The instructions and draft proclamation below are for submitting a proclamation request for the State of Arizona. If you wish to request a city-level proclamation, click here


1. Go to
2. Under "Type of request*" select Proclamation.
3. Under "Proposed proclamation*", select Month: September; Day: 1; and Year: 2018.
4. For "Name of the proclamation*", type National Penicillin Allergy Day.
5. For "Day to be proclaimed*", type 09/28/2018.
6. For "Proposed text of the proclamation*", copy/paste the Draft Proclamation (below).
7. For "Has this proclamation been issued at a previous time in AZ*", select No.
8. For "Is this in conjunction with a national recognition*", select Yes, then refer to the map here and select all states which appear in orange.
9. For "Will this proclamation be presented at an event*", select Yes if your organization plans to host an NPAD event. Otherwise, select No.
10. Fill in appropriate details for your organization under "Requesting Organization*".
11. For "Is Honoree named in proclamation text*", select No.
12. Fill in appropriate details for your organization under "Primary Contact Person*" and select how you'd like to receive the Proclamation, if issued.
13. Read Proclamation Terms and Conditions and complete Captcha requirements, then click Submit Request.
14. Click here to send us an email and let us know you've submitted a proclamation request for AZ!

Draft Proclamation

Copy and paste the following text IN FULL in the "Proposed text for the proclamation*" box, per the instructions above



SEPTEMBER 28, 2018


WHEREAS, penicillin is the most commonly reported drug allergy with 10% of all US patients—or 30 million Americans—reporting having an allergic reaction to a penicillin-class antibiotic in their past.1

WHEREAS, penicillin allergy history is often inaccurate. Research shows that 9 out of 10 patients reporting as penicillin allergic are not truly allergic to penicillin.1

WHEREAS, inaccurate diagnosis of penicillin allergy can adversely impact medical costs for both patients and healthcare systems: research shows that as antibiotic costs for patients reporting penicillin allergies are up to 63% higher than for those who do not report being penicillin-allergic.2

WHEREAS, in the hospital setting, history of penicillin allergy translates to about 10% more hospital days, 30% higher incidence of VRE infections, 23% higher incidence of C difficile infections, and 14% higher incidence of MRSA infections.2

WHEREAS, these adverse events occur because penicillin “allergic” patients are given more broad spectrum antibiotics2, which contributes to the public health problem of antibiotic resistance.3

WHEREAS, National Penicillin Allergy Day was created to raise awareness of false penicillin allergy and encourage the de-labeling of patients falsely labeled with penicillin allergy by promoting the existence of penicillin allergy skin testing.

THEREFORE I, Doug Ducey, Governor of Arizona, do hereby proclaim September 28, 2018: National Penicillin Allergy Day in the State of Arizona and encourage the residents of Arizona to increase their understanding and awareness of penicillin allergy by visiting


  1. Joint Task Force on Practice Parameters representing the American Academy of Allergy, Asthma, and Immunology; American College of Allergy, Asthma, and Immunology; Joint Council of Allergy, Asthma and Immunology. Drug allergy: an updated practice parameter. Ann Allergy Asthma Immunol. 2010 Oct;105(4):259-273
  2. Macy, E. M., & Contreras, R. (2014). Healthcare Utilization and Serious Infection Prevalence Associated With Penicillin “Allergy” In Hospitalized Patients: A Cohort Study. Journal of Allergy and Clinical Immunology,133(2).
  3. Dellit, TH, Owens, RC, McGowan JE, Jr et al. Infectious Disease Society of America and the Society for Healthcare Epidemiology of America Guidelines for Developing Institutional Programs to Enhance Antimicrobial Stewardship. Clin Infect Dis. 2007;44-150-77.

City-Level Proclamations

Depending on what best suits your organization, you can submit a city-level proclamation either in lieu of—or in addition to—a state proclamation request. Select a city below to see instructions for submitting a proclamation request to the Mayor's Office.