Board of Health

City of Nashua Division of Public Health & Community Services 18 Mulberry Street, Nashua, NH 03060 BOARD OF HEALTH MEETING April 9, 2014 12:30 PM AGENDA 1. Call to Order 2. Approve minutes from March 2014 3. Department Reports for March 2014: a. Welfare b. Community Services a. Public Health Network Services (EP & SMP) b. Community Education c. Program Coordinator/CHIP d. Healthy Homes c. Environmental Health d. Community Health a. WE CAN! Presentation by Alicia Triantos 4. Public Comments 5. Adjourn – Next Meeting - May 14, 2014 - 12:30 pm – 1:30 pm  City of Nashua Division of Public Health & Community Services 18 Mulberry Street, Nashua, NH 03060 BOARD OF HEALTH MEETING April 9, 2014 12:30 PM 18 Mulberry Street, 2nd floor Nashua, NH 03060 MEETING MINUTES BOH Members Present: Dr. Anthony Storace Dr. Thomas Astolfi Board members were given an agenda and copies of the department reports. Meeting was called to order at 12:40 pm. Minutes: Dr. Astolfi made a motion to accept the March 2014 minutes. Dr. Storace seconded the motion. The Motion passed. Department Reports Department Managers and Program Coordinators summarized their monthly reports. Ald. Wilshire mentioned the Board of Alderman had passed Welfare’s guidelines the previous evening at the April 8th meeting. Epidemiologist, Ashley Conley, reported outstanding attendance to recent focus groups; key issues included: obesity, access, and behavioral health. Dr. Astolfi posed the question regarding the requirements of glove use in food establishments (no bare- hand contact, changing tasks, and washing hands in-between) to Health Officer, Heidi Peek. 1 Community Health Manager, Sue Myers, described several of the van’s appearances as part of Public Health Week (Adult Learning Center, Railroad Square); also discussed future expansion of clinic hours/days. Public Comments Ward 4 Alderwoman, (Tree Streets), State Representative, and Chair of the Lyme Disease Subcommittee, Pamela Brown, informed the Board that May is Lyme Disease Awareness Month. Alderwoman Brown has a group of volunteers and wants to hold an awareness event; left a DVD, Under Our Skin, and wants to show it at the library next month. Dr. Astolfi made a motion to adjourn. Dr. Storace seconded the motion. The Motion passed. Meeting adjourned at 1:35 pm. In accordance with the 2014 Board of Health Meeting Schedule, the next meeting will be on Wednesday, May 14, 2014 12:30-1:30 pm. 2  City of Nashua Division of Public Health & Community Services 18 Mulberry Street, Nashua, NH 03060 BOARD OF HEALTH MEETING March 12, 2014 12:30 PM 18 Mulberry Street, 2nd floor Nashua, NH 03060 MEETING MINUTES BOH Members Present: Dr. Anthony Storace Dr. Thomas Astolfi Board members were given an agenda and copies of the department reports. Meeting was informational only until called to order at 12:42 pm. Minutes: Dr. Astolfi made a motion to accept the February 2014 minutes. Dr. Storace seconded the motion. The Motion passed. Department Reports Kerran Vigroux introduced Allison Cote, the new Administrative Assistant for the Community Services Department. Howard Price reported for Heidi Peek. Shannon Casey reported for Sue Myers. Kerran Vigroux reported for Amy Moutenot. Department Managers and Program Coordinators summarized their monthly reports. Aldermanic Liaison - None Public Comments – None Dr. Charles Cappetta attended the meeting for information purposes. 1 Dr. Astolfi made a motion to adjourn. Dr. Storace seconded the motion. The Motion passed. Meeting adjourned at 1:20 pm. In accordance with the 2014 Board of Health Meeting Schedule, the next meeting will be on Wednesday, April 9, 2014 12:30-1:30 pm. 2  City of Nashua Division of Public Health & Community Services (603) 589-4555 18 Mulberry Street - Nashua, NH 03060 Fax (603) 594-3643 Welfare Department Memorandum To: Honorable Donnalee Lozeau, Mayor John Griffin, Chief Financial Officer Board of Aldermen Kerran Vigroux, Director, Division of Public Health & Community Services From: Robert Mack, Welfare Officer Date: April 1, 2014 RE: Welfare Statistics – March 2014 [FY2014] The following is a summary for the month of March 2014 in the City Welfare Department. Expense figures for March 2013 as compared to March 2014 issued amounts: Type of March 2013 March 2014 Assistance FY2013 FY2014 Shelter: $27,438.44 $28,272.25 Medical: $2,246.86 - Fuel: $1,969.17 $550.48 Food: $1,138.81 $434.88 Maintenance: - $164.61 Burial/Cremation: - $1,450.00 Total expense: $33,543.28 $30,872.22 Page 1 of 2 Statistics for March 2013 as compared to March 2014: March 2013 March 2014 FY2013 FY2014 Number of Contacts: 627 523 Number of New Applications: 113 110 Number of Interviews: 181 170 Number of Cases: 100 72 Number who received Assistance: 115 83 Percentage who received aid: 64% 49% Number of vouchers issued during the calendar month: Voucher Type March 2013 March 2014 FY2013 FY2014 Shelter: 59 49 Medical: 42 29 Utilities: 19 8 Food: 9 3 Maintenance: 11 5 Burial: 1 1 Travel: 0 0 Total vouchers: 141 95 The Nashua Welfare Department assisted 6 families and 0 individuals in emergency motel placements and referred 6 families and 5 individuals to public shelters/homeless outreach during the month of March. As of the date of this report, the Welfare Department has expended $450,714.29 for General Assistance in FY2014. The Welfare Department continues to provide assistance in accordance with RSA165 and the City of Nashua Welfare Guidelines to those who are in need and unable to support themselves. Welfare staff works closely with community partners to meet the needs of those applying for assistance and refers to programs as appropriate to offset the need for Municipal Welfare. Page 2 of 2  City of Nashua, NH - Board of Health Public Health Network Services March 2014 Public Health Emergency Preparedness Highlights: 2014 Community Health Assessment (CHA): The Data Subcommittee held on meeting March 6th and discussed health data that will be included in the final report, such as the percentage of children getting annual physicals and well child visits. The Public Health Associate also worked on collecting data for maps of the region such as poverty and education. In the month of March, 3 of the 8 focus groups were conducted. One focus group was on oral health, a second was on the aging population and the third was with residents in Nashua. The remaining 5 focus groups will be held in April. A blog was written and posted on the United Way of Greater Nashua website to help promote the focus groups. St. Joseph Hospital Active Shooter Drill: St. Joseph Hospital held an active shooter drill in their newly constructed emergency department before it was opened to patients. The Public Health Network Services Coordinator and Epidemiologist helped to evaluate the exercise on March 26, 2014 for sheltering in place and triage. State Public Health Advisory Council Meeting: The Epidemiologist and Public Health Network Services Assistant attended a full day training on March 26th with the NH Department of Health and Human Services to discuss the development of a public health advisory council. The public health regions are working on developing advisory councils that will partner to address the health needs of the region. Budget Period 2 (BP2) Progress Report: The team provided a comprehensive update to the CDC public health advisor on our progress to address recommendations from our 2013 Technical Assistance Review. We are currently waiting on the final report from CDC.  Board of Health • March 2014 Division of Public Health and Community Services Melissa Whalen, Community Health Educator Communications/Marketing  Participated in the planning and helped develop marketing materials for the STD/HIV/HCV grant o Coordination of printed promotional items for regional distribution o Development and edits to bus shelter and transit signs  Attended/coordinated the social media training at Rivier University on 3/11, facilitated by the Community Health Institute Events/Community Partners  National Public Health Week: The month of March was spent preparing for National Public Health Week, April 7th – 13th. I convened an internal team to help coordinate events throughout the week. With over 22 community partners, we planned several workshops throughout the week that were free and open to the public. We also will have a kick-off event on Monday, April 7th at the Boys and Girls Club of Greater Nashua. Brochure for the week and events flyers attached. o Developed a brochure and flyers to promote the week of events o Registered our kick off event with the American Public Health Association – selected to participate in the NPHW “Face-Off” o Distributed a press release to local news outlets o Featured in the United Way of Greater Nashua’s Blog Community Health Assessment  Continued to support the eight 2014 CHA focus groups through continued promotion and targeted recruitment. Attended and took notes at the focus group on 3/13 with oral healthcare providers. Attended and coordinated the focus group on 3/27 with Nashua residents.  Join the City of Nashua Division of Public Health and Community Services in Celebrating A BIG thanks to all participating agencies: United Way of Greater Nashua Greater Nashua Public Health Holistic Self Care Center Network YMCA of Greater Nashua Southern NH Health Systems Police Athletic League of Nashua St. Joseph Hospital Silver Knights Dartmouth-Hitchcock Nashua City of Nashua: Nashua Regional Planning Commission Human Resources Department Great American Downtown Parks and Recreation 21st Century Afterschool Program Police Department New Hampshire Healthy Families Office of Emergency Management Dental Connections Adult Learning Center Greater Nashua Mental Health Boys & Girls Club of Greater Nashua Center For more information on public health visit: www.nashuanh.gov www.dhhs.state.nh.us www.thisispublichealth.org www.nphw.org www.cdc.gov For more information or questions call the City of Nashua Division of Public Health and Community Services at 603-589-4560 or visit www.nashuanh.gov  Nashua: A healthy place to live, work and play! Monday, April 7th Tuesday, April 8th Wednesday, April 9th Thursday, April 10th Friday, April 11th Public Health: Start HERE! Don’t panic: Disaster Get out Ahead: Prevention is a Eat well: The system that keeps Be the healthiest nation in one preparedness starts with priority. our nation’s food safe and Generation: Best practices for NPHW Kick Off Event communitywide commitment. healthy is complex. community health come from “Conducting Health and The Public Health Van will pro- around the globe. Join Mayor Donnalee Lozeau Welfare Checks and Rapid vide free vaccines to uninsured “Safe Food Practices” What Lunch time Bike and Walk! as we kick off our celebration Needs Assessments” This adults and children. Free blood does it take to be food safe in of National Public Health week Bring your walking shoes or training will provide guidance pressure screenings will also be your own home? Come find by hosting a health fair at the offered to adults. bicycle to the start of the Boys and Girls Club of Greater on how to conduct door-to- out at a 45 minute presenta- door health and welfare Nashua Heritage Rail Trail. Nashua. Where: Adult Learning Center, tion on safe food practices. checks on selected neighbor- 11am-1pm and Railroad Square, 4 Meet Mayor Donnalee Lozeau Where: Nashua Senior Center, There will be over 14 organiza- hoods and vulnerable areas -6pm. at noon to participate in a 2.6 70 Temple St, Education Room, tions represented with health to assist first responders and mile (round trip) trail walk 2-3pm. information, free giveaways emergency management ac- Healthy Homes Presentation: while riders will complete a and raffle prizes, including a count for persons in disaster Learn how to make your home a loop that extends from the kid’s bike, a park and rec sum- stricken areas. A great train- “Healthy Home”. For more in- “Eating for High Energy” the trail to Mine Falls Park before mer camp package, and a fan ing for local emergency volun- formation call 589-3071. Where: City of Nashua’s Employee As- returning to City Hall. Water, experience to the Silver teers! Nashua Adult Learning Center, sistance Program is offering a snacks, Tree Streets place- Where: Dartmouth-Hitchcock starts at 6:45pm. workshop that will pro- maps, and giveaways are all Knights. Nashua, Conference rooms A- vide tips on what we can do “Moving in the Right Direction” part of this National Public This event will be fun, informa- C,6-8pm and eat to energize ourselves tive and HEALTHY! It will show Ways you can avoid stagnant Health Week event! Strollers “Get into Circulation: PAD” so we can perform at our best and rollerblades are welcome. how public health is present in and neutral postures and identi- Learn about the prevalence of every day. Open to City of Please join us! Where: Start of our everyday lives and how fy risk factors. We will demon- lower extremity peripheral ar- Nashua Employees only. the Heritage Rail Trail (behind every organization can con- strate stretching programs to nect in some way to improve tery disease (PAD). Under- Where: City Hall Auditorium, 1- help you avoid injury. Open to Nashua City Hall) the health of the community. stand its causes, diagnosis, 2pm and Nashua High South, treatment and management. City of Nashua Employees only. 2:30-3:30pm. Where: Boy’s and Girls Club of Where: Southern NH Medical Where: City Hall Auditorium, 12- Greater Nashua, 5-7pm. Center (10 Prospect St), 1pm and Nashua High South, Call: 883-0523 x218 6:30-8pm, register here: 3:30-4:30pm. www.snhhs.org/classes Holistic Self Care Center is offering a week of healthy workshops in celebration of National Public Health Week!! All workshops will be held at the Tuesday Wednesday Thursday Friday Holistic Self Care Center at 12 6:30-8pm “Emergency & Disaster 6:30-8pm “Stress Management 6-9pm “Understanding GMO 6:30-8pm “Fermented Food From Murphy Drive in Nashua. To Preparedness - Where To Start & For Preventative Care” Cost is $15 Foods & Its Risks” Cost is $15 per Around The World That YOU Can register or for more infor- What To Do”. Cost is $20 per per person but FREE to the first 10 person but FREE to the first 10 Make At Home!” Cost is $20 per mation, please call 883-1490. person. people that register and attend! people that register and attend! person.  City of Nashua Celebrates 6th Annual National Public Health Week KICK OFF EVENT Monday, April 7th, 5-7pm Boys & Girls Club of Greater Nashua Come learn about healthy activities, programs and resources near you! Come play fun games! Come meet your Mayor, Donnalee Lozeau! Health Information Tree Streets Placemap Raffle Prizes Weekly Events Guide Giveaways Healthy Snacks City of Nashua Division of Public Health and Community Services. For more information call: 589-4543  City of Nashua Celebrates 6th Annual National Public Health Week Don't panic. Disaster preparedness starts with community-wide commitment and action. We're here to help you weather the unexpected. City of Nashua Office of Emergency Management and Division of Public Health and Community Services present: “Conducting Health and Welfare Checks and Rapid Needs Assessments” Tuesday, April 8th, 6-8pm Dartmouth Hitchcock Nashua, Conference Rooms A-C This training will provide guidance on how to conduct door-to-door health and welfare checks on selected neighborhoods and vulnerable areas to as- sist first responders and emergency management account for persons in disaster stricken areas. Special consideration will be made on identifying needs in the community which must be relayed back to the Emergency Operations Center. A GREAT training for local emergency preparedness volunteers! Sign up here: https://docs.google.com/forms/d/1ka7h4K495SfWPjSyyQafVnBOuBucWE88SoovU3Y3pWo/viewform City of Nashua Division of Public Health and Community Services. For more information call: 589-4543  City of Nashua Celebrates 6th Annual National Public Health Week Get out ahead. Prevention is now a nationwide priority. Let us show you where you fit in. Wednesday, April 9th Find the Public The Public Health Van will be at the Health Van! Adult Learning Center and Railroad Adult Learning Center, Square to provide vaccines free of charge 4 Lake St. to uninsured adults. Stepping up to re- 11:00am - 1:00pm ceive the recommended vaccines will protect not only you and your family, but the entire community! Railroad Square Blood pressure screenings will be offered 4:00 - 6:00 pm free of charge to all adults on the Public Health Van. Identifying and managing high blood pressure will help to prevent heart attacks and strokes in the fu- ture. Join us on the Public Health Van to determine how you can reduce your risk of hypertension. City of Nashua Division of Public Health and Community Services. For more information call: 589-4500  City of Nashua Celebrates 6th Annual National Public Health Week Get out ahead. Prevention is now a nationwide priority. Let us show you where you fit in. City of Nashua Code Enforcement and Division of Public Health and Community Services present: “A Healthy Community Starts in the Home” Wednesday, April 9th 6:45 - 7:45pm The Adult Learning Center 4 Lake Street, Nashua Is your home up to code? Come join members of Nashua Code Enforcement and learn how to make your home a “Healthy Home.” Participants will learn about the Healthy Homes program, bed bugs, the Nashua Lead Program, and tenant rights. City of Nashua Division of Public Health and Community Services. For more information call: 589-4536  City of Nashua Celebrates 6th Annual National Public Health Week Eat well. The system that keeps our nation's food safe and healthy is complex. We can guide you through the choices. City of Nashua Division of Public Health and Community Services present: “Safe Food Practices” Thursday, April 10th 2 - 3pm The Nashua Senior Center, Education Room 70 Temple Street, Nashua What does it take to be food safe in your own home? Come find out at a 45 minute presentation on safe food practices. City of Nashua Division of Public Health and Community Services. For more information call: 589-4530  Board of Health March2014 Program Coordination Public Health & Community Services Report from Beverly Doolan, Program Coordinator Community Health Improvement Plan  Finalized Tree Streets Place Map project. Planned distribution during National Public Health Week.  Assisted Nashua Regional Planning Commission with planning and promotion for National Public Health Week Walk/Ride event on 4/11  Conducted a Trail count of walkers and riders on March 7, 8, and 11.  Led a breakout session “Healthy Places to Play and Be Active” at the March 27 NH Comprehensive Cancer Collaborative Annual Meeting.  Met with Dartmouth Hitchcock café manager and gained commitment to participate in the Turn a New Leaf restaurant program supported by the Obesity workgroup.  Worked with Parks and Recreation to finalize new Heritage Rail Trail sign to be installed in April.  Worked with YMCA to hire an obesity coordinator for the obesity workgroup. Stacy Nelson accepted and joins the YMCA staff as of April 7.  Finalized a “tip sheet” for school counselors and mental health providers to use in working together to assist families. Planned distribution at roundtable event on May 14.  Assisted with organization and documentation of two focus groups to gather data for the 2014 Community Health Assessment Grants  Submitted required documentation for combined DHHS grant for STD-HIV, Tuberculosis, and Immunization. Funding allows DPHCS to continue contracted services for FY15 and FY16.  Attended the MAP-21 grant training on March 20 to learn about changes in federal transportation funding that now provides for more bike and pedestrian opportunities. Accreditation  Accreditation Team met on March 17 and reviewed Domain 1: Conduct and Disseminate Assessments of Population Health and Issues.  Initiated the process for staff members to name, save, and share document that will be reviewed to determine if accreditation measures are met.  Met with UNH MPH students to coordinate an analysis of core competencies within the Nashua DPHCS. This project will satisfy documentation requirements for Domain 8: Development of Public Health Workforce. All employees participated.  March 2014 Board of Health Report Healthy Homes Initiative Amy Moutenot, Program Coordinator The Healthy Homes Program addresses multiple diseases and injuries in the home. The program takes a comprehensive approach to these actives by focusing on housing- related hazards in a coordinated fashion, rather than addressing a single hazard at a time. This program is grant funded through the U.S. Department of Housing and Urban Development Program and will be funded for the next three years. This month we have continued to monitor an elevated lead level in a child who was referred to us by the state. Currently there are twelve cases of elevated blood lead levels in the Greater Nashua region. Our strategic planning group has trimmed down the One Touch assessment form to be more user friendly. The Manchester Healthy Homes group is using a One Touch tool as well and they have been very helpful on ways to implement the form. We have some great events planned for National Public Health Week – mobile screenings as well as a Healthy Homes presentation at the Adult Learning center. Our strategic planning meetings are held at 9:30 on the second Tuesday of the month at 18 Mulberry Street. All are invited to attend.  City of Nashua Division of Public Health & Community Services Environmental Health Department Board of Health Report- March 2014 FOOD SERVICE EHS II-HP EHS I-AT EHS I-AH ETC. TOTAL Routine Inspections 57 49 56 162 Re-inspections 2 2 Site Visits 11 3 6 20 Change of Ownership Inspections Pre-Licensing 2 1 2 5 Inspections Plan Reviews 1 1 2 4 Temporary Plan 2 1 1 4 Reviews/Inspections Complaints 1 1 Recall Response Establishment: Food 4 4 1 7 Service Meetings Food Samples 4 4 Collected Emergency Responses:  Yoshimama-smoke alarm activation  Hunt Community-water main break Temporary Closure: Rincon Columbiano-closed by Fire Marshal’s Office, Building Safety Department and the Environmental Health Department License Suspension and Revocation Protocol in process Meeting with Economic Development to discuss open air dining in facilities, mobile vendors Number annual licenses issued 42 New license holders: JaJaBelle’s, Crowne Plaza Coffee Shoppe, Subway, Jackie’s Diner Mobile 5 Number annual licenses renewed 37 Number temporary licenses issued 8 PUBLIC POOLS/SPAS EHS II-HP EHS I-AT EHS I-AH Total Number annual licenses issued/renewed 17 Reviewed plans for a renovation of Ledgewood Hills pool equipment RABIES CONTROL Number of Type of sample(s), Date delivered to Negative or sample(s) feline, canine, etc. NH DHHS PHL Positive 0 Number of animal bite or non-bite exposure Dog Cat Ferret reports processed: 4 LAND USE Department Address Brief Description Representative April Torhan 7 Mystic Court Septic Plan Approval April Torhan 7 Mystic Court Bed Bottom HEALTHY HOMES ACTIVITIES Amanda Hyde attended NH’s 2014 Water & Watershed Conference in Plymouth NH HOUSING ASSESSMENTS Department Address Partner Brief Description Representative Agency(ies) Howard Price 16-18 Central Street Code Enforcement, Rooming House Building Safety, Fire Inspections Marshal, NPD Howard Price 44 Temple Street Code Enforcement, Rooming House Building Safety, Fire Inspections Marshal, NPD Heidi Peek 36 Concord Street Code Enforcement, Rooming House Building Safety, Fire Inspections Marshal, NPD Heidi Peek 47-49 Temple Street Code Enforcement, Rooming House Building Safety, Fire Inspections Marshal, NPD Heidi Peek 24 Brook Street Code Enforcement, Inspections NPD INSTITUTIONAL INSPECTIONS Department Type of inspection (Child Name of Facility/Address Representative Care, Foster Home, School, USDA) Howard Price School Nashua High School South GENERAL COMPLAINTS Type of Complaint EHS II-HP EHS I-AT EHS I-AH ETC. Solid Waste 1 2 Animals 1 Vector Hazardous Materials Swimming Pools/Spas (Residential) Air Quality Other EMERGENCY PREPAREDNESS Amanda Hyde attended 2013 NH Integrated Emergency Volunteer Training Conference OTHER  Heidi Peek conducted interviews conducted for Laboratory Director vacancy  Heidi Peek attended NHHOA meeting/Yankee Conference Planning Meetings Respectfully submitted, Heidi E. Peek Health Officer/Environmental Health Manager 2 April 2014  New Hampshire Department of Health and Human Services Community Health Department Board of Health Report Community Health Department Program Statistics March 2014 PROGRAM March March March FY YTD 2012 2013 2014 2013 FY 2014 Communicable Disease Surveillance & Investigation Communicable Disease 13 4 8 131 70 Investigations Tuberculosis High-risk Latent TB Infection 4 1 3 18 15 Latent TB infection 4 7 5 34 56 Active Cases Reported 0 0 0 3 1 Suspect Active Case Reported 0 0 0 0 6 Ongoing Case Investigated 1 14 19 20 24 (High-risk +Active) Skin Test performed 37 30 24 201 145 STD/HIV Clinic Number of Client Visits 2 0 37 112 241 Recorded HIV/STD Dual Test Performed 0 0 8 12 47 STD Only Test Performed 0 0 6 19 54 Hepatitis A/B Vaccines 0 0 1 1 6 Administered Positive Chlamydia Tests 0 0 2 5 10 Reported Positive Syphilis Tests 0 0 0 2 2 Positive Hepatitis C Tests 0 0 2 15 15 Reported Clinic + Outreach Reactive HIV Tests Reported 0 0 0 0 1 Clinic + Outreach Positive Gonorrhea Tests 0 0 0 0 2 Reported Clinic HIV Tests 0 0 13 33 73 High Risk/Targeted Clients 0 0 6/4 31 59/4 Immunization Children 39 57 14 283 251 Adults 69 56 30 415 350 Seasonal Flu Vaccine 0 0 4 73 117 (Children) Seasonal Flu Vaccine (Adults) 0 0 10 1,108 1056 Children vaccinated with Flu 0 0 0 1,385 1,055 Vaccine in schools Childhood Lead Poisoning Prevention New Cases Reported 0 0 0 7 8 Ongoing Case Management 3 8 12 8 16 Screening Completed Using 53 3 0 56 18 LeadCare Analyzer HIV Prevention/Outreach HCV Tests Performed 0 0 4 34 23 Van/Street Outreach Contacts 40 0 4 182 144 HIV Tests Performed 7 0 4 77 40 Communicable Disease Program Highlights Reportable Diseases, Nashua, NH January 2014 REPORTABLE DISEASE March 2013: March 2014: March 2014 CATEGORY Number of Number of Number of Cases Reportable Reportable Investigated Diseases Diseases (Including Confirmed, (Confirmed, Probable, (Confirmed, Probable, Probable, Suspect and Suspect) Suspect) “Not a Case”) Foodborne/Waterborne 2 2 2 Latent Tuberculosis Infection 5 8 8 Tuberculosis Disease (active 1 0 0 case) Vaccine Preventable 2 4 4 Vectorborne 0 0 0 Other (Strep A/B, HUS, HIV) 0 2 2 STD/HIV Program Highlights The Community Health Department is initiating a marketing campaign to highlight the availability of STD/HIV/HCV Clinical Services. The campaign will include posters at the Nashua Transit Station and bus shelters. Educational packets will also be distributed to a variety of community agencies within the Greater Nashua Region. During the month of March, the Public Health Nurses enjoyed the opportunity to view a webinar on March 20th, “Who is Leading the Leading Health Indicators? Reproductive and Sexual Health”. Submitted by: Betty Wendt, PHN Immunization Program Highlights Theresa Calope, Shannon Casey and Luis Porres participated in the annual NH Immunization Conference on March 26, 2014 held at the Radisson Hotel in Manchester. Submitted by: Theresa Calope-Yaklin, PHN Lead/Healthy Homes Program Highlights On March 10th, the Public Health Nurse Case Manager provided a home visit for a child with an elevated blood lead level. The Public Health Nurse also attended a Healthy Homes meeting during the month of March. Submitted by: Theresa Calope-Yaklin, PHN TB Program Highlights World TB Day was held on March 24th. An array of educational events were implemented during the month, which are outlined below:  3/11/2014-A “Tuberculin Skin Testing Workshop” was provided for 4 Registered Nurses and 7 Medical Assistants at Lamprey Health Care  3/12/2014- Dr. Elizabeth Talbot, NH DHHS, presented at St. Joseph Hospital Grand Rounds. Her presentation was titled “Great News from TB Frontliners.” Nineteen participants attended.   3/24/2014- Susan Myers, Community Health Department Manager, together with Peggy Sweeney and Darlene Morse from the NH Department of Health and Human Services presented “Find TB. Treat TB, Working Together to Eliminate TB.” The presentation included information on the transmission and pathogenesis of TB, diagnosing TB infection and active disease and updated information on TB skin testing and IGRA testing. Twenty-eight individuals attended the event. Submitted by: Theresa Calope-Yaklin, PHN Communicable Disease Program Highlights No disease outbreaks or clusters were reported in the month of March. Submitted by: Shannon Casey, RN Other Updates During the month of March, the Community Health Department Manager submitted the grant budgets and justifications to the NH Department of Health and Human Services. The budgets include Immunization Services, STD/HIV/HCV Clinical Services and TB Prevention and Control. The Department has been enrolled in the 340 B Program with Smith Medical Partners, which enables us to purchase STD medications and Tubersol at reduced pricing. The Community Health Department Manager is partnering with the United Way and other community agencies on the Immigrant Integration Initiative. As part of this initiative, the United Way has taken the lead in submitting an application to the Endowment for Health for a planning grant for Greater Nashua. The vision is for Nashua to be a welcoming community that embraces social inclusion/integration of immigrants. The Community Health Department continues to provide BP screening clinics free of charge, on Tuesdays from 1:30-3:30 pm and on Fridays from 8:30-10:30 am. BP screening clinics were initiated on February 7th, which was National Wear Red Day, an event to support the fight against heart disease in women. Respectfully Submitted by, Susan Myers, RN, MEd Manager, Community Health Department We Can! Pilot We Can! (Ways to Enhance Children's Activity & Nutrition) is a national movement designed to give parents, caregivers, and entire communities a way to help children 8 to 13 years old stay at a healthy weight. The program provides parents and caregivers with tools, fun activities, and more to help them encourage healthy eating, increased physical activity, and reduced time sitting in front of the screen (TV or computer) in their entire family. Pilot Objectives: I. During the 2013-14 school year, implement WE CAN! in one elementary school and one early childhood center.  Strategies: o Conduct CATCH training to staff working with young children o Purchase relevant equipment o Share We Can! website with staff in order to determine most appropriate parent curriculum materials o Obtain/Print requested parent materials, provide incentives and planning support for parent education nights o II. By the end of the 2013-14 school year, evaluate the pilot program.  Strategies: o Use the evidence based pre- and post-test to identify change in student perceptions o Conduct staff evaluation to identify additional supports or resources needed o Survey parents who participated in the parent nights to determine impact of parent curriculum o Analyze results III. By the end of the 2013-14 school year, identify the resources required (staffing, funding, equipment) to implement We Can! at other schools and centers.  Strategies: o Document the pilot experiences and lessons learned 2 Pilot Parent Final Training Evaluation Sites Seminars Report •Lisa's Tippy Toes •Teachers and •Educated and •Parent, Staff, •Summarizes, Childcare Center staff received informed and CATCH Kids analyzes and •Amherst Street training in both parents about Club looks closely at Elementary CATCH & We the exercise and Questionnaires the pilot and School Can! nutrition what it entailed curriculums that are implemented  OUTLINE OF FINAL REPORT FOR We Can! PILOT 2013-2014 *Will be completed in APA format (for more information, visit http://www.apastyle.org/) Part I: Cover Page Part II: Table of Contents Part III: Acknowledgements Part IV: History (How pilot came about? Who founded it?) Part V: Pilot Objectives Part VI: Amherst Street Elementary School Experience 1) SUMMARY 2) CATCH QUESTIONNAIRES 3) PARENT EVAL 4) STAFF EVAL Part VII: Lisa’s Tippy Toes Childcare Center Experience 1) SUMMARY 2) CATCH QUESTIONNAIRES 3) PARENT EVAL 4) STAFF EVAL Part VIII: Analysis of Pilot Part IX: Cost for Expansion Part X: References Part XI: Appendices