Weekly Update - January 22, 2021 - Nashua, NH
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Weekly Update - January 22, 2021 Dear Community Partners, As the chief public health strategist for the Greater Nashua Public Health Region (GNPHR), the Nashua Division of Public Health and Community Services (DPHCS) will continue to send weekly updates to inform our community on the current status of the rapidly evolving COVID-19 situation, the response efforts by the City of Nashua and Greater Nashua Public Health Network (GNPHN), and any additional updates related to the health and safety of our community. COVID-19 Data Update We continue to experience substantial community level transmission of COVID-19 in the City of Nashua. Substantial community level transmission is determined by three metrics established in conjunction with the State of New Hampshire Department of Health and Human Services (DHHS) and the Centers for Disease Control and Prevention (CDC). When any one of the metrics exceeds the set threshold, a community is designated as "RED" or substantial. Currently we are exceeding the thresholds set on two metrics: new infections per 100k and the 7-day total test positivity rate. Total Cases: All confirmed or probable COVID-19 cases, either active or recovered. Active Case: A case that is currently sick or in isolation due to COVID-19. New Cases per 100k: Number of new cases within 14 days standardized by population size to compare across groups. This shows how quickly disease is occurring in the community or the incidence of disease. 7-Day Total Test Positivity Rate: The number of PCR and Antigen tests that are positive compared to the number of PCR and Antigen tests that are negative over the past 7 days. A rising positivity rate indicates a rising number of infections in the community. New Hospitalizations per 100k: Number of new hospitalizations within 14 days standardized by population size to compare across groups. This shows how quickly hospitals are being burdened by disease. *Rate Not Reliable: For areas with less than 25 cumulative hospitalizations in the last 14 days, there is insufficient data to draw statistically meaningful conclusions. Due to the current rapid surge of COVID-19, public health officials are strongly urging everyone to stay home if you are sick (except to get medical care), avoid social gatherings, maintain physical distancing
of six feet or more, wear face coverings and wash your hands frequently. DPHCS Welcomes Nelly Wangoi: Our Newest Community Health Worker Nelly Gachohu originally from Nairobi, Kenya is in her last year of college, majoring in Public Health and minoring in Communications. For the past six years, Nelly has been a residential counselor which has prepared her to maintain rapport with individuals of all spectrums. Passionate about working in maternal and child health, she has volunteered and worked with this population in her country of origin. When not at work, Nelly enjoys creating content in the form of photography and videography. Please welcome Nelly to our team! New Hampshire Begins Phase 1B of Vaccination! New Hampshire residents in Phase 1B will be able to register and schedule appointments with the State public vaccination clinics beginning today, Friday, January 22nd. Vaccinations will begin Tuesday, January 26th. This includes: People who are 65 and older Medically vulnerable individuals at significantly higher risk, including family caregivers for those under 16 Staff and residents at residential facilities for persons with disabilities Corrections officers and staff working in correctional facilities COVID-19 vaccinations for New Hampshire residents in “Phase 1B” will begin Tuesday, January 26. To register for the vaccine, NH residents can visit vaccines.nh.gov or for those without internet access, call 2-1-1 and they will assist the registration process. Phase 1A eligible vaccine recipients will continue to be vaccinated during this time as well: Hospital health workers through affiliated hospital organizations; Long term-care facilities (LTCFs) through the federal Pharmacy Partnership Program (PPP) or through arrangements with their Regional Public Health Network (RPHN); First responders at NH State-Managed COVID-19 Vaccination Clinic fixed sites or through arrangements with their RPHN; and Ambulatory care health workers at NH State-Managed COVID-19 Vaccination Clinics or through their affiliated hospital organization. State-managed COVID-19 Vaccination Clinic fixed sites will operate 5 days per week at 13 locations across the state. The only people eligible to receive vaccine at these sites currently are first responders and the “most” at-risk ambulatory health workers, but beginning on January 26th, these sites will be open to Phase 1b categories as well. For more information on the vaccine, visit the CDC website: CDC FAQ
NH Vaccine Information Sleeping Tips from Dartmouth Hitchcock It’s no secret that the COVID-19 pandemic has caused stress, anxiety and depression, leading many people to experience sleep disruption. “Anxiety and depression are highly associated with disturbed sleep and insomnia, and both conditions make it difficult to fall asleep,” says Brooke Judd, MD, section chief of Sleep Medicine at Dartmouth- Hitchcock Medical Center. “Difficulty staying asleep is another common symptom of anxiety, while depression typically causes earlier-than-desired morning awakening.” There are simple solutions to improve sleep quality and duration. These positive sleep habits, combined with creating an environment conducive to sleep, are called “sleep hygiene.” Along with keeping a relatively consistent sleep schedule (going to sleep and waking around the same time each day) Judd recommends these sound sleep tips to improve your sleep hygiene: Make your bedroom a sleep sanctuary. Keep it quiet, dark and at a comfortable temperature. Avoid light emitted from screens before bed—especially LED screens which activate the part of the brain that keeps you awake. Refrain from sleep-impacting substances in the evening—caffeine, alcohol and nicotine. Get exercise during the day. Try not to stress about sleep! It only makes it harder to fall and stay asleep. * Sleep medications are not recommended for chronic insomnia. If necessary, only use them once in a while. It’s important to understand that sleep doesn’t have an on/off switch in the brain—there are increases and decreases in various neurotransmitters (chemicals in the brain) that make sleep or wakefulness more likely. Anyone experiencing sleep disruptions consistently affecting daily functioning should contact their primary health care provider. Providers can make sleep hygiene recommendations or determine if an underlying medical or psychiatric condition is causing, or contributing, to the sleep disturbance. “My best advice is don’t get too frustrated about not sleeping–it only makes it worse,” continues Judd. “Nearly everyone experiences trouble sleeping at some point in their lives. There is generally an underlying problem causing the sleep disturbance. Try to understand and address the cause (stress, anxiety, pain, etc.), or contact a health care provider for assistance.” For more sleep tips: Click here. -Dartmouth Hitchcock, 2021 Equity Corner A Long History of Racism in Health Care has Impacted Health and Trust Black, Latino, and Native American populations have been hurt more than any other community affected by COVID-19. This flyer developed specifically to allay the concerns and
fears over vaccination that we understand come from the Black, LatinX and other immigrant communities. Some common messages to these groups include: Medical experts confirm that COVID-19 vaccines are safe and effective, studied widely in diverse populations. The vaccine can not give you COVID-19. The vaccine is FREE - you do not need health insurance. Two doses of vaccine are needed. Best protection occurs 14 days after the 2nd dose. Scientists and medical experts have been researching this type of virus for years which allowed for faster creation and distribution of the vaccine. In Nashua, community health workers (CHWs) are connecting with local agencies, faith communities, and those working with vulnerable communities to broaden reach for COVID-19 testing and vaccination. Make Eye Exams a New Year's Resolution January is National Glaucoma Awareness Month, an important time to spread the word about this sight-stealing disease. Glaucoma is a leading cause of vision loss and blindness in the United States, affecting over 3 million people. The National Eye Institute projects this number will reach 4.2 million by 2030. Glaucoma has no symptoms in its early stages and once vision is lost, it's permanent. As much as 40% of vision can be lost without a person noticing. Anyone can get glaucoma, but those at higher risk include: African Americans over age 40 Everyone over age 60, especially Hispanics/Latinos People with a family history of the disease The only way to find out if you have glaucoma is to get a comprehensive dilated eye exam. There’s no cure, but early treatment can often stop the damage and protect your vision. We encourage people at higher risk for glaucoma to make eye health a New Year’s resolution by getting a dilated eye exam. Combined with our aging population, an epidemic of blindness is in our future if we don't raise awareness about the importance of regular eye examinations to preserve vision. -National Eye Institute, 2021 Videos & Webinars Article & Fact Sheets
Additional Resources Nashua COVID-19 Hotline: 603-589-3456 Upcoming Events New Hampshire COVID-19 Website Harbor Care COVID-19 Testing Clinic January 25, 3 - 6 p.m. (45 High St., Nashua) By Appointment: 603-821-7788 DPHCS COVID-19 Testing Clinic Nashua COVID-19 Website January 26, 3 - 5 p.m. National Guard Armory (154 Daniel Webster HWY, Nashua) By Appointment: Register Here SSANA January 25, 10 a.m. - 12 p.m. Greater Nashua Data Between Temple St. & Cottage St., Nashua Dashboard Immunizations (Including Flu) & Child Lead Testing January 26, 3 - 5 p.m. Elm Street Middle School Front Parking Lot (117 Elm St., Nashua) CDC COVID-19 Website Immunizations (Including Flu) & STD/HIV/HCV (English) Testing January 27, 10 a.m. - 12 p.m. Nashua Public Library (2 Court St., Nashua)
SSANA CDC COVID-19 Website (Spanish) January 27, 2 - 4 p.m. Between Temple St. & Cottage St., Nashua STD/HIV/HCV Testing January 28, 5 - 7 p.m. Lamprey Health Care (22 Prospect St., Nashua) Vaccination Information By Appointment: Register Here Full DPHCS Mobile Outreach Schedule Public Health Matters Birth Defects Prevention Month Hot: Jane Goodman, Public Health Strategist Guest: Janine Keever, MD, OB/GYN, Solution Health Watch the full segment here! Nashua Division of Public Health and Community Services Greater Nashua Public Health Network www.NashuaNH.gov/DPHCS
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