New Hampshire (NH) is a rural state with a population of 1,388,992 with 10 counties, 13 municipalities, 221 towns, 25 unincorporated places and a healthcare system comprised of 26 acute care hospitals. 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), Bureau of Emergency Preparedness, Response and Recovery (BEPRR), delivering some essential public health programs while other services are being accomplished in part through a network of local contractors; 13 entities known as Public Health Networks (PHN) with a defined Public Health Region (PHR). The cities of Manchester and Nashua work in collaboration with DPHS as full service city health departments, and NH has a single, statewide healthcare coalition. The DPHS partners with the Department of Safety, Homeland Security and Emergency Management (HSEM) and other state agencies as appropriate to assure public health and healthcare system preparedness and response capability. Funding under this agreement will enhance New Hampshire’s ability to rapidly mobilize, surge, and respond to a public health emergency (PHE) identified by CDC. Funding will help to accelerate initial public health crisis response activities with emphasis on incident management, such as coordinating emergency operations, hiring surge staff, call center activation, and conducting needs assessments to determine the resources necessary to address the public health crisis. The NOFO will also provide funding for specialized public health emergency response activities tailored to the specific public health crisis. The primary purpose of the proposed work is to strengthen and enhance NH’s public health and health care systems to respond effectively to mitigate loss of life and reduce threats to the community’s health and safety resulting from evolving threats and other emergencies
within New Hampshire.