeling unusually tired) 

When to call your doctor: If you or a loved one develop persistent watery diarrhea that lasts more than a few days, or if you begin to see signs of dehydration, please reach out to your healthcare provider.

An Important Note for Your Doctor’s Visit: 

Because cyclosporiasis is relatively uncommon in Arizona, standard food-poisoning tests do not always automatically screen for it. If you suspect you have it, please be sure to mention cyclosporiasis specifically to your doctor so they can order the correct diagnostic test. The good news is that once diagnosed, it is easily treatable with standard prescription antibiotics.

How We Are Working to Protect You

Our team at ADHS is actively monitoring the situation. We work hand-in-hand with local county health departments as well as federal partners (like the CDC and FDA) to track any cases, share up-to-date guidance with our local doctors and nurses, and answer questions from our community. 

Our goal is always to keep you informed, not alarmed. By practicing food safety at home, we can all enjoy a healthy, vibrant Arizona together. 

Additional Resources: 

National Outbreak Updates: CDC Cyclosporiasis Resource Page  https://www.cdc.gov/cyclosporiasis/

For Public Health & Medical Professionals: ADHS Cyclosporiasis Investigation Manual https://www.azdhs.gov/documents/preparedness/epidemiology-disease-control/investigation-manual/disease-protocols/cyclosporiasis-protocol.pdf 

Foodborne Disease Outbreak Investigation Article

https://directorsblog.health.azdhs.gov/anatomy-of-a-foodborne-disease-outbreak-investigation/

2026 Monsoon Outlook

Arizona is heading into the 2026 monsoon season under abnormally dry conditions and severe to extreme drought. These arid conditions have left plants, grass, and trees incredibly dry, which make them a perfect kindling and significantly increasing the risk of wildfires as the summer heat sets in.  

Arizona’s Monsoon Season historically averages anywhere from two to sixteen inches of rain spread over ten to fifty days, depending on the region. There is a ninety percent chance of El Niño conditions prevailing through 2026, a climate pattern that typically increases the probability of precipitation later in the season, particularly during August and September. Overall, weather predictions are tilting toward above-average rainfall for the state. However, because of the erratic and localized nature of monsoon thunderstorms, actual totals will be highly variable at the neighborhood level.

Along with predicted above-average temperatures stretching through July, August, and September, the season typically unleashes over half a million lightning strikes across the state, with both lightning and heavy downpours most likely to strike between noon and early evening. Ultimately, the 2026 monsoon presents a complex narrative: a welcome potential for drought relief paired with an immediate, potentially dangerous recipe for wildfire and severe weather.

The official 2026 NWS Arizona Monsoon Outlook is now available!

The offices covering the state of Arizona (NWS Tucson, Flagstaff, Phoenix, and Las Vegas) have collaborated on this year’s 2025 Arizona Monsoon Outlook. Both precipitation and heat are projected to be higher than normal this year. You can find these specific resources via the links below. 

2026 Arizona Monsoon Outlook Video English | Spanish

2026 Arizona Monsoon One-Pager English | Spanish

2025 Arizona Monsoon Outlook Graphic English | Spanish 

Lightning, Power Outages, and Wildfires

An August 2025 storm knocked out power to more than 15,000 residents as wind ripped away roofs and toppled large trees across the valley. Arizona is one of the most active regions in the country for atmospheric electrical activity. Monsoon storms can produce over half a million lightning strikes across the state. This intense activity brings an immediate risk of utility power outages and can spark fast-moving wildfires in dry desert vegetation.

Travel and Visibility Hazards

During a powerful storm system in August 2025, a towering haboob (dust storm) rolled through metro Phoenix, impacting highways and temporarily grounding hundreds of flights at Phoenix Sky Harbor International Airport. Later in the year, a separate, intense dust storm pileup near Tonopah caused a 12-vehicle fatal crash, showing the tragic cost when visibility drops instantly.

Blowing dust remains one of the most dangerous travel hazards of the summer. Interstate 10, particularly the heavily traveled corridor between Phoenix and Tucson near Casa Grande and Picacho Peak, is historically a high-risk area for dust-related collisions. State transit data shows that a specific ten-mile stretch in this area has seen at least 50 crashes and eight fatalities due to sudden dust storms, making it a critical zone where drivers must be ready to:

• Safely pull off the road as far as you can.
• Turn off all your vehicle lights.
• Set the parking brake and take your foot off the brake pedal.
• Stay inside your vehicle with your seatbelts buckled and wait until you have visibility.

Flash Floods and Roadways

The end of the 2025 season reminded us of the power of water. In late September, an unprecedented roughly 2.5 inches of rain fell over Gila County in a matter of hours. Globe experienced devastating flash flooding that swept away vehicles and debris and forced residents onto their rooftops to await rescue.

The geography of Arizona includes thousands of un-bridged, low-water crossings that flood quickly during monsoons. Flooding leads to an average of two to three deaths in the state each year, with the majority of these incidents occurring inside vehicles. It takes only twelve inches of rushing water to carry away a passenger car, and just eighteen to twenty-four inches of water can displace larger sports utility vehicles, vans, and trucks. This is why emergency responders emphasize avoiding familiar low-water routes during heavy rains and being vigilant of warning signs. Don’t ignore “Flash Flood Area” signs

Pests, and Food Safety

The environmental changes brought by the storms also trigger hidden biological risks. Within two weeks of a heavy rainfall, standing water can cause local mosquito populations to multiply by up to ten times their usual size, notably raising the risk of vector-borne illnesses like West Nile virus. Empty standing water immediately to reduce these risks. 

Concurrently, the late-summer combination of high humidity and extreme heat creates an optimal environment for food-borne bacteria to thrive, resulting in a rise in food-borne illness cases that consistently peak during July and August. Practice food safety in your home. 

Emergency Preparedness 

Use these helpful checklists to help your emergency planning. Print out each one and follow the instructions to make sure you have the items you need to stay safe. For more downloadable kits, read the Clean Air, First Aid Kit, Financial Security, Special Needs, Warmth and Food & Water pages.

RESOURCES:

• HEAT.AZ.GOV
• Energy Assistance · Wildfire AZ
• Road conditions: az511.gov
• Arizona Power Outage Map: https://poweroutage.us/area/state/arizona
• POWER OUTAGE PREPARATION FOR MOBILE  AND MANUFACTURED PARK RESIDENTS (English) (Spanish)
• Food Safety (Infograph) 
• Ready.gov/Power-Outages 

Arizona’s integrated Emergency Medical Services (EMS) and Trauma System is comprised of Emergency Medical Care Technicians (EMCTs), emergency physicians, emergency nurses, and trauma care professionals, working on ground and air ambulances, fire trucks, and emergency and trauma centers.

EMS Week 2026 (May 17-23): “Improving Outcomes, Together.”

Arizona’s 23,000+ EMCTs and countless emergency physicians and nurses collectively respond and manage over one million emergency calls each year. In 2024, Arizona EMS providers responded to: 

• 25,136 Seizures
• 21,518 Strokes
• 19,580 Substance Use
• 19,356 Suicide/Suicide Attempts
• 15,056 Cardiac Arrests
• 8,448 Diabetes
• 4,545 STEMI
• 150 Drownings

This year’s EMS Week “Improving Outcomes, Together,” recognizes the dedication of the EMS community to Arizona’s EMS providers’ specialized training and continuing education, skills, lived professional experience, performance improvement practices, and technology all support overall reductions in prehospital and trauma center fatality rates over the past five years.

The ADHS Emergency Medical Services for Children (EMSC) Program helps Arizona prepare for emergencies involving children by helping EMS agencies and emergency departments become pediatric-ready. 

Thank you to Arizona’s EMS workforce for working 24 hours a day, 7 days a week, 365 days a year to protect the health and safety of Arizonans!

National Trauma Awareness Month (May 2026): “Stay Focused, Stay Safe.”

National Trauma Awareness Month promotes injury prevention and safety practices and celebrates the professionals who care for trauma patients each and every day. In 2024, Arizona’s 51 trauma centers reported 74,297 trauma cases to the Arizona State Trauma Registry (a 4.6% increase from the 71,015 trauma cases reported in 2023) including:

• 6,568 pediatric trauma incidents (0.4% increase from 2023)
• 39,970 fall incidents (8.1% increase from 2023)
• 17,101 Motor Vehicle Traffic (MVT) related trauma incidents:
  • MVT-Occupant (12,390)
  • MVT-Motorcyclist (2,491)
  • MVT-Pedestrian (1,445)
  • MVT-Pedalcyclist (775) 

Thank you to Arizona’s trauma centers and the nurses and physicians who provide quality care for injured patients every day.

Recognizing Arizona’s 2026 Outstanding EMS and Trauma Professionals 

Each year in May, ADHS BEMSTS and EMS and Trauma System Stakeholders celebrate and recognize Emergency Medical Care Technicians (EMCTs) and trauma care professionals for their extraordinary service and contributions to EMS, trauma care, and increased trauma survival rates. Congratulations to this year’s winners:

EMCT of the Year

• Sara Brunelle, Paramedic, Phoenix Fire Department (Central EMS Region)
• Jace Hall, Paramedic, Central Arizona Fire & Medical Authority (Northern EMS Region)
• Adriane Demotica, Paramedic, Rio Rico Medical & Fire District (Southeastern EMS Region)
• Joe Maxwell, Paramedic, Buckskin Fire Department (Western EMS Region)

Trauma Awards

• Melissa Luxton, MSN, RN (Injury Prevention Achievement Award)
• Kaveh Najafi, DO, FACS (Trauma Medical Director of the Year – Level I Trauma Center)
• Merideth Gradowski, MSN, RN, CPEN, TCRN (Trauma Program Manager of the Year – Level I Trauma Center)
• Shannon Claw, BSN, RN (Trauma Program Manager of the Year – Level III Trauma Center)
• Deborah Verkyk, BSN, RN (Trauma Program Manager of the Year – Level IV Trauma Center)
• Maria Salas, CSTR (Trauma Registrar of the Year – Level I Trauma Center)

Update as of May 12th, 2026 

At this time, there are no confirmed cases or exposures of Andes virus in Arizona and overall risk to Arizonans remains low. 

On May 5th ADHS was notified by the CDC of one resident that returned home. This individual is currently being monitored by Maricopa County Department of Public Health and remains asymptomatic. ADHS has since been notified of an additional Arizona resident that was onboard the MV Hondius cruise ship. This individual is currently among the US passengers undergoing assessment and evaluation in Nebraska and will be transported home in the future following completion of assessment and once transport arrangements are made to ensure public health and safety. Once home in Arizona this individual will be monitored by their local public health department. 

What Is Andes Virus (hantavirus strain)?

Andes virus is a type of hantavirus found primarily in parts of South America, particularly Argentina and Chile and was first identified in Argentina in the 1990s.  Like other hantaviruses, it is carried by rodents and can cause a rare but serious respiratory illness called Hantavirus Pulmonary Syndrome (HPS).

While the Andes virus is not endemic to Arizona, the hantavirus, most commonly found in Arizona and the Southwestern United States, is called Sin Nombre virus, which is carried by the deer mouse.

While Andes virus has been associated with rare person-to-person spread, transmission has generally been limited to prolonged close contact with someone who is actively ill. It is not spread through casual interactions in public settings.

What is Sin Nombre Virus (hantavirus strain)? 

Sin Nombre virus is a type of hantavirus that is most commonly identified in the Southwest. The virus was first recognized during the 1993 outbreak near the Arizona-New Mexico border.

Arizona has detected no Sin Nombre virus (SNV) cases so far in 2026. In 2025, there were seven confirmed cases, including four deaths, primarily in northern Arizona counties. In 2024, Arizona reported 11 confirmed cases.

Most infections in Arizona are linked to exposure to rodent droppings, urine, saliva, or nesting materials, especially in enclosed or poorly ventilated spaces. SNV is not transmitted person-to-person.

Symptoms of Hantavirus Pulmonary Syndrome

Both Andes virus and Sin Nombre virus (hantavirus strains) can cause Hantavirus Pulmonary Syndrome. 

Symptoms can appear anywhere from four to forty-two days after exposure and often begin with flu-like illness, including:

•     Fever
•     Fatigue
•     Muscle aches
•     Headache
•     Nausea, vomiting, or diarrhea

As illness progresses (usually 4-10 days after the initial symptom onset), some individuals may develop coughing, shortness of breath, or severe respiratory distress requiring hospitalization.

There is currently no vaccine or specific antiviral treatment for hantavirus infection. Early medical attention and supportive care are important.

Simple Steps That Help Reduce Risk

For the current Andes virus situation – there is  very low risk to the public.  For Arizona’s ongoing Sin Nombre virus situation –  preventing rodent exposure remains important in Arizona because deer mice and Sin Nombre virus are present throughout the state.

ADHS recommends the following steps to reduce Sin Nombre hantavirus risk:

• Reduce rodent habitats around homes, garages, sheds, campsites, and workplaces by removing brush, wood piles, and food sources.
• Seal gaps or openings where rodents can enter buildings.
• Avoid sweeping or vacuuming rodent droppings, which can spread contaminated particles into the air.
• Before cleaning enclosed areas where rodents may be present, open doors and windows and allow the area to ventilate for at least 30 minutes.
• Spray rodent droppings or nesting material with a disinfectant or bleach solution (1 part bleach to 9 parts water) and allow it to soak before cleanup.
• Wear gloves and a mask while cleaning contaminated areas.
• Seek medical care if you develop fever, fatigue, or respiratory symptoms after rodent exposure.

Contact your local or Tribal health department if you have specific concerns about hantaviruses or Andes virus.

For more information about hantavirus and prevention tips, please visit the ADHS Hantavirus website.

Resources 

CDC HAN

CDC Hantavirus Current Situation

Andes Virus CDC FAQ

Tooth decay, also known as dental caries, is the most common childhood condition, but it is largely preventable. According to the American Academy of Pediatric Dentistry (AAPD), cavities are four times more common than childhood asthma and three times more likely than childhood obesity. In Arizona, data from the Office of Oral Health, 2024 Healthy Smiles Healthy Bodies Survey show that about 50% of kindergarteners and 63% of third graders have experienced tooth decay, with nearly 25% having untreated decay. Caries rates are higher than national averages in Arizona and especially high among children in rural, low-income, American Indian/Alaskan Native, and Hispanic communities. These numbers can seem overwhelming, but the good news is that early care and prevention truly make a difference.

NCDHM provides an opportunity to raise awareness about how oral health affects infants, children, adolescents, and children with special healthcare needs overall health and quality of life. Untreated oral health issues can lead to pain, infection, difficulty eating and speaking, missed school days, low self-esteem, and even preventable emergency room visits for severe dental problems. Oral health conditions can also have broader impacts on overall physical health, including effects on nutrition and increased risk of systemic conditions such as cardiovascular disease and other inflammatory complications. The AAPD Education and Resources for Parents offers trusted guidance and practical tips to help support healthy smiles at home.

Supporting Children’s Oral Health in Arizona

Here in Arizona, the Cavity Free AZ program supports school children in accessing preventive dental services. Through this program, children can receive: 

• Dental screenings
• Fluoride treatments
• Dental sealants

Best of all, these services are provided during the school day, so children don’t miss class.

Dental sealants are thin coatings applied to the grooves of teeth that help prevent cavities by keeping out food and bacteria. Children who need sealants, do not have private dental insurance, and attend schools with high participation in the Arizona Department of Education’s Free and Reduced School Meal Program are eligible to receive treatment with parental consent. 

Programs like Cavity Free AZ help families and caregivers stay informed, reduce barriers to care, and support children in building strong, healthy teeth that can last a lifetime.

Simple Ways to Protect Your Child’s Smile

Small, consistent habits at home can have a big impact on your child’s oral health:

• Brush teeth twice a day 
• Floss at least once a day 
• Schedule regular dental checkups 
• Limit sugary foods and drinks
• Teach children healthy oral hygiene habits from an early age

Taking these simple steps at home, along with using preventive services like those offered through Cavity Free AZ, we can help children build healthy habits that last a lifetime. 

Looking Ahead 

Oral health during pregnancy and infancy is important for setting children and families up for a lifetime of strong teeth and overall well-being. If you’re looking for a pediatric dentist in your area, visit the AAPD Education and Resources for Parents. For information on dental care with sliding fee schedules in Arizona, the Arizona Department of Health Services Sliding Fee Schedule can help connect families to affordable care.

Together, with awareness, prevention, and community support, we can help every child grow up with a healthy smile. 

Over the last few weeks there has been a sharp increase in the number of individuals testing positive for Flu and hospitalizations for flu. This comes at a time where we are also managing the largest measles outbreak in this state since the early 1990s. While measles and flu are different, both are respiratory diseases that are vaccine preventable and spread easily in group settings and among unprotected individuals. 

Our goal is to provide clear, practical information so individuals and families can take simple steps to stay well. 

Increased Influenza A Activity Across Arizona

Most cases this season are linked to a strain called Influenza A (H3N2), which has been circulating nationally since late summer. There is no evidence to suggest that Influenza A (H3N2) subclade K is associated with more severe illness. Symptoms of influenza infection include:

• Fever
• Headache
• Muscle or body aches
• Cough, congestion, or other respiratory symptoms

For most people, flu symptoms improve with rest and supportive care. However, influenza can be more serious for young children, older adults, pregnant individuals, and those with underlying health conditions. 

Measles Activity in Our Community

Measles is a highly contagious viral illness that spreads through tiny droplets in the air when an infected person coughs or sneezes. It can remain in the air for up to two hours after an infected person leaves the room, which allows it to spread quickly in group settings.

Symptoms of measles often include: 

• Fever 
• Cough
• Runny nose
• Red, watery eyes
• A characteristic rash that typically starts in the face and appears several days after symptoms begin 

People with measles are contagious 4 days before and 4 days after the rash appears. Measles can lead to serious complications, particularly for infants, pregnant individuals, and people with weakened immune systems. 

The most effective way to prevent measles is by staying up to date with the MMR (measles, mumps, rubella) vaccination. Just one dose of measles vaccine is 93% effective against measles and two doses provides 97% protection. Vaccination not only protects individuals but also helps to reduce the spread within the community. 

Simple Steps That Make a Difference

There are practical, everyday actions that help reduce the spread of both measles and flu, especially as Arizonans return to school and work after the holidays: 

• Stay informed. You can stay up to date on flu and measles activity by following our measles dashboard and respiratory illness dashboard.
• Stay home when you’re sick. If you or your child have flu-like symptoms, staying home helps stop the spread and protects classmates, coworkers, and vulnerable community members.
• Practice good hand hygiene. Wash your hands often with soap and water or use hand sanitizer when washing isn’t available. 
• Cover coughs and sneezes. Use a tissue or your elbow and wash your hands afterward. 
• Stay up to date on vaccinations. Vaccines remain one of the most effective tools for preventing severe illness and complications. 
• Seek testing and medical care when needed. Early evaluation and treatment can help reduce complications, especially for those at higher risk. If you or your child develop measles symptoms, call ahead before visiting a clinic or emergency room to avoid exposing others.
• Travel and Group Gatherings. Crowded indoor settings such as airports, planes, shopping centers, and large family gatherings increase the risk of spread of respiratory illnesses. Make sure vaccinations are current before traveling, and if traveling abroad, confirm immunity since measles remains common in many countries, including Mexico and Canada.

Staying Healthy Together

Flu and measles prevention works best when we look out for one another. Arizona is experiencing a measles outbreak and high flu activity statewide.  If you feel sick, staying home and limiting contact with others is one of the most effective ways to slow the spread and protect each other.

By staying vigilant, practicing good hygiene, and making thoughtful choices, like staying home when ill, we can reduce the impact of flu in our schools, workplaces, and communities. 

Learn More and Stay Informed

We will continue monitoring respiratory and vaccine-preventable disease activity and share updates as needed.

For flu information and resources, please visit azdhs.gov/flu

For measles  information, vaccination guidance and prevention tips and resources, please visit azdhs.gov/measles

Thank you for helping keep our community healthy this season.

En estas fiestas, considere seguir estos consejos para mantenerse sano y seguro. Recuerde que no todas las personas tienen la misma capacidad para combatir infecciones, y lo que para algunas puede sentirse como una enfermedad respiratoria muy leve, podría tener consecuencias devastadoras para los miembros más vulnerables de nuestras familias.

SABIDURÍA

El saber es poder. Siempre busque fuentes confiables de información.

Hay muchísima información que se comparte en línea y en redes sociales que puede ser imprecisa o no está basada en hechos científicos. El Departamento de Servicios de Salud de Arizona (ADHS) monitorea las enfermedades respiratorias y proporciona información oportuna y precisa sobre avisos de las enfermedades en nuestras comunidades.. Visite nuestro sitio web para obtener más información sobre enfermedades respiratorias comunes como la influenza, el COVID-19 y el VRS. Nuestros tableros se actualizan regularmente y también ofrecen información sobre otras infecciones que actualmente afectan a nuestro estado, como el sarampión.

Hable con su proveedor de atención médica si tiene alguna duda sobre su estado de salud. Si está embarazada, si tiene hijos, o si busca información para usted o para un familiar mayor, la Academia Estadounidense de Pediatría, la Academia Estadounidense de Médicos de Familia y el Colegio Estadounidense de Obstetras y Ginecólogos ofrecen recomendaciones adaptadas e información de salud basada en hechos científicos. 

ACCIÓN

¡Vacúnese Ya!

Las vacunas han demostrado ser la forma más eficaz de evitar el contagio de enfermedades durante esta temporada navideña. ¿Tiene preguntas sobre la seguridad de las vacunas? Las vacunas sí son seguras y se ha comprobado que son altamente efectivas contra los virus respiratorios y el sarampión. Ayudan a prevenir que nuestros síntomas se vuelvan aún más graves.

El Departamento de Salud recomienda que todas las personas se mantengan al día con sus vacunas. Para obtener más información sobre vacunas y/o enfermedades o para saber cómo la vacunación contribuye a la salud pública, visite:

La Academia Estadounidense de Pediatría

La Academia Estadounidense de Médicos de Familia

El Colegio Estadounidense de Obstetras y Ginecólogos

El sarampión y otras infecciones causadas por virus comunes como la gripe pueden llegar a presentar síntomas graves, incluyendo la necesidad de hospitalización y, en casos severos, la muerte.

Aunque las vacunas no eliminan por completo el riesgo de infección, reducen significativamente la gravedad de los síntomas, haciendo que una enfermedad severa y potencialmente abrumadora sea más manejable y reduciendo el riesgo de complicaciones a largo plazo. Esto es extremadamente importante para quienes pueden tener mayor riesgo de complicaciones, como los niños pequeños, las personas mayores o cualquier persona con el sistema inmunológico comprometido.

PREVENCIÓN

Estas son unas estrategias de prevención recomendadas para protegerse y proteger a otras personas de infecciones respiratorias:

• Practique buena higiene, como lavarse las manos regularmente y limpiar las superficies que se usan mucho.
• Tome medidas para mejorar la calidad del aire en los lugares donde vive y trabaja la gente.
• Duerma suficiente durante épocas de las fiestas.
• Manténgase hidratado durante las celebraciones.
• Haga algo de ejercicio y pase tiempo al aire libre.

Pero lo más importante, y en especial para proteger a los demás, es quedarse en casa si está enfermo.

Cuidarse es el mejor regalo que puede darse a usted mismo y a sus seres queridos. Quédese en casa y lejos de otras personas hasta que se recupere: quiere decir 24 horas con sus síntomas mejorando y que no tenga fiebre, sin el uso de medicamentos para reducir la fiebre.

Hable con su proveedor de atención médica sobre posibles pruebas y tratamientos que puedan ayudarle a recuperarse más rápido.

RESTAURE SU SALUD EN CASA

En el Departamento de Salud, queremos que todas las personas regresen a casa seguras y saludables. Si sus planes navideños incluyen viajar, especialmente al extranjero, sea proactivo y hable con su proveedor de atención médica sobre su destino para verificar si necesita alguna vacuna o medicamento antes de su viaje. Dependiendo del lugar, otras vacunas, como las de hepatitis A o fiebre tifoidea, podrían ser necesarias para asegurar que esté totalmente protegido.

Disfrutemos estas fiestas navideñas con amor, salud y alegría. Al tomar precauciones simples y efectivas, podemos crear recuerdos hermosos con nuestra familia. Les deseamos una temporada navideña segura y sana.

Acerca del Dr. Richard Carmona

El Dr. Richard Carmona, el 17.º Cirujano General de los Estados Unidos, se desempeña como Asesor Médico de Salud Pública del Departamento de Servicios de Salud de Arizona (ADHS). En este cargo, el Dr. Carmona brinda orientación sobre políticas de salud pública y la implementación de enfoques científicos y basados en evidencia. Anteriormente asesoró al Departamento de Servicios de Salud de Arizona en la respuesta del estado a la pandemia de COVID-19 y en la preparación para emergencias de salud pública. El Dr. Richard Carmona cuenta con más de 50 años de experiencia como líder en la profesión de la salud. El Dr. Carmona se desempeña como Distinguished Laureate Professor en la Universidad de Arizona y cuenta con una Maestría en Salud Pública en Políticas y Administración de Salud por la Universidad de Arizona y un título de M.D. por la Universidad de California, San Francisco.

This holiday season, consider following these tips to keep yourself and your loved ones healthy and safe. Remember that not everyone has the same ability to fight infections, and what could feel like a very mild respiratory illness for some, could have devastating consequences on the most susceptible members of our families.

KNOWLEDGE 

Knowledge is power! Always look for trusted sources for information. 

There is so much information being shared online and in social media that can be inaccurate or not based on scientific facts. The Arizona Department of Health Services (ADHS) monitors respiratory illnesses and provides timely and accurate information about current public health concerns affecting our community. Visit our website to learn more about common viral respiratory illnesses such as influenza, COVID-19 and RSV. Our dashboards get updated regularly and also provide information about other infections currently affecting our state, such as measles. 

When it comes to your health, talk to your healthcare provider. If you are pregnant, a parent of a child or seeking information for yourself or an older family member, the American Academy of Pediatrics, the American Academy of Family Physicians and the American College of Obstetricians & Gynecologists provide tailored advice and fact-based health information. 

ACTION

Get vaccinated!

Vaccines are one of the most important steps to make sure you and your loved ones are protected during this Holiday season. Vaccines are safe and have been proven to be highly effective against respiratory viruses and measles, helping to protect against serious health issues.

ADHS recommends everyone stay up to date on vaccinations. For up-to-date vaccine recommendations visit: 

American Academy of Pediatrics
American Academy of Family Physicians 

American College of Obstetricians & Gynecologists 

Measles and other infections due to seasonal respiratory viruses can have serious consequences to your health, including the need for hospitalization, and in severe cases, even death. 

While vaccines may not completely eliminate the risk of infection, they can significantly reduce the severity of symptoms, making a potentially overwhelming severe illness more manageable, significantly reducing the risk of long-term complications. This is extremely important for those who may be at higher risk of complications like small children, seniors or anyone with a compromised immune system.

PREVENTION

Follow recommended prevention strategies to protect yourself and others from respiratory infections, including:

• Practice good hygiene like washing your hands regularly and cleaning commonly touched surfaces.
• Take steps for cleaner air in places where people live and work.
• Get enough sleep during the holidays.
• Stay hydrated during the celebrations.
• Get some exercise and spend time outdoors

Most importantly, in order to protect others, stay home if you are sick and take care of yourself!

Taking care of yourself is the best gift you can give to yourself and your loved ones. Stay home and away from others until you have recovered, 24 hours with symptoms improving and fever free without the use of fever-reducing medication. 

Talk to your healthcare provider about possible tests and treatments to help you recover quicker. 

COME BACK HOME HEALTHY!

At ADHS, we want everyone to come back home safe and healthy. If your holiday plans include travel, especially internationally, be proactive and talk with your healthcare provider about your travel destination to check if you need any vaccines or medicines prior to your trip. Depending on your destination, other vaccines—such as those for hepatitis A or typhoid—may be necessary to ensure you’re fully protected.

Let’s embrace this holiday season with love, health, and joy! By taking simple yet effective precautions, we can create beautiful memories with our family and friends while ensuring everyone stays safe. Wishing you all a delightful and healthy holiday season!