Lake Sunapee Region Strategic Planning InitiativeMeeting Four: Presenting the Data (06.23.13) *

Lake Sunapee Region Community Wellness Task ForceCurrent Members*

NAMEBUSINESSTITLEStephen TherouxLake Sunapee BankPresident/CEOThomas C. Galligan, JrColby-Sawyer CollegePresidentSnyder, DanCommunity MemberN/ANancy FrieseNew London Council on AgingExecutive DirectorJerome FrewKearsarge Regional School DistrictSuperintendantIrwin SussmanNewport School DistrictSuperintendantKris Eschbach, MDNew London HospitalPhysicianPJ LovelyNewport Recreation DepartmentRec DirectorTravis DezotellNewbury Recreation DepartmentRec DirectorKim HallquistTown of New LondonAdministratorElla CaseyNewport Area Chamber of CommerceDirectorJames Murphy, MDNew London HospitalChief Medical OfficerCatherine BardierNew London Hospital Vice President, HRKristin Hampers, PANew London Hospital Physicians AsstLauren ConkeyNew London Hospital Wellness Outreach CoordinatorSukriti RautColby-Sawyer CollegeIntern

Meeting Agenda 1:00-1:15 - Agenda, Role Assign, Overview

1:15-2:00- Presenting the Data: Social Determinants of Health & Service Area Health Data2:00-2:30 -New London Hospital Programs & Successes

2:30-2:50-Keene Summit Summary

2:50-3:00-Next steps and next meeting date (6/29 from 3 5pm at Lake Sunapee Bank)

*

Role AssignmentsLeader Catherine BardierRecorder Lauren ConkeyTimekeeper Facilitator *

OVERVIEW*

Process and OutcomesForming a strong teamDefining decision making process Clarifying our service areaStudying landscape who, what, whereDrafting Mission, Vision, Values, Goal OneDeveloping action steps Employers as a vehicle for promoting community health and wellnessCollaborating with Healthy Monadnock and D-H*

Strategic Questions to Think AboutWhat is our formal name?Is anyone missing at this table?Who needs to be giving input to our first drafts?How will we make decisions now and in the future?What will our infrastructure look like?What are the limits of collaborative planning?How will we make our work sustainable?How will we fund this community work? Priorities short term and long term?What are our outcome and process (economic, health, funding) measures?What data do we need? How to build public involvement and buy-in (on-going)?Communication strategy?How to continuously refresh our plan?What are our measures of success?

*

Timeline* Months with two meetings*

Meeting Objectives JanFebApril May*JuneJuly* AugSeptOct*Pre WorkXSWOT (Key Leader Interviews, Reports, Data)XKickoff XMission, Vision ValuesXCommunity Health Improvement ModelsXHow do other communities do and fund this work? XReview Community DataXTechnical expert XDraft Goals, Objectives, TimelineXFinalize first draft of Strategic Plan XCommunity Forum- Input on PlanXFinalize Plan XImplement Plan X

SERVICE AREA DATA*

Towns Serviced by NLH, Kearsarge and Newport School Districts:AndoverBradfordCroydonDanburyGoshenGranthamLempsterNewburyNew LondonNewportSpringfieldSunapeeSuttonWarnerWashingtonWilmotAnything missing?

New London HospitalPatient Visits*

FY2008/2009* Includes inpatient and selected outpatient proceduresSource: Uniform Hospital Data Discharge Set (UHDDS)

Service Area Data: DemographicsHighlighted towns have oldest median age

Service Area Data: Demographics

Chart2

45.6

41.1

37.2

Median Age

Demos

Key Demographic & Economic Indicators

TownPopulationMedian Age65 & overMedian Household Income

Andover2,37141.413.7%$62,772

Bradford1,65046.313.2%$67,882

Croydon76448.015.8%$58,125

Danbury1,16444.013.4%$46,250

Goshen81047.017.5%$48,621

Grantham2,98547.320.9%$87,245

Lempster1,15446.112.6%$55,721

New London4,39748.730.7%$66,771

Newbury2,07247.617.2%$66,765

Newport6,50741.716.0%$45,593

Springfield1,31142.314.4%$74,808

Sunapee3,36546.219.1%$58,869

Sutton1,83745.816.2%$62,391

Warner2,83344.515.0%$58,221

Washington1,12346.520.4%$47,604

Wilmot1,35846.616.5%$75,197

TOTAL35,70145.617.0%$61,427

NH1,316,47041.113.5%$63,277

USA305,745,53837.213.1%$51,222

Sources: NLH Community Health Needs Assessment, May 2012; US Census Bureau, American FactFinder 2011

MunicipalityDollar

Andover$62,772

Bradford$67,882

Croydon$58,125

Danbury$46,250

Goshen$48,621

Grantham$87,245

Lempster$55,721

New London$66,771

Newbury$66,765

Newport$45,593

Springfield$74,808

Sunapee$58,869

Sutton$62,391

Warner$58,221

Washington$47,604

Wilmot$75,197

SA45.6

NH41.1

USA37.2

Demos

MunicipalityMunicipalityMunicipalityMunicipalityMunicipalityMunicipalityMunicipalityMunicipalityMunicipalityMunicipalityMunicipalityMunicipalityMunicipalityMunicipalityMunicipalityMunicipality

Andover

Bradford

Croydon

Danbury

Goshen

Grantham

Lempster

New London

Newbury

Newport

Springfield

Sunapee

Sutton

Warner

Washington

Wilmot

Median Household Income

Education

Median Age

Poverty

Percentage of Population by Municipality & Education

MunicipalityHigh School degree or higherBachelor's degree or higher

Andover90.3%34.2%

Bradford94.6%36.3%

Croydon85.0%21.4%

Danbury87.2%21.0%

Goshen85.1%20.1%

Grantham96.9%54.7%

Lempster84.5%20.8%

New London96.8%52.3%

Newbury95.8%37.0%

Newport84.4%17.1%

Springfield95.2%48.4%

Sunapee94.3%48.7%

Sutton94.8%40.5%

Warner95.3%37.1%

Washington89.4%31.9%

Wilmot98.0%46.7%

TOTAL91.7%35.5%

NH91.5%32.8%

USA85.3%28.0%

Sources: NLH Community Health Needs Assessment, May 2012; US Census Bureau, American FactFinder 2011

High School degree or higherBachelor's degree or higher

Service Area92.1%36.7%

NH91.5%32.8%

USA85.3%28.0%

Poverty

000

000

Service Area

NH

USA

Percent of Adult Population

Highest Level of Education

Morbid_Mortal

Income & Poverty

MunicipalityMedian household incomePercent families below poverty line

Andover$62,7724.2%

Bradford$67,8822.8%

Croydon$58,12512.5%

Danbury$46,25021.1%

Goshen$48,6217.6%

Grantham$87,2458.5%

Lempster$55,72114.0%

New London$66,77114.6%

Newbury$66,76512.6%

Newport$45,59320.4%

Springfield$74,80811.3%

Sunapee$58,86914.9%

Sutton$62,3914.0%

Warner$58,2210.0%4.3% individualsNot sure about this data?

Washington$47,60412.1%

Wilmot$75,19716.7%

TOTAL$61,42711.1%

NH$63,2778.6%

USA$51,22215.1%

Sources: NLH Community Health Needs Assessment, May 2012; US Census Bureau, American FactFinder 2011

Median household incomePercent families below poverty line

Service Area$61,01211.8%

NH$63,2778.6%

USA$51,22215.1%

Morbid_Mortal

0

0

0

Families Below Poverty Line

Death

Major ConditionCrude Rate per 100,000 people

Service AreaState of NH

Diseases of circulatory system1,5661,517

Pregnancy, childbirth, the puerperium & complications1,1291,142

Newborn1,0581,076

Diseases of the digestive system897833

Diseases of the respiratory system856887

Injury and poisoning825767

Mental disorders**646495

Source: NLH Community Health Needs Assessment, May 2012

**More than 20% above state rate

Circulatory1,566

Pregnancy & childbirth1,129

Newborn1,058

Digestive897

Respiratory856

Injury & poisoning825

Mental disorders646

Death

0

0

0

0

0

0

0

Condition

Crude Rate per 100,000 people

Major Causes for Inpatient Hospitalization

Cancer

Cause of DeathService AreaState of NH

Heart Disease226.3179.4

Cancer215.6183.7

Chronic Lower Respiratory Disease50.546.2

Stroke46.635.5

Accidents43.935.2

Dementia31.826.1

Diabetes27.822.5

Influenza and Pneumonia21.319.4

Kidney Disease12.412.4

Suicide13.311.2

Source: NLH Community Health Needs Assessment, May 2012

Heart Disease226.3179.4

Cancer215.6183.7

Lower Resp Dis50.546.2

Stroke46.635.5

Accidents43.935.2

Dementia31.826.1

Diabetes27.822.5

Cancer

00

00

00

00

00

00

00

Service Area

State of NH

Condition

Rate per 100,000 people

Leading Causes of Death

Dia Hosp

Cancer Incidence Rates for NH by County, 2004-2008

CountyIncidence Rate & 95% Confidence Interval

Merrimack County463.9 (443.5, 485.0)

Sullivan County433.5 (399.2, 470.2)

New Hampshire

United States410.4 (409.9, 410.8)

Source: NLH Community Health Needs Assessment, May 2012

Merrimack County463.9

Sullivan County433.5

New Hampshire449.3

United States410.4

Dia Hosp

0

0

0

0

Location

Incidence Rate

Cancer Incidence Rates

Health Behaviors

Diabetes-Related Hospitalizations by NH County, 2003-2007

CountyRate per 100,000 people

Merrimack County**1490.5

Sullivan County1458.0

New Hampshire1440.4

**significance based on 95% confidence interval

Source: NLH Community Health Needs Assessment, May 2012

Merrimack County*1490.5

Sullivan County1458.0

NH1440.4

Health Behaviors

0

0

0

Location

Rate per 100,000 people

Diabetes-Related Hospitalizations

Health Outcomes

Key Health Indictors by County

Health Behavior

% of adults%of adults

Current smoking (2008-2009)15.0%18.3%16.5%

5 or more fruits and vegetables per day (2007, 2009)30.3%25.3%28.0%

Obese (2008-2009)24.3%26.6%25.8%

Overweight (2008-2009)38.3%37.0%37.2%

Moderate or vigorous physical activity (2007, 2009)56.1%53.3%53.5%

Heavy Drinking (2008-2009)6.5%4.4%6.0%

Binge Drinking (2008-2009)15.2%12.1%16.1%

Health Behavior

% of adults%of adults

Teen Birth rate (2008)16.941.8*18.4

Source: New Hampshire Department of Health and Human Services, 2011 Snapshot of New Hampshires Public Health Regions, Counties, and the Cities of Manchester and Nashua, 2011

*Statistically significant difference from state value

MerrimackSullivanNH

Smoking15.0%18.3%16.5%

Fruits & Veggies30.3%25.3%28.0%

Obese24.3%26.6%25.8%

Overweight38.3%37.0%37.2%

PA56.1%53.3%53.5%

Heavy Drinking6.5%4.4%6.0%

Binge Drinking15.2%12.1%16.1%

CountyTeen Birth Rate

Merrimack16.9

Sullivan*41.8

NH18.4

Health Outcomes

000

000

000

000

000

000

000

Merrimack

Sullivan

NH

Health Indicator

Percent of Adults

Key Health Indicators

0

0

0

Location

Rate per 1,000 15-19 yo

Teen Birth Rate

Key Health Indictors by County

Health OutcomesMerrimack CountySullivan CountyNH

Premature death, yrs of potential life lost before 75 (per 1,000 people), 2003-200757.8*69.6*56.7

Low birthdweight (per 1,000 births), 20075.96.16.2

Substance abuse-related emergence hospital discharges (age-adjusted per 10,000 people), 2003-200783.2*94.0*68.3

Actvities limited due to health in at least 14 of previous 30 days (percent of adults), 2008-20094.18.15.4

New cancer diagnoses (age-adjusted per 100,000 people), 2003-2007503.9487.4499.8

Ever told blood pressure was high (percent of adults), 2007, 200925.732.127.6

Ever told had diabetes (percent of adults), 2008-20096.68.57.2

Current asthma (percent), 2007-20098.49.710.2

Source: New Hampshire Department of Health and Human Services, 2011 Snapshot of New Hampshires Public Health Regions, Counties, and the Cities of Manchester and Nashua, 2011

*Statistically significant difference from state value

CountyPremature death

Merrimack*57.8

Sullivan*69.9

NH56.7

CountySA-related ED

Merrimack*83.2

Sullivan*94

NH68.3

0

0

0

Location

Rate per 1,000 people

Premature Death

0

0

0

Location

Rate per 10,000 adults

Substance Abuse-related Emergency Discharges

Determinants of Health Models Help Frame Data and Information

Service Area Data: Disease & Injury

Demos

Key Demographic & Economic Indicators

TownPopulationMedian Age65 & overMedian Household Income

Andover2,37141.413.7%$62,772

Bradford1,65046.313.2%$67,882

Croydon76448.015.8%$58,125

Danbury1,16444.013.4%$46,250

Goshen81047.017.5%$48,621

Grantham2,98547.320.9%$87,245

Lempster1,15446.112.6%$55,721

New London4,39748.730.7%$66,771

Newbury2,07247.617.2%$66,765

Newport6,50741.716.0%$45,593

Springfield1,31142.314.4%$74,808

Sunapee3,36546.219.1%$58,869

Sutton1,83745.816.2%$62,391

Warner2,83344.515.0%$58,221

Washington1,12346.520.4%$47,604

Wilmot1,35846.616.5%$75,197

TOTAL35,70145.617.0%$61,427

NH1,316,47041.113.5%$63,277

USA305,745,53837.213.1%$51,222

Sources: NLH Community Health Needs Assessment, May 2012; US Census Bureau, American FactFinder 2011

MunicipalityDollar

Andover$62,772

Bradford$67,882

Croydon$58,125

Danbury$46,250

Goshen$48,621

Grantham$87,245

Lempster$55,721

New London$66,771

Newbury$66,765

Newport$45,593

Springfield$74,808

Sunapee$58,869

Sutton$62,391

Warner$58,221

Washington$47,604

Wilmot$75,197

SA45.6

NH41.1

USA37.2

Demos

MunicipalityMunicipalityMunicipalityMunicipalityMunicipalityMunicipalityMunicipalityMunicipalityMunicipalityMunicipalityMunicipalityMunicipalityMunicipalityMunicipalityMunicipalityMunicipality

Andover

Bradford

Croydon

Danbury

Goshen

Grantham

Lempster

New London

Newbury

Newport

Springfield

Sunapee

Sutton

Warner

Washington

Wilmot

Median Household Income

Education

Median Age

Poverty

Percentage of Population by Municipality & Education

MunicipalityHigh School degree or higherBachelor's degree or higher

Andover90.3%34.2%

Bradford94.6%36.3%

Croydon85.0%21.4%

Danbury87.2%21.0%

Goshen85.1%20.1%

Grantham96.9%54.7%

Lempster84.5%20.8%

New London96.8%52.3%

Newbury95.8%37.0%

Newport84.4%17.1%

Springfield95.2%48.4%

Sunapee94.3%48.7%

Sutton94.8%40.5%

Warner95.3%37.1%

Washington89.4%31.9%

Wilmot98.0%46.7%

TOTAL91.7%35.5%

NH91.5%32.8%

USA85.3%28.0%

Sources: NLH Community Health Needs Assessment, May 2012; US Census Bureau, American FactFinder 2011

High School degree or higherBachelor's degree or higher

Service Area92.1%36.7%

NH91.5%32.8%

USA85.3%28.0%

Poverty

Service Area

NH

USA

Percent of Adult Population

Highest Level of Education

Morbid_Mortal

Income & Poverty

MunicipalityMedian household incomePercent families below poverty line

Andover$62,7724.2%

Bradford$67,8822.8%

Croydon$58,12512.5%

Danbury$46,25021.1%

Goshen$48,6217.6%

Grantham$87,2458.5%

Lempster$55,72114.0%

New London$66,77114.6%

Newbury$66,76512.6%

Newport$45,59320.4%

Springfield$74,80811.3%

Sunapee$58,86914.9%

Sutton$62,3914.0%

Warner$58,2210.0%4.3% individualsNot sure about this data?

Washington$47,60412.1%

Wilmot$75,19716.7%

TOTAL$61,42711.1%

NH$63,2778.6%

USA$51,22215.1%

Sources: NLH Community Health Needs Assessment, May 2012; US Census Bureau, American FactFinder 2011

Median household incomePercent families below poverty line

Service Area$61,01211.8%

NH$63,2778.6%

USA$51,22215.1%

Morbid_Mortal

Families Below Poverty Line

Death

Major ConditionCrude Rate per 100,000 people

Service AreaState of NH

Diseases of circulatory system1,5661,517

Pregnancy, childbirth, the puerperium & complications1,1291,142

Newborn1,0581,076

Diseases of the digestive system897833

Diseases of the respiratory system856887

Injury and poisoning825767

Mental disorders**646495

Source: NLH Community Health Needs Assessment, May 2012

**More than 20% above state rate

Circulatory1,566

Pregnancy & childbirth1,129

Newborn1,058

Digestive897

Respiratory856

Injury & poisoning825

Mental disorders646

Death

Condition

Crude Rate per 100,000 people

Major Causes for Inpatient Hospitalization

Cancer

Cause of DeathService AreaState of NH

Heart Disease226.3179.4

Cancer215.6183.7

Chronic Lower Respiratory Disease50.546.2

Stroke46.635.5

Accidents43.935.2

Dementia31.826.1

Diabetes27.822.5

Influenza and Pneumonia21.319.4

Kidney Disease12.412.4

Suicide13.311.2

Source: NLH Community Health Needs Assessment, May 2012

Heart Disease226.3179.4

Cancer215.6183.7

Lower Resp Dis50.546.2

Stroke46.635.5

Accidents43.935.2

Dementia31.826.1

Diabetes27.822.5

Cancer

Service Area

State of NH

Condition

Rate per 100,000 people

Leading Causes of Death

Dia Hosp

Cancer Incidence Rates for NH by County, 2004-2008

CountyIncidence Rate & 95% Confidence Interval

Merrimack County463.9 (443.5, 485.0)

Sullivan County433.5 (399.2, 470.2)

New Hampshire

United States410.4 (409.9, 410.8)

Source: NLH Community Health Needs Assessment, May 2012

Merrimack County463.9

Sullivan County433.5

New Hampshire449.3

United States410.4

Dia Hosp

0

0

0

0

Location

Incidence Rate

Cancer Incidence Rates

Health Behaviors

Diabetes-Related Hospitalizations by NH County, 2003-2007

CountyRate per 100,000 people

Merrimack County**1490.5

Sullivan County1458.0

New Hampshire1440.4

**significance based on 95% confidence interval

Source: NLH Community Health Needs Assessment, May 2012

Merrimack County*1490.5

Sullivan County1458.0

NH1440.4

Health Behaviors

0

0

0

Location

Rate per 100,000 people

Diabetes-Related Hospitalizations

Health Outcomes

Key Health Indictors by County

Health Behavior

% of adults%of adults

Current smoking (2008-2009)15.0%18.3%16.5%

5 or more fruits and vegetables per day (2007, 2009)30.3%25.3%28.0%

Obese (2008-2009)24.3%26.6%25.8%

Overweight (2008-2009)38.3%37.0%37.2%

Moderate or vigorous physical activity (2007, 2009)56.1%53.3%53.5%

Heavy Drinking (2008-2009)6.5%4.4%6.0%

Binge Drinking (2008-2009)15.2%12.1%16.1%

Health Behavior

% of adults%of adults

Teen Birth rate (2008)16.941.8*18.4

Source: New Hampshire Department of Health and Human Services, 2011 Snapshot of New Hampshires Public Health Regions, Counties, and the Cities of Manchester and Nashua, 2011

*Statistically significant difference from state value

MerrimackSullivanNH

Smoking15.0%18.3%16.5%

Fruits & Veggies30.3%25.3%28.0%

Obese24.3%26.6%25.8%

Overweight38.3%37.0%37.2%

PA56.1%53.3%53.5%

Heavy Drinking6.5%4.4%6.0%

Binge Drinking15.2%12.1%16.1%

CountyTeen Birth Rate

Merrimack16.9

Sullivan*41.8

NH18.4

Health Outcomes

000

000

000

000

000

000

000

Merrimack

Sullivan

NH

Health Indicator

Percent of Adults

Key Health Indicators

0

0

0

Location

Rate per 1,000 15-19 yo

Teen Birth Rate

Key Health Indictors by County

Health OutcomesMerrimack CountySullivan CountyNH

Premature death, yrs of potential life lost before 75 (per 1,000 people), 2003-200757.8*69.6*56.7

Low birthdweight (per 1,000 births), 20075.96.16.2

Substance abuse-related emergence hospital discharges (age-adjusted per 10,000 people), 2003-200783.2*94.0*68.3

Actvities limited due to health in at least 14 of previous 30 days (percent of adults), 2008-20094.18.15.4

New cancer diagnoses (age-adjusted per 100,000 people), 2003-2007503.9487.4499.8

Ever told blood pressure was high (percent of adults), 2007, 200925.732.127.6

Ever told had diabetes (percent of adults), 2008-20096.68.57.2

Current asthma (percent), 2007-20098.49.710.2

Source: New Hampshire Department of Health and Human Services, 2011 Snapshot of New Hampshires Public Health Regions, Counties, and the Cities of Manchester and Nashua, 2011

*Statistically significant difference from state value

CountyPremature death

Merrimack*57.8

Sullivan*69.9

NH56.7

CountySA-related ED

Merrimack*83.2

Sullivan*94

NH68.3

0

0

0

Location

Rate per 1,000 people

Premature Death

0

0

0

Location

Rate per 10,000 adults

Substance Abuse-related Emergency Discharges

Service Area Data: Disease & Injury

Service Area Data: Disease & InjuryHighlighted outcomes indicate statistically significant difference

Service Area Data: Disease & InjuryMerrimack & Sullivan counties have statistically significant higher rates of premature death & substance abuse-related emergency hospital discharges than the state of NH Sullivan county has a statistically significant higher rate of unintentional injury-related emergency hospital discharges than the state of NH

Chart3

57.869.656.7

110.9131.1110.2

83.29468.3

Merrimack

Sullivan

NH

Indicator

Adults

Injury & Premature Death by County

Demos

Key Demographic & Economic Indicators

TownPopulationMedian Age65 & overMedian Household Income

Andover2,37141.413.7%$62,772

Bradford1,65046.313.2%$67,882

Croydon76448.015.8%$58,125

Danbury1,16444.013.4%$46,250

Goshen81047.017.5%$48,621

Grantham2,98547.320.9%$87,245

Lempster1,15446.112.6%$55,721

New London4,39748.730.7%$66,771

Newbury2,07247.617.2%$66,765

Newport6,50741.716.0%$45,593

Springfield1,31142.314.4%$74,808

Sunapee3,36546.219.1%$58,869

Sutton1,83745.816.2%$62,391

Warner2,83344.515.0%$58,221

Washington1,12346.520.4%$47,604

Wilmot1,35846.616.5%$75,197

TOTAL35,70145.617.0%$61,427

NH1,316,47041.113.5%$63,277

USA305,745,53837.213.1%$51,222

Sources: NLH Community Health Needs Assessment, May 2012; US Census Bureau, American FactFinder 2011

MunicipalityDollar

Andover$62,772

Bradford$67,882

Croydon$58,125

Danbury$46,250

Goshen$48,621

Grantham$87,245

Lempster$55,721

New London$66,771

Newbury$66,765

Newport$45,593

Springfield$74,808

Sunapee$58,869

Sutton$62,391

Warner$58,221

Washington$47,604

Wilmot$75,197

SA45.6

NH41.1

USA37.2

Demos

MunicipalityMunicipalityMunicipalityMunicipalityMunicipalityMunicipalityMunicipalityMunicipalityMunicipalityMunicipalityMunicipalityMunicipalityMunicipalityMunicipalityMunicipalityMunicipality

Andover

Bradford

Croydon

Danbury

Goshen

Grantham

Lempster

New London

Newbury

Newport

Springfield

Sunapee

Sutton

Warner

Washington

Wilmot

Median Household Income

Education

Median Age

Ed vs Income

Percentage of Population by Municipality & Education

MunicipalityHigh School degree or higherBachelor's degree or higher

Newport84.4%17.1%

Lempster84.5%20.8%

Croydon85.0%21.4%

Goshen85.1%20.1%

Danbury87.2%21.0%

Washington89.4%31.9%

Andover90.3%34.2%

Sunapee94.3%48.7%

Bradford94.6%36.3%

Sutton94.8%40.5%

Springfield95.2%48.4%

Warner95.3%37.1%

Newbury95.8%37.0%

New London96.8%52.3%

Grantham96.9%54.7%

Wilmot98.0%46.7%

TOTAL91.7%35.5%

NH91.5%32.8%

USA85.3%28.0%

Sources: NLH Community Health Needs Assessment, May 2012; US Census Bureau, American FactFinder 2011

High School degree or higherBachelor's degree or higher

Service Area93.9%40.9%

NH91.5%32.8%

USA85.3%28.0%

Ed vs Income

000

000

Service Area

NH

USA

Percent of Adult Population

Highest Level of Education

Poverty

Income, Education, and Population

MunicipalityMedian household incomeEducationPopulation

High School +Bachelor's +

Newport$45,59384.4%17.1%2,072

Danbury$46,25087.2%21.0%1,164

Washington$47,60489.4%31.9%1,123

Goshen$48,62185.1%20.1%810

Springfield$74,80895.2%48.4%1,311

Wilmot$75,19798.0%46.7%1,358

Grantham$87,24596.9%54.7%2,985

MunicipalityMedian household incomeHigh School +Bachelor's +Population

Newport$45,59384.4%17.1%2,072

Danbury$46,25087.2%21.0%1,164

Washington$47,60489.4%31.9%1,123

Goshen$48,62185.1%20.1%810

Springfield$74,80895.2%48.4%1,311

Wilmot$75,19798.0%46.7%1,358

Grantham$87,24596.9%54.7%2,985

Poverty

High School +

Bachelor's +

Municipality

Percent of adults

Highest Level Education: low vs high income

Morbid_Mortal

Income & Poverty

MunicipalityMedian household incomePercent families below poverty line

Newport$45,59320.4%

Danbury$46,25021.1%

Washington$47,60412.1%

Goshen$48,6217.6%

Lempster$55,72114.0%

Croydon$58,12512.5%

Warner$58,2210.0%

Sunapee$58,86914.9%

Sutton$62,3914.0%

Andover$62,7724.2%

Newbury$66,76512.6%

New London$66,77114.6%

Bradford$67,8822.8%

Springfield$74,80811.3%

Wilmot$75,19716.7%

Grantham$87,2458.5%

TOTAL$61,42711.1%

NH$63,2778.6%

USA$51,22215.1%

Sources: NLH Community Health Needs Assessment, May 2012; US Census Bureau, American FactFinder 2011

Median household incomePercent families below poverty line

Service Area$66,55210.4%

NH$63,2778.6%

USA$51,22215.1%

Morbid_Mortal

0.1036510417

0.086

0.151

Families Below Poverty Line

Death

Major ConditionCrude Rate per 100,000 people

Service AreaState of NH

Diseases of circulatory system1,5661,517

Pregnancy, childbirth, the puerperium & complications1,1291,142

Newborn1,0581,076

Diseases of the digestive system897833

Diseases of the respiratory system856887

Injury and poisoning825767

Mental disorders**646495

Source: NLH Community Health Needs Assessment, May 2012

**More than 20% above state rate

Circulatory1,5661,517

Pregnancy & childbirth1,1291,142

Newborn1,0581,076

Digestive897833

Respiratory856887

Injury & poisoning825767

Mental disorders*646495

Death

00

00

00

00

00

00

00

Service Area

NH

Condition

Crude Rate per 100,000 people

Major Causes for Inpatient Hospitalization

Cancer

Cause of DeathService AreaState of NH

Heart Disease226.3179.4

Cancer215.6183.7

Chronic Lower Respiratory Disease50.546.2

Stroke46.635.5

Accidents43.935.2

Dementia31.826.1

Diabetes27.822.5

Influenza and Pneumonia21.319.4

Kidney Disease12.412.4

Suicide13.311.2

Source: NLH Community Health Needs Assessment, May 2012

Heart Disease226.3179.4

Cancer215.6183.7

Lower Resp Dis50.546.2

Stroke46.635.5

Accidents43.935.2

Dementia31.826.1

Diabetes27.822.5

Cancer

00

00

00

00

00

00

00

Service Area

State of NH

Condition

Rate per 100,000 people

Leading Causes of Death

Dia Hosp

Cancer Incidence Rates for NH by County, 2004-2008

CountyIncidence Rate & 95% Confidence Interval

Merrimack County463.9 (443.5, 485.0)

Sullivan County433.5 (399.2, 470.2)

New Hampshire

United States410.4 (409.9, 410.8)

Source: NLH Community Health Needs Assessment, May 2012

Merrimack County463.9

Sullivan County433.5

New Hampshire449.3

United States410.4

Dia Hosp

0

0

0

0

Location

Incidence Rate

Cancer Incidence Rates

Health Behaviors

Diabetes-Related Hospitalizations by NH County, 2003-2007

CountyRate per 100,000 people

Merrimack County**1490.5

Sullivan County1458.0

New Hampshire1440.4

**significance based on 95% confidence interval

Source: NLH Community Health Needs Assessment, May 2012

Merrimack County*1490.5

Sullivan County1458.0

NH1440.4

Health Behaviors

Location

Rate per 100,000 people

Diabetes-Related Hospitalizations

Weight & Behavior

Key Health Indictors by County

Health Behavior

% of adults%of adults

Current smoking (2008-2009)15.0%18.3%16.5%

5 or more fruits and vegetables per day (2007, 2009)30.3%25.3%28.0%

Obese (2008-2009)24.3%26.6%25.8%

Overweight (2008-2009)38.3%37.0%37.2%

Moderate or vigorous physical activity (2007, 2009)56.1%53.3%53.5%

Heavy Drinking (2008-2009)6.5%4.4%6.0%

Binge Drinking (2008-2009)15.2%12.1%16.1%

Health Behavior

% of adults%of adults

Teen Birth rate (2008)16.941.8*18.4

Source: New Hampshire Department of Health and Human Services, 2011 Snapshot of New Hampshires Public Health Regions, Counties, and the Cities of Manchester and Nashua, 2011

*Statistically significant difference from state value

MerrimackSullivanNH

Smoking15.0%18.3%16.5%

Fruits & Veggies30.3%25.3%28.0%

Obese24.3%26.6%25.8%

Overweight38.3%37.0%37.2%

PA56.1%53.3%53.5%

Heavy Drinking6.5%4.4%6.0%

Binge Drinking15.2%12.1%16.1%

CountyTeen Birth Rate

Merrimack16.9

Sullivan*41.8

NH18.4

Weight & Behavior

Merrimack

Sullivan

NH

Health Indicator

Percent of Adults

Key Health Indicators

Health Outcomes

Location

Rate per 1,000 15-19 yo

Teen Birth Rate

Injury_Accidents

Weight Status & Behavior

CountyOverweightObeseRecommended PAFruits & Veggies

Merrimack38.3%24.3%56.1%30.3%

Sullivan37.0%26.6%53.3%25.3%

NH37.2%25.8%53.5%28.0%

Total obese/overweightMerrimack62.6%

Sullivan63.6%

NH63.0%

Injury_Accidents

Overweight

Obese

Location

Percent of adults

Overweight & Obesity in Adults

Childhood Overweight

Key Health Indictors by County

Health OutcomesMerrimack CountySullivan CountyNH

Premature death, yrs of potential life lost before 75 (per 1,000 people), 2003-200757.8*69.6*56.7

Low birthdweight (per 1,000 births), 20075.96.16.2

Substance abuse-related emergence hospital discharges (age-adjusted per 10,000 people), 2003-200783.2*94.0*68.3

Binge drinking, percent of adults (2008-2009)15.212.116.1

Unintentional injury-related ED, age-adjusted per 1,000 pop (2003 -2007)110.9131.1*110.2

Always use seatbelt, percent of adults (2006, 2008)64.662.465.6

Actvities limited due to health in at least 14 of previous 30 days (percent of adults), 2008-20094.18.15.4

New cancer diagnoses (age-adjusted per 100,000 people), 2003-2007503.9487.4499.8

Ever told blood pressure was high (percent of adults), 2007, 200925.732.127.6

Ever told had diabetes (percent of adults), 2008-20096.68.57.2

Current asthma (percent), 2007-20098.49.710.2

Source: New Hampshire Department of Health and Human Services, 2011 Snapshot of New Hampshires Public Health Regions, Counties, and the Cities of Manchester and Nashua, 2011

*Statistically significant difference from state value

CountyPremature death

Merrimack*57.8

Sullivan*69.9

NH56.7

CountySA-related ED

Merrimack*83.2

Sullivan*94

NH68.3

Childhood Overweight

Location

Rate per 1,000 people

Premature Death

Location

Rate per 10,000 adults

Substance Abuse-related Emergency Discharges

Key Health Indictors by County

Health OutcomesMerrimack CountySullivan CountyNH

Premature death, yrs of potential life lost before 75 (per 1,000 people), 2003-200757.8*69.6*56.7

Substance abuse-related emergence hospital discharges (age-adjusted per 10,000 people), 2003-200783.2*94.0*68.3

Binge drinking, percent of adults (2008-2009)15.212.116.1

Always use seatbelt, percent of adults (2006, 2008)64.662.465.6

Actvities limited due to health in at least 14 of previous 30 days (percent of adults), 2008-20094.18.15.4

Unintentional injury-related ED, age-adjusted per 1,000 pop (2003 -2007)110.9131.1*110.2

Premature death, per 1,000Unintentional injury-related ED, per 1,000Substance Abuse ED, per 10,000

Merrimack57.8110.983.2

Sullivan69.6131.194

NH56.7110.268.3

Merrimack

Sullivan

NH

Indicator

Adults

Injury & Premature Death by County

Childhood Obesity by County

CountyOverweight*Obese**Ever BreastfedTV Viewing 2 hours

Merrimack22.0%16.3%71.4%87.1%

Sullivan20.7%20.5%67.6%88.7%

NH17.8%15.5%67.0%87.3%

*Overweight: btwn 85 & 95 percentile BMI-for-age

**Obese: 95 percentile BMI-for-age

CountyOverweightObeseEver BreastfedTV Viewing 2 hours

Merrimack22.0%16.3%71.4%87.1%

Sullivan20.7%20.5%67.6%88.7%

NH17.8%15.5%67.0%87.3%

Merrimack

Sullivan

NH

Percent

Childhood Obesity by County

Overweight

Obese

Location

Percent

Childhood Weight Status by County

Health & FunctionPhysical FunctioningMental FunctioningRole FunctioningSocial Functioning

Service Area Data: Health & Function

Health OutcomesMerrimack CountySullivan CountyNHActivities limited due to health in at least 14 of previous 30 days (percent of adults), 2008-20094.1%8.1%5.4%

Chart7

0.041

0.081

0.054

Actvities limited due to health in at least 14 of previous 30 days (percent of adults), 2008-2009

Location

Percent of Adults

Actvities limited due to health in at least 14 of previous 30 days, 2008-2009

Demos

Key Demographic & Economic Indicators

TownPopulationMedian Age65 & overMedian Household Income

Croydon76448.015.8%$58,125

Goshen81047.017.5%$48,621

Washington1,12346.520.4%$47,604

Lempster1,15446.112.6%$55,721

Danbury1,16444.013.4%$46,250

Springfield1,31142.314.4%$74,808

Wilmot1,35846.616.5%$75,197

Bradford1,65046.313.2%$67,882

Sutton1,83745.816.2%$62,391

Newbury2,07247.617.2%$66,765

Andover2,37141.413.7%$62,772

Warner2,83344.515.0%$58,221

Grantham2,98547.320.9%$87,245

Sunapee3,36546.219.1%$58,869

New London4,39748.730.7%$66,771

Newport6,50741.716.0%$45,593

TOTAL35,70145.617.0%$61,427

NH1,316,47041.113.5%$63,277

USA305,745,53837.213.1%$51,222

Sources: NLH Community Health Needs Assessment, May 2012; US Census Bureau, American FactFinder 2011

MunicipalityDollar

Newport$45,593

Danbury$46,250

Washington$47,604

Goshen$48,621

Lempster$55,721

Croydon$58,125

Warner$58,221

Sunapee$58,869

Sutton$62,391

Andover$62,772

Newbury$66,765

New London$66,771

Bradford$67,882

Springfield$74,808

Wilmot$75,197

Grantham$87,245

SA45.6

NH41.1

USA37.2

TownPopulationMedian Age65 & overMedian Household Income

Croydon76448.015.8%$58,125

Goshen81047.017.5%$48,621

Washington1,12346.520.4%$47,604

Lempster1,15446.112.6%$55,721

Danbury1,16444.013.4%$46,250

Springfield1,31142.314.4%$74,808

Wilmot1,35846.616.5%$75,197

Bradford1,65046.313.2%$67,882

Sutton1,83745.816.2%$62,391

Newbury2,07247.617.2%$66,765

Andover2,37141.413.7%$62,772

Warner2,83344.515.0%$58,221

Grantham2,98547.320.9%$87,245

Sunapee3,36546.219.1%$58,869

New London4,39748.730.7%$66,771

Newport6,50741.716.0%$45,593

TOTAL35,70145.617.0%$61,427

NH1,316,47041.113.5%$63,277

USA305,745,53837.213.1%$51,222

Demos

MunicipalityMunicipalityMunicipalityMunicipalityMunicipalityMunicipalityMunicipalityMunicipalityMunicipalityMunicipalityMunicipalityMunicipalityMunicipalityMunicipalityMunicipalityMunicipality

Newport

Danbury

Washington

Goshen

Lempster

Croydon

Warner

Sunapee

Sutton

Andover

Newbury

New London

Bradford

Springfield

Wilmot

Grantham

Median Household Income

Education

Median Age

Ed vs Income

Dollar

Municipality

Household Income

Median Household Income by Municipality

Poverty

Percentage of Population by Municipality & Education

MunicipalityHigh School degree or higherBachelor's degree or higher

Newport84.4%17.1%

Lempster84.5%20.8%

Croydon85.0%21.4%

Goshen85.1%20.1%

Danbury87.2%21.0%

Washington89.4%31.9%

Andover90.3%34.2%

Sunapee94.3%48.7%

Bradford94.6%36.3%

Sutton94.8%40.5%

Springfield95.2%48.4%

Warner95.3%37.1%

Newbury95.8%37.0%

New London96.8%52.3%

Grantham96.9%54.7%

Wilmot98.0%46.7%

TOTAL91.7%35.5%

NH91.5%32.8%

USA85.3%28.0%

Sources: NLH Community Health Needs Assessment, May 2012; US Census Bureau, American FactFinder 2011

High School degree or higherBachelor's degree or higher

Service Area93.9%40.9%

NH91.5%32.8%

USA85.3%28.0%

Poverty

0.93886538460.9150.853

0.40939423080.3280.28

Service Area

NH

USA

Percent of Adult Population

Highest Level of Education

Morbid_Mortal

Income, Education, and Population

MunicipalityMedian household incomeEducationPopulation

High School +Bachelor's +

Newport$45,59384.4%17.1%2,072

Danbury$46,25087.2%21.0%1,164

Washington$47,60489.4%31.9%1,123

Goshen$48,62185.1%20.1%810

Springfield$74,80895.2%48.4%1,311

Wilmot$75,19798.0%46.7%1,358

Grantham$87,24596.9%54.7%2,985

MunicipalityMedian household incomeHigh School +Bachelor's +Population

Newport$45,59384.4%17.1%2,072

Danbury$46,25087.2%21.0%1,164

Washington$47,60489.4%31.9%1,123

Goshen$48,62185.1%20.1%810

Springfield$74,80895.2%48.4%1,311

Wilmot$75,19798.0%46.7%1,358

Grantham$87,24596.9%54.7%2,985

Morbid_Mortal

High School +

Bachelor's +

Municipality

Percent of adults

Highest Level Education: Low vs. High Income

Death

High School +

Bachelor's +

Municipality

Percent of Adults

Highest Level Ed: Low vs. High Income

Cancer

Income & Poverty

MunicipalityMedian household incomePercent families below poverty line

Newport$45,59320.4%

Danbury$46,25021.1%

Washington$47,60412.1%

Goshen$48,6217.6%

Lempster$55,72114.0%

Croydon$58,12512.5%

Warner$58,2210.0%

Sunapee$58,86914.9%

Sutton$62,3914.0%

Andover$62,7724.2%

Newbury$66,76512.6%

New London$66,77114.6%

Bradford$67,8822.8%

Springfield$74,80811.3%

Wilmot$75,19716.7%

Grantham$87,2458.5%

TOTAL$61,42711.1%

NH$63,2778.6%

USA$51,22215.1%

Sources: NLH Community Health Needs Assessment, May 2012; US Census Bureau, American FactFinder 2011

Median household incomePercent families below poverty line

Service Area$66,55210.4%

NH$63,2778.6%

USA$51,22215.1%

Cancer

Families Below Poverty Line

Dia Hosp

Major ConditionCrude Rate per 100,000 people

Service AreaState of NH

Diseases of circulatory system1,5661,517

Pregnancy, childbirth, the puerperium & complications1,1291,142

Newborn1,0581,076

Diseases of the digestive system897833

Diseases of the respiratory system856887

Injury and poisoning825767

Mental disorders**646495

Source: NLH Community Health Needs Assessment, May 2012

**More than 20% above state rate

Circulatory1,5661,517

Pregnancy & childbirth1,1291,142

Newborn1,0581,076

Digestive897833

Respiratory856887

Injury & poisoning825767

Mental disorders*646495

Dia Hosp

Service Area

NH

Condition

Crude Rate per 100,000 people

Major Causes for Inpatient Hospitalization

Health Behaviors

Cause of DeathService AreaState of NH

Heart Disease226.3179.4

Cancer215.6183.7

Chronic Lower Respiratory Disease50.546.2

Stroke46.635.5

Accidents43.935.2

Dementia31.826.1

Diabetes27.822.5

Influenza and Pneumonia21.319.4

Kidney Disease12.412.4

Suicide13.311.2

Source: NLH Community Health Needs Assessment, May 2012

Heart Disease226.3179.4

Cancer215.6183.7

Lower Resp Dis50.546.2

Stroke46.635.5

Accidents43.935.2

Dementia31.826.1

Diabetes27.822.5

Health Behaviors

Service Area

State of NH

Condition

Rate per 100,000 people

Leading Causes of Death

Weight & Behavior

Cancer Incidence Rates for NH by County, 2004-2008

CountyIncidence Rate & 95% Confidence Interval

Merrimack County463.9 (443.5, 485.0)

Sullivan County433.5 (399.2, 470.2)

New Hampshire

United States410.4 (409.9, 410.8)

Source: NLH Community Health Needs Assessment, May 2012

Merrimack County463.9

Sullivan County433.5

New Hampshire449.3

United States410.4

Weight & Behavior

463.9

433.5

449.3

410.4

Location

Incidence Rate

Cancer Incidence Rates

Health Outcomes

Diabetes-Related Hospitalizations by NH County, 2003-2007

CountyRate per 100,000 people

Merrimack County**1490.5

Sullivan County1458.0

New Hampshire1440.4

**significance based on 95% confidence interval

Source: NLH Community Health Needs Assessment, May 2012

Merrimack County*1490.5

Sullivan County1458.0

NH1440.4

Health Outcomes

1490.5

1458

1440.4

Location

Rate per 100,000 people

Diabetes-Related Hospitalizations

Injury_Accidents

Key Health Indictors by County

Health Behavior

% of adults%of adults

Current smoking (2008-2009)15.0%18.3%16.5%

5 or more fruits and vegetables per day (2007, 2009)30.3%25.3%28.0%

Obese (2008-2009)24.3%26.6%25.8%

Overweight (2008-2009)38.3%37.0%37.2%

Moderate or vigorous physical activity (2007, 2009)56.1%53.3%53.5%

Heavy Drinking (2008-2009)6.5%4.4%6.0%

Binge Drinking (2008-2009)15.2%12.1%16.1%

Health Behavior

% of adults%of adults

Teen Birthrate (2008)16.941.8*18.4

Source: New Hampshire Department of Health and Human Services, 2011 Snapshot of New Hampshires Public Health Regions, Counties, and the Cities of Manchester and Nashua, 2011

*Statistically significant difference from state value

MerrimackSullivanNH

Smoking15.0%18.3%16.5%

Fruits & Veggies30.3%25.3%28.0%

Obese24.3%26.6%25.8%

Overweight38.3%37.0%37.2%

PA56.1%53.3%53.5%

Heavy Drinking6.5%4.4%6.0%

Binge Drinking15.2%12.1%16.1%

CountyTeen Birth Rate

Merrimack16.9

Sullivan*41.8

NH18.4

Injury_Accidents

Merrimack

Sullivan

NH

Health Indicator

Percent of Adults

Key Health Indicators

Childhood Overweight

Location

Rate per 1,000 15-19 yo

Teen Birth Rate

Low v High Income

Weight Status & Behavior

CountyOverweightObeseRecommended PAFruits & Veggies

Merrimack38.3%24.3%56.1%30.3%

Sullivan37.0%26.6%53.3%25.3%

NH37.2%25.8%53.5%28.0%

Total obese/overweightMerrimack62.6%

Sullivan63.6%

NH63.0%

Low v High Income

Overweight

Obese

Location

Percent of adults

Overweight & Obesity in Adults

Key Health Indictors by County

Health OutcomesMerrimack CountySullivan CountyNH

Premature death, yrs of potential life lost before 75 (per 1,000 people), 2003-200757.8*69.6*56.7

Low birthdweight (per 1,000 births), 20075.96.16.2

Substance abuse-related emergence hospital discharges (age-adjusted per 10,000 people), 2003-200783.2*94.0*68.3

Binge drinking, percent of adults (2008-2009)15.212.116.1

Unintentional injury-related ED, age-adjusted per 1,000 pop (2003 -2007)110.9131.1*110.2

Always use seatbelt, percent of adults (2006, 2008)64.662.465.6

Actvities limited due to health in at least 14 of previous 30 days (percent of adults), 2008-20094.18.15.4

New cancer diagnoses (age-adjusted per 100,000 people), 2003-2007503.9487.4499.8

Ever told blood pressure was high (percent of adults), 2007, 200925.732.127.6

Ever told had diabetes (percent of adults), 2008-20096.68.57.2

Current asthma (percent), 2007-20098.49.710.2

Source: New Hampshire Department of Health and Human Services, 2011 Snapshot of New Hampshires Public Health Regions, Counties, and the Cities of Manchester and Nashua, 2011

*Statistically significant difference from state value

CountyPremature death

Merrimack*57.8

Sullivan*69.9

NH56.7

CountySA-related ED

Merrimack*83.2

Sullivan*94

NH68.3

Health OutcomesMerrimack CountySullivan CountyNH

Actvities limited due to health in at least 14 of previous 30 days (percent of adults), 2008-20094.1%8.1%5.4%

57.8

69.9

56.7

Location

Rate per 1,000 people

Premature Death

Location

Rate per 10,000 adults

Substance Abuse-related Emergency Discharges

Actvities limited due to health in at least 14 of previous 30 days (percent of adults), 2008-2009

Location

Percent of Adults

Actvities limited due to health in at least 14 of previous 30 days, 2008-2009

Key Health Indictors by County

Health OutcomesMerrimack CountySullivan CountyNH

Premature death, yrs of potential life lost before 75 (per 1,000 people), 2003-200757.8*69.6*56.7

Substance abuse-related emergence hospital discharges (age-adjusted per 10,000 people), 2003-200783.2*94.0*68.3

Binge drinking, percent of adults (2008-2009)15.212.116.1

Always use seatbelt, percent of adults (2006, 2008)64.662.465.6

Actvities limited due to health in at least 14 of previous 30 days (percent of adults), 2008-20094.18.15.4

Unintentional injury-related ED, age-adjusted per 1,000 pop (2003 -2007)110.9131.1*110.2

Premature death, per 1,000Unintentional injury-related ED, per 1,000Substance Abuse ED, per 10,000

Merrimack57.8110.983.2

Sullivan69.6131.194

NH56.7110.268.3

Merrimack

Sullivan

NH

Indicator

Adults

Injury & Premature Death by County

Childhood Obesity by County

CountyOverweight*Obese**Ever BreastfedTV Viewing 2 hours

Merrimack22.0%16.3%71.4%87.1%

Sullivan20.7%20.5%67.6%88.7%

NH17.8%15.5%67.0%87.3%

*Overweight: btwn 85 & 95 percentile BMI-for-age

**Obese: 95 percentile BMI-for-age

CountyOverweightObeseEver BreastfedTV Viewing 2 hours

Merrimack22.0%16.3%71.4%87.1%

Sullivan20.7%20.5%67.6%88.7%

NH17.8%15.5%67.0%87.3%

Merrimack

Sullivan

NH

Percent

Childhood Obesity by County

Overweight

Obese

Location

Percent

Childhood Weight Status by County

Health Indicators: Lower vs. Higher Income Towns

Premature Mort (

Service Area Data: Health Care

Demos

Key Demographic & Economic Indicators

TownPopulationMedian Age65 & overMedian Household Income

Andover2,37141.413.7%$62,772

Bradford1,65046.313.2%$67,882

Croydon76448.015.8%$58,125

Danbury1,16444.013.4%$46,250

Goshen81047.017.5%$48,621

Grantham2,98547.320.9%$87,245

Lempster1,15446.112.6%$55,721

New London4,39748.730.7%$66,771

Newbury2,07247.617.2%$66,765

Newport6,50741.716.0%$45,593

Springfield1,31142.314.4%$74,808

Sunapee3,36546.219.1%$58,869

Sutton1,83745.816.2%$62,391

Warner2,83344.515.0%$58,221

Washington1,12346.520.4%$47,604

Wilmot1,35846.616.5%$75,197

TOTAL35,70145.617.0%$61,427

NH1,316,47041.113.5%$63,277

USA305,745,53837.213.1%$51,222

Sources: NLH Community Health Needs Assessment, May 2012; US Census Bureau, American FactFinder 2011

MunicipalityDollar

Andover$62,772

Bradford$67,882

Croydon$58,125

Danbury$46,250

Goshen$48,621

Grantham$87,245

Lempster$55,721

New London$66,771

Newbury$66,765

Newport$45,593

Springfield$74,808

Sunapee$58,869

Sutton$62,391

Warner$58,221

Washington$47,604

Wilmot$75,197

SA45.6

NH41.1

USA37.2

Demos

MunicipalityMunicipalityMunicipalityMunicipalityMunicipalityMunicipalityMunicipalityMunicipalityMunicipalityMunicipalityMunicipalityMunicipalityMunicipalityMunicipalityMunicipalityMunicipality

Andover

Bradford

Croydon

Danbury

Goshen

Grantham

Lempster

New London

Newbury

Newport

Springfield

Sunapee

Sutton

Warner

Washington

Wilmot

Median Household Income

Education

Median Age

Poverty

Percentage of Population by Municipality & Education

MunicipalityHigh School degree or higherBachelor's degree or higher

Andover90.3%34.2%

Bradford94.6%36.3%

Croydon85.0%21.4%

Danbury87.2%21.0%

Goshen85.1%20.1%

Grantham96.9%54.7%

Lempster84.5%20.8%

New London96.8%52.3%

Newbury95.8%37.0%

Newport84.4%17.1%

Springfield95.2%48.4%

Sunapee94.3%48.7%

Sutton94.8%40.5%

Warner95.3%37.1%

Washington89.4%31.9%

Wilmot98.0%46.7%

TOTAL91.7%35.5%

NH91.5%32.8%

USA85.3%28.0%

Sources: NLH Community Health Needs Assessment, May 2012; US Census Bureau, American FactFinder 2011

High School degree or higherBachelor's degree or higher

Service Area92.1%36.7%

NH91.5%32.8%

USA85.3%28.0%

Poverty

Service Area

NH

USA

Percent of Adult Population

Highest Level of Education

Morbid_Mortal

Income & Poverty

MunicipalityMedian household incomePercent families below poverty line

Andover$62,7724.2%

Bradford$67,8822.8%

Croydon$58,12512.5%

Danbury$46,25021.1%

Goshen$48,6217.6%

Grantham$87,2458.5%

Lempster$55,72114.0%

New London$66,77114.6%

Newbury$66,76512.6%

Newport$45,59320.4%

Springfield$74,80811.3%

Sunapee$58,86914.9%

Sutton$62,3914.0%

Warner$58,2210.0%4.3% individualsNot sure about this data?

Washington$47,60412.1%

Wilmot$75,19716.7%

TOTAL$61,42711.1%

NH$63,2778.6%

USA$51,22215.1%

Sources: NLH Community Health Needs Assessment, May 2012; US Census Bureau, American FactFinder 2011

Median household incomePercent families below poverty line

Service Area$61,01211.8%

NH$63,2778.6%

USA$51,22215.1%

Morbid_Mortal

Families Below Poverty Line

Death

Major ConditionCrude Rate per 100,000 people

Service AreaState of NH

Diseases of circulatory system1,5661,517

Pregnancy, childbirth, the puerperium & complications1,1291,142

Newborn1,0581,076

Diseases of the digestive system897833

Diseases of the respiratory system856887

Injury and poisoning825767

Mental disorders**646495

Source: NLH Community Health Needs Assessment, May 2012

**More than 20% above state rate

Circulatory1,566

Pregnancy & childbirth1,129

Newborn1,058

Digestive897

Respiratory856

Injury & poisoning825

Mental disorders646

Death

Condition

Crude Rate per 100,000 people

Major Causes for Inpatient Hospitalization

Cancer

Cause of DeathService AreaState of NH

Heart Disease226.3179.4

Cancer215.6183.7

Chronic Lower Respiratory Disease50.546.2

Stroke46.635.5

Accidents43.935.2

Dementia31.826.1

Diabetes27.822.5

Influenza and Pneumonia21.319.4

Kidney Disease12.412.4

Suicide13.311.2

Source: NLH Community Health Needs Assessment, May 2012

Heart Disease226.3179.4

Cancer215.6183.7

Lower Resp Dis50.546.2

Stroke46.635.5

Accidents43.935.2

Dementia31.826.1

Diabetes27.822.5

Cancer

00

00

00

00

00

00

00

Service Area

State of NH

Condition

Rate per 100,000 people

Leading Causes of Death

Dia Hosp

Cancer Incidence Rates for NH by County, 2004-2008

CountyIncidence Rate & 95% Confidence Interval

Merrimack County463.9 (443.5, 485.0)

Sullivan County433.5 (399.2, 470.2)

New Hampshire

United States410.4 (409.9, 410.8)

Source: NLH Community Health Needs Assessment, May 2012

Merrimack County463.9

Sullivan County433.5

New Hampshire449.3

United States410.4

Dia Hosp

0

0

0

0

Location

Incidence Rate

Cancer Incidence Rates

Health Behaviors

Diabetes-Related Hospitalizations by NH County, 2003-2007

CountyRate per 100,000 people

Merrimack County**1490.5

Sullivan County1458.0

New Hampshire1440.4

**significance based on 95% confidence interval

Source: NLH Community Health Needs Assessment, May 2012

Merrimack County*1490.5

Sullivan County1458.0

NH1440.4

Health Behaviors

0

0

0

Location

Rate per 100,000 people

Diabetes-Related Hospitalizations

Health Outcomes

Key Health Indictors by County

Health Behavior

% of adults%of adults

Current smoking (2008-2009)15.0%18.3%16.5%

5 or more fruits and vegetables per day (2007, 2009)30.3%25.3%28.0%

Obese (2008-2009)24.3%26.6%25.8%

Overweight (2008-2009)38.3%37.0%37.2%

Moderate or vigorous physical activity (2007, 2009)56.1%53.3%53.5%

Heavy Drinking (2008-2009)6.5%4.4%6.0%

Binge Drinking (2008-2009)15.2%12.1%16.1%

Health Behavior

% of adults%of adults

Teen Birth rate (2008)16.941.8*18.4

Source: New Hampshire Department of Health and Human Services, 2011 Snapshot of New Hampshires Public Health Regions, Counties, and the Cities of Manchester and Nashua, 2011

*Statistically significant difference from state value

MerrimackSullivanNH

Smoking15.0%18.3%16.5%

Fruits & Veggies30.3%25.3%28.0%

Obese24.3%26.6%25.8%

Overweight38.3%37.0%37.2%

PA56.1%53.3%53.5%

Heavy Drinking6.5%4.4%6.0%

Binge Drinking15.2%12.1%16.1%

CountyTeen Birth Rate

Merrimack16.9

Sullivan*41.8

NH18.4

Health Outcomes

000

000

000

000

000

000

000

Merrimack

Sullivan

NH

Health Indicator

Percent of Adults

Key Health Indicators

0

0

0

Location

Rate per 1,000 15-19 yo

Teen Birth Rate

Key Health Indictors by County

Health OutcomesMerrimack CountySullivan CountyNH

Premature death, yrs of potential life lost before 75 (per 1,000 people), 2003-200757.8*69.6*56.7

Low birthdweight (per 1,000 births), 20075.96.16.2

Substance abuse-related emergence hospital discharges (age-adjusted per 10,000 people), 2003-200783.2*94.0*68.3

Actvities limited due to health in at least 14 of previous 30 days (percent of adults), 2008-20094.18.15.4

New cancer diagnoses (age-adjusted per 100,000 people), 2003-2007503.9487.4499.8

Ever told blood pressure was high (percent of adults), 2007, 200925.732.127.6

Ever told had diabetes (percent of adults), 2008-20096.68.57.2

Current asthma (percent), 2007-20098.49.710.2

Source: New Hampshire Department of Health and Human Services, 2011 Snapshot of New Hampshires Public Health Regions, Counties, and the Cities of Manchester and Nashua, 2011

*Statistically significant difference from state value

CountyPremature death

Merrimack*57.8

Sullivan*69.9

NH56.7

CountySA-related ED

Merrimack*83.2

Sullivan*94

NH68.3

0

0

0

Location

Rate per 1,000 people

Premature Death

0

0

0

Location

Rate per 10,000 adults

Substance Abuse-related Emergency Discharges

Service Area Data: Health Care

Chart1

15661517

11291142

10581076

897833

856887

825767

646495

Service Area

NH

Condition

Crude Rate per 100,000 people

Major Causes for Inpatient Hospitalization

Demos

Key Demographic & Economic Indicators

TownPopulationMedian Age65 & overMedian Household Income

Andover2,37141.413.7%$62,772

Bradford1,65046.313.2%$67,882

Croydon76448.015.8%$58,125

Danbury1,16444.013.4%$46,250

Goshen81047.017.5%$48,621

Grantham2,98547.320.9%$87,245

Lempster1,15446.112.6%$55,721

New London4,39748.730.7%$66,771

Newbury2,07247.617.2%$66,765

Newport6,50741.716.0%$45,593

Springfield1,31142.314.4%$74,808

Sunapee3,36546.219.1%$58,869

Sutton1,83745.816.2%$62,391

Warner2,83344.515.0%$58,221

Washington1,12346.520.4%$47,604

Wilmot1,35846.616.5%$75,197

TOTAL35,70145.617.0%$61,427

NH1,316,47041.113.5%$63,277

USA305,745,53837.213.1%$51,222

Sources: NLH Community Health Needs Assessment, May 2012; US Census Bureau, American FactFinder 2011

MunicipalityDollar

Andover$62,772

Bradford$67,882

Croydon$58,125

Danbury$46,250

Goshen$48,621

Grantham$87,245

Lempster$55,721

New London$66,771

Newbury$66,765

Newport$45,593

Springfield$74,808

Sunapee$58,869

Sutton$62,391

Warner$58,221

Washington$47,604

Wilmot$75,197

SA45.6

NH41.1

USA37.2

Demos

0000000000000000

Andover

Bradford

Croydon

Danbury

Goshen

Grantham

Lempster

New London

Newbury

Newport

Springfield

Sunapee

Sutton

Warner

Washington

Wilmot

Median Household Income

Education

0

0

0

Median Age

Poverty

Percentage of Population by Municipality & Education

MunicipalityHigh School degree or higherBachelor's degree or higher

Andover90.3%34.2%

Bradford94.6%36.3%

Croydon85.0%21.4%

Danbury87.2%21.0%

Goshen85.1%20.1%

Grantham96.9%54.7%

Lempster84.5%20.8%

New London96.8%52.3%

Newbury95.8%37.0%

Newport84.4%17.1%

Springfield95.2%48.4%

Sunapee94.3%48.7%

Sutton94.8%40.5%

Warner95.3%37.1%

Washington89.4%31.9%

Wilmot98.0%46.7%

TOTAL91.7%35.5%

NH91.5%32.8%

USA85.3%28.0%

Sources: NLH Community Health Needs Assessment, May 2012; US Census Bureau, American FactFinder 2011

High School degree or higherBachelor's degree or higher

Service Area92.1%36.7%

NH91.5%32.8%

USA85.3%28.0%

Poverty

000

000

Service Area

NH

USA

Percent of Adult Population

Highest Level of Education

Morbid_Mortal

Income & Poverty

MunicipalityMedian household incomePercent families below poverty line

Andover$62,7724.2%

Bradford$67,8822.8%

Croydon$58,12512.5%

Danbury$46,25021.1%

Goshen$48,6217.6%

Grantham$87,2458.5%

Lempster$55,72114.0%

New London$66,77114.6%

Newbury$66,76512.6%

Newport$45,59320.4%

Springfield$74,80811.3%

Sunapee$58,86914.9%

Sutton$62,3914.0%

Warner$58,2210.0%4.3% individualsNot sure about this data?

Washington$47,60412.1%

Wilmot$75,19716.7%

TOTAL$61,42711.1%

NH$63,2778.6%

USA$51,22215.1%

Sources: NLH Community Health Needs Assessment, May 2012; US Census Bureau, American FactFinder 2011

Median household incomePercent families below poverty line

Service Area$61,01211.8%

NH$63,2778.6%

USA$51,22215.1%

Morbid_Mortal

0

0

0

Families Below Poverty Line

Death

Major Causes for Inpatient Hospitalization, 2003 - 2007(Weighted between Sullivan & Merrimack Counties based on NLH Service Area)

Major ConditionCrude Rate per 100,000 people

Service AreaState of NH

Diseases of circulatory system1,5661,517

Pregnancy, childbirth, the puerperium & complications1,1291,142

Newborn1,0581,076

Diseases of the digestive system897833

Diseases of the respiratory system856887

Injury and poisoning825767

Mental disorders**646495

Source: NLH Community Health Needs Assessment, May 2012

**More than 20% above state rate

Circulatory1,5661,517

Pregnancy & childbirth1,1291,142

Newborn1,0581,076

Digestive897833

Respiratory856887

Injury & poisoning825767

Mental disorders*646495

Death

00

00

00

00

00

00

00

Service Area

NH

Condition

Crude Rate per 100,000 people

Major Causes for Inpatient Hospitalization

Cancer

Leading Causes of Death per 100,000 people, 2003 - 2007(Weighted between Sullivan & Merrimack Counties based on NLH Service Area)

Cause of DeathService AreaState of NH

Heart Disease226.3179.4

Cancer215.6183.7

Chronic Lower Respiratory Disease50.546.2

Stroke46.635.5

Accidents43.935.2

Dementia31.826.1

Diabetes27.822.5

Influenza and Pneumonia21.319.4

Kidney Disease12.412.4

Suicide13.311.2

Source: NLH Community Health Needs Assessment, May 2012

Heart Disease226.3179.4

Cancer215.6183.7

Lower Resp Dis50.546.2

Stroke46.635.5

Accidents43.935.2

Dementia31.826.1

Diabetes27.822.5

Cancer

00

00

00

00

00

00

00

Service Area

State of NH

Condition

Rate per 100,000 people

Leading Causes of Death

Dia Hosp

Cancer Incidence Rates for NH by County, 2004-2008

CountyIncidence Rate & 95% Confidence Interval

Merrimack County463.9 (443.5, 485.0)

Sullivan County433.5 (399.2, 470.2)

New Hampshire449.3 (442.5, 456.2)

United States410.4 (409.9, 410.8)

Source: NLH Community Health Needs Assessment, May 2012

Merrimack County463.9

Sullivan County433.5

New Hampshire449.3

United States410.4

Dia Hosp

0

0

0

0

Location

Incidence Rate

Cancer Incidence Rates

Health Behaviors

Diabetes-Related Hospitalizations by NH County, 2003-2007

CountyRate per 100,000 people

Merrimack County**1490.5

Sullivan County1458.0

New Hampshire1440.4

**significance based on 95% confidence interval

Source: NLH Community Health Needs Assessment, May 2012

Merrimack County*1490.5

Sullivan County1458.0

NH1440.4

Health Behaviors

0

0

0

Location

Rate per 100,000 people

Diabetes-Related Hospitalizations

Health Outcomes

Key Health Indictors by County

Health BehaviorMerrimack County% of adultsSullivan County% of adultsNH% of adults

% of adults%of adults

Current smoking (2008-2009)15.0%18.3%16.5%

5 or more fruits and vegetables per day (2007, 2009)30.3%25.3%28.0%

Obese (2008-2009)24.3%26.6%25.8%

Overweight (2008-2009)38.3%37.0%37.2%

Moderate or vigorous physical activity (2007, 2009)56.1%53.3%53.5%

Heavy Drinking (2008-2009)6.5%4.4%6.0%

Binge Drinking (2008-2009)15.2%12.1%16.1%

Health BehaviorMerrimack Countyper 1,000 age 15 - 19Sullivan Countyper 1,000 age 15 - 19NHper 1,000 age 15 - 19

% of adults%of adults

Teen Birth rate (2008)16.941.8*18.4

Source: New Hampshire Department of Health and Human Services, 2011 Snapshot of New Hampshires Public Health Regions, Counties, and the Cities of Manchester and Nashua, 2011

*Statistically significant difference from state value

MerrimackSullivanNH

Smoking15.0%18.3%16.5%

Fruits & Veggies30.3%25.3%28.0%

Obese24.3%26.6%25.8%

Overweight38.3%37.0%37.2%

PA56.1%53.3%53.5%

Heavy Drinking6.5%4.4%6.0%

Binge Drinking15.2%12.1%16.1%

CountyTeen Birth Rate

Merrimack16.9

Sullivan*41.8

NH18.4

Health Outcomes

000

000

000

000

000

000

000

Merrimack

Sullivan

NH

Health Indicator

Percent of Adults

Key Health Indicators

0

0

0

Location

Rate per 1,000 15-19 yo

Teen Birth Rate

Key Health Indictors by County

Health OutcomesMerrimack CountySullivan CountyNH

Premature death, yrs of potential life lost before 75 (per 1,000 people), 2003-200757.8*69.6*56.7

Low birthdweight (per 1,000 births), 20075.96.16.2

Substance abuse-related emergence hospital discharges (age-adjusted per 10,000 people), 2003-200783.2*94.0*68.3

Actvities limited due to health in at least 14 of previous 30 days (percent of adults), 2008-20094.18.15.4

New cancer diagnoses (age-adjusted per 100,000 people), 2003-2007503.9487.4499.8

Ever told blood pressure was high (percent of adults), 2007, 200925.732.127.6

Ever told had diabetes (percent of adults), 2008-20096.68.57.2

Current asthma (percent), 2007-20098.49.710.2

Source: New Hampshire Department of Health and Human Services, 2011 Snapshot of New Hampshires Public Health Regions, Counties, and the Cities of Manchester and Nashua, 2011

*Statistically significant difference from state value

CountyPremature death

Merrimack*57.8

Sullivan*69.9

NH56.7

CountySA-related ED

Merrimack*83.2

Sullivan*94

NH68.3

0

0

0

Location

Rate per 1,000 people

Premature Death

0

0

0

Location

Rate per 10,000 adults

Substance Abuse-related Emergency Discharges

Service Area Data: Health Care

Chart11

1490.5

1458

1440.4

Location

Rate per 100,000 people

Diabetes-Related Hospitalizations

Demos

Key Demographic & Economic Indicators

TownPopulationMedian Age65 & overMedian Household Income

Andover2,37141.413.7%$62,772

Bradford1,65046.313.2%$67,882

Croydon76448.015.8%$58,125

Danbury1,16444.013.4%$46,250

Goshen81047.017.5%$48,621

Grantham2,98547.320.9%$87,245

Lempster1,15446.112.6%$55,721

New London4,39748.730.7%$66,771

Newbury2,07247.617.2%$66,765

Newport6,50741.716.0%$45,593

Springfield1,31142.314.4%$74,808

Sunapee3,36546.219.1%$58,869

Sutton1,83745.816.2%$62,391

Warner2,83344.515.0%$58,221

Washington1,12346.520.4%$47,604

Wilmot1,35846.616.5%$75,197

TOTAL35,70145.617.0%$61,427

NH1,316,47041.113.5%$63,277

USA305,745,53837.213.1%$51,222

Sources: NLH Community Health Needs Assessment, May 2012; US Census Bureau, American FactFinder 2011

MunicipalityDollar

Andover$62,772

Bradford$67,882

Croydon$58,125

Danbury$46,250

Goshen$48,621

Grantham$87,245

Lempster$55,721

New London$66,771

Newbury$66,765

Newport$45,593

Springfield$74,808

Sunapee$58,869

Sutton$62,391

Warner$58,221

Washington$47,604

Wilmot$75,197

SA45.6

NH41.1

USA37.2

Demos

MunicipalityMunicipalityMunicipalityMunicipalityMunicipalityMunicipalityMunicipalityMunicipalityMunicipalityMunicipalityMunicipalityMunicipalityMunicipalityMunicipalityMunicipalityMunicipality

Andover

Bradford

Croydon

Danbury

Goshen

Grantham

Lempster

New London

Newbury

Newport

Springfield

Sunapee

Sutton

Warner

Washington

Wilmot

Median Household Income

Education

Median Age

Poverty

Percentage of Population by Municipality & Education

MunicipalityHigh School degree or higherBachelor's degree or higher

Andover90.3%34.2%

Bradford94.6%36.3%

Croydon85.0%21.4%

Danbury87.2%21.0%

Goshen85.1%20.1%

Grantham96.9%54.7%

Lempster84.5%20.8%

New London96.8%52.3%

Newbury95.8%37.0%

Newport84.4%17.1%

Springfield95.2%48.4%

Sunapee94.3%48.7%

Sutton94.8%40.5%

Warner95.3%37.1%

Washington89.4%31.9%

Wilmot98.0%46.7%

TOTAL91.7%35.5%

NH91.5%32.8%

USA85.3%28.0%

Sources: NLH Community Health Needs Assessment, May 2012; US Census Bureau, American FactFinder 2011

High School degree or higherBachelor's degree or higher

Service Area92.1%36.7%

NH91.5%32.8%

USA85.3%28.0%

Poverty

Service Area

NH

USA

Percent of Adult Population

Highest Level of Education

Morbid_Mortal

Income & Poverty

MunicipalityMedian household incomePercent families below poverty line

Andover$62,7724.2%

Bradford$67,8822.8%

Croydon$58,12512.5%

Danbury$46,25021.1%

Goshen$48,6217.6%

Grantham$87,2458.5%

Lempster$55,72114.0%

New London$66,77114.6%

Newbury$66,76512.6%

Newport$45,59320.4%

Springfield$74,80811.3%

Sunapee$58,86914.9%

Sutton$62,3914.0%

Warner$58,2210.0%4.3% individualsNot sure about this data?

Washington$47,60412.1%

Wilmot$75,19716.7%

TOTAL$61,42711.1%

NH$63,2778.6%

USA$51,22215.1%

Sources: NLH Community Health Needs Assessment, May 2012; US Census Bureau, American FactFinder 2011

Median household incomePercent families below poverty line

Service Area$61,01211.8%

NH$63,2778.6%

USA$51,22215.1%

Morbid_Mortal

Families Below Poverty Line

Death

Major ConditionCrude Rate per 100,000 people

Service AreaState of NH

Diseases of circulatory system1,5661,517

Pregnancy, childbirth, the puerperium & complications1,1291,142

Newborn1,0581,076

Diseases of the digestive system897833

Diseases of the respiratory system856887

Injury and poisoning825767

Mental disorders**646495

Source: NLH Community Health Needs Assessment, May 2012

**More than 20% above state rate

Circulatory1,566

Pregnancy & childbirth1,129

Newborn1,058

Digestive897

Respiratory856

Injury & poisoning825

Mental disorders646

Death

Condition

Crude Rate per 100,000 people

Major Causes for Inpatient Hospitalization

Cancer

Cause of DeathService AreaState of NH

Heart Disease226.3179.4

Cancer215.6183.7

Chronic Lower Respiratory Disease50.546.2

Stroke46.635.5

Accidents43.935.2

Dementia31.826.1

Diabetes27.822.5

Influenza and Pneumonia21.319.4

Kidney Disease12.412.4

Suicide13.311.2

Source: NLH Community Health Needs Assessment, May 2012

Heart Disease226.3179.4

Cancer215.6183.7

Lower Resp Dis50.546.2

Stroke46.635.5

Accidents43.935.2

Dementia31.826.1

Diabetes27.822.5

Cancer

Service Area

State of NH

Condition

Rate per 100,000 people

Leading Causes of Death

Dia Hosp

Cancer Incidence Rates for NH by County, 2004-2008

CountyIncidence Rate & 95% Confidence Interval

Merrimack County463.9 (443.5, 485.0)

Sullivan County433.5 (399.2, 470.2)

New Hampshire

United States410.4 (409.9, 410.8)

Source: NLH Community Health Needs Assessment, May 2012

Merrimack County463.9

Sullivan County433.5

New Hampshire449.3

United States410.4

Dia Hosp

Location

Incidence Rate

Cancer Incidence Rates

Health Behaviors

Diabetes-Related Hospitalizations by NH County, 2003-2007

CountyRate per 100,000 people

Merrimack County**1490.5

Sullivan County1458.0

New Hampshire1440.4

**significance based on 95% confidence interval

Source: NLH Community Health Needs Assessment, May 2012

Merrimack County*1490.5

Sullivan County1458.0

NH1440.4

Health Behaviors

Location

Rate per 100,000 people

Diabetes-Related Hospitalizations

Health Outcomes

Key Health Indictors by County

Health Behavior

% of adults%of adults

Current smoking (2008-2009)15.0%18.3%16.5%

5 or more fruits and vegetables per day (2007, 2009)30.3%25.3%28.0%

Obese (2008-2009)24.3%26.6%25.8%

Overweight (2008-2009)38.3%37.0%37.2%

Moderate or vigorous physical activity (2007, 2009)56.1%53.3%53.5%

Heavy Drinking (2008-2009)6.5%4.4%6.0%

Binge Drinking (2008-2009)15.2%12.1%16.1%

Health Behavior

% of adults%of adults

Teen Birth rate (2008)16.941.8*18.4

Source: New Hampshire Department of Health and Human Services, 2011 Snapshot of New Hampshires Public Health Regions, Counties, and the Cities of Manchester and Nashua, 2011

*Statistically significant difference from state value

MerrimackSullivanNH

Smoking15.0%18.3%16.5%

Fruits & Veggies30.3%25.3%28.0%

Obese24.3%26.6%25.8%

Overweight38.3%37.0%37.2%

PA56.1%53.3%53.5%

Heavy Drinking6.5%4.4%6.0%

Binge Drinking15.2%12.1%16.1%

CountyTeen Birth Rate

Merrimack16.9

Sullivan*41.8

NH18.4

Health Outcomes

000

000

000

000

000

000

000

Merrimack

Sullivan

NH

Health Indicator

Percent of Adults

Key Health Indicators

0

0

0

Location

Rate per 1,000 15-19 yo

Teen Birth Rate

Key Health Indictors by County

Health OutcomesMerrimack CountySullivan CountyNH

Premature death, yrs of potential life lost before 75 (per 1,000 people), 2003-200757.8*69.6*56.7

Low birthdweight (per 1,000 births), 20075.96.16.2

Substance abuse-related emergence hospital discharges (age-adjusted per 10,000 people), 2003-200783.2*94.0*68.3

Actvities limited due to health in at least 14 of previous 30 days (percent of adults), 2008-20094.18.15.4

New cancer diagnoses (age-adjusted per 100,000 people), 2003-2007503.9487.4499.8

Ever told blood pressure was high (percent of adults), 2007, 200925.732.127.6

Ever told had diabetes (percent of adults), 2008-20096.68.57.2

Current asthma (percent), 2007-20098.49.710.2

Source: New Hampshire Department of Health and Human Services, 2011 Snapshot of New Hampshires Public Health Regions, Counties, and the Cities of Manchester and Nashua, 2011

*Statistically significant difference from state value

CountyPremature death

Merrimack*57.8

Sullivan*69.9

NH56.7

CountySA-related ED

Merrimack*83.2

Sullivan*94

NH68.3

0

0

0

Location

Rate per 1,000 people

Premature Death

0

0

0

Location

Rate per 10,000 adults

Substance Abuse-related Emergency Discharges

Demos

Key Demographic & Economic Indicators

TownPopulationMedian Age65 & overMedian Household Income

Croydon76448.015.8%$58,125

Goshen81047.017.5%$48,621

Washington1,12346.520.4%$47,604

Lempster1,15446.112.6%$55,721

Danbury1,16444.013.4%$46,250

Springfield1,31142.314.4%$74,808

Wilmot1,35846.616.5%$75,197

Bradford1,65046.313.2%$67,882

Sutton1,83745.816.2%$62,391

Newbury2,07247.617.2%$66,765

Andover2,37141.413.7%$62,772

Warner2,83344.515.0%$58,221

Grantham2,98547.320.9%$87,245

Sunapee3,36546.219.1%$58,869

New London4,39748.730.7%$66,771

Newport6,50741.716.0%$45,593

TOTAL35,70145.617.0%$61,427

NH1,316,47041.113.5%$63,277

USA305,745,53837.213.1%$51,222

Sources: NLH Community Health Needs Assessment, May 2012; US Census Bureau, American FactFinder 2011

MunicipalityDollar

Andover$62,772

Bradford$67,882

Croydon$58,125

Danbury$46,250

Goshen$48,621

Grantham$87,245

Lempster$55,721

New London$66,771

Newbury$66,765

Newport$45,593

Springfield$74,808

Sunapee$58,869

Sutton$62,391

Warner$58,221

Washington$47,604

Wilmot$75,197

SA45.6

NH41.1

USA37.2

TownPopulationMedian Age65 & overMedian Household Income

Croydon76448.015.8%$58,125

Goshen81047.017.5%$48,621

Washington1,12346.520.4%$47,604

Lempster1,15446.112.6%$55,721

Danbury1,16444.013.4%$46,250

Springfield1,31142.314.4%$74,808

Wilmot1,35846.616.5%$75,197

Bradford1,65046.313.2%$67,882

Sutton1,83745.816.2%$62,391

Newbury2,07247.617.2%$66,765

Andover2,37141.413.7%$62,772

Warner2,83344.515.0%$58,221

Grantham2,98547.320.9%$87,245

Sunapee3,36546.219.1%$58,869

New London4,39748.730.7%$66,771

Newport6,50741.716.0%$45,593

TOTAL35,70145.617.0%$61,427

NH1,316,47041.113.5%$63,277

USA305,745,53837.213.1%$51,222

Demos

0000000000000000

Andover

Bradford

Croydon

Danbury

Goshen

Grantham

Lempster

New London

Newbury

Newport

Springfield

Sunapee

Sutton

Warner

Washington

Wilmot

Median Household Income

Education

0

0

0

Median Age

Ed vs Income

Percentage of Population by Municipality & Education

MunicipalityHigh School degree or higherBachelor's degree or higher

Newport84.4%17.1%

Lempster84.5%20.8%

Croydon85.0%21.4%

Goshen85.1%20.1%

Danbury87.2%21.0%

Washington89.4%31.9%

Andover90.3%34.2%

Sunapee94.3%48.7%

Bradford94.6%36.3%

Sutton94.8%40.5%

Springfield95.2%48.4%

Warner95.3%37.1%

Newbury95.8%37.0%

New London96.8%52.3%

Grantham96.9%54.7%

Wilmot98.0%46.7%

TOTAL91.7%35.5%

NH91.5%32.8%

USA85.3%28.0%

Sources: NLH Community Health Needs Assessment, May 2012; US Census Bureau, American FactFinder 2011

High School degree or higherBachelor's degree or higher

Service Area93.9%40.9%

NH91.5%32.8%

USA85.3%28.0%

Ed vs Income

000

000

Service Area

NH

USA

Percent of Adult Population

Highest Level of Education

Poverty

Income, Education, and Population

MunicipalityMedian household incomeEducationPopulation

High School +Bachelor's +

Newport$45,59384.4%17.1%2,072

Danbury$46,25087.2%21.0%1,164

Washington$47,60489.4%31.9%1,123

Goshen$48,62185.1%20.1%810

Springfield$74,80895.2%48.4%1,311

Wilmot$75,19798.0%46.7%1,358

Grantham$87,24596.9%54.7%2,985

MunicipalityMedian household incomeHigh School +Bachelor's +Population

Newport$45,59384.4%17.1%2,072

Danbury$46,25087.2%21.0%1,164

Washington$47,60489.4%31.9%1,123

Goshen$48,62185.1%20.1%810

Springfield$74,80895.2%48.4%1,311

Wilmot$75,19798.0%46.7%1,358

Grantham$87,24596.9%54.7%2,985

Poverty

00

00

00

00

00

00

00

00

High School +

Bachelor's +

Municipality

Percent of adults

Highest Level Education: Low vs. High Income

Morbid_Mortal

00

00

00

00

00

00

00

00

High School +

Bachelor's +

Municipality

Percent of Adults

Highest Level Ed: Low vs. High Income

Death

Income & Poverty

MunicipalityMedian household incomePercent families below poverty line

Newport$45,59320.4%

Danbury$46,25021.1%

Washington$47,60412.1%

Goshen$48,6217.6%

Lempster$55,72114.0%

Croydon$58,12512.5%

Warner$58,2210.0%

Sunapee$58,86914.9%

Sutton$62,3914.0%

Andover$62,7724.2%

Newbury$66,76512.6%

New London$66,77114.6%

Bradford$67,8822.8%

Springfield$74,80811.3%

Wilmot$75,19716.7%

Grantham$87,2458.5%

TOTAL$61,42711.1%

NH$63,2778.6%

USA$51,22215.1%

Sources: NLH Community Health Needs Assessment, May 2012; US Census Bureau, American FactFinder 2011

Median household incomePercent families below poverty line

Service Area$66,55210.4%

NH$63,2778.6%

USA$51,22215.1%

Death

0.1036510417

0.086

0.151

Families Below Poverty Line

Cancer

Major ConditionCrude Rate per 100,000 people

Service AreaState of NH

Diseases of circulatory system1,5661,517

Pregnancy, childbirth, the puerperium & complications1,1291,142

Newborn1,0581,076

Diseases of the digestive system897833

Diseases of the respiratory system856887

Injury and poisoning825767

Mental disorders**646495

Source: NLH Community Health Needs Assessment, May 2012

**More than 20% above state rate

Circulatory1,5661,517

Pregnancy & childbirth1,1291,142

Newborn1,0581,076

Digestive897833

Respiratory856887

Injury & poisoning825767

Mental disorders*646495

Cancer

00

00

00

00

00

00

00

Service Area

NH

Condition

Crude Rate per 100,000 people

Major Causes for Inpatient Hospitalization

Dia Hosp

Cause of DeathService AreaState of NH

Heart Disease226.3179.4

Cancer215.6183.7

Chronic Lower Respiratory Disease50.546.2

Stroke46.635.5

Accidents43.935.2

Dementia31.826.1

Diabetes27.822.5

Influenza and Pneumonia21.319.4

Kidney Disease12.412.4

Suicide13.311.2

Source: NLH Community Health Needs Assessment, May 2012

Heart Disease226.3179.4

Cancer215.6183.7

Lower Resp Dis50.546.2

Stroke46.635.5

Accidents43.935.2

Dementia31.826.1

Diabetes27.822.5

Dia Hosp

Service Area

State of NH

Condition

Rate per 100,000 people

Leading Causes of Death

Health Behaviors

Cancer Incidence Rates for NH by County, 2004-2008

CountyIncidence Rate & 95% Confidence Interval

Merrimack County463.9 (443.5, 485.0)

Sullivan County433.5 (399.2, 470.2)

New Hampshire

United States410.4 (409.9, 410.8)

Source: NLH Community Health Needs Assessment, May 2012

Merrimack County463.9

Sullivan County433.5

New Hampshire449.3

United States410.4

Health Behaviors

0

0

0

0

Location

Incidence Rate

Cancer Incidence Rates

Weight & Behavior

Diabetes-Related Hospitalizations by NH County, 2003-2007

CountyRate per 100,000 people

Merrimack County**1490.5

Sullivan County1458.0

New Hampshire1440.4

**significance based on 95% confidence interval

Source: NLH Community Health Needs Assessment, May 2012

Merrimack County*1490.5

Sullivan County1458.0

NH1440.4

Weight & Behavior

Location

Rate per 100,000 people

Diabetes-Related Hospitalizations

Health Outcomes

Key Health Indictors by County

Health Behavior

% of adults%of adults

Current smoking (2008-2009)15.0%18.3%16.5%

5 or more fruits and vegetables per day (2007, 2009)30.3%25.3%28.0%

Obese (2008-2009)24.3%26.6%25.8%

Overweight (2008-2009)38.3%37.0%37.2%

Moderate or vigorous physical activity (2007, 2009)56.1%53.3%53.5%

Heavy Drinking (2008-2009)6.5%4.4%6.0%

Binge Drinking (2008-2009)15.2%12.1%16.1%

Health Behavior

% of adults%of adults

Teen Birth rate (2008)16.941.8*18.4

Source: New Hampshire Department of Health and Human Services, 2011 Snapshot of New Hampshires Public Health Regions, Counties, and the Cities of Manchester and Nashua, 2011

*Statistically significant difference from state value

MerrimackSullivanNH

Smoking15.0%18.3%16.5%

Fruits & Veggies30.3%25.3%28.0%

Obese24.3%26.6%25.8%

Overweight38.3%37.0%37.2%

PA56.1%53.3%53.5%

Heavy Drinking6.5%4.4%6.0%

Binge Drinking15.2%12.1%16.1%

CountyTeen Birth Rate

Merrimack16.9

Sullivan*41.8

NH18.4

Health Outcomes

000

000

000

000

000

000

000

Merrimack

Sullivan

NH

Health Indicator

Percent of Adults

Key Health Indicators

Injury_Accidents

0

0

0

Location

Rate per 1,000 15-19 yo

Teen Birth Rate

Childhood Overweight

Weight Status & Behavior

CountyOverweightObeseRecommended PAFruits & Veggies

Merrimack38.3%24.3%56.1%30.3%

Sullivan37.0%26.6%53.3%25.3%

NH37.2%25.8%53.5%28.0%

Total obese/overweightMerrimack62.6%

Sullivan63.6%

NH63.0%

Childhood Overweight

00

00

00

Overweight

Obese

Location

Percent of adults

Overweight & Obesity in Adults

Key Health Indictors by County

Health OutcomesMerrimack CountySullivan CountyNH

Premature death, yrs of potential life lost before 75 (per 1,000 people), 2003-200757.8*69.6*56.7

Low birthdweight (per 1,000 births), 20075.96.16.2

Substance abuse-related emergence hospital discharges (age-adjusted per 10,000 people), 2003-200783.2*94.0*68.3

Binge drinking, percent of adults (2008-2009)15.212.116.1

Unintentional injury-related ED, age-adjusted per 1,000 pop (2003 -2007)110.9131.1*110.2

Always use seatbelt, percent of adults (2006, 2008)64.662.465.6

Actvities limited due to health in at least 14 of previous 30 days (percent of adults), 2008-20094.18.15.4

New cancer diagnoses (age-adjusted per 100,000 people), 2003-2007503.9487.4499.8

Ever told blood pressure was high (percent of adults), 2007, 200925.732.127.6

Ever told had diabetes (percent of adults), 2008-20096.68.57.2

Current asthma (percent), 2007-20098.49.710.2

Source: New Hampshire Department of Health and Human Services, 2011 Snapshot of New Hampshires Public Health Regions, Counties, and the Cities of Manchester and Nashua, 2011

*Statistically significant difference from state value

CountyPremature death

Merrimack*57.8

Sullivan*69.9

NH56.7

CountySA-related ED

Merrimack*83.2

Sullivan*94

NH68.3

0

0

0

Location

Rate per 1,000 people

Premature Death

0

0

0

Location

Rate per 10,000 adults

Substance Abuse-related Emergency Discharges

Key Health Indictors by County

Health OutcomesMerrimack CountySullivan CountyNH

Premature death, yrs of pot