A grim reminder is out - that Arizona could be doing more to keep its youngest residents safe and healthy.

The state's 29th annual Child Fatality Report says a total of 863 Arizona children died last year - and almost half of those deaths were considered preventable.

They include fatalities from abuse and neglect, COVID-19, drowning, firearm injuries - as well as substance-related causes, and sudden unexpected infant deaths. And all increased last year compared to 2020.

Dr. Mary Rimsza - the medical director of the Child Fatality Review program of the Arizona Chapter of the American Academy of Pediatrics and chair of the review team - said it's unusual to see such a substantial increase, but this tragic information is useful.

"Frankly," said Rimsza, "a major purpose of us doing this report is to identify preventable deaths and to make recommendations on how future deaths can be prevented. That is our mission."

The report says Arizona's child mortality rate increased 4.7% from 2020 to 2021, and it's higher among boys than among girls.

In 2021, 31 children's deaths were attributed to COVID-19, compared to 12 in 2020.

Another category with an alarming increase was drowning - the rate jumped 108%. And in substance-related deaths, poisoning was the leading factor.

Of the 49 child poisoning fatalities Rimsza said 46 were opiate overdoses, and fentanyl was responsible for 44 of them.

"The deaths due to fentanyl and other opiate overdoses, most all the opiate deaths in children were due to fentanyl," said Rimsza. "It is a huge problem in our state. It is a very tragic event - oftentimes, it could be the first time a young person tried a drug."

Rimsza added that the message to Arizona families is that there are many steps families can take to prevent a tragedy - from ensuring safe sleep environments for infants, to making sure pool areas are supervised and well fenced, to storing firearms safely and securely.

The report contains a full list of recommendations.

Today is National Daughters Day and for one Utah teenager, the title only seemed like a dream until recently.

Lilyauna Coffey, 19, lives in Salt Lake City. She spent nine years in the foster care system looking for her forever home and family. It was just last year her dream became reality.

Jessica Coffey said she and her husband Sam temporarily took Lilyauna in as she was waiting for an initial adoptive family to be ready. But after not having "clicked" with the family, Jessica said Lilyauna wanted to stay with them.

"When her adoption worker, that does work with the Dave Thomas Foundation for Adoption, called us and was like, 'Hey, you know, Lilyauna was wondering if you guys would adopt her?' We already were ready to say yes," Coffey recounted. "What was supposed to be like two weeks max, just turned into forever and it's been great."

Coffey stressed it is important for families looking to adopt to realize there are many teenagers looking for permanent homes. She noted being a teen is hard already and for those who lack the support, consistency and love of a family, entering adulthood can be overwhelming.

The latest state data show there are about 2,000 children in Utah's foster care system, with fewer than 600 adopted per year.

Rita Soronen, president and CEO of the Dave Thomas Foundation for Adoption, said when a judge permanently severs a child's relationship to their biological family, whether it be due to neglect or abuse, children are promised permanency. But about 20,000 children nationwide turn 18 each year and leave foster care without a family.

Soronen argued more must be done.

"That's why Wendy's Wonderful Kids programs -- for example, in Utah and across the nation -- are so critical to move those children to permanency," Soronen explained. "To minimize the trauma they've already experienced, and to move them toward a journey of healing with a family that can provide them the support and the care."

Soronen added what everyone strives for at the end of the day is a home, which she contended is evident in art and literature throughout American history.

"T.S. Eliot said, 'Home is where we start from,'" Soronen said. "Think of Judy Garland in the movie, right? 'There's no place like home, there's no place like home.' It is at the essence of who we are."

About 53% of high school students think voting is important, according to a survey out today from the nonprofit Youth Truth.

Researchers polled 115,000 American high school students, including Californians, on civic engagement and found 60% believe "helping others is important," but only 44% feel confident in their ability to make a difference.

Jennifer de Forest, interim vice president of Youth Truth, said 30% of students translate their intentions into meaningful action.

"They say, 'We don't know where to start,'" de Forest explained. "And that's the best-case scenario, because for many students, they've actually internalized the message that the system is broken, and that what they have to say doesn't matter."

Latino students report feeling the most disempowered. Only 26% have taken civic action and just 46% believe voting is important. Many students said they are more focused on academic success and college acceptance. But they say extracurriculars like scouting, band and sports do make them feel more civic-minded.

Kate Snow, coordinator of school climate for the Davis Joint Unified School District, which brought diverse student groups together for a youth empowerment workshop, said districts need to build young people's confidence in the importance of their voices.

"There's a link between how schools are engaging students and helping students see their own power and use their power, with how they see and use it in the public arena," Snow pointed out.

The report encouraged schools to promote the importance of voting and students getting involved in their community.

People who have gone through the foster care system in Oregon will get a chance to help improve it. The Oregon Department of Human Services has agreed to a settlement in a class action lawsuit filed by foster children. As part of the agreement, foster youth and anyone who has aged out of care since 2019, when the suit was filed, will get a chance to share their feedback about the settlement with U.S. District Judge Ann Aiken on September 12th.

Emily Cooper, legal director for Disability Rights Oregon, one of the organizations that filed the initial lawsuit. She welcomes the opportunity for input.

"They have an opportunity to say, 'I think the state should also, maybe do these other things,' or 'the state should really focus on this.' And the court and we really want to hear from these children and young adults," she said.

A listening session is being held today at 5 p.m. and Saturday at 1 p.m. to provide instructions on how to share feedback. Cooper notes nearly 5,000 people will be eligible to participate. Those wanting to share must sign up online by August 15th or send a letter to Judge Aiken by August 16th.

Cooper said the state needs to make drastic changes to the foster care system. The initial suit was filed because of concerns about kids being abused, neglected and going without essential services. She says the state has agreed to make certain changes over the next ten years.

"Making sure that kids aren't cycling in and out of the system, going home, coming back. That's called reentry. It's making sure they have case plans within the first two months of entering care, making sure they get the services like medical, dental, mental health care when they're in care," Cooper said.

Cooper shared the agreement with one of the women involved in the case and she told Cooper she cried after reading it.

"She said, 'Because if all of these promises that are in this agreement had been kept before I entered care, I wouldn't have the scars I have. So I think this is not just for me but every single kid like me," Cooper added.


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