Weekly Update - January 22, 2021 - Nashua, NH

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Weekly Update - January 22, 2021 - Nashua, NH
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
Weekly Update - January 22, 2021 - Nashua, NH
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
Weekly Update - January 22, 2021 - Nashua, NH
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
Weekly Update - January 22, 2021 - Nashua, NH
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
Weekly Update - January 22, 2021 - Nashua, NH
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)
Weekly Update - January 22, 2021 - Nashua, NH
​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

                                     ​     ​     ​     ​
Weekly Update - January 22, 2021 - Nashua, NH Weekly Update - January 22, 2021 - Nashua, NH
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