1. health and fitness
2. disease
3. cold and flu

2015 SULLIVAN COUNTY
SUCCESS SUMMIT
Communities United
Regional Network
Valley Regional
Healthcare
Greater Sullivan County
Public Health Network
YOUTH
Cindy Gallagher, EdD
Superintendent, SAU 43
YOUTH PROGRESS
Sullivan County Youth Behavior Risk Survey, 2011 vs 2013
Youth Substance Use
Sullivan County was once the top county for youth binge drinking.
Now 30-day binge alcohol use (5+ drinks in a row) has decreased for
the majority of students.
Less than 4 in 10 students have used marijuana in the past thirty days.
That’s better than Grafton or the Monadnock region.
YOUTH PROGRESS
Sullivan County Youth Behavior Risk Survey, 2011 vs 2013
Newport HS and Stevens HS
Our kids are safer on the roads!
o Fewer youth than the state average texting or emailing
while driving: the lowest rate in the state
o Fewer youth than the state average driving after
drinking alcohol
oMost students agree their families have clear rules and
standards for their behavior
SULLIVAN COUNTY YOUTH
Building toward a healthy,
economically competitive
future
SULLIVAN COUNTY’S FUTURE
Christine Corcoran
Sullivan County Young
Professionals
REGIONAL PLANNING
AND GROWTH
Nathan Miller
Upper Valley-Lake
Sunapee Planning
Commission
WHAT IS THE UVLSRPC?
The UVLSRPC is a voluntary association of 27
municipalities in Grafton, Sullivan, and
Merrimack County, New Hampshire.
The Commission’s activities include providing
planning-related technical assistance to
member communities, coordinating intermunicipal planning projects, and conducting
public outreach and education on planningrelated matters in the region.
MODEST (BUT STEADY) POPULATION GROWTH
EXPECTED
WHAT ARE THE ECONOMIC STRENGTHS OF OUR
REGION?
ADDRESSING ECONOMIC HEADWINDS IN OUR
REGION
Broadband Access
Brownfields
Home Affordability
Workforce Training
Deteriorating
Infrastructure
Community
Number of Remedial
Sites
Acworth
5
Canaan
42
Charlestown
50
Claremont
156
Cornish
19
Croydon
6
Dorchester
5
Enfield
63
Goshen
10
Grafton
18
Grantham
28
Hanover
108
Lebanon
192
Lempster
22
Lyme
26
New London
61
Newbury
32
Newport
100
Orange
2
Orford
14
Piermont
9
Plainfield
36
Springfield
25
Sunapee
57
Unity
18
Washington
6
Wilmot
13
Total Region
1,123
THANK YOU!
Nathan Miller, AICP
Upper Valley Lake Sunapee RPC
10 Water Street, Suite 225
Lebanon, NH 03766
[email protected]
COUNTY HEALTH RANKINGS
AND DEMOGRAPHIC CHANGES
Liz Hennig
Communities United
Regional Network
NEW HAMPSHIRE HIGH SCHOOL GRADUATION
RATES OUTPERFORM MOST OF THE NATION
Source U.S. Census Quick Facts 2013
HIGH SCHOOL GRADUATION RATES TOPS NH AND
US GRADUATION RATE OF 63% AND MORE THAN
HALF HAVE SOME COLLEGE
Sullivan
County
Best US
Performers
NH
2015
2014
2010
Source County Health Rankings 2015
HIGHER PERCENT OF HS GRADUATES
THAN UNITED STATES AVERAGE
Source U.S. Census Quick Facts 2013
VIOLENT CRIME DROPPING: BELOW NH AND WELL
BELOW NATIONAL RATE
Source County Health Rankings 2015
DEVELOPMENT IN CLAREMONT
Zachary Williams
City of Claremont NH
TRANSPORTATION
Pam Joslin
Community Alliance
HIGHER EDUCATION
Valerie Mahar
River Valley Community
College
THE CREATIVE ECONOMY
Melissa Richmond
West Claremont Center for
Music & the Arts
CLINICAL CARE STRENGTHS
Peter Wright, FACHE
Valley Regional Health
Care
MORE ADULTS ARE NOT SMOKING AND
TEEN BIRTH RATES ARE DECLINING
Sullivan
County
2015
2014
2010
Source: County Health Rankings Report
Best US
Performers
NH
OBESITY RATES ARE BELOW NH & US
Source: County Health Rankings
Report
MAMMOGRAPHY SCREENING & DIABETIC MONITORING NEAR TOP US PERFORME RS
Sullivan
County
2015
2014
Source: County Health Rankings Report
Best US
Performers
NH
PREVENTABLE HOSPITAL STAYS ARE
MOVING DOWNWARD WITH NH &US
Source: County Health Rankings Report
SCHOOL BASED FLU
VACCINATIONS: THE BENEFITS
Jessica Rossman
Greater Sullivan County
Regional Public Health
Network & Medical
Reserve Corps
FLU VACCINE
Recommended for everyone 6 months and older by the CDC
A new flu vaccine is made each year to protect against the flu viruses
that research indicates are most likely to cause illness during the next
flu season
In New Hampshire, there were 44 reported deaths due to the flu
during 2012-2013 season
Protection lasts up to 1 year
Flu shot contains only inactivated vaccine and CANNOT CAUSE THE
FLU
www.cdc.gov; www.dhhs.nh.gov/dphs/cdcs/influenza/documents/1213summary.pdf
SCHOOL BASED CLINICS
INCREASE VACCINATION RATES
School without
4.3% SBC
School with SBC
46.6%
Not
Vaccinated
Not
Vaccinated
Note: Data from intervention and control elementary schools (grades K-6) in Los Angelos County, CA. Schools mainly serve
middle and lower-class communities.
Pannaraj, P.S. (2014)
Unvaccinated
Herd Immunity
in schools
Vaccinated
Flu
SBC
VS.
6
1
unvaccinated children get the flu
unvaccinated child gets the flu
Note: Only includes lab-confirmed cases. Data from intervention and control elementary schools (grades K-6) in Los Angelos County, CA that mainly serve
middle and lower-class communities.
Pannaraj, P.S. (2014)
An unvaccinated child is
TWICE as likely to get the flu at a school
without SBC compared to a SBC school (with
a 47% vaccination rate)
Note: Data from intervention and control elementary schools (grades K-6) in Los Angelos County, CA that mainly serve
middle and lower-class communities.
Pannaraj, P.S. (2014)
SBC IN GREATER SULLIVAN COUNTY
SCHOOL DISTRICTS
In 2014 we vaccinated over 570 students
in 6 school districts including
Alstead, Acworth,
Kearsarge
Charlestown,
Goshen-Lempster,
Newport
HOW MUCH DOES A SICK CHILD COST?
Medical
Costs
•
•
•
•
Outpatient & Emergency Dept. Visits
Hospitalization
Prescriptions
Over-the-counter medication
Loss of
parent
productivity
• Missed work
= $455.00 per
household
Yoo, B. (2014)
Note: Analysis based on multi-state randomized control trial.
COST SAVINGS TO PARENTS
Therefore, you are saving each parent
$490 by giving them the opportunity
to have their child vaccinated in
school!
HOUSEHOLDS IN COMMUNITIES WITH SBC
CLINIC HAD FEWER:
Physician visits
Emergency department visits
Lost work days by caregivers
Lost income potential
Prescription medications
Over-the-counter medications
Gagllani, M. (2014); King J.C. (2006); Grijalva, C.G.(2009); Poehling, K.A.(2009)
Note: Data from multiple states.
DAYS MISSED DUE TO ILLNESS
4.5
Students
5.3
Teachers
0
1
2
3
4
5
6
Number of Days
Öhlund, L.S.(1994)
Note: Study performed in Switzerland.
4.5
UNVACCINATED CHILDREN MISS MORE
DAYS (DUE TO ALL ILLNESS?)
4.3
4.1
3.9
35% less
3.7
3.5
absences by
getting
vaccinated
3.3
3.1
2.9
2.7
2.5
Unvaccinated child
Pannaraj, P.S. (2014)
Vaccinated child
Note: Surveillance period was 15-weeks during high influenza activity. Includes absences due to all
causes. Study based in California.
DISTRICT-WIDE EFFECT
SBCs in elementary schools have been
shown to decrease absentee rate in
elementary school AND high school even
though the high school did not have SBC
demonstrates herd immunity
King, J.C. (2012)
Note: Study based in Maryland.
WE ENCOURAGE ALL SCHOOLS TO
PARTICIPATE IN SBC IN 2015
The Public Health Network encourages all schools to participate in the
School Based Clinic Program
If we can vaccinate 33-47% of the students, we can have
SIGNIFICANTLY LESS ABSENCES
SAVE PARENTS MONEY
SAVE THE SCHOOLS MONEY
HEALTHY CHILDREN, TEACHERS, and FAMILIES
= A HEALTHY COMMUNITY!
QUOTES!
“I’ve been waiting my whole life for this!”
– Taylor, Age 7, Charlestown Primary School
“Old MacDonald had a … OW!  ”
– Bryce, Age 6, Richards School, Newport
“Nurse, I’m very fragile.” ….“Wait, That was - awesome~!”
– Stephen, Age 9, Richards School, Newport
THANK YOU!
Jessica R. Rosman, MPH CHEP
603-398-2222
[email protected]
SUBSTANCE ABUSE
Liz Hennig
Communities United
Regional Network
ADULT SUBSTANCE USE
Adult binge drinking lower than state and “peer counties” nationally
with only 15% of the adult population reporting binge drinking
Premature death rate continues to decline
Lowered recidivism rate as the result of TRAILS
 55% of Sullivan County inmates were high-risk offenders (using drugs or alcohol for
three months or longer, with more than one relapse); 19% were moderate-risk
offenders (using drugs for three months or longer, with a period of sobriety of at
least 90 days) and 26% were low-risk offenders (using drugs experimentally, had
used in the past, but no recent use). Nearly all inmates reported abusing more than
one drug.
HEALTH AT EVERY AGE
Larry Flynt
NH State Committee on
Aging
WORKFORCE WELLNESS AND
HEALTH CARE ACCESS
Karen Zurheide
New London Hospital
… a community health
initiative …with a
mission to provide the
Lake Sunapee Region
communities with a
sustainable and
collaborative long-term
plan for measurably
improving health and
wellness.
• Begun in 2013
• Funded by anonymous gift
• Led by New London
Hospital
• With broad community
participation
• Early focus on Healthy
Eating/Active Living (HEAL)
• Employer Wellness Network
Newport Health Center Rebuild
PROJECT
• Obtaining Town
approvals for 28,000 sq
ft 2-story building
• Groundbreaking late
summer/early fall
• 18 months to remove
bowling alley, build new
NHC, move, tear down
existing NHC
•
•
•
•
BACKGROUND
• Robust rural health
center, 40+ staff
• Established in 1991
by NLH after closure
of Newport Hospital
Newport largest town in service
area, 1/3 of NLH activity
Building bought in late 2013
Facility inadequate for modern
healthcare delivery
NLH committed to Newport area
MOVING AHEAD
MOVING AHEAD
EMPLOYMENT
MOVING AHEAD
IN CONCLUSION
Coming Soon
Dr. Benjamin Chan
Thanks to:
Dennis Delay and Stephen A. Norton,
NH Center for Public Policy Studies
The Common Man
Sullivan County Commissioners
NH BDAS
New Hampshire Charitable
Foundation
Our guests and presenters
Tuesday, May 12, 11:00-12:30 am
Sugar River Bank Community Room,
Newport