New Hampshire Department of Health & Human Services
Division of Public Health Services
2019 - 2024 Public Health Emergency Preparedness (PHEP)
Cooperative Agreement: CDC-RFA-TP19-1901 (CFDA #93.069)
Fiscal Year 2019-01
New Hampshire (NH) is a rural state with an estimated population of 1,342,795 with 10 counties, 221 towns, 13 designated cities, 25 unincorporated places and a healthcare system led by 26 acute care hospital systems. The most populous city is Manchester, with a total population of 111,196 residents. This is the only city in the state that has a population exceeding 100,000. Coming in second is Nashua, with an estimated population of 88,341, followed by the state’s capital city, Concord, with approximately 43,019 residents. The rurality of NH is evidenced by the median municipal population of approximately 2,500 residents.
The NH public health system is a blend of a centralized and decentralized public health services models with the NH Department of Health and Human Services (DHHS), Division of Public Health Services (DPHS) delivering some essential public health programs while other services, including PHEP activities, are being accomplished in part through a network of local contractors; 13 entities known as Public Health Networks (PHN) each with a defined Public Health Region (PHR). The cities of Manchester and Nashua work in collaboration with DPHS as full service city health departments. In the past year, NH established a single statewide health care coalition. Finally, other public health services, such as maternal and child health, chronic disease, and others are implemented through more than 100 vendors.
DPHS partners with the NHDHHS/Emergency Services Unit (ESU), the NH Department of Safety/Homeland Security and Emergency Management (HSEM), and other state agencies as appropriate to assure public health preparedness and response capability. Funding under this agreement will be used to build, improve, and sustain the 15 public health emergency capabilities with an emphasis on Community Preparedness, Incident Management, Public Health Surveillance and Epidemiological Investigation, Public Health Laboratory Testing, Medical Countermeasure Dispensing, Responder Safety and Health, Emergency Public Information and Warning/Information Sharing, and Medical Surge.
The primary goal of the proposed work is to strengthen and enhance the capability of NH’s public health system by effectively preparing for and responding to public health threats and emergencies. NH’s application outlines priorities that will enhance our readiness to save lives during emergency incidents that exceed the day-to-day capacity and the capability of response agencies and to lessen the impacts of any public health emergency by mitigating the loss of life and reduce threats to the population’s health and safety resulting from evolving threats and other emergencies that affect the State.
Additionally, we have placed a special emphasis on ensuring the health needs of at-risk populations and those with access and functional needs are met by updating plans and processes that address the unique needs of this population and ensuring these plans are in place pre-event and during an event.