Weekly Updates
Androscoggin Valley COVID Dashboard
AV COVID-19 group meets as needed provide situational awareness of COVID and other community-related health information for local community leaders. The COVID Dashboard will be updated after the next AV COVID-19 meeting.
Get the COVID bivalent booster designed specifically for the Omicron variant!
Booster shots build immune response right away so now is the time if you haven’t received one.
Being fully vaccinated means getting up to date and receiving as many vaccination doses you are eligible for.
Bivalent vaccine is available to anyone 6 months+ by calling Coos County Family Health Services at 603-752-2040.
5/1/2023: COVID left its mark
Our work today is dedicated to the Department of Transportation employees who maintain our roads and keep us safe during challenging times, like today’s flood conditions.
The AV COVID group will break for summer and can reconvene if needed. The next scheduled meeting is Thursday August 31, 2023.
Springtime respiratory illnesses are releasing their hold and summer is on the horizon. The AV COVID group will break for summer and is scheduled to meet at the beginning of the fall season to consider next steps. The public health emergency comes to an end in May 2023 and local healthcare has returned to normal pre-COVID operations, with minimal exceptions. Still, COVID has left its mark. It will continue to be managed along with other respiratory illnesses that affect our community. It reinforced the relevance of infectious diseases and the importance of vaccines to the health of our community. Healthcare facilities have changed, including new ventilation systems, negative pressure rooms, and rethinking common waiting areas. Throughout the pandemic, local and state level healthcare have conducted incident command reports and after action reports, incorporating the reflections and learnings along the way. Each individual has a story and perspective. Reflection on the experience may continue to be valuable. There is opportunity for the AV COVID group to consider how to mark the COVID pandemic. As summer unfolds, continue to be mindful of those in our community who are most vulnerable to respiratory illness or experiencing long term symptoms.
Vaccines and COVID bivalent booster are available at CCFHS.
Being fully vaccinated means getting up to date and receiving as many vaccination doses you are eligible for. Vaccine is available to anyone 6+ months old by calling Coos County Family Health Services at 603-752-2040.
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NH announced 37 reported cases on April 27, 2023, the most recent update. There were an average of 38 cases per day for the most recent 7-day period (April 21 to April 27). This is a 29% DECREASE compared to the previous 7-day period. More information at https://www.covid19.nh.gov/.
NH Wastewater Surveillance Dashboard shows a decreasing level of SARS-CoV-2 (COVID) viral particles from Berlin’s latest tested wastewater sample (4/17/23) compared to the previous sample (4/10/23). Wastewater surveillance is a powerful tool to estimate the amount of a pathogen, like COVID-19, in a community. This is particularly helpful for COVID as home based testing has become more widely available. More information at https://www.covid19.nh.gov/wastewater-surveillance.
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Health Care and Medical Services
Update from Androscoggin Valley Hospital: The hospital is stable and volume is lower compared to a busy period a month ago. There are no COVID inpatients, a trend that has continued for quite awhile. Several weeks have passed since the last positive COVID case among employees. After a busy spring with general respiratory illness and activity, hospital outpatient services are rolling right along. The hospital is preparing for the summer season. The long COVID support group disbanded for now due to low participation. Hospital communications are reflecting the return to normal policies and procedures, including the lifting of masking requirements (with limited exceptions). Across NH, hospitals are stable and seeing low COVID impact. New inpatient capacity at Dartmouth is easing higher-tier patient transfers across the system and allowing the local healthcare system to reclaim more capacity.
Update from Coos County Family Health Services: There continues to be very low COVID positive results from testing clinics. Testing clinics continue to fill up, with occasional days without same day testing appointments. Visits in the respiratory trailers continue daily for pediatrics and adults until the Pleasant Street and Gorham construction projects are completed. Construction timelines are on schedule for early and late summer functional use of the new negative pressure testing rooms at Pleasant Street and Gorham locations. CCFHS has been without incident after sunsetting the masking requirements about a month ago. The healthcare facilities have largely resumed normal operations. COVID-19 booster vaccines are currently recommended for age 65+ or immunocompromised patients based on provider recommendation. Public messaging about COVID boosters will be coordinated with NCH and CCFHS. Vaccine is available by calling CCFHS (603) 752-2900 to make an appointment for COVID boosters, primary doses, and influenza vaccines, among other health related needs. No vaccine clinics are currently scheduled, however if demand increases, a clinic can be coordinated.
Additional public health updates: New COVID variants are being monitored across the globe and country and locally healthcare providers continue to follow new information. CDC recommends COVID boosters for 65+ and immunocompromised, and recommendations for other demographics will be announced soon. It is anticipated that the recommendation for the general public will be an annual, seasonal COVID booster, similar to recommendation for a seasonal flu shot. This is a growing understanding of the long term consequences of COVID illness, including connection to diabetes. Given that across the country healthcare workers contracted and died from COVID-19 during the pandemic, OSHA (Occupational Safety Health Administration) will be coming out with recommendations for ongoing healthcare worker safety. The official end of the public health emergency in May 2023 will bring changes to healthcare in NH, including the end to automatic Medicaid renewal and aspects of telehealth, among other impacts.
Education
Update from Berlin Public Schools: No update on this call. Visit Berlin Public School Facebook Page for more information.
Update from SAU 20: Schools are operating with normal springtime activities. There continues to be very infrequent positive COVID cases among students and staff. Visit the SAU 20 office website for updates.
White Mountains Community College: No update on this call.
Family Resources and Long-Term Care Facilities
St. Vincent de Paul: No update on this call.
Coos County Nursing Home: Emailed update as of 5/1/23: There is currently 1 (readmitted) resident COVID-19 case, and no positive employee cases. Masks are available and CDC recommendations for their use are posted at all entrances. Visitors and staff continue to self-screen prior to entering the home. Staff may remove masks in non-resident areas of the building, as long as they have no COVID-19 symptoms, no signs or symptoms of a respiratory infection, and no recent suspected or actual exposure to someone positive for COVID-19. Free COVID-19 Home Test Kits continue to be available and can be picked up from the business office. All previously reported COVID-19 infection prevention and control measures continue.
Northern Human Services: No update on this call.
Family Resource Center: No update on this call.
Tri-County CAP: No update on this call.
Emergency Services and Correctional Facilities
Berlin Fire / EMD: No update on this call.
Gorham EMS: The department is under normal operations. There are no staff out with COVID.
Northern NH Correctional Facility: No update on this call.
Federal Corrections Institution: No update on this call.
Municipal and Local Business
City of Berlin: No update on this call.
Town of Gorham: No update on this call.
Androscoggin Valley Chamber of Commerce: No update on this call.
Community and Legislative
Public Health Network: The PHN is monitoring updates on new COVID-19 variants. There are many test kits available for distribution to community sites. The PHN has not been asked to stand up any vaccine clinics.
Congressional Delegation: No update on this call.
“The COVID experience has reinforced the relevance of infectious disease in our community and the importance of vaccination.”
3/30/2023: Pandemic, a flash and a lifetime
Our work today is dedicated to friends - the people who have supported us through the tough times during the pandemic.
The AV COVID group will meet in one month unless called together more frequently.
As springtime emerges, lingering respiratory illness continues to hold on in the community. RSV is present which can be a threat to older adults and young children who are more at risk for severe illness. A lower level of COVID-19 cases continue to circulate, though there are signs of a potential uptick. Berlin wastewater samples in March show an increase and testing clinics have reported a few positive cases this week after several weeks of negative COVID tests. As the public health emergency winds down in May there will be anticipated changes to some health care policies, such as masking, telehealth visits, social service programs, and more. Participants in this collaborative group are considering how to commemorate this time with the community. There is opportunity for community leaders to reflect, process, and plan together for future public health emergencies, in addition to the Public Health Network’s emergency preparedness plan for the region. Continue to be mindful of those in our community who are most vulnerable to respiratory illness or experiencing long COVID symptoms.
Vaccines and COVID bivalent booster are available at CCFHS.
Being fully vaccinated means getting up to date and receiving as many vaccination doses you are eligible for. Vaccine is available to anyone 6+ months old by calling Coos County Family Health Services at 603-752-2040.
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NH announced 41 reported cases on March 23, 2023, the most recent update. There were an average of 73 cases per day for the most recent 7-day period (March 17 to March 23). This is a 9% DECREASE compared to the previous 7-day period. More information at https://www.covid19.nh.gov/.
NH Wastewater Surveillance Dashboard shows an increasing level of SARS-CoV-2 (COVID) viral particles from Berlin’s latest tested wastewater sample (3/13/23) compared to the previous sample (3/6/23). Wastewater surveillance is a powerful tool to estimate the amount of a pathogen, like COVID-19, in a community. This is particularly helpful for COVID as home based testing has become more widely available. More information at https://www.covid19.nh.gov/wastewater-surveillance.
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Health Care and Medical Services
Update from Androscoggin Valley Hospital: The hospital is busy, however there are no COVID cases among patients or staff. After a COVID spike over a month ago with 11 staff cases, this is the fifth week in a row without staff COVID cases. As the public health emergency winds down, AVH and hospitals around NH are moving towards more normal pre-COVID systems, including relaxing mandatory masking and ending routine COVID swabbing. NCH is meeting next week to discuss the status of policy changes and requirements. More information to come.
Update from Coos County Family Health Services: There continues to be low COVID positive results from the testing clinics, however yesterday’s testing clinic included three positive COVID cases. There are no staff out with COVID and services are normal. Respiratory visits continue daily for pediatrics and adults in the respiratory trailers until the Pleasant Street and Gorham construction projects are completed. The NH test to treat program continues until supplies run out. Home test kits are available. The end of the public health emergency in May will bring changes to telehealth and other services; details to come. Currently 10% of CCFHS appointments are virtual telehealth. COVID vaccine advertising is currently shared in the community. Vaccine is available by calling CCFHS at (603) 752-2900 to make an appointment for COVID boosters, primary doses, and influenza vaccines, among other health related needs.
Additional public health updates: Recommendations for additional COVID boosters will be announced by the CDC soon. Area healthcare organizations are looking to be consistent with the region as guidance for masking, vaccination, and other public health requirements is announced for the end to the public health emergency in May 2023. There is a balance for addressing the needs of those most vulnerable and policies that are difficult to enforce. Healthcare professionals are mindful of those experiencing long COVID symptoms and are looking forward to hearing more about AVH’s long COVID support group.
Education
Update from Berlin Public Schools: Schools are operating with normal springtime activities. There are currently 4 students out with COVID. No current staff cases. Visit Berlin Public School Facebook Page for more information.
Update from SAU 20: Like many of us, schools are experiencing lingering seasonal respiratory illness, but very little to no COVID cases. Students are enjoying normal school activities, especially the current senior class which is experiencing their first normal school year since the start of the pandemic. Visit the SAU 20 office website for updates.
White Mountains Community College: No update on this call.
Family Resources and Long-Term Care Facilities
St. Vincent de Paul: No update on this call.
Coos County Nursing Home: Emailed update as of 3/30/23: There is currently an outbreak of respiratory syncytial virus (RSV). There are 5 active resident cases, 1 resolved employee case. There are no active staff cases at this time. RSV is a common virus that affects the lungs and breathing passages. Older adults are at high risk for severe RSV infection. There is no vaccine to prevent RSV infection. There are no COVID-19 or influenza infections among residents or staff. For more information: https://www.cdc.gov/rsv/factsheet-older-adults.pdf (English). All previously reported COVID-19 infection prevention and control measures continue.
Northern Human Services: No update on this call.
Family Resource Center: No update on this call.
Tri-County CAP: No update on this call.
Emergency Services and Correctional Facilities
Berlin Fire / EMD: No update on this call.
Gorham EMS: The department is busy with non-COVID normal operations. New mask guidance will be followed once decided by the state.
Northern NH Correctional Facility: No update on this call.
Federal Corrections Institution: No update on this call.
Municipal and Local Business
City of Berlin: Over the past week there have been no COVID cases among staff, though general respiratory illness continues to circulate.
Town of Gorham: No update on this call.
Androscoggin Valley Chamber of Commerce: No update on this call.
Community and Legislative
Public Health Network: The PHN has not been asked to stand up any vaccine clinics since the start of the year. The organization continues to distribute COVID home test kits to community locations in the region including senior centers, Meals on Wheels, libraries, post offices, banks, etc.
Congressional Delegation: Sen. Hassan’s office is receiving constituent calls about long COVID from NH residents. The topic will be discussed at the next policy team meeting.
“Sometimes it feels like the pandemic happened in a flash. Sometimes it feels like it was the longest time of our lives.”
3/2/2023: Marking the 3rd anniversary, there is value in continued connection
Our work today is dedicated to the ER and support staff at AVH in acknowledgement of the great work they do each day.
The AV COVID group will meet in one month on March 30, 2023 unless called together more frequently.
COVID-19 continues to be a factor in the community, from short-lived but significant outbreaks among health employees at our local hospital and nursing home to individuals experiencing long COVID. As the public health emergency winds down there are changes to social safety net programs, such as rental assistance and SNAP benefits during a time of increasing home, energy, and food costs. Public health officials continue to communicate and connect on the ways to support the Androscoggin Valley community. Stay warm, healthy, and mindful of other community members this winter season.
Get a flu shot and a COVID bivalent booster designed for the Omicron variants.
Being fully vaccinated means getting up to date and receiving as many vaccination doses you are eligible for. Vaccine is available to anyone 6+ months old by calling Coos County Family Health Services at 603-752-2040.
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NH announced 92 reported cases on February 23, 2023, the most recent update. There were an average of 123 cases per day for the most recent 7-day period (February 17 to February 23). This is a 5% DECREASE compared to the previous 7-day period. More information at https://www.covid19.nh.gov/.
NH Wastewater Surveillance Dashboard shows a decreasing level of SARS-CoV-2 (COVID) viral particles from Berlin’s tested wastewater sample (2/20/23) compared to the previous sample (2/13/23). Wastewater surveillance is a powerful tool to estimate the amount of a pathogen, like COVID-19, in a community. This is particularly helpful for COVID as home based testing has become more widely available. More information at https://www.covid19.nh.gov/wastewater-surveillance.
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Health Care and Medical Services
Update from Androscoggin Valley Hospital: The hospital has returned to normal operations after a considerable COVID outbreak affecting MedSurg staff last week. From Wednesday to Friday COVID positive staff increased from one to 11, with many additional staff out with COVID-like symptoms. The state was alerted to the rapid spike. While crisis staffing mode was put into place, the patient census was down and services were not affected. Staff experienced mild to moderate illness and staffing levels have returned to normal. There are no COVID inpatients. Across the NCH system masking remains in place, but there is a winding down of other COVID screening protocols allowing for more normal surgical scheduling and procedures. AVH is hosting a long COVID support group that meets on the last Wednesday of every month. Find more information at https://avhnh.org.
Update from Coos County Family Health Services: There continues to be low COVID positive results from the testing clinics. Testing clinics continue to fill up but there are more same day appointments available. There are no staff out with COVID and operations are normal. CCFHS continues to plan for changes as the public health emergency winds down. There will be changes to telehealth, cost of testing and treatments, Medicaid reporting and eligibility, and eligibility for other safety net programs, such as SNAP food benefits. Call CCFHS at (603) 752-2900 to make an appointment for COVID boosters, primary doses, and influenza vaccines, among other health related needs.
Additional public health updates: Members of the group discussed community trends in qualifying and accessing social services support and assistance, such as fuel and rental assistance, free and reduced lunch services, and more. While there is an increase in qualifying individuals and families, often paperwork and applications can be difficult to navigate, which contributes to people not getting the resources they qualify for. Additionally, the underreported and inaccurate demographic data leads to implications in other community funding, such as school funding and grant programs. There is opportunity to encourage and find ways to make applications less burdensome.
Education
Update from Berlin Public Schools: This week is school vacation. The small increase in COVID cases last week affecting 3 staff was quickly resolved. General seasonal respiratory illnesses continue to circulate among students. School leadership shared the long COVID support group information among staff. Visit Berlin Public School Facebook Page for more information.
Update from SAU 20: No update on this call. Visit the SAU 20 office website for updates.
White Mountains Community College: No update on this call.
Family Resources and Long-Term Care Facilities
St. Vincent de Paul: No update on this call.
Coos County Nursing Home: Emailed update as of 2/22/23: The nursing home is currently on outbreak status with the Department of Public Health. There are 3 active cases, 1 resolved case, for a total of 4 employee cases of COVID-19 this outbreak period. There is one resident with COVID-19 unrelated to the employee outbreak. All active employee and resident cases are posted at the main entrance and on the resident floors. Guests are encouraged to wear masks at all times when visiting residents while we are in outbreak status, per CDC and Public Health guidance. Masks are available at the entrance and at the elevators. All previously reported COVID-19 infection prevention and control measures continue.
Northern Human Services: No update on this call.
Family Resource Center: No update on this call.
Tri-County CAP: There are currently no staff out with COVID, however flu cases are affecting a number of staff. TCCAP is focused on supporting the homeless and housing insecure population in the region. There are warming and homeless shelters where COVID home tests are distributed. Emergency backpacks are available with gear. Individuals and families are housed in area motels with the state’s rental assistance program which is set to expire this spring. The organization has noted an increase in homelessness in the region, including more families compared to last year. Shelter family rooms are regularly booked up. The increase in homelessness is connected to rental increases, energy costs, and health issues. TCCAP received grant funding which was provided to area municipal welfare offices, including the City of Berlin, to be able to house people in area motels during cold weather events.
Emergency Services and Correctional Facilities
Berlin Fire / EMD: No update on this call.
Gorham EMS: The department is stable with normal operations. No significant COVID or respiratory issues noted. There is a steady response to Wildcat for ski injuries during school vacation weeks.
Northern NH Correctional Facility: No update on this call.
Federal Corrections Institution: No update on this call.
Municipal and Local Business
City of Berlin: The city has moved to a new employee policy of using CDC symptom checklist to determine protocol for COVID / respiratory illness. There was a noticeable increase in COVID symptoms over the past two weeks among employees. The City is participating in a homelessness task force to prepare how to support residents who may be affected when the rental assistance program ends this spring. Area agencies can direct people to Berlin City Hall, Gorham Town Hall, and Berlin PD (evenings) to make shelter arrangements.
Town of Gorham: No update on this call.
Androscoggin Valley Chamber of Commerce: No update on this call.
Community and Legislative
Public Health Network: The PHN continues to distribute COVID home test kits to community locations in the region including senior centers, Meals on Wheels, libraries, post offices, banks, etc. Other PHN work includes building systems of emergency preparedness for the future, including supporting education of young people entering health fields and maintaining a network of public health volunteers available to help with community response.
Congressional Delegation: A new staff member of Sen. Hassan’s office specializing in health policy joined the call.
“This is the third anniversary of the convening of this workgroup which responded to the COVID-19 pandemic in March 2020. Thank you everyone for your work. There continues to be value in the communication and connection among those working to support the Androscoggin Valley community.”
2/2/2023: Winding down the public health emergency
Our work today is dedicated to those who take care of the youngest in our community, including childcare workers, parents, and families.
The AV COVID group will meet every four weeks unless called together more frequently. The next meeting is scheduled for Thursday, March 2nd at 4:00pm
Healthcare and public health sectors are anticipating post-public health emergency changes. It’s important for the community to stay informed as regulations and program eligibility change, including Medicaid. COVID-19 continues to be one of many respiratory illnesses affecting our community. The winter months are likely to continue fueling high community transmission of illness during this indoor season. Masking in certain situations and during upticks of illness may be helpful, especially when protecting older and immunocompromised community members. Stay healthy this winter season!
Get a flu shot and a COVID bivalent booster designed for the Omicron variants.
Being fully vaccinated means getting up to date and receiving as many vaccination doses you are eligible for. Vaccine is available to anyone 6+ months old by calling Coos County Family Health Services at 603-752-2040.
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NH announced 120 reported cases on January 26, 2023, the most recent update. There were an average of 133 cases per day for the most recent 7-day period (January 20 to January 26). This is a 20% DECREASE compared to the previous 7-day period. More information at https://www.covid19.nh.gov/.
NH Wastewater Surveillance Dashboard is now available. The dashboard shows SARS-CoV-2 shed viral particles in sampled wastewater for communities, including Berlin. Wastewater surveillance is a powerful tool to estimate the amount of a pathogen, like COVID-19, in a community. This is particularly helpful for COVID as home based testing has become more widely available. More information at https://www.covid19.nh.gov/wastewater-surveillance.
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Health Care and Medical Services
Update from Androscoggin Valley Hospital: The hospital is quiet on the COVID front. There was a small spike in staff out due to COVID, but it quickly decreased from 5 earlier in the week and down to 3. Staff are coming back quickly and cases are fewer and further between. Based on data and national health regulations, AVH will cease preoperative COVID testing requirements which will allow more flexibility in OR scheduling and accommodating patients. This is a significant step in moving back to normal surgical services. AVH is launching a long COVID support group this month to be held on Feb. 22nd and the last Wednesdays of the month. Find more information at https://avhnh.org.
Update from Coos County Family Health Services: There are no staff currently out with COVID. Prior to this time there were 1 to 2 staff out infrequently. There continues to be low COVID positive results from the testing clinics. The winter respiratory illness outbreak has kept the testing trailer services busy. There are a few same day appointments but often all appointments are filled the day before. Home COVID test kits are available, though the ability to reorder supplies is likely to wind down as public health emergency comes to an end. Bivalent COVID vaccines are available for all age groups. Call CCFHS to make an appointment. This winter and spring, partnership with the NCHC mobile van will focus on bringing vaccines to older adults and immunocompromised residents. CCFHS received funding for vaccine and booster outreach and will work with AVH to develop informational advertising. CCFHS is waiting for more information on sunsetting COVID-19 standards from Occupational Safety and Health Administration (OSHA). Call CCFHS at (603) 752-2900 to make an appointment for COVID boosters, primary doses, and influenza vaccine.
Additional COVID updates: NH is showing more favorable trends in inpatient admissions around the state. There are under 200 inpatients in NH; only 32 are being treated for COVID as a the primary complaint. There is additional capacity for adult ICU beds in the state with 86% occupancy, the lowest in awhile. There continues to be zero to little pediatric ICU bed availability. Around the state, 13% of ED volume is due to COVID as the chief complaint.
There are many changes to prepare for with the winding down of the public health emergency anticipated to end on May 11, 2023. NH residents participating in Medicaid will need to re-establish eligibility. It is important to communicate the changes so those who are eligible can continue their coverage if they choose. There are also anticipated changes to other programs, such as SNAP, and benefit levels may cause potential hardship for affected community members. Telehealth and other health regulations will also change. There will be a transition to a different environment in the post-public health emergency times.
Education
Update from Berlin Public Schools: There are very few COVID cases among staff and students. There are currently 2 student and staff out with COVID related illness, a decrease from an average of 3 - 5 a month ago. School operations are normal. Visit Berlin Public School Facebook Page for more information.
Update from SAU 20: No update on this call. Visit the SAU 20 office website for updates.
White Mountains Community College: No update on this call.
Family Resources and Long-Term Care Facilities
St. Vincent de Paul: No update on this call.
Coos County Nursing Home: Emailed update as of 1/30/23: There is 1 new employee case of community acquired COVID-19; 1 active case. No resident cases. NH Department of Public Health closed the outbreak status, effective 1/30/23. There were a total of 12 employee cases, 0 resident cases. All previously reported COVID-19 infection prevention and control measures continue.
Northern Human Services: No update on this call.
Family Resource Center: No update on this call.
Tri-County CAP: No update on this call.
Emergency Services and Correctional Facilities
Berlin Fire / EMD: No update on this call.
Gorham EMS: The department is stable, status quo. No employees are out due to COVID. The department is preparing for the very cold weather and supporting any community needs that arise.
Northern NH Correctional Facility: No update on this call.
Federal Corrections Institution: No update on this call.
Municipal and Local Business
City of Berlin: No update on this call.
Town of Gorham: No update on this call.
Androscoggin Valley Chamber of Commerce: No update on this call.
Community and Legislative
Public Health Network: No update on this call.
Congressional Delegation: No additional update on this call. Brian Bresnahan is retiring in mid-February and was thanked for his contribution to this group and for his constituent support services for Rep. Kuster over many years.
There are many moving parts in the transition to a post-public health emergency environment. Many of the pre-pandemic regulations are coming back and it’s important to let people know about the anticipated changes.
1/5/2022: Starting the new year with hope, gratitude, and a lot of respiratory illness
Our work today is dedicated to EMS providers across the country and locally. Recent events on the national stage and in our own community have spotlighted the phenomenal work that EMS providers provide each and every day.
The AV COVID group will meet every four weeks unless called together more frequently. The next meeting is scheduled for Thursday, February 2 at 4:00pm
As we enter 2023, COVID transmission continues but it is one of many respiratory illnesses affecting community members. The winter months are likely to continue fueling high community transmission of illness during this indoor season. Masking in certain situations and during upticks of illness (such as now) may be helpful, especially when protecting older and immunocompromised community members. Across NH hospitals, critical care bed availability remains low. Stay healthy this winter season!
Looking back at almost three years of the COVID-19 pandemic in our community:
“We are increasingly positive in our outlook and more confident that we’re reaching an endemic phase. We’ve learned to live with this and have figured out ways to live normally while still making accommodations when needed - like masking.”
Get a flu shot and a COVID bivalent booster designed for the Omicron variants.
Being fully vaccinated means getting up to date and receiving as many vaccination doses you are eligible for. Vaccine is available to anyone 6+ months old by calling Coos County Family Health Services at 603-752-2040.
***
NH announced 221 reported cases on January 4, 2023. There were an average of 236 cases per day for the most recent 7-day period (December 29 to January 4). This is a 16% INCREASE compared to the previous 7-day period. More information at https://www.covid19.nh.gov/.
NH Wastewater Surveillance Dashboard is now available. The dashboard shows SARS-CoV-2 shed viral particles in sampled wastewater for communities, including Berlin. Wastewater surveillance is a powerful tool to estimate the amount of a pathogen, like COVID-19, in a community. This is particularly helpful for COVID as home based testing has become more widely available. More information at https://www.covid19.nh.gov/wastewater-surveillance.
***
Health Care and Medical Services
Update from Androscoggin Valley Hospital: Overall the hospital is busy after a brief lull around the holidays. There is currently one COVID positive inpatient, maintaining the steady trend of 0 - 1 inpatients with COVID, though COVID is not always the main medical concern. There are two staff out with COVID and staff have been affected by the general respiratory illnesses that are circulating the community, including flu and RSV. Three of AVH’s critical care beds are filled right now and at times the five available beds have been full. Medical transfers continue to be challenging as NH’s available critical care beds remain tight.
Update from Coos County Family Health Services: The effects of post-holiday illness transmission may be a week out, but so far there are few COVID cases among the considerable nondescript respiratory illnesses that are circulating in the community. One staff is out with COVID and many staff members have been out with the other respiratory illnesses. COVID vaccines and boosters are available for all age cohorts, though uptake has slowed significantly since the majority of those who desire boosters have received them. Partnership with NCHC mobile van will focus on bringing vaccines to older adults and immunocompromised residents. CCFHS received funding for vaccine and booster outreach and will work with AVH to develop informational advertising. CCFHS is waiting for more information on the continuation of COVID-19 standards and is thinking about how to rebuild and prepare for future public health challenges with lessons learned from COVID-19. Call CCFHS at (603) 752-2900 to make an appointment for COVID boosters, primary doses, and influenza vaccine.
Additional updates: Public health practitioners are watching news about the new variant X.B.B.1.5 which may be more vaccine evasive and transmissible. Currently there are some supply chain disruptions on antibiotics and other medications. China’s reversal of zero-COVID policy may create additional supply chain impacts or disruptions. In NH, alongside increased COVID cases are increased respiratory illnesses. There is a focus to get those 65+ years vaccinated and boosted to prevent serious illness and fatality. During the indoor winter season, masking in certain circumstances is emphasized to protect ourselves and others especially during the current rise in respiratory illnesses.
Education
Update from Berlin Public Schools: There are very few COVID cases among staff and students (3 to 5 at a time), however general respiratory illnesses are circulating. Overall schools are operating normally. No update on this call. Visit Berlin Public School Facebook Page for more information.
Update from SAU 20: There are very few COVID cases among staff and students, however general respiratory illnesses are circulating. Overall schools are operating normally. Visit the SAU 20 office website for updates.
White Mountains Community College: No update on this call.
Family Resources and Long-Term Care Facilities
St. Vincent de Paul: No update on this call.
Coos County Nursing Home: Emailed update as of 1/1/23: Due to the recent increase of positive COVID cases among employees, the NH Department of Public Health placed CCNH in outbreak status effective 12/27/22. Employees work in multiple departments, both direct and indirect resident care positions. As of Jan. 1 there are 3 active cases, 7 total cases. No resident cases. The number of active cases are posted at the Main Entrance, along with current recommended guidance for reducing the risk of spreading COVID-19 at CCNH. Please do not visit if you are experiencing symptoms of any communicable illness, including COVID-19 (common symptoms are posted at the entrance). If you have had a recent known or suspected exposure (e.g., attended a large gathering of people not of your household - community transmission is HIGH), there are free COVID-19 Home Test Kits available at CCNH Business Office during normal business hours (8am - 4pm, Mon-Fri), provided by Coos County Family Health Services. All previously reported COVID-19 infection prevention and control measures continue.
Northern Human Services: No update on this call.
Family Resource Center: No update on this call.
Tri-County CAP: There are two staff out with COVID and general respiratory illness is circulating. When CCFHS develops new COVID and flu informational materials, TCCAP will display fliers on their buses and offices to get the word out.
Emergency Services and Correctional Facilities
Berlin Fire / EMD: Two staff are out with COVID; staffing levels are operating normally.
Gorham EMS: NH DHHS extended the public health guidelines and EMS will be required to continue wearing PPE into the spring months. Staff are out with respiratory illnesses; staffing levels are operating normally.
Northern NH Correctional Facility: There are no COVID cases among the resident population. Five staff are currently out with COVID and many staff are affected by general respiratory illnesses. Staffing levels and operations are not affected.
Federal Corrections Institution: No update on this call.
Municipal and Local Business
City of Berlin: No staff are out with COVID. No additional update.
Town of Gorham: No update on this call.
Androscoggin Valley Chamber of Commerce: No update on this call.
Community and Legislative
Public Health Network: The mobile van clinic is up and running and available for community support, including vaccine clinics with CCFHS. North Country Health Consortium is training Community Health Workers, including training for CHW working around the state. NCHC will connect with the City of Berlin to provide information on CHW referrals. Clinical providers are reminded to inform patients that they may need to renew their Medicaid enrollment if the pandemic-related extension expires in the near future.
“The pandemic continues to take a toll on people in our community. The school age population needs more and different kinds of resources to address social emotional challenges intensified by pandemic impacts.”
Congressional Delegation: Sen. Hassan was sworn in for a second term this week and the Senator’s office continues to be available as a resource. Sen. Shaheen congressionally directed funding to NH projects that support nursing workforce development, a growing workforce need exacerbated by the pandemic.
“We’ve learned how to persevere. It’s not as exhausting anymore. We’re hopeful and grateful for the work we’ve done together.”
12/8/2022: Staying Healthy During the Holidays
Our work today is dedicated to school nurses who are taking care of children and families experiencing respiratory illnesses.
The next meeting of the AV COVID group will be Thursday, January 5 at 4:00pm
COVID cases are increasing across the state over this past week. While COVID is a constant concern - cases of flu, RSV, influenza, and other respiratory illnesses are also being identified in NH. AVH is busy with respiratory illnesses and other activity, not solely COVID-related. Across the state ICU bed occupancy is at 90% and there are no pediatric ICU beds available, which has been the case for many weeks. This holiday season, stay connected to the CDC and other health providers for information relating to vaccines and their protection against new COVID variants. Check out this holiday toolkit for resources you can use to spread the message about the importance of updated COVID vaccines. Additionally, consider masking up in certain situations, like traveling in high traffic areas, during the holiday season. Stay safe and warm into the new year!
Get a flu shot and a COVID bivalent booster designed for the Omicron variants.
Being fully vaccinated means getting up to date and receiving as many vaccination doses you are eligible for. Vaccine is available to anyone 6+ months old by calling Coos County Family Health Services at 603-752-2040.
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NH announced 217 reported cases on December 8, 2022. There were an average of 198 cases per day for the most recent 7-day period (December 1 to December 7). This is a 53% INCREASE compared to the previous 7-day period. More information at https://www.covid19.nh.gov/.
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Health Care and Medical Services
Update from Androscoggin Valley Hospital: The hospital is seeing increased activity, with many respiratory cases that are not COVID-related. There is currently one (1) COVID positive inpatient. The ED volume is high; the hospital has many flu, RSV, and other respiratory cases. Beds are full and statewide, there is a 90% occupancy for ICU beds. Staffing remains stable, with one (1) employee out due to COVID.
Update from Coos County Family Health Services: CCFHS is seeing undefined upper-respiratory cases that are overwhelming testing clinics; though there is a decrease in positive COVID cases. CCFHS no longer hosts regular vaccine clinics but is actively accepting vaccine appointments, people can call and make the vaccine appointments they need. Bivalent boosters are now available for children 6 months to 5 years old. COVID and regular-dose flu vaccines are available. Staffing is stable, with one (1) employee out due to COVID. CCFHS continues to have testing available Monday through Friday and on weekends for symptomatic patients. Vaccines continue to be encouraged as the best protection against severe illness and for protecting immunocompromised community members. Call CCFHS at (603) 752-2900 to make an appointment for COVID boosters, primary doses, and influenza vaccine.
Statewide update: There is a national trend of increased positive COVID cases, the cause of this is unknown but may hint at a new variant. In NH, alongside increased COVID cases are increased respiratory illnesses. There is a focus to get those 60+ years vaccinated and boosted to prevent serious illness and fatality. During the holiday season, masking in certain circumstances is emphasized to protect ourselves and others during this busy season.
Education
Update from Berlin Public Schools: No update on this call. Visit Berlin Public School Facebook Page for more information.
Update from SAU 20: No updates on this call. Visit the SAU 20 office website for updates.
White Mountains Community College: No update on this call.
Family Resources and Long-Term Care Facilities
St. Vincent de Paul: No update on this call.
Coos County Nursing Home: Email update 12/8/22. There are no new cases of COVID-19 to report; no resident cases and one (1) active employee case. CCNH continues with all previously reported COVID-19 infection prevention and control measures.
Northern Human Services: No update on this call.
Family Resource Center: No update on this call.
Tri-County CAP: Tri-County CAP is busy and stable; there has been one (1) recent COVID positive employee that has recovered. They are currently administering testing kits to homeless populations and providing contact information for transportation to medical services. Centers are almost full, with some guest testing daily. Tri-County CAP is working with community providers and volunteers to get an accurate count of the homeless population in the area.
Emergency Services and Correctional Facilities
Berlin Fire / EMD: No update on this call.
Gorham EMS: Gorham EMS is busy; staffing has seen employees out but are currently working at full capacity. They are seeing many respiratory-related issues.
Northern NH Correctional Facility: No update on this call.
Federal Corrections Institution: No update on this call.
Municipal and Local Business
City of Berlin: The City has stable operations, no active COVID cases among employees, but other illnesses. They are giving out test kits and working on housing assistance for members of the community.
Town of Gorham: No update on this call.
Androscoggin Valley Chamber of Commerce: No update on this call.
Community and Legislative
Public Health Network: No update on this call.
Congressional Delegation: Offices have been working with Tri-County CAP and City of Berlin to help support the homeless population.
“Activity is up in general, but it is not all COVID-related, and we’re seeing more respiratory distress.”
11/17/2022: Healthy and Happy Thanksgiving
Our work today is dedicated to people suffering from long COVID which affects 5 - 15% of people infected with COVID.
The next meeting of the AV COVID group will be in three weeks.
COVID cases are decreasing statewide however COVID, RSV, and influenza continue to be present in our local community. Available pediatric ICU beds continue to be very low in NH and the region. As a reminder to enjoy a safe and healthy Thanksgiving, and to keep the more vulnerable family and friends safe from respiratory illness, stay home if you feel symptoms, use a mask, test, and get treatment if needed. It is not too late to get a COVID booster and flu shot this season. There are some tips from Thinking through the holidays this year from an epidemiologist. We hope everyone has a safe and healthy holiday season in Androscoggin Valley.
Get a flu shot and a COVID bivalent booster designed for the Omicron variants.
Being fully vaccinated means getting up to date and receiving as many vaccination doses you are eligible for. Vaccine is available to anyone 6+ months old by calling Coos County Family Health Services at 603-752-2040.
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NH announced 120 reported cases on November 17, 2022. There were an average of 120 cases per day for the most recent 7-day period (November 11 to November 17). This is a 28% DECREASE compared to the previous 7-day period. More information at https://www.covid19.nh.gov/.
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Health Care and Medical Services
Update from Androscoggin Valley Hospital: The hospital reports stable activity. There is an average of 2-3 staff members out due to COVID. The ER volume is light, there are a few positive COVID tests detected during routine procedure; there are currently two (2) inpatients with COVID and no COVID patients in ICU. The hospital is seeing other respiratory bugs, including RSV, but there are no flu patients in the hospital. However, there are a number of flu-related cases present in hospitals around the state.
Update from Coos County Family Health Services: There are fewer positive COVID testing results at CCFHS. Most people are testing at home so testing data is difficult to rely on. Vaccine demand has dropped, but CCFHS will continue to host vaccine clinics through November, then clinics will conclude. Vaccines will still be available by appointment by calling the CCFHS. The recent 11/12/22 vaccine clinic reached 80+ people. CCFHS is supporting vaccine outreach and added capacity in the Colebrook area. CCFHS continues to monitor long COVID cases and will refer affected individuals to Dartmouth and their specialty clinic. Sporadic RSV cases have been documented in the area, but CCFHS has not seen the tremendous amounts like in southern NH. There have also been a couple of flu cases, which may rise as the season goes on. CCFHS is going through a building expansion: the work will allow for better ventilation, more space, and a generator for safe storage of vaccines. Federal investments have positively impacted the local community to strengthen the public health infrastructure in the area.
CCFHS continues to have testing available Monday through Friday and on weekends for symptomatic patients. Vaccine clinics are held on Tuesdays, Wednesdays, and Thursday, ending this month. Vaccines continue to be encouraged as the best protection against severe illness and for protecting immunocompromised community members. Call CCFHS at (603) 752-2900 to make an appointment for COVID boosters, primary doses, and influenza vaccine.
Statewide update: Statewide there are no pediatric ICU beds available and there is demand for pediatric beds throughout the state and region. Nationally, a three-tiered challenge may arise in coming months: influenza, COVID, and RSV. Everyone should help in limiting the spread of respiratory disease this upcoming cold season. The uptake of booster vaccines continues to be low, which is concerning. Observations from Western Europe suggest an increase in cases from the new sub variants, but without the usual increase in serious illness and death that usually accompany COVID-19 waves.
Education
Update from Berlin Public Schools: The number of cases remains low among students and staff. There are four (4) staff out right now with COVID and staffing levels remain a challenge this school year. Visit Berlin Public School Facebook Page for more information.
Update from SAU 20: COVID cases are few to none among students and staff right now. Normal school operations. Visit the SAU 20 office website for updates.
White Mountains Community College: No update on this call.
Family Resources and Long-Term Care Facilities
St. Vincent de Paul: No update on this call.
Coos County Nursing Home: Emailed update as of 11/17/22: There are no new cases of COVID-19 to report. The outbreak was closed by the New Hampshire Department of Public Health, effective 11/16/22. Outbreak 9/26/22 - 11/16/22 totaled 15 resident cases (14 residents) and 19 staff. The nursing home will continue with all previously reported COVID-19 infection, prevention, and control measures. Vaccines continue to be our best form of protection against serious, sometimes deadly, COVID-19 infection. If you are not feeling well, please do not enter the facility and visit at a later time when you are better.
Northern Human Services: No update on this call.
Family Resource Center: No update on this call.
Tri-County CAP: No update on this call.
Emergency Services and Correctional Facilities
Berlin Fire / EMD: No update on this call.
Gorham EMS: Stable operations across town government. EMS is transporting one (1) COVID patient a week on average. Health responders are reminded to continue wearing proper PPE.
Northern NH Correctional Facility: No update on this call.
Federal Corrections Institution: No update on this call.
Municipal and Local Business
City of Berlin: No update on this call.
Town of Gorham: No update on this call.
Androscoggin Valley Chamber of Commerce: No update on this call.
Community and Legislative
Public Health Network: The state has asked PHN about hosting vaccine clinics, but has not formally requested PHN to hold any clinics as of now. The demand for vaccines is low, and it’s unlikely that PHN will need to hold clinics. Mobile vans are available to distribute vaccines. Homebound residents can contact their primary care or NH government COVID website.
Congressional Delegation: NH elected officials passed an extension of the state's Emergency Rental Assistance Program (ERAP) on 11/18/22. The $20M fund is a continuation of the program to addresses housing insecurity and is expected to last through part of the winter. Housing continues to be a major community issue for much of NH. Funds will be used to offer unhoused individuals and families rooms at local hotels. The public health emergency is extended for 3-4 months, which allows provisions from the pandemic to continue and eases uncertainty during the oncoming cold season.
“The three-tiered challenge - flu, RSV, and COVID - is likely to affect the country this year, and maybe us locally.”
11/4/22: Lasting effects of COVID
Our work today is dedicated to our partners in the federal and state government whose support has allowed us to marshal the resources to do this work for our local community.
COVID continues to have lasting effects on our systems of care: educational, health, long term care, and more. We’re learning more about treating long COVID, estimated to affect 5-15% of infected people. Uptake of the bivalent booster is encouraged and is one of the best ways to protect individuals and community members. We are mindful to remember those most vulnerable to illness in our community, such as those immunocompromised while going through cancer treatment. As holiday season is approaching with travel and time indoors with family and friends, it is important to get boosted, stay home if feeling sick, and continue masking when the situation calls for it. If you are sick: stay home, get treatment, and avoid spreading illness.
Get a flu shot and a COVID bivalent booster designed for the Omicron variants.
Being fully vaccinated means getting up to date and receiving as many vaccination doses you are eligible for. Vaccine is available to anyone 6+ months old by calling Coos County Family Health Services at 603-752-2040.
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NH announced 227 reported cases on November 3, 2022. There were an average of 177 cases per day for the most recent 7-day period (October 28 to November 3). This is a 18% DECREASE compared to the previous 7-day period. More information at https://www.covid19.nh.gov/.
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Health Care and Medical Services
Update from Androscoggin Valley Hospital: The hospital is stable and the ED continues to see a couple of COVID cases per day. One inpatient with COVID was seen over the past week. Weeks Medical Center had a patient needing ventilation over the past week. COVID continues to severely affect the vulnerable and is worthy of our continued attention. Testing is back to pre-procedure testing levels. Staff out with COVID dropped to 0, now a couple of staff are out, after a peak of 8 - 10 staff out. AVH is not currently seeing the RSV wave that the rest of the country is seeing, however there is limited capacity for pediatric ICU beds in NH so RSV and other respiratory illnesses are being followed closely with hopes that the North Country will not be hard hit. Influenza and COVID booster vaccine clinics continue to be well attended, including today with approximately 40 patients. NCH will be sharing community communication about masking as a continued tool for protection.
Update from Coos County Family Health Services: Positive results from COVID testing continue to decrease. A couple of staff are out with COVID and CCHFS is operating in yellow phase with increased mask use within the building. RSV levels are being monitored but have not increased like many areas of the country. CCFHS continues to have testing available M - F and weekend for symptomatic patients. Vaccine clinics are held on Tuesdays, Wednesdays, and Thursdays. Booster uptake is slowing as many interested community members have received their vaccine. Vaccines continue to be encouraged as the best protection against severe illness and for protecting immunocompromised community members. Call CCFHS at (603) 752-2900 to make an appointment for COVID boosters, primary doses, and influenza vaccine.
Statewide update: The CDC map continues to show high community transmission in Coos County. The available data models for projection of infections and NH hospital resource use are aligned. Projection models are showing the COVID infections will decrease after this recent spike and NH hospital resource use will peak right now and then slide back down to more normal levels. The NH Hospital Association shows daily cases are down from a peak of 199 inpatients and there is currently 88.5% occupancy in adult ICU beds. Pediatric bed availability will continue to be tight. Good coordination and communication among the hospital association has allowed the situation to be holding steady. With fewer staff out there is more capacity to respond to community health needs. NH DHHS reported 24 COVID related deaths after this current COVID increase. Deaths continue to be a lagging indicator of increased hospitalization, which is an indicator of increased infection. This trend has been consistent throughout the pandemic. The newly observed variants have not been driving higher rates of hospitalization in Europe so far.
Education
Update from Berlin Public Schools: The number of cases is down from the previous two weeks. There is currently 1 student and 1 staff out right now with COVID-19. An additional dedication goes out to our local mental and behavioral health providers. The school district is coordinating access to support services for the increased and more intensive mental and behavioral support needed among students, especially in the early elementary age. The pandemic continues to impact our communities in different ways, including students who were in remote schooling during their K-1 years. The challenge for students, teachers, and the educational system continues. These trends are observed nationally and we are not alone or unique in experiencing these continued challenges. Visit Berlin Public School Facebook Page for more information.
Update from SAU 20: No update on this call. Visit the SAU 20 office website for updates.
White Mountains Community College: No update on this call.
Family Resources and Long-Term Care Facilities
St. Vincent de Paul: No update on this call.
Coos County Nursing Home: Emailed update as of 11/2/22: There are no new positive cases of COVID-19 at this time. The outbreak from late September to early November included 14 residents and 19 staff with positive COVID tests. The nursing home will continue with all previously reported COVID-19 infection, prevention, and control measures. Vaccines continue to be our best form of protection against serious, sometimes deadly, COVID-19 infection. If you are not feeling well, please do not enter the facility and visit at a later time when you are better.
Northern Human Services: No update on this call.
Family Resource Center: No update on this call.
Tri-County CAP: No update on this call.
Emergency Services and Correctional Facilities
Berlin Fire / EMD: No additional update on this call. More information on interpreting the data from Berlin’s waste water COVID testing program will be sought in the coming weeks.
Gorham EMS: A couple of COVID positive patients were transported to the hospital for treatment. Normal operations continue, no additional update.
Northern NH Correctional Facility: There are currently a few cases of COVID among staff, no cases affecting the resident population. Over the summer through now cases have been minimal and sporadic.
Federal Corrections Institution: No update on this call.
Municipal and Local Business
City of Berlin: No update on this call.
Town of Gorham: No update on this call.
Androscoggin Valley Chamber of Commerce: No update on this call.
Community and Legislative
Public Health Network: The PHN continues to provide testing kits to groups that need them. No additional update.
Congressional Delegation: Good to be on call. No additional update.
“The COVID pandemic continues to make lasting effects on our many systems of care - educational, health, long term care, and more.”
10/27/2022: Quiet week after last week’s concerns
Our work today is dedicated to all nurses and providers who have contracted COVID as a result of their work.
The next meeting of the AV COVID group is tentatively scheduled for next week.
Now is the time to get a flu shot and COVID vaccine booster. Respiratory illnesses in the community will be a constant this coming cold season. It is likely that low ICU bed availability in NH will continue to be a trend when respiratory illnesses increase and staffing levels continue to be low across the healthcare industry. Last week’s concerns are still being watched but did not reach a critical level this week. Continue to treat illness and do what you can to prevent a hospital stay. If you are sick: stay home, get treatment, and avoid spreading illness.
Get a flu shot and a COVID bivalent booster designed for the Omicron variants.
Being fully vaccinated means getting up to date and receiving as many vaccination doses you are eligible for. Vaccine is available to anyone 6+ months old by calling Coos County Family Health Services at 603-752-2040.
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NH announced 235 reported cases on October 27, 2022. There were an average of 210 cases per day for the most recent 7-day period (October 14 to October 20). This is a 10% DECREASE compared to the previous 7-day period. More information at https://www.covid19.nh.gov/.
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Health Care and Medical Services
Update from Androscoggin Valley Hospital: Androscoggin Valley Hospital continues to see a slight uptick of COVID and other respiratory illnesses in the emergency room. There were up to four (4) COVID patients this week, down to two (2) on Thursday (10/27) morning. Patients experiencing health concerns along with housing insecurity do continue to be seen. The number of staff are not at a critically low level but there are many staff out. The NCH Incident Command Team convened this week to discuss a number of important COVID related topics: return to work post-COVID illness remains unchanged; employees continue to be required to receive initial COVID vaccine primary series, and boosters are recommended, not required; flu vaccines are recommended but not mandated; masking policies for all remains same, and screening will continue. These topics may be revisited. There are not many changes but there is value in coming together and communicating with NCH staff.
Update from Coos County Family Health Services: Since the last meeting on October 20, CCFHS has seen that the uptick in COVID diagnoses from last week remains steady and have not increased. The majority demographic seen with COVID are adults, less so in pediatric patients. There are four (4) employees out: one (1) in Colebrook and three (3) in the Berlin/Gorham area. RSV continues to circulate in NH, but is not prevalent in the Berlin/Gorham area. CCFHS continues to host vaccine clinics on Tuesdays, Wednesdays, and Thursdays; they have moved to indoor appointments. Vaccine clinics are currently filling up for COVID boosters and flu shots, people are able to get both shots at the same time. The next weekend clinic will be held on Saturday November 12th at the Page Hill location. Those interested can call (603) 752-2900 to make an appointment for COVID boosters, primary doses, and influenza vaccine.
Education
Update from Berlin Public Schools: There is a slight uptick of positive COVID tests at the schools, with 12 students and one (1) staff COVID positive. Visit Berlin Public School Facebook Page for more information.
Update from SAU 20: Schools are not seeing any COVID uptick. There has been no one out with COVID this week, one (1) positive COVID case last week. Visit the SAU 20 office website for updates.
White Mountains Community College: No update on this call.
Family Resources and Long-Term Care Facilities
St. Vincent de Paul: No update on this call.
Coos County Nursing Home: Email update as of 10/23/22: There are three (3) employees who have tested positive for COVID-19. No new resident positives at this time. Current outbreak 9/26/22 - ongoing: Resident active cases (4); Staff active cases (7). Total cases since 9/26/22: 14 residents; 19 staff. No deaths. We will be rapid testing all residents tomorrow morning. We continue with all previously reported COVID-19 infection, prevention, and control measures. Vaccines continue to be our best form of protection against serious, sometimes deadly, COVID-19 infection. If you are not feeling well, please do not enter the facility and visit at a later time when you are better.
Northern Human Services: No update on this call.
Family Resource Center: No update on this call.
Tri-County CAP: No update on this call.
Emergency Services and Correctional Facilities
Berlin Fire / EMD: No update on this call.
Gorham EMS: Normal operations, no additional update on this call.
Northern NH Correctional Facility: No update on this call.
Federal Corrections Institution: No update on this call.
Municipal and Local Business
City of Berlin: Normal operations and employees are healthy. The Public Health Network will deliver more tests so employees and residents can continue to find tests, if available, at City Hall. This week, a flyer campaign to remind employees to get flu shots and COVID boosters will be going out in paychecks.
Town of Gorham: No update on this call.
Androscoggin Valley Chamber of Commerce: No update on this call.
Community and Legislative
Public Health Network: The PHN dropped off a case of COVID tests to Tri-County CAP last week and will provide additional tests to AVH and the City of Berlin. Anyone needing test kits can let the PHN know.
Congressional Delegation: Elected officials continue to monitor the community situation and are available as a resource if needed. No additional update.
“After last week’s full and busy meeting, this week’s update is relatively quiet.”
10/20/2022: NH hospital bed availability is low
“The world has moved on, but from where we sit, COVID is still a factor.”
Our work today is dedicated to direct service staff on the front lines of COVID testing, vaccination, and caring for patients. Also the NH Hospital Association for keeping a watchful eye on COVID, hospital response and bed availability.
The next meeting of the AV COVID group is 10/27/22.
For the near term the group will increase frequency to weekly meetings in response to the potential brewing storm of increased community transmission of respiratory illness including COVID, low hospital bed availability in NH, and increasing need of those with housing insecurity in our community.
We are starting to see what may be a continuing trend in NH during this cold season: vulnerable people affected by respiratory illness and low ICU bed availability in NH due to low staffing. Treat illness when it’s manageable and do what you can to prevent a hospital stay. AVH is not significantly affected right now, but if the current trend continues the region’s low ICU bed availability will affect the entire system. If you are sick: stay home, get treatment, and avoid spreading illness. Get a flu shot and check that you are updated on all COVID vaccine boosters.
“We don’t have the staffing that we had last year. Now we’re better equipped with COVID treatments and vaccine boosters, but lower numbers of staff have created pressure points across the NH hospital system.”
Get a flu shot and a COVID bivalent booster!
Being fully vaccinated means getting up to date and receiving as many vaccination doses you are eligible for. Vaccine is available to anyone 6+ months old by calling Coos County Family Health Services at 603-752-2040.
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NH announced 253 reported cases on October 20, 2022. There were an average of 239 cases per day for the most recent 7-day period (October 14 to October 20). This is a 0% INCREASE compared to the previous 7-day period. More information at https://www.covid19.nh.gov/.
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Health Care and Medical Services
Update from Androscoggin Valley Hospital: The hospital is seeing a COVID uptick: a spike, not a surge yet. There were four (4) positive COVID patients 10/19/22, three (3) today (10/20/22), an increase from two (2) positive patients last week. There is an average of five (5) staff members out at a given time, most reporting mild COVID symptoms. Patients that are vulnerable, with comorbidity factors, are struggling, especially with respiratory issues. AVH held a successful staff vaccine booster clinic with CCFHS and there has been renewed interest in the vaccine. The flu shot is another vitally important step to take care of your health this fall and winter season. The hospital is seeing RSV in the adult population, typically a pediatric illness. There are a handful of diseases circulating right now that can be problematic for people vulnerable to respiratory issues.
Update from Coos County Family Health Services: Since the last meeting on September 29, 2022, CCFHS has conducted 54 COVID tests with 18 positive results. Many people are calling in with positive home tests and are treating with oral antivirals. CCFHS remains a test to treat facility and has provided oral antiviral treatments to 22 individuals since last meeting. There is a considerable rate of COVID in the community. Last week, there were eight (8) staff members out, this week there are three (3) out. COVID vaccines were administered to 943 individuals, four (4) first doses, and the rest were boosters. CCFHS purchased a testing machine for COVID and flu, this will be especially helpful for pediatrics. The supply of free Binax Now tests are no longer being supplied from the state so CCFHS will need to charge for tests. A COVID bivalent booster clinic for children ages five (5) and up will be held soon. CCFHS held clinics for the Berlin Housing Authority and for other homebound individuals. The weekend clinic was successful, with 100+ vaccines administered. The next weekend clinic will be held on Saturday November 12th at the Page Hill location and will be held indoors. Those interested can call 752-2900 to make an appointment for COVID boosters, primary doses, and influenza vaccine.
“Vaccinations help protect against severe illnesses, and vaccines are doing what they are designed to do. Breakthrough cases are to be expected, it’s working when we’re keeping people out of the hospital.”
Statewide: Statewide there is an attrition of hospital staff due to COVID related trends and it’s increasingly difficult to find traveling nurses which was the stopgap used last year. Across NH, hospitals have seen the most inpatients since February 2022, with a steady rise of patients admitted over the past few weeks. Elliot Hospital has seen a doubling in the past week in COVID patient population. The occupancy in ICU and MedSurge are high, not just because of COVID, but due to low staffing, which limits the availability of beds. ICU beds are 92% full in NH, people are waiting for a bed. Eventually, there will be a backup in NH and region that may affect the Androscoggin Valley. Patients may have difficulty finding beds at other tertiary hospitals. In NH, no one is shutting down procedures, which is an option, if needed.
Treat illness sooner rather than later to avoid a hospital stay if possible. People are tired of COVID communication but it is important to share. Vaccinations help protect against severe illnesses, and vaccines are doing what they are designed to do. Breakthrough cases are to be expected, it’s working when we’re keeping people out of the hospital. As the world has moved on, we are still in a pandemic. We have the opportunity to reinvigorate as a team and continue to work collaboratively to be the model that others have held up. We’re only monitoring hospitalization data, we don’t have early detection anymore because of at-home testing. We will continue COVID communication despite challenges.
At the moment, the current spike of COVID-19 is located in the Northeast. Vaccinations are the best, proven method of defense against severe disease caused by COVID. Worldwide, there are variants being identified that are more resistant to vaccines and treatments. The current surge in our area is not at this resistant stage, but variants elsewhere may predict what’s ahead for us. There are vulnerable people in our community, especially older residents and those with comorbidities who benefit from high community vaccine uptake. It’s hard to say what will happen, but we’re preparing for any eventualities. Our work will continue, in the meantime: Stay home if you’re sick, mask up if recovering, and take care of each other.
Education
Update from Berlin Public Schools: COVID continues to be a part of the normal operations of the school system, but there is nothing major happening right now. A staffing shortage at the elementary school for various reasons has continued since week 2 of the school year. Everyone is doing what’s needed to make coverage work. The schools are willing to share specific COVID messaging, but can’t do much more. Housing insecurity is affecting the region: there are 13 known students and their families facing homelessness and are living with others. Visit Berlin Public School Facebook Page for more information.
Update from SAU 20: The school year is moving along with normal school activities and operations. Visit the SAU 20 office website for updates.
White Mountains Community College: No update on this call.
Family Resources and Long-Term Care Facilities
St. Vincent de Paul: There is an active outbreak at St. Vincent de Paul Nursing Home. No additional update on this call.
Coos County Nursing Home: There are three (3) COVID positive residents and four (4) COVID positive staff. One new employee that is positive today is a non-direct. The outbreak is contained to one unit, with mild symptoms reported and no deaths. There have been people who come out of their isolation period and pass away. A lack of available long-term staff is affecting the nursing home’s ability to take new residents waiting for long term care admission. The waitlist is at 30+ for long term care. Current census is 68 and hoping to reach 70% occupancy soon.
Northern Human Services: No update on this call.
Family Resource Center: No update on this call.
Tri-County CAP: There are currently four (4) staff out with COVID. Outreach workers are reaching out to homeless encampments and homeless shelters, giving out testing kits and sharing vaccine locations. In the Berlin area there are approximately 50+ homeless and living in encampments and motels which is not counting the housing insecure and living with others. This is an unprecedented rise in homelessness as the rise in rent and lack of safe, stable, affordable housing has contributed to housing insecurity.
Emergency Services and Correctional Facilities
Berlin Fire / EMD: No update on this call.
Gorham EMS: Normal operations, no additional update on this call.
Northern NH Correctional Facility: No update on this call.
Federal Corrections Institution: No update on this call.
Municipal and Local Business
City of Berlin: No update on this call.
Town of Gorham: No additional update on this call.
Androscoggin Valley Chamber of Commerce: No update on this call.
Community and Legislative
Public Health Network: Home tests are available for age-restricted housing and other eligible groups in need of COVID tests. The PHN is coordinating with Tri-County CAP to provide COVID home test kids for TCCAP's homeless community outreach efforts.
Congressional Delegation: The delegation is supportive of this collaborative group and is offering support. The current public health emergency declaration is set to expire in January 2023; providers will get notice ahead of expiration date. There will be transitional windows and programs to help in the transition. AVH would see some immediate barriers and effects to providing local healthcare if the declaration expires as expected.
“As the world has moved on, we are still in a pandemic.”
9/29/2022: Flu Shots and COVID Bivalent Boosters
Our work today is dedicated to nurses who are stepping up to get vaccines out to our patients, especially as we have the bivalent booster now available.
The next meeting of the AV COVID group is tentatively scheduled for 10/20/22.
The start of fall brings brisk, cool weather and new beginnings as the school year takes off. It is important to prepare for cold and flu season. COVID-19 activity is still active in the region, with a slight increase of COVID patients being seen at the hospital. Now is a good time to get the flu shot and the COVID bivalent booster; CCFHS is holding a vaccine clinic on Oct. 1st 8:00 - 3:30 pm at Page Hill Clinic for influenza and COVID-19 bivalent vaccines for ages 12 and older. Call to make an appointment 603-752-2040. The bivalent booster is tailored to the newer Omicron variant and is an important protection against severe symptoms. Staying updated with all vaccines is critical for individual health, as well as community wellbeing.
COVID Community Health Workers are available to help provide COVID-related support to individuals and families in need of support. Contact Community Health Workers at the Public Health Network at 603-259-4369 or send an email to: COVIDsupport@nchcnh.org.
***
NH announced 276 reported cases on September 29, 2022. There were an average of 247 cases per day for the most recent 7-day period (September 23 to September 29). This is a 34% INCREASE compared to the previous 7-day period. More information at https://www.covid19.nh.gov/.
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Health Care and Medical Services
Update from Androscoggin Valley Hospital: The hospital has reported steady operations. There is an average of three (3) staff members out due to COVID but staffing is stable. There is a slight increase in admissions due to COVID, which follows the same patterns across the state. The hospital continues to treat patients with COVID-19 and related respiratory concerns. Thanks to CCHFS, the first bivalent booster clinic for AVH employees will be held soon. The hospital is also prioritizing the flu shot as well. NCH will hold an incident command meeting next month to discuss new healthcare facility guidelines from the CDC. There are no changes to any screening or masking policies at this time, any changes will be shared with the group. Any and all changes will be in compliance with the CDC guidance and community transmission rates. Last week, AVH hosted a successful Open Hospital event for community members to see new hospital spaces.
Update from Coos County Family Health Services: Since the last meeting on September 1, 2022, CCFHS has conducted 48 COVID tests with 14 positive results. The volume of tests given have increased since the start of the school year, but positive results are steady. CCFHS remains a test to treat facility and has provided oral antiviral treatments to nine (9) individuals since last meeting. Vaccine was administered to 103 individuals, including bivalent boosters, and no new primary series given. The COVID bivalent booster is on order for children ages 5 to 12 years old. The Pfizer vaccine is available for children 5 years and older and Moderna vaccine for 6 months to 5 years old. Uptake for the bivalent booster is not as robust as initial COVID vaccines, CCFHS is participating in outreach activities to encourage this important COVID booster. CCFHS provides Monkey Pox vaccine to anyone with potential exposure to Monkey Pox, however CCFHS has not seen any increased interest in the vaccine. Vaccines are offered for those 18 years and older, call CCFHS to set up an appointment.
Multiple COVID-19 test options are available Monday - Friday for adults and children and symptomatic testing available over the weekend. Oral antivirals are available through the test to treat programs and qualifying patients are offered medication when testing positive. Home test kits are available. Call CCFHS at 603-752-2040 to schedule testing and vaccinations.
Get up to date!
Being fully vaccinated means getting up to date and receiving as many vaccination doses you are eligible for. Vaccine is available to anyone 6+ months old by calling Coos County Family Health Services at 603-752-2040.
Education
Update from Berlin Public Schools: No update on this call. Visit Berlin Public School Facebook Page for more information.
Update from SAU 20: Despite few staff out, the school is operating normally and is back to regular school operations at the start of the new school year. It’s great to see things get back to normal! Visit the SAU 20 office website for updates.
White Mountains Community College: The campus is five weeks in the new semester, with a few COVID cases occurring. The school is officially open to the public and community orgs are actively participating on campus.
Family Resources and Long-Term Care Facilities
St. Vincent de Paul: No update on this call.
Coos County Nursing Home: (Updated 10/1/22) Two (2) additional residents tested positive for COVID-19 this morning, a total of 10 resident cases at this time. We have six (6) active employee cases of COVID-19. The emailed update on 9/28/22 reported two (2) active employee COVID-19 cases and five (5) resident cases. The nursing home continues with all previously reported COVID-19 infection control and prevention measures.
Northern Human Services: No update on this call.
Family Resource Center: No update on this call.
Tri-County CAP: There are six (6) active employee COVID-19 cases that are currently out. There are also a couple cases of flu. The TCCAP is working through their busy season at the moment.
Emergency Services and Correctional Facilities
Berlin Fire / EMD: There are a few employees out, however no staffing issues. The department will follow up on deciphering the takeaways from the Berlin, NH Pollution Control Facility SARS-CoV-2 Biomarker Results Summary to share with this group and the community.
Gorham EMS: There are no employees out town-wide and operations are normal. The focus is on getting information about employee boosters. The team is looking forward to opening the station and hosting the first pancake breakfast since COVID began.
Northern NH Correctional Facility: No update on this call.
Federal Corrections Institution: No update on this call.
Municipal and Local Business
City of Berlin: No update on this call.
Town of Gorham: No additional update on this call.
Androscoggin Valley Chamber of Commerce: No update on this call.
Community and Legislative
Public Health Network: The public health incident status is extended into December. DHHS is continuing with onsite medical services (primary care, retail locations) for COVID boosters and the initial vaccine. The PHN is not expecting to hold any mass vaccine clinics; the state is well-covered with the current vaccine distribution, but is prepared if the need arises. The PHN organized the region’s medical inventory and is up-to-date and easy to access. NCHC is preparing to deploy the mobile clinic van; there is an active survey asking community partners how they would like this mobile clinic used in the region: http://www.northernnhmobileclinic.org. The North Country Health Consortium is in its annual planning process, with the hopes of an in-person partner meeting this year. AHEC Scholars Weekend is coming up in November, healthcare students shadow partner sites for the day. The goal is for students to experience healthcare delivery in rural and northern NH communities, in the hopes that students are encouraged to practice in the North Country.
Congressional Delegation: No additional update on this call.
“Now is the time for flu and COVID booster shots.”
9/1/2022: Let’s keep each other healthy
Our work today is dedicated to those experiencing long COVID. Approximately 5-8% of people infected with COVID-19 experience symptoms that qualify them for long COVID.
The next meeting of the AV COVID group is tentatively scheduled for 9/29/22.
School is back in session after Labor Day and it’s an important reminder to renew the commitment to basic healthy behaviors. COVID-19 activity in the region is picking up again with many reporting increasing positive COVID cases among staff members. Nationally and regionally, COVID numbers continue at a high-plateau, and COVID-19 will be present throughout the school year and in the workplace locally. With reminders and encouragement to stay home if you’re not feeling well or have unexplained symptoms, to wear a mask when the situation calls for one, and maintain good hand hygiene, we can keep our community and the most vulnerable healthy. It’s not just about COVID-19, the season of colds, flu, and other respiratory illnesses is on the horizon as colder weather approaches. Being up to date with all vaccines is a critical tool for individual and community health.
COVID Community Health Workers are available to help provide COVID-related support to individuals and families in need of support. Contact Community Health Workers at the Public Health Network at 603-259-4369 or send an email to: COVIDsupport@nchcnh.org.
***
NH announced 253 reported cases on September 1, 2022. There were an average of 193 cases per day for the most recent 7-day period (August 26 to September 1). This is a 1% INCREASE compared to the previous 7-day period. More information at https://www.covid19.nh.gov/.
***
Health Care and Medical Services
Update from Androscoggin Valley Hospital: The hospital is steady and had a busy past month. The biggest COVID-19 issue affecting the hospital is staffing. There is currently an average of 4 individuals out due to COVID-19 compared to an average of 1 staff out at a time over the summer. The hospital continues to treat patients with COVID-19 and related respiratory concerns. The ER sees an average of 1 COVID-19 patient per day, some requiring monoclonal treatment. Overall the hospital is stable. AVH is hosting an Open House event on 9/22/22, RSVP requested, to celebrate the renovated and updated facilities of Surgical Services, Rehabilitation Services, Infusion Center, and Cafe. RSVP requested by 9/15/22 at news@northcountryhealth.org.
Update from Coos County Family Health Services: Since the last meeting three weeks ago on August 11, 2022, CCFHS conducted 26 COVID-19 tests with 9 positive results. Several staff continue to test positive for COVID-19 with relatively minor impact on operations, however staffing issues are on the radar. CCFHS remains a test to treat facility and has provided oral antiviral treatments to four individuals since last meeting. Vaccine was administered to 48 individuals, including 21 first doses. Sixteen pediatric doses were given, including 5 first doses. Awaiting CDC’s approval, COVID-19 boosters are on brief pause until the bivalent vaccine, targeting omicron subvariants, arrives at CCFHS in early September. Pfizer vaccine is available for 5 years and older and Moderna vaccine for 6 months - 5 years old. A newer Novavax COVID-19 vaccine is available which is protein-based to create an immune response, a technology similar to older vaccines. CCFHS administered Monkey Pox vaccine to 5 individuals at a mini-clinic and continues to offer the vaccine to prioritized groups with potential exposure to Monkey Pox, including those who may be exposed through intimate contact, healthcare providers, and others. Vaccines are offered for those 18 years and older, call CCFHS to set up an appointment.
Multiple COVID-19 test options are available Monday - Friday for adults and children and symptomatic testing available over the weekend. Oral antivirals are available through the test to treat programs and qualifying patients are offered medication when testing positive. Home test kits are available. Call CCFHS at 603-752-2040 to schedule testing and vaccinations.
Get up to date!
Being fully vaccinated means getting up to date and receiving as many vaccination doses you are eligible for. Vaccine is available to anyone 6+ months old by calling Coos County Family Health Services at 603-752-2040.
Education
Update from Berlin Public Schools: After a good summer staff are back this week and students arrive for the first day of school after Labor Day. Three staff are out this week due to COVID-19. Administrators expect COVID-19 to continue being present and manageable during the school year. Schools continue to follow DHHS guidelines and NH Department of Education requirements. Both SAU 3 and SAU 20 met with Dr. Beals to review COVID-19 recommendations and confirm that both school systems are using the same protocols. Anyone returning to school or work after COVID-19 infection who is still experiencing symptoms after 5 days is encouraged to please continue wearing a mask to limit potential spread. Visit Berlin Public School Facebook Page for more information.
Update from SAU 20: Students return next week after Labor Day. No additional update on this call. Visit the SAU 20 office website for updates.
White Mountains Community College: Fall semester begins soon. No additional update on this call.
Family Resources and Long-Term Care Facilities
St. Vincent de Paul: No update on this call.
Coos County Nursing Home: The emailed update on 9/2/22 reports no active employee or resident cases of COVID-19. Community transmission rates continue to be high. The nursing home continues with all previously reported COVID-19 infection control and prevention measures.
Northern Human Services: No update on this call.
Family Resource Center: No update on this call.
Tri-County CAP: There are 5 active employee COVID-19 cases. TCCAP’s new mobile connect trailer is operational and currently at the Lancaster Fair. Program applications such as fuel and rental assistance are available. Some individuals are looking for COVID-19 vaccination information and were referred to primary care. The mobile trailer does not provide medical services.
Emergency Services and Correctional Facilities
Berlin Fire / EMD: No update on this call.
Gorham EMS: No update on this call.
Northern NH Correctional Facility: No update on this call.
Federal Corrections Institution: No update on this call.
Municipal and Local Business
City of Berlin: An average of 2 or 3 City employees have active COVID cases per week. The City continues to provide vaccine booster information to the public. Individuals looking for pre-procedure COVID-19 testing have called the City for appointment assistance. Everyone is encouraged to call CCFHS for testing appointments.
Town of Gorham: No additional update on this call.
Androscoggin Valley Chamber of Commerce: No update on this call.
Community and Legislative
Public Health Network: The PHN is not currently administering COVID-19 boosters, but is sharing the information that bivalent boosters will soon be on the way to northern NH vaccine sites. If additional booster clinics are needed, the PHN is ready to be reactivated for mass vaccination clinics. North Country Health Consortium is busy launching a new mobile medical clinic to help address healthcare access. A pilot program for school-based vaccination clinics for flu, COVID boosters, and other regular vaccines will begin in northern Grafton. COVID test kits are available and can be distributed to groups in non-school / healthcare settings since these organizations have other access to kits. The free at-home test kit program through https://www.covid.gov/tests was suspended on 9/2/22 until further notice due to lack of additional Congressional funding.
Congressional Delegation: No additional update on this call. Several members of this COVID-19 group met with Rep. Kuster, as well as Sen. Shaheen’s office, to share insight and lessons learned from this COVID-19 group. Congressional representatives continue to have interest in this group as a model for community collaboration in public health.
“At the start of a new school year, let’s keep each other healthy.”
8/11/2022: Public health communication
Our work today is dedicated to members of the press who have helped to get our public health messaging out to the public.
The next meeting of the AV COVID group is tentatively scheduled three weeks out on 9/1/22.
COVID-19 activity in the region has been quiet over the summer, however there is a slight but noticeable uptick in the region and state (10%) over the past week. COVID cases continue to circulate and home test kits, as well as testing at CCFHS and AVH, are readily available to inform community members with symptoms or after exposure. Vaccines for COVID-19 are available for all 6 months +. Vaccination and up to date boosters remain the best defense against serious illness from COVID-19 and help to reduce impacts at a community-level. CCFHS will receive vaccines for Monkey Pox next week and interested individuals with potential exposure are encouraged to call CCFHS to schedule an appointment 603-752-2040.
***
NH announced 271 reported cases on August 10, 2022. There were an average of 229 cases per day for the most recent 7-day period (August 4 to 10). This is a 10% INCREASE compared to the previous 7-day period. More information at https://www.covid19.nh.gov/.
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Health Care and Medical Services
Update from Androscoggin Valley Hospital: The hospital is stable and relatively quiet after a busy weekend. There is a slight, but noticeable increase in COVID activity over the past week with 10 positive COVID tests in the ED, including 4 on Saturday. Saturday was busy with the ATV festival in town. There is one active COVID patient on MedSurg, no on the ICU or ventilator. Three patients were treated with monoclonal antibodies and one with Paxlovid. There is currently one staff member out. All AVH and NCH communications share up to date COVID information and there is an ad out highlighting all testing and vaccination dates and times among NCH healthcare providers.
Update from Coos County Family Health Services: Since the last meeting on June 30, 2022, CCFHS conducted 42 COVID tests with 13 positive cases. There is a slight, but noticeable increase in COVID activity over the past week. CCFHS remains a test to treat facility and has provided oral antiviral treatments to eight individuals. Respiratory trailer services are available in Gorham and at Page Hill sites, but not at the Pleasant Street site which is undergoing a building expansion. Vaccine was administered to 119 individuals, mainly booster doses. Twenty children received vaccines at a well-attended pediatric clinic. Pfizer vaccine is available for 5 years and older and Moderna vaccine for 6 months - 5 years old. CCFHS is receiving the Monkey Pox vaccine next week and will be setting up mini-clinics for prioritized groups with potential exposure to Monkey Pox, including healthcare workers, those who may be exposed through intimate contact, and others. Vaccine is offered for those 18 years and older, call CCHFS to set up an appointment.
Multiple COVID-19 test options are available Monday - Friday for adults and children and symptomatic testing available over the weekend. Oral antivirals are available through the test to treat programs and qualifying patients are offered medication when testing positive. Home test kits are available. Call CCFHS at 603-752-2040 to schedule testing and vaccinations.
Get up to date!
Being fully vaccinated means getting up to date and receiving as many vaccination doses you are eligible for. Vaccine is available to anyone 6+ months old by calling Coos County Family Health Services at 603-752-2040.
Education
Update from Berlin Public Schools: Schools are out for the summer. Summer programs are staffed with a school nurse. Visit Berlin Public School Facebook Page for more information.
Update from SAU 20: Schools are out for the summer. No additional update on this call. Visit the SAU 20 office website for updates.
White Mountains Community College: The college is open to the public under normal operations for meeting space, library use, visits, Bistro meals, and more.
Family Resources and Long-Term Care Facilities
St. Vincent de Paul: No update on this call.
Coos County Nursing Home: The emailed update on 8/12/22 reports three employees who have tested positive for COVID-19. No active resident cases at this time. Positive employee and resident case numbers are posted at the main entrance and on both resident floors. Resident visitors are encouraged to visit the COVID information booth at the main entrance. Free home test kits for visitors are available in the business office made available by CCFHS. CDC's recent updates streamlining COVID-19 guidance to help the public better protect themselves and understand their risk only applies to COMMUNITY recommendations and does not apply to healthcare settings.
Northern Human Services: No update on this call.
Family Resource Center: No update on this call.
Tri-County CAP: No update on this call.
Emergency Services and Correctional Facilities
Berlin Fire / EMD: No additional update on this call.
Gorham EMS: There is some demand for home test kits in Gorham. Staff are operating at normal levels.
Northern NH Correctional Facility: No update on this call.
Federal Corrections Institution: No update on this call.
Municipal and Local Business
City of Berlin: City Hall continues to receive calls about where to COVID booster vaccines. Individuals are directed to call CCFHS. No additional update.
Town of Gorham: No additional update on this call.
Androscoggin Valley Chamber of Commerce: No update on this call.
Community and Legislative
Public Health Network: North Country Health Consortium will continue as the PHN for the region with a new two year contract for this public health role. The PNH is assessing the regional stockpile of supplies and resources. Supplies may be distributed into the community. If directed by the NH Dept. of Health & Human Services, the PHN can stand up future vaccination / booster clinics as needed. Test kits are available and distributed to groups in non-school / healthcare settings since these organizations have other access to kits. Summer activities are focused on returning to normal business, as well as providing accurate public health messaging for COVID and the emerging Monkey Pox response. There are 15 known cases in NH. The PHN shared reminders about the importance of creating inclusive language, and avoiding stigma, about Monkey Pox and the available vaccine. Public health messaging support is available to partners in the region. The PHN is addressing the healthcare worker shortage in our region by supporting ‘grow our own’ strategies including school to career pipeline and recruitment and retention strategies. A new dental program is being launched at Littleton High School
Congressional Delegation: No update on this call.
COVID Community Health Workers are available to help provide COVID-related support to individuals and families in need of support. Contact Community Health Workers at the Public Health Network at 603-259-4369 or send an email to: COVIDsupport@nchcnh.org.
The North Country public health experience and how people access health resources can be different from the rest of the state. Public health reporting plays an important role in keeping our state and residents informed of our region.
6/30/2022: Have a safe summer!
Our work today is dedicated to the many volunteers who have stepped up during the pandemic to make the load a little lighter.
The next meeting of the AV COVID group will be scheduled for August 2022.
COVID continues to remain on the radar for communities and healthcare workers, but thankfully as the backdrop to summer rather than at the forefront. COVID cases continue to circulate and home test kits, as well as testing at CCFHS and AVH, are readily available to inform community members with symptoms or after exposure. Vaccines for COVID-19 are now approved for all age groups, including 6 months - 5 years cohort. Vaccination and up to date boosters remain the best defense against serious illness from COVID-19 and help to reduce impacts at a community-level.
Households can order a third round of 8 free home COVID testing kits at https://www.covid.gov/tests.
COVID Community Health Workers are available to help provide COVID-related support to individuals and families in need of support. Contact Community Health Workers at the Public Health Network at 603-259-4369 or send an email to: COVIDsupport@nchcnh.org.
***
NH announced 302 reported cases on June 29, 2022. There were an average of 236 cases per day for the most recent 7-day period (June 23 to June 29). This is a 6% INCREASE compared to the previous 7-day period. At the last AV COVID meeting three weeks ago there were a similar number of reported cases on June 6, 2022. More information at https://www.covid19.nh.gov/.
***
Get up to date!
Being fully vaccinated means getting up to date and receiving as many vaccination doses you are eligible for.
Informational FAQ from North Country Healthcare
Vaccine is available to anyone 6+ months old by calling Coos County Family Health Services at 603-752-2040.
***
Health Care and Medical Services
Update from Androscoggin Valley Hospital: The hospital is stable and picking back up after a few quieter weeks. There is currently one active COVID patient, but COVID in patient cases are few and sporadic ranging from 0 - 2. Illness tends to be mild to moderate but enough to be hospitalized for some assistance. Testing is way down and administered mostly for procedures with about a 10% positivity rate. AVH staff are averaging about 2 employees out for COVID and most people are doing well 5 to 7 days after initial illness and are ready to return to work. AVH and NCH testing and vaccination communications are currently being updated and will be published soon.
Update from Coos County Family Health Services: Since the last meeting three weeks ago, CCFHS conducted 14 tests with 9 positive cases. In the previous three week period, 149 tests with 26 positive cases. There is a continued decrease in testing and positive results. Vaccine was administered to 109 individuals, including 20 new pediatric doses. A pediatric clinic for 6 months - 5 years old was held and no additional clinics are scheduled since most of the area children in this age cohort will be seeing their providers over the summer. Testing and respiratory clinic appointments are available Monday - Friday for adults and children with symptomatic testing available over the weekend. Oral antivirals are available through the test to treat programs and qualifying patients are offered medication when testing positive. Home test kits are available. Call CCFHS at 603-752-2040 to schedule testing and vaccinations.
Update from NH: The first reported case of monkeypox was announced in NH. Health practitioners are following for more information.
Education
Update from Berlin Public Schools: Schools are out for the summer. Summer programs are staffed with a school nurse. Visit Berlin Public School Facebook Page for more information.
Update from SAU 20: Schools are out for the summer. No additional update on this call. Visit the SAU 20 office website for updates.
White Mountains Community College: No update on this call.
Happy summer to students!
Family Resources and Long-Term Care Facilities
St. Vincent de Paul: No update on this call.
Coos County Nursing Home: Emailed update on 6/27/22 reports zero COVID cases among staff and residents. The nursing home continues with all previously reported COVID-19 infection control and prevention measures.
Northern Human Services: No update on this call.
Family Resource Center: No update on this call.
Tri-County CAP: There are two staff out active COVID cases. Agency is considering how and when to open offices to the public. A long planned TCCAP mobile clinic will debut at Moose Festival in Colebrook and the Lancaster Fair later this summer. Health services and TCCAP program support services will be provided. The mobile clinic is wheelchair accessible and may be available for other health clinics and organizations as needed.
Emergency Services and Correctional Facilities
Berlin Fire / EMD: No update on this call.
Gorham EMS: The department is preparing for the 4th of July celebration. Not expecting any major COVID issues. Business as usual.
Northern NH Correctional Facility: No update on this call.
Federal Corrections Institution: No update on this call.
Municipal and Local Business
City of Berlin: City staff and families continue to experience COVID cases on a regular basis just like others in the community. City Hall continues to receive phone calls for residents about COVID issues.
Town of Gorham: No additional update on this call.
Androscoggin Valley Chamber of Commerce: No update on this call.
Community and Legislative
Public Health Network: The DHHS contract for homebound vaccination support has come to an end, as well as the vaccination clinic contracts. The PHN will continue to provide support to provider offices as requested. The ‘Boost Into Summer’ fun event for pediatric vaccination was held in mid-June and was a successful event with 22 vaccines administered. The PHN is distributing 2400 COVID home test kits in the region to community members. North Country Health Consortium will continue as the contracted administrative home for the Public Health Network. The regional coordinating committee met 6/13/22 and sent out information regarding public health emergency preparedness, as well as results of COVID response efforts. Monkeypox is on the radar of public health professionals since the first case in NH was announced this week. The Health Consortium, WMCC, and SAU 36 partners are hosting a health careers camp for students entering 7 - 9th grade during July 11 - 14. There are a few spots still open
Congressional Delegation: CDC recommends the approved COVID-19 vaccination for 6 month - 5 year olds. Brian Bresnahan is retiring soon - thanks to Brian for his work. No additional updates at this time.
6/9/2022: Doing OK
Our work today is dedicated to the employers in our community that have accommodated the needs of the workforce and provided essential services in times of need.
The uptick in COVID cases a couple of weeks ago thankfully subsided and did not result in the increase of cases that was of concern to the local hospitals and health care system. COVID continues to circulate and home test kits, as well as testing at CCFHS and AVH, are readily available to inform community members with symptoms or after exposure. Coos County rate is listed as low however, individuals may want to consider wearing a mask indoors as an added prevention strategy when community transmission rates increase. Vaccination and up to date boosters remain the best defense against serious illness from COVID-19 and help to reduce impacts at a community-level.
Households can order a third round of 8 free home COVID testing kits at https://www.covid.gov/tests. The next meeting of the AV COVID group is scheduled for three weeks on June 30, 2022.
***
NH announced 291 reported cases on June 8, 2022. There were an average of 335 cases per day for the most recent 7-day period (June 2 to June 8). This is a 22% DECREASE compared to the previous 7-day period. At the last AV COVID meeting three weeks ago there were 683 reported cases on May 19, 2022. More information at https://www.covid19.nh.gov/.
***
Get up to date!
Being fully vaccinated means getting up to date and receiving as many vaccination doses you are eligible for.
Informational FAQ from North Country Healthcare
Vaccine is available to anyone 5+ years old by calling Coos County Family Health Services at 603-752-2040.
***
Health Care and Medical Services
Update from Androscoggin Valley Hospital: The hospital is stable and the ER is busy with normal activity. The COVID uptick a couple of weeks ago stabilized quickly and a dramatic increase was not seen. One to 2 COVID patients are seen daily with mild and treatable illness. Oral antivirals and monoclonal antibodies treatments were provided as needed. Treatment prevalence follows community transmission rates and has currently dropped off. There have been a couple of patients hospitalized for COVID illness over the past couple of months. Testing remains low with an additional 12 - 15 per day during the uptick. Lancaster’s Weeks Medical Center is seeing more testing. Two weeks ago was the peak of 9 employees out with COVID and today no staff were out. Supply chain shortages have eased with nothing far out of the norm. Baby formula is available to meet hospital needs.
Update from Coos County Family Health Services: Since the last meeting, CCFHS conducted 149 tests with 26 positive cases. This includes 25 tests this week with only 4 positive results, indicating a decrease from three weeks ago. Vaccine was administered to 79 individuals, with 3 new primary series doses, the remaining as boosters. Testing and respiratory clinic appointments are available Monday - Friday for adults and children. Oral antivirals are available through the test to treat programs and qualifying patients are offered medication when testing positive. Vaccines for 6 month to 4 year old is pre-ordered awaiting approval and delivery which is expected soon. Three CCFHS staff are out with active COVID and 1 with suspected symptoms. Employees are masking with increased precaution around patients and waiting rooms are available for patients when needed. The office will begin screening for monkey pox to allow providers to take precautions if treating patients with suspected cases. Call CCFHS at 603-752-2040 to schedule testing and vaccinations.
Update from NH: The uptick in COVID cases in our region did not result in a major increase of cases which was a potential concern. Everyone is grateful for the downturn and hoping for a quiet summer to prepare for expected increases in the fall and winter seasons. Providers are watching other parts of the country for increases and keeping an eye on variants from around the globe. Waning immunity and boosters remains a focus with an effort to continue encouraging eligible booster uptake this summer. Childhood vaccination rates remain low and efforts are being made to get the message out that vaccine is available and provides protection against serious illness. CCFHS has observed an uptick in strep last week into this week.
Education
Update from Berlin Public Schools: There are a few staff and students out with positive COVID. After an uptick in cases a couple of weeks ago the numbers have declined. Graduation is Friday June 10, 2022. Visit Berlin Public School Facebook Page for more information.
Update from SAU 20: There are currently a couple of staff and 2 or 3 students out with COVID. The small uptick in cases from a couple weeks ago has declined. Graduation is Friday June 10, 2022, followed by one last week of school. Activities have resumed making it as normal as possible for students over the past few months. Visit the SAU 20 office website for updates.
White Mountains Community College: A successful commencement was held a few weeks ago. Summer time is slower with most students in remote or hybrid programs. The onsite summer welding program kicked off. There are a few COVID cases but overall cases remain low. WMCC continues to open up with available meeting space and services as a resource to the community.
Congrats to the graduates and families!
Family Resources and Long-Term Care Facilities
St. Vincent de Paul: No update on this call.
Coos County Nursing Home: Emailed update on 6/7/22 states that there is one new employee with COVID and no direct resident exposure. There are currently two active employee cases and no active resident cases at this time. All staff who are not up to date with COVID boosters are being tested twice weekly. Numbers are down from 11 active COVID cases among staff on 5/19/22. The nursing home continues with all previously reported COVID-19 infection control and prevention measures.
Northern Human Services: No update on this call.
Family Resource Center: No update on this call.
Tri-County CAP: No update on this call.
Emergency Services and Correctional Facilities
Berlin Fire / EMD: No additional update this call.
Gorham EMS: There is an increase in calls this week, not COVID related. A couple of town employees are returning after illness. No services were interrupted.
Northern NH Correctional Facility: No update on this call.
Federal Corrections Institution: No update on this call.
Municipal and Local Business
City of Berlin: City Hall continues to get calls for information on where to get COVID booster shots and test kits. The Public Health Network offered to provide a supply of available test kits. There is a small uptick of employees currently experiencing COVID.
Town of Gorham: No additional update on this call.
Androscoggin Valley Chamber of Commerce: No update on this call.
Community and Legislative
Public Health Network: The PHN is partnering on a fun pediatric vaccine clinic ‘Boost into summer’ event on June 18th in Franconia. There are 2400 COVID home test kits available to be distributed in the region to community members. North Country Health Consortium will continue as the contracted administrative home for the Public Health Network. The regional coordinating committee is meeting Monday 6/13/22 and invites all public health stakeholders to participate in public health emergency preparedness, as well as sharing results of COVID response efforts. COVID Community Health Workers are available to help provide COVID-related support to individuals and families in need of support. Contact Community Health Workers at the Public Health Network at 603-259-4369 or send an email to: COVIDsupport@nchcnh.org.
Congressional Delegation: CCFHS has received a couple of visits from members of the delegation recently and the organization is appreciative of the support. No additional updates on this call.
“As long as the hospitals are doing ok, then we’re doing ok.”
5/19/2022: Watchful Eye
Our work today is dedicated to those who have passed away from COVID-19 and to their families and friends who grieve their loss. The U.S. has surpassed 1M who have died. In NH, 2515 have died and 113 in Coos County. We keep them in mind today.
Things are different than three weeks ago. COVID cases are rising in NH and the region, including Coos County, but data reporting is lagging behind. Anecdotally people are observing an uptick in cases around them in workplaces, schools, and among friends. A reminder that a COVID positive home test kit is a positive, no need to validate with a second hospital test. Individuals may consider wearing a mask indoors as an added COVID-19 prevention strategy based on the majority of the Northeast with increasing community transmission at medium and high levels. Vaccination and up to date boosters remain the best defense against serious illness from COVID-19 and help to reduce impacts at a community-level.
Households can order a third round of 8 free home COVID testing kits at https://www.covid.gov/tests. The next meeting of the AV COVID group is scheduled for three weeks on June 9, 2022.
***
NH announced 683 reported cases on May 19, 2022. There were an average of 639 cases per day for the most recent 7-day period (April 22 to April 28). This is a 17% INCREASE compared to the previous 7-day period. At the last AV COVID meeting three weeks ago there were 378 reported cases on April 28, 2022. More information at https://www.covid19.nh.gov/.
***
Get up to date!
Being fully vaccinated means getting up to date and receiving as many vaccination doses you are eligible for.
Informational FAQ from North Country Healthcare
Vaccine is available to anyone 5+ years old by calling Coos County Family Health Services at 603-752-2040.
***
Health Care and Medical Services
Update from Androscoggin Valley Hospital: Hospital is stable, though there are signs that COVID is picking back up. ED is seeing COVID activity increase with more monoclonal antibody treatments provided. This week had 8 or 9 staff out with active COVID, up from prior weeks with 1 or 2 out. Testing is increasing though AVH reminds patients that a positive on a home test kit does not need validation from another test at the hospital. If positive, recuperate at home unless additional medical intervention is needed. There was one COVID inpatient this week, 2 at Weeks Medical Center. COVID inpatients are typically those with post-COVID pneumonia or having difficulty fully recuperating. Don’t wait to get medical intervention if needed. Southern NH hospitals are reporting an increased need for high flow oxygen which AVH has not needed to use for the past few months. COVID cases are increasing in southern NH and MA hospitals, a potential early indicator of trends ahead. Hospitals are put under pressure when COVID patients increase but also when infections increase among staff at all levels. AVH has a watchful eye on trends in southern areas of the state and region where trends may be early indicators of what’s to come.
Update from Coos County Family Health Services: Since the last meeting three weeks ago, CCFHS conducted 99 tests with 24 positive cases, an increase from the previous three weeks. Vaccine was administered to 91 individuals, with 2 new doses, 16 second doses, and remaining as boosters. CCFHS offered an outreach vaccine clinic to Berlin Housing Authority residents. A resupply of oral antiviral treatment was received and prescriptions to Walmart covered the gap in availability. Acute respiratory visits and COVID tests, including rapid PCR tests, are offered daily for both adults and children at the Page Hill location. The respiratory trailer was moved from Pleasant Street to accommodate the building expansion project starting soon. Pfizer COVID-19 vaccine is available for appointments at both CCFHS locations. CCFHS will offer Pfizer booster shots to 5-11 year olds when shipment is received. Two CCFHS staff are out with active COVID. Operations are in “Green” zone with staff and patients required to mask in patient treatment areas and waiting rooms. Call CCFHS at 603-752-2040 to schedule testing and vaccinations.
Update from NH: Thursday’s statewide hospital call shared that there are 117 active COVID inpatients, reaching a total of 170 when recovering COVID patients are included. Steady numbers to manage but numbers are increasing in southern NH and MA. In more populated regions of the state, currently 20% of ED visits are related to COVID. 1 in 5 ED visits for a single disease is significant. Changes to the state’s data collection and reporting, including the prevalence of unreported positives from home testing kits, have made it difficult to know the volume of infection. NH DHHS is releasing data once per week and CDC county maps have a data delay. Coos County is currency the only NH county at Low Green but likely has already moved into Medium category. A request to the state for more data will be made. Waste water testing may be a future possibility as an early warning indicator.
CDC Director suggested that people reconsider masking indoors in areas of high community transmission, which includes most of the Northeast. Health providers are anticipating news of the 6 months - 5 year vaccine over the summer. The long range forecast for COVID may include an uptick again in the fall and winter though it is hard to predict.
“Communication with one another continues to be important as we’re relying on anecdotal reports and lack important data.”
Education
Update from Berlin Public Schools: There is an observable uptick in COVID cases in the past week or two. Last week there were 12 staff out due to COVID and this week has improved with 5 cases. There are 20 students out with active COVID district wide. The district will wrap up the year with regularly scheduled activities and will proceed with COVID precautions as possible under current school guidelines. Visit Berlin Public School Facebook Page for more information.
Update from SAU 20: There are currently 0 staff and students with active COVID in the district. An uptick in cases has not been observed from the 1 to 2 weekly cases over the past month or so. Students and teachers will see the school year out under current school COVID guidelines and summer will be a time to reevaluate depending on COVID conditions. Visit the SAU 20 office website for updates.
White Mountains Community College: There are no reported COVID cases among staff and students. A successful in person graduation ceremony was held outdoors this past weekend.
Family Resources and Long-Term Care Facilities
St. Vincent de Paul: No update on this call.
Coos County Nursing Home: Emailed update on 5/19/22 states there are 11 employees with active COVID-19 infection and no resident cases. All employees and residents will test twice next week. Free COVID home test kits continue to be available for guests who would like to test prior to visiting. People continue to report "I thought it was just a cold " or "I thought it was my allergy symptoms I get every Spring" only to find they are positive for COVID-19. It is important to keep in mind that for some people, COVID-19 symptoms are very subtle or none at all. For others, especially those in high-risk groups, symptoms can be very severe and may lead to death. We are able to reduce our risk for serious illness by keeping up to date with recommended vaccines. The nursing home continues with all previously reported COVID-19 infection control and prevention measures.
Northern Human Services: No update on this call.
Family Resource Center: No update on this call.
Tri-County CAP: No update on this call.
Emergency Services and Correctional Facilities
Berlin Fire / EMD: Five city employees tested positive earlier this week. Department operations are stable.
Gorham EMS: Department has conducted a few tests, an increase from prior months. No employees currently out due to COVID.
Northern NH Correctional Facility: Stable operations, currently no staff or residents COVID positive.
Federal Corrections Institution: No update on this call.
Municipal and Local Business
City of Berlin and Town of Gorham: No update on this call. New City Manager contact will be added.
Androscoggin Valley Chamber of Commerce: No update on this call.
Community and Legislative
Public Health Network: No update on this call.
Congressional Delegation: No update on this call.
“Stable, but with a watchful eye. There is trepidation going into summer months.”
4/28/2022: Gathering
The COVID front in the Androscoggin Valley community remains quiet, however there are rising cases elsewhere in NH. Health officials remind us that reported COVID cases continue to be fewer than actual cases given access to home testing kits. In person gatherings and annual meetings resume after many organizations went without for the past two years. Individuals are encouraged to follow CDC guidance for layered COVID-19 prevention strategies according to current community level. Coos County is considered low with individuals wearing a mask based on personal preference, informed by personal level of risk, except when required in healthcare settings. Schools are out on April vacation prompting a small group attendance for the regular COVID check in meeting. The next meeting is planned three weeks out.
***
NH announced 378 reported cases on April 28, 2022. There were an average of 354 cases per day for the most recent 7-day period (April 22 to April 28). This is a 24% INCREASE compared to the previous 7-day period. More information at https://www.covid19.nh.gov/.
***
Get up to date!
Being fully vaccinated means getting up to date and receiving as many vaccination doses you are eligible for.
Informational FAQ from North Country Healthcare
Vaccine is available to anyone 5+ years old by calling Coos County Family Health Services at 603-752-2040.
***
Health Care and Medical Services
Update from Androscoggin Valley Hospital: AVH has not had any COVID-19 or flu in patients for the past several days. One COVID patient in the ED was discharged yesterday. Testing continues Monday Wednesday Friday, used mainly for pre-op procedures, including 6 on Wednesday. Emergency department volume is steady to light with 13 patients yesterday, down from the usual 25 – 30 patients per day. Surgical services are steady. The café and gift shop are open to visitors and volunteer programs continue to grow. Staffing is steady with a few staff out with COVID. Hospital is keeping an eye on COVID levels throughout the state.
Update from Coos County Family Health Services: Over the past three weeks since last meeting there have been 8 positive COVID results out of 80 tests performed. COVID tests are offered daily alongside respiratory trailer visits. Home test kids are available to patients. Acute respiratory visits are offered daily at the trailer site for both adults and children. On May 16th trailer services will be moved to Page Hill site in preparation for Pleasant Street site expansion project. COVID oral antiviral treatment is available. Positive cases of influenza are sporadic and decreasing at this time. A weekend COVID vaccine booster clinic was held with 74 people attended. Pfizer COVID-19 vaccine is available for appointments at both CCFHS locations. CCFHS staff will visit St. Regis housing next week to offer booster vaccines and additional visits are planned for Housing Authority sites in May. CCFHS operations are in “Green” zone with staff and patients required to mask in patient treatment areas and waiting rooms. Call CCFHS at 603-752-2040 to schedule testing and vaccinations.
Update from NH: The NH Hospital Association reported 500 new COVID cases yesterday April 28th, indicating a rise in the state. There are different data collection systems that may include a lag in reporting time. Though cases are not currently rising in Coos County, trends tend to lag behind what is happening elsewhere in NH.
Education
Update from Berlin Public Schools: Schools are on April vacation. No update on this call. Visit Berlin Public School Facebook Page for more information.
Update from SAU 20: Schools are on April vacation. No update on this call. Visit the SAU 20 office website for updates.
White Mountains Community College: No update on this call.
Family Resources and Long-Term Care Facilities
St. Vincent de Paul: No update on this call.
Coos County Nursing Home: No update on this call.
Northern Human Services: No update on this call.
Family Resource Center: No update on this call.
Tri-County CAP: No employees are out with COVID, though several staff are experiencing other illnesses, such as flu.
Emergency Services and Correctional Facilities
Berlin Fire / EMD: No update on this call.
Gorham EMS: All is good. No additional updates.
Northern NH Correctional Facility: No update on this call.
Federal Corrections Institution: No update on this call.
Municipal and Local Business
City of Berlin and Town of Gorham: No update on this call.
Androscoggin Valley Chamber of Commerce: No update on this call.
Community and Legislative
Public Health Network: No update on this call.
Congressional Delegation: No additional update. Staff members are looking forward to joining upcoming community events.
4/7/2022: Inching Back Toward Normal
Our work today is dedicated to the medical professionals who are still processing the traumatic effects of the pandemic, including the impact of caring for those that they unfortunately could not save.
***
The community is optimistic, as COVID cases continue to remain low and a sense of “normalcy” is returning. Flu cases, however, are emerging at much higher rates than previous years. Healthcare professionals continue to monitor both COVID and Flu trends. The AV COVID workgroup will meet again in three weeks to continue to check in and coordinate COVID response and information in Androscoggin Valley.
Free COVID tests are available again from the federal government (more info). Each household is eligible for two orders of tests (8 tests total) thus far. Order here for the second round of tests delivered to you home from USPS: https://www.covidtests.gov/
***
The State of New Hampshire’s COVID Dashboard is currently unavailable. However, the New York Times reported that there have been an average of 126 cases per day in New Hampshire in the last week. This represents a 5 percent INCREASE from the average two weeks ago.
***
Get up to date!
Being fully vaccinated means getting up to date and receiving as many vaccination doses you are eligible for.
Informational FAQ from North Country Healthcare
Vaccine is available to anyone 5+ years old by calling Coos County Family Health Services at 603-752-2040.
***
Health Care and Medical Services
Update from Androscoggin Valley Hospital: AVH currently does not have any COVID-19 patients and has not had any for the past couple of weeks. COVID cases appear to have plateaued and they are not really seeing COVID cases in the emergency room. However, they have been seeing a stark increase in Flu patients, including 40 patients yesterday. A GI bug has been circulating as well. A couple of staff members have been out due to COVID, but operations are otherwise stable. The visitor policy has been adjusted overall, including to allow for visitors in the ER and in rooms with COVID patients (though discretion is allowed).
Update from Coos County Family Health Services: CCFHS has conducted 116 COVID tests in the last 2 weeks, yielding only 6 positive results. However, they have seen 76 positive Flu results in the past 2 weeks. Those include only the number of patients who have tested positive and do not include those with a presumptive diagnosis, which is more the norm for the Flu. This number of cases is much higher than a typical year, when they may only see 15 cases for the whole season. Flu A is what has been seen in the cases mostly. The State has since asked for specimens for further testing.
In terms of COVID vaccination efforts, 14 total vaccinations have been administered in the last two weeks. CCFHS will be hosting a large COVID vaccine clinic on Sunday at their Page Hill site at AVH, with 104 patients scheduled so far. It will take place from 8:30 am - 4:30 pm and the Pfizer presentation will be offered. Appointments are preferred. Future clinics are likely to be scheduled as well. CCFHS is committed to helping those who are homebound and may need assistance with vaccination. Anyone interested in this support can contact their offices. A “Fresh Start” campaign will be launched soon to help encourage the community to reinstitute healthy practices, including 3 areas of focus: 1) encouraging booster vaccines; 2) encouraging preventative care; and 3) establishing healthy habits, including diet, exercise, and alcohol consumption. Call CCFHS at 603-752-2040 to schedule testing and vaccinations.
Education
Update from Berlin Public Schools: COVID cases have remained relatively low and there are currently only 2 COVID cases in the school district (1 staff member and 1 student). There are a few Flu cases as well. Berlin Public Schools and SAU 20 are grateful to Coos County Family Health for their generous donations of school supplies for the kids and for the nurses offices. They are thankful for the feeling of normalcy at the current moment. Visit Berlin Public School Facebook Page for more information.
Update from SAU 20: There are currently only 2 COVID cases in the schools. 0-3 cases have been the norm over the past month, which is a very positive trend. They have been seeing a large amount of Flu cases, but overall, SAU 20 is grateful for the “return to normal.” Visit the SAU 20 office website for updates.
White Mountains Community College: The college is preparing for commencement. In-person meetings have been more frequent recently. Everyone is feeling a sense of optimism in this sense. The college will be offering opportunities in the future for groups to lease space, especially for those groups that align with their educational mission. They are hoping to further open to the public in the summer and fall.
Family Resources and Long-Term Care Facilities
St. Vincent de Paul: No update on this call.
Coos County Nursing Home: There are currently zero resident COVID cases, but a couple of staff cases. All previously reported COVID-19 infection prevention and control measures are being followed.
Northern Human Services: No update on this call.
Family Resource Center: No update on this call.
Tri-County CAP: No employees are out with COVID, though staff are experiencing other illnesses out in the community, such as flu. The meal site in Berlin is opening up for meals and socialization for seniors - though at a limited capacity to allow for social distancing. They have received notification from FTA that they do not have plans to extend their mask policy for public transit. Therefore, there might not be a requirement for passengers or drivers to wear masks in the future. Tri-County CAP is working with the New Hampshire Emergency Rental Assistance program to support those in the community who may be struggling with paying rent. For those who are eligible, applications can be filled out for up to 18 months of rental assistance. Anyone who is struggling can contact their offices for support in processing an application.
Emergency Services and Correctional Facilities
Berlin Fire / EMD: No update on this call.
Gorham EMS: Operations are stable. Only a couple of employees are out currently (due to the Flu).
Northern NH Correctional Facility: There are no COVID cases among staff or residents, though a couple of people are experiencing Flu-like symptoms.
Federal Corrections Institution: No update on this call.
Municipal and Local Business
City of Berlin and Town of Gorham: No update on this call.
Androscoggin Valley Chamber of Commerce: No update on this call.
Community and Legislative
Public Health Network: Cases seem to have plateaued overall. FEMA funds have been extended through June to allow for more clinics. However, testing sites and fixed sites have been closed due to decreased demand. There may be more support from the state to support vaccination efforts for homebound people.
Congressional Delegation: No major updates on this call.
“The word at the moment is, ‘optimism,’ and inching back toward normal is the theme.”
3/24/2022: Optimism right now
Our work today is dedicated to Lynn Beede, Administrator of Coos County Nursing Home in Berlin. She has done incredible work keeping her residents safe and regularly informing the community with updates on COVID-19.
***
While COVID trends continue to move in the right direction, other illnesses such as flu and strep are prevalent in the community. Hand hygiene and staying home when sick is always important, even when COVID is not at the forefront. Everything points to stable, lowered COVID trends in the local community. Healthcare professionals are watching COVID trends in other countries and waiting for more data on any COVID vaccination updates. The AV COVID workgroup will meet again in two weeks to continue to check in and coordinate COVID response and information in Androscoggin Valley.
Free COVID tests are available again from the federal government (more info). Each household is eligible for two orders of tests (8 tests total) thus far. Order here for the second round of tests delivered to you home from USPS: https://www.covidtests.gov/
***
NH announced 140 reported cases on March 23, 2022. There were an average of 122 cases per day for the most recent 7-day period (March 17 to March 23). This is a 5% INCREASE compared to the previous 7-day period. More information at https://www.covid19.nh.gov/.
***
Get up to date!
Being fully vaccinated means getting up to date and receiving as many vaccination doses you are eligible for.
Informational FAQ from North Country Healthcare
Vaccine is available to anyone 5+ years old by calling Coos County Family Health Services at 603-752-2040. On-Site Medical Services is hosting a fixed vaccination site at The Chalet in Berlin. Open through March, Monday through Friday, 12 pm - 7 pm and Saturday, 12 pm - 2 pm. No appointment is needed.
***
Health Care and Medical Services
Update from Androscoggin Valley Hospital: The hospital is stable and fairly busy with regular activity, not COVID-related. There has been 1 COVID inpatient in the last month, two employees currently out with COVID. Flu is circulating in the community. AVH updated its visitation policy to one visitor per patient, two at the Valley Birthplace, though clinical discretion is allowed. NCH hospitals have slightly different visitation policies currently, so look into details before making arrangements. Mandatory masking continues as part of the federal guidelines for healthcare settings.
Update from Coos County Family Health Services: The COVID front is looking good with only 2 positive cases this week. One patient was treated with antiviral medication which is available. COVID vaccine is available at CCFHS by appointment with no scheduled clinics currently. Testing clinics have concluded but testing is available by appointment at the respiratory trailer. Rapid PCR tests are available for treatment, travel, or school but patients should look into insurance coverage with that testing request. The flu is very prevalent in the community with 25 cases diagnosed this week, with over 20 as pediatric cases. This is compared to an average year with 15 cases. Everyone is encouraged to continue with good prevention measures and hygiene since other illnesses are circulating. CCHFS is utilizing a green, yellow, red phase approach to COVID management. Monday will begin in green phases with waiting room capacity back to normal levels and vaccinated staff do not need to wear masks in areas where patients do not go. Call CCFHS at 603-752-2040 to schedule testing and vaccinations.
Other COVID-19 Updates in AV / NH: Health professionals continue to watch consideration of additional COVID boosters. Nothing is approved yet as data is being gathered. Vaccination for youngest children 6 months - 5 years will come under FDA/CDC review again with additional data. Trends in Europe and China are being watched as another Omicron variant drives new infections. There is no clear indication of another imminent surge and everyone is grateful for the current respite. Public messaging continues to encourage vaccination, take a fresh start to healthy habits, and resume patterns of preventative health care that may have been delayed.
Education
Update from Berlin Public Schools: Schools remain in the green phase and continue to have no COVID cases. There is a higher absence rate among students due to the flu, however. Finally there is a sense of normalcy with routine, which everyone is enjoying. Staff is busy planning traditional spring and year-end activities such as field trips, awards ceremonies, open houses, concerts and graduation. Visit Berlin Public School Facebook Page for more information.
Update from SAU 20: Schools continue in the green phase. There has been a maximum of 1 COVID case at any time. Other illnesses such as flu, strep, and other are creating a higher than normal level of absences, not COVID-related. Everyone is reminded of illness precautions even as COVID becomes less of a concern. Administrators continue to watch COVID numbers and trends. It is good to see students' faces at this time. Visit the SAU 20 office website for updates.
White Mountains Community College: The college is planning for in person commencement and is coordinating with other higher education partners to similarly operate as close to normal as possible.
Family Resources and Long-Term Care Facilities
St. Vincent de Paul: No update on this call.
Coos County Nursing Home: As of 3/23/22 there are currently zero residents with COVID-19 and one new employee positive with COVID for a total of two employees out. Residents were offered testing and active case numbers are posted at the main entrance. All previously reported COVID-19 infection prevention and control measures are being followed.
Northern Human Services: No update on this call.
Family Resource Center: No update on this call.
Tri-County CAP: No employees are out with COVID, though staff are experiencing other illnesses out in the community, such as flu. The agency continues to be appointment-only with offices closed to the public until plans are updated.
Emergency Services and Correctional Facilities
Berlin Fire / EMD: The department is stable with full staffing.
Gorham EMS: The department is stable with full staffing. No employees have been out or testing needed in the past two months. Home test kits are available.
Northern NH Correctional Facility: No update on this call.
Federal Corrections Institution: No update on this call.
Municipal and Local Business
City of Berlin and Town of Gorham: No update on this call.
Androscoggin Valley Chamber of Commerce: No update on this call.
Community and Legislative
Public Health Network: The PHN continues to coordinate its contracts with the state. As requests for vaccination continue to slow, the PHN has shifted its focus to partnering with local healthcare organizations to provide vaccination support in the primary healthcare settings. There is opportunity to pivot back to other public health work, including working with public health partners and emergency preparedness. The past 18 months also provides a learning opportunity to apply to future coordinated public health responses.
Congressional Delegation: Telehealth flexibility is extended for Medicaid and Medicare programs with detailed information to be circulated. Congressional directed spending of 1.5M will support building renovations to expand CCHFS dental clinic in Berlin to reach twice the number of people with dental health. Congress continues to be focused on Ukraine, including a bipartisan group urging the government to create a refugee program for Ukrainian people affected by the war.
“Optimism right now.”
3/10/22: Fresh Start
Our work today is dedicated to the people of Ukraine.
***
What a difference a couple weeks can make! COVID trends continue to move in the right direction. Data shows improving numbers over several weeks in a row. There is opportunity for a FRESH START for people. As COVID mitigations ease and recovery from a long active pandemic time may come into focus to address preventative care, mental health, substance use, and more. AV COVID group will meet again in two weeks to continue to check in and coordinate COVID response and information in Androscoggin Valley.
“Tomorrow will be a big day for us to see if Coos County drops from moderate range into the low range on the CDC community transmission maps. Based on the rate of case volume, transmission, severity, and ED visits, it’s likely to happen. It’s dropped off dramatically. What a difference a couple weeks can make.”
Free COVID tests are available again from the federal government (more info). Each household is eligible for two orders of tests (8 tests total) thus far. Order here for the second round of tests delivered to you home from USPS: https://www.covidtests.gov/
***
NH announced 110 reported cases on February 24, 2022. There were an average of 120 cases per day for the most recent 7-day period (March 4 to March 10). This is a 44% DECREASE compared to the previous 7-day period. More information at https://www.covid19.nh.gov/.
***
Get up to date!
Being fully vaccinated means getting up to date and receiving as many vaccination doses you are eligible for.
Informational FAQ from North Country Healthcare
Vaccine is available to anyone 5+ years old by calling Coos County Family Health Services at 603-752-2040. On-Site Medical Services is hosting a fixed vaccination site at The Chalet in Berlin. Open through March, Monday through Friday, 12 pm - 7 pm and Saturday, 12 pm - 2 pm. No appointment is needed.
***
Health Care and Medical Services
Update from Androscoggin Valley Hospital: The hospital is stable and very busy. It has been three weeks with no COVID inpatients admitted. Testing has dropped off drastically and will now be offered every Monday and Friday. No staff are out due to COVID, down from a peak of 10 a few weeks ago. Hospital activity and operations are back to normal expected levels, with this week a little busy. AVH and NCH system will be updating its visitor policy soon to welcome back visitors safely into their important role in patient care. AVH will release dates and details soon. Mandatory masking will continue as part of the federal guidelines for healthcare settings.
Update from Coos County Family Health Services: There has been little COVID activity over the past two weeks. Thursday’s testing clinic had zero attendance and clinics in the past two weeks were in the single digits. This week there were 3 positive COVID results, two last week, for a total of 5 over two weeks. No antiviral medication was given out. More testing is occurring at home than at testing sites, and it is likely that many positive test results go unreported. Starting 3/21/22 COVID testing will move to the respiratory trailer only to adjust to the decrease in demand. Demand for vaccines remains slow with 5 this week and 8 last week. A new rapid PCR test will give results in 30 minutes and will be used in certain circumstances at CCFHS. Call CCFHS at 603-752-2040 to schedule testing and vaccinations.
Other COVID-19 Updates in AV / NH: Pediatric teams are not seeing any signs of post-school vacation COVID uptick, though it may be a little early. Over the past two weeks, the statewide hospital call dropped steadily from 7 days per week to 5, then 3, and now ended, however ad hoc communication is available to move patients around as needed. Coos County’s daily new cases is under 10 per 100,000, test positivity rate is 2.5%, infection rate is .57. The CDC community transmission map will likely show Coos County moving from moderate to low range very soon. However Coos County remains more vulnerable to new variants due to low vaccination rate and density of large facilities. The hospital association is speaking up on proposed state legislation related to COVID and patient care in healthcare settings.
Education
Update from Berlin Public Schools: There are zero cases reported in the schools, a happy first since sometime last summer. Schools are in ‘green phase’ and are following state guidance that masks remain optional only if people choose to use them. Schools reflect on the importance of plans, even for things unimaginable, like more than two years ago when a pandemic felt improbable. Visit Berlin Public School Facebook Page for more information.
Update from SAU 20: There is one COVID case currently after a few weeks without any cases. Small fluctuations are expected at this time. Schools are in ‘green phase’ with students without masks - a welcome sight for students and schools. COVID response phases of green, yellow, red remain in the plans but schools are wondering what mitigation options are available and effective if there is a surge and mandated masking continues not to be allowed. Visit the SAU 20 office website for updates.
White Mountains Community College: All is good at the college and mask-optional guidance is in effect.
Family Resources and Long-Term Care Facilities
St. Vincent de Paul: No update on this call.
Coos County Nursing Home: No update on this call.
Northern Human Services: No update on this call.
Family Resource Center: No update on this call.
Tri-County CAP: No update on this call.
Emergency Services and Correctional Facilities
Berlin Fire / EMD: The department is stable and full staff are working.
Gorham EMS: The department is stable and full staff are working. Additional home tests are available to anyone who needs them. Contact the department.
Northern NH Correctional Facility: No update on this call.
Federal Corrections Institution: No update on this call.
Municipal and Local Business
City of Berlin and Town of Gorham: No update on this call.
Androscoggin Valley Chamber of Commerce: No update on this call.
Community and Legislative
Public Health Network: Requests for vaccination clinics continues to slow. The PHN is shifting its focus to partnering with local healthcare organizations to provide any vaccination support in the primary healthcare settings. The PHN is contracted with the state to continue supporting vaccination efforts through June. The Public Health Advisory Council is hosting its quarterly meeting this month to continue informing the public health work in the region, including preparing for future public health emergencies and response.
Congressional Delegation: Members of the congressional delegation continue to attend to stay informed and help support as possible. The budget process continues in Washington and the congressional directed spending program will be accepting applications soon. More information to come.
“How will this go down in history? How will we remember this time? How will it be written?”
2/24/2022: How far we’ve come
Our work today is dedicated to people across the world from us - the Ukrainians who are facing conflict brought to their country.
***
The NH Governor’s Office announced Wednesday that the state is no longer recommending people wear face masks indoors in buildings and schools as the number of COVID-19 cases, deaths, and hospitalizations are declining. Individuals may choose to wear masks but schools are required to end mask mandates, as many are either doing or in process of doing. Federal rules still require people to wear face masks on public transportation, school buses, hospitals and other healthcare settings. Trends continue to look good however the rate is plateauing a bit and still remains high. Many are modifying precautions but individuals can still be mindful and cautious as we don’t want to see an uptick again. Coos County vaccination rates remain lower than surrounding areas.
***
NH announced 691 reported cases on February 24, 2022. There were an average of 330 cases per day for the most recent 7-day period (February 18 to February 24). This is a 1% DECREASE compared to the previous 7-day period. More information at https://www.covid19.nh.gov/.
***
Get up to date!
Being fully vaccinated means getting up to date and receiving as many vaccination doses you are eligible for.
Informational FAQ from North Country Healthcare
Vaccine is available to anyone 5+ years old by calling Coos County Family Health Services at 603-752-2040. On-Site Medical Services is now leading a fixed vaccination site at The Chalet in Berlin. It is open Monday through Friday, 10 am - 7 pm and Saturday, 10 am - 2 pm. No appointment is needed.
***
Health Care and Medical Services
Update from Androscoggin Valley Hospital: No COVID patients were admitted, though a few patients moved through the ER. No monoclonal antibodies were given all week. Testing has dropped off drastically with 1 test administered on Thursday. The hospital is adapting its visitation policy soon and will inform the community. Masking policy will likely continue and more information from CDC guidance will be considered. AVH has missed its visitors!
Update from Coos County Family Health Services: This week was quiet on the COVID front. week’s testing clinics showed marked decrease in COVID numbers. A total of 4 positive COVID cases were reported across all testing clinics. One staff member is out with potential COVID symptoms. Testing volume is down with only 4 tests on Thursday and no positives. COVID anti-viral treatments (Paxlovid and ‘Merck antiviral’) are an effective medication to help keep people out of the hospital if they are sick with COVID-19. There were no doses requested this week and demand appears low.
Pediatric Vaccine Clinic Ages 5-11 on Thursday, March 3rd at CCFHS Pleasant Street Office in Berlin. By Appointment.
Testing clinics are Tuesday and Thursday 8:30 - 11 am. Beginning March 1, 2022, vaccines will only be available via individual office appointments. Call CCFHS at 603-752-2040 to schedule.
Other COVID-19 Updates in AV / NH: A slight uptick in COVID inpatients was reported across the state during the statewide hospital call on Thursday. There are a total of 231 occupied beds (total, not just COVID), an uptick of a half dozen patients over the previous day. Emergency departments are seeing a slight increase in volume. Staff are back to work with some hospitals reporting 0 staff out due to COVID. The state is in a position to absorb current patient volume. The statewide group may be slowing the frequency of their calls soon. A large shipment of N95 masks was provided to healthcare facilities. The masks unfortunately contain latex and cannot be used in healthcare settings due to allergies. Next steps are being considered.
Education
Update from Berlin Public Schools: No additional update. SAU 3 is in communication with SAU 20 and WMCC regarding the effect of the Governor’s mask policy announcement. SAU 3 will be in ‘green phase’ as well. Visit Berlin Public School Facebook Page for more information.
Update from SAU 20: There are currently 0 COVID cases among staff and students. Though a plan was in place to continue ‘yellow phase’ and ‘green phase’ expected in March, the Governor’s announcement to end mask requirements in school changed the plan. SAU 20 will comply with the DOE requirements and no masks will be required, essentially in ‘green phase’. Masks are still required on school buses. The school will continue to follow data and phases guidelines are still a reference, however the Governor’s announcement changes use of those plans. Visit the SAU 20 office website for updates.
White Mountains Community College: The Governor’s end to school mask requirements will go into effect on Monday, however other tools remain, including social distancing and small grouped classes. Leadership will be considering when to open back up to the public as things continue to move in the right direction.
Family Resources and Long-Term Care Facilities
St. Vincent de Paul: No update on this call.
Coos County Nursing Home: CCNH shared the following information in its COVID update on 2/21/22. From previous PCR testing there was one new resident and one new employee with positive results. There are currently five residents and one employee with active COVID-19 and no new residents or employees from the most recent rapid testing. One floor has cleared from outbreak status while another remains. Current guidance requires 14 days with no new residents or staff testing positive for COVID to be cleared of outbreak status. All COVID infection prevention and control measures continue.
Northern Human Services: No update on this call.
Family Resource Center: No update on this call.
Tri-County CAP: For the first time in a very long time, no employees of the 230 TCCAP staff are out with COVID. Though NH has changed its mask mandate, TCCAP transportation continues to require masks due to federal funding and organizational policy. The organization review reopening its offices to the public soon.
Emergency Services and Correctional Facilities
Berlin Fire / EMD: No cases, full staff working, department is stable.
Gorham EMS: No cases, full staff working, department is stable.
Northern NH Correctional Facility: There is currently one COVID positive resident. The facility has reduced the mask mandate to optional for staff and residents. The facility will continue following data trends and guidance on necessary prevention measures.
Federal Corrections Institution: No update on this call.
Municipal and Local Business
City of Berlin and Town of Gorham: No update on this call.
Androscoggin Valley Chamber of Commerce: No update on this call.
Community and Legislative
Public Health Network: The PHN will continue its work offering vaccine clinics and its COVID response role. There is a decrease in partners requesting clinics as well as a slowing in vaccine uptake. The potential testing partner stepped away due to decrease in need. The PHN will host a regional emergency preparedness effort soon.
Congressional Delegation: No additional update.
“Remember how far we’ve come in a year. At this time last year we had limited vaccines. We now have a lot of tools to manage ongoing COVID with vaccines, masks, social distancing and other precautions.”
2/17/2022: Elasticity is the plan
Our work today is dedicated to the teachers who have supported their students every day through two years of this pandemic.
***
COVID numbers continue improving though community transmission is still considered high. Weighing healthcare and public health input, schools are moving from masking policies of ‘red phase’ to ‘yellow phase’ on Feb. 21st, with plans for eventual ‘green phase’ in mid-March, as long as numbers continue declining at this rate. Discussions continue on how an elastic approach to moving towards or away from levels of COVID mitigation policies will be important in this ongoing, long-term pandemic. Vaccination across the board remains one of the most powerful tools.
***
NH announced 86 new reported cases on February 17, 2022. There were an average of 329 cases per day for the most recent 7-day period (February 11 to February 17). This is a 55% DECREASE compared to the previous 7-day period. More information at https://www.covid19.nh.gov/.
***
Get up to date!
Being fully vaccinated means getting up to date and receiving as many vaccination doses you are eligible for.
Informational FAQ from North Country Healthcare
Vaccine is available to anyone 5+ years old by calling Coos County Family Health Services at 603-752-2040. On-Site Medical Services is now leading a fixed vaccination site at The Chalet in Berlin. It is open Monday through Friday, 10 am - 7 pm and Saturday, 10 am - 2 pm. No appointment is needed.
***
Health Care and Medical Services
Update from Androscoggin Valley Hospital: COVID trends continue to improve this week. No COVID patients were admitted though a few patients moved through the ER. No monoclonal antibodies were given all week. Testing has dropped off drastically with 3 tests administered on Wednesday, down from over 100 from only a few weeks ago. The reduced testing numbers are likely also due to increased home testing. Only three staff are out with COVID down from 5 earlier this week and a peak of 10 last week. Surgical volume is caught up and there is no significant backlog for procedures.
Update from Coos County Family Health Services: This week’s testing clinics showed marked decrease in COVID numbers. A total of 5 COVID cases were reported across all testing, down from last week of 10. One staff member is out. Testing volume is down with 10 tests over the two days of testing clinics. Free testing kits are given out to patients as needed. COVID anti-viral treatments (Paxlovid and ‘Merck antiviral’) are available as needed.
Pediatric Vaccine Clinic Ages 5-11 on Thursday, March 3rd at CCFHS Pleasant Street Office in Berlin. By Appointment.
Testing clinics are Tuesday and Thursday 8:30 - 11 am. Vaccine clinics are Monday and Wednesday 8:30 - 11:30 am. Beginning March 1, 2022, vaccines will be available via individual office appointments. Call CCFHS at 603-752-2040 to schedule.
Other COVID-19 Updates in AV / NH: A large shipment of N95 masks in two sizes are going to be made available to Androscoggin Valley. A process and distribution plan is being considered. COVID is likely going to have a manageable long term presence.
Education
Update from Berlin Public Schools: The number of COVID cases continues to decline across the school system with 4 students and two staff out. Staffing is still quite challenging due to absences for other illnesses and reasons. School officials are watching COVID data and listening to the needs of students and families. A shift down to ‘yellow phase’ is announced for Monday 2/21/22. School officials continue to assess policies in conjunction with health officials. Visit Berlin Public School Facebook Page for more information.
Update from SAU 20: The number of COVID cases continues to decline across the SAU. There are currently four total active COVID cases. A shift down to ‘yellow phase’ is announced for Monday 2/21/22. School administrators will continue reviewing data to inform decisions on when to move to different colored-COVID phase: ‘yellow phase’ (recommended masking when unable to distance), followed by an anticipated mid-March ‘green phase’ (masking not required). Community transmission will need to continue declining to reach a relaxed ‘green phase’. Schools will need to maintain an elastic approach for moving between phases if COVID cases rise. Masks are one tool in the toolbox for addressing COVID, other measures continue to support mitigation, including vaccination, vigilance in staying home if sick, testing, ventilation, and small group pods. Several SAU20 School Board members joined the call to learn more about the COVID Community Group’s conversations. Visit the SAU 20 office website for updates.
White Mountains Community College: Trends continue in a promising direction and current reported COVID case count is extremely low. WMCC will be following CDC’s anticipated new recommendations, as well as other data points such as local hospitalization rates and input from this group, to inform its ongoing COVID mitigation policies.
School leaders initiated a continued discussion on when to move to next phase COVID policies. Masking remains the focus of the conversation given the prominent role it has in the daily lives of students, families, teachers, and school community. Data and input being gathered point to moving to ‘yellow phase’ Feb. 21, followed by ‘green phase’ in mid-March as long as numbers continue a downward trend. Elasticity - the concept of moving between phases easily - as needed is on everyone’s mind. Communication with medical and school partners will be key to ongoing approaches.
“It’s important that we move in both directions on this. We’re going to have to jump at some point and we think the data is there.”
Health officials continue to point out that transmission rates locally are still high, though coming down. The pressure on the hospital system had relaxed considerably. Masking will continue in healthcare settings for the foreseeable future. Vaccination rates are low compared to the rest of the region and vaccination among school aged children is low. The public puts trust into the public health decisions and there’s a delicate balance there.
Masking is just one of the tools in mitigating spread. Vaccination and use of testing are very important, as is staying home with symptoms, distancing, ventilation, small group pods, and other options that can help reduce community transmission.
Family Resources and Long-Term Care Facilities
St. Vincent de Paul: No update on this call.
Coos County Nursing Home: This week (2/14/22) CCNH shared the following information in its COVID update. One resident with active COVID-19 passed away over the weekend - CCNH sends their heartfelt condolences to their loved ones. As of Monday 2/14/22 there were 14 residents with active COVID-19 cases. Four staff have active COVID-19 and those well enough to work are assigned to the COVID-19 isolation unit. Over the weekend eight employees severed employment with CCNH due to Center for Medicare and Medicaid Services COVID0-19 vaccine mandate. Some were long-term employees who dedicated long careers to residents of CCNH and other licensed staff provided frontline care for residents. All COVID infection prevention and control measures continue.
Northern Human Services: No update on this call.
Family Resource Center: No update on this call.
Tri-County CAP: The organization received a large, multi-year CDC grant to support work with social services and healthcare partners to address COVID-19 needs in rural communities.
Emergency Services and Correctional Facilities
Berlin Fire / EMD: No cases, full staff, department is stable.
Gorham EMS: No employees are positive and haven’t had to test this month.
Northern NH Correctional Facility: Moving forward with normal operations with all staff and only one COVID case. Administrators are considering a change to mask protocols as numbers continue to decline.
Federal Corrections Institution: No update on this call.
Municipal and Local Business
City of Berlin and Town of Gorham: No update on this call.
Androscoggin Valley Chamber of Commerce: No update on this call.
Community and Legislative
Public Health Network: The PHN is hosting several upcoming vaccination clinics with local partners including at Lancaster Town Hall (Feb. 18th), and Wildcat Mountain for employees and public, as available (Feb. 25th). All clinics will offer primary vaccination series and boosters of all available vaccination presentations (Pfizer, Moderna, Janssen) for anyone 5+ years old. The PHN is available to host requested vaccine clinics around the region. As vaccines are now readily available to community members, the PHN may pivot to focus on other public health measures such as informational campaigns about vaccines.
Congressional Delegation: Staff are appreciative of the thoughtful discussion by local leaders about how to make decisions about relaxing COVID mitigation measures as numbers continue to decline. Offices of some delegation members will be reopening soon. No additional updates.
“I thank this group for the work you’ve done. I think the schools have made good decisions. We’re hearing the need from people and the numbers warrant beginning a yellow phase. Keep measures going and masks can always go back on if needed.”
2/10/2022: Today’s decreasing COVID still very high
Our work today is dedicated to the primary care providers in our region who have faced mountainous tasks and are a major part of COVID response.
***
Though improving, today’s COVID numbers are still considered very high and on par with the peaks in the fall. Everyone is eager to move beyond this surge and discussions are underway about when and how we can move into flexible behaviors that meet the current pandemic conditions. Current COVID protocols remain in place and changes will be based on community transmission data. Hopefully numbers will continue to drop and in the next few weeks schools may move from ‘red’ to ‘yellow’. Vaccination across the board is still one of the most important tools. There are signs of encouragement in the current trends and the sun is coming out soon.
***
NH announced 747 new cases on February 10, 2022. There were an average of 725 cases per day for the most recent 7-day period (February 4 to February 10). This is a 35% DECREASE compared to the previous 7-day period. More information at https://www.covid19.nh.gov/.
***
Get up to date!
Being fully vaccinated means getting up to date and receiving as many vaccination doses you are eligible for.
Informational FAQ from North Country Healthcare
Vaccine is available to anyone 5+ years old by calling Coos County Family Health Services at 603-752-2040. On-Site Medical Services is now leading a fixed vaccination site at The Chalet in Berlin. It is open Monday through Friday, 10 am - 7 pm and Saturday, 10 am - 2 pm. No appointment is needed.
***
Health Care and Medical Services
Update from Androscoggin Valley Hospital: COVID trends continue to improve this week, however NCH issued a reminder about staying vigilant to continue the improving trends. There are between 1 - 2 inpatients being treated for COVID-19, a similar number observed at other area hospitals. Testing has dropped off drastically with 7 tests administered on Wednesday, including 1 rapid test. The reduced testing numbers are likely due to increased home testing, resulting in likely underreporting of positive cases in the community. Two staff are out due to COVID. AVH is still very busy addressing normal winter illness and getting caught up on what COVID delayed over the past month. Seasonal flu is only sporadic around the state so not seeing much flu illness.
Update from Coos County Family Health Services: This week’s testing clinics showed continued dropping COVID numbers. Over the past week only 10 positive cases were reported. Testing volume is down with 11 tests on Tuesday (1 rapid positive) and 15 tests on Thursday (1 rapid positive). Testing clinic capacity of 40 had been regularly full several weeks ago. CCFHS urges patients to inform their health care provider if they have a positive COVID test at home. CCFHS provided COVID anti-viral treatments (Paxlovid and ‘Merck antiviral’) to a few patients this week. Staffing is stable and staff shortages have improved drastically from what was experienced a couple weeks ago.
CCFHS, AVH, and public health officials are following the approval process of the pediatric COVID vaccine for the youngest cohort ages 6 months - 4 years. Vaccine approval under the Emergency Use Authorization (EUA) is being reviewed by the FDA and CDC. Vaccine clinics are Monday and Wednesday 8:30 - 11:30 am. Testing clinics are Tuesday and Thursday 8:30 - 11 am. Beginning March 1, 2022, vaccines will be available via individual office appointments. Call CCFHS at 603-752-2040 to schedule.
COVID-19 Updates in NH: Hospitals around NH are seeing improving numbers for COVID and ICU bed capacity. NH is at 88% occupancy for ICU beds (all illness) which allows for regional patient transport and support if needed. Individual hospital occupancy can fluctuate day to day but now neighboring hospitals are available, unlike a couple weeks ago when NH’s hospital system was at capacity. Inpatients continue to be treated for active COVID and recovered COVID at about 50 / 50 split around the state. The vast majority of hospitalized patients are not vaccinated or are partially vaccinated. There is an increase in death rate which is an expected lagging indicator after the recent COVID surge. Overall hospitalization is going down, however the rate of decrease has slowed this week. Hospital leadership would like to see the numbers drop more quickly.
Education
Update from Berlin Public Schools: Number of COVID cases continues to decline across the school system. Available testing kits will go home with students. Everyone is eager to move from ‘red’ COVID protocols to ‘yellow’ however local clinicians and health officials urge caution, patience, and reliance on the data to make decisions. School officials continue to assess policies in conjunction with health officials. Visit Berlin Public School Facebook Page for more information.
Update from SAU 20: The number of COVID cases continues to decline across the SAU. There are currently five total active COVID cases. The SAU received a bulk of testing kits to send home with students which was well received by families. Everyone is eager to move from ‘red’ COVID protocols to ‘yellow’ however local clinicians and health officials urge caution, patience, and reliance on the data to make decisions. School officials continue to assess policies in conjunction with health officials. Visit the SAU 20 office website for updates.
White Mountains Community College: Similar improving trends are seen at WMCC with only a couple of active COVID cases in this fourth week of classes. While mask fatigue is ever present, WMCC continues its mask policy to ensure the best chance at continuing in person education. With several hundred people in the building each day this is the best approach right now. Local data and advising from area health officials will continue to be critical in creating flexible policies going forward.
“Our students are part of the community. In Berlin we have 1100 students, 250 staff, plus all of their families. Our numbers make up a significant part of the community. We have a hand to play in this. We have to do our part.”
The discussion continued on when and how to move into the next phase COVID policies after this current surge. Everyone is experiencing and aware of the COVID fatigue in the community - from students, parents, and healthcare providers who have cared for people in two years of this pandemic. School officials and healthcare leadership are basing decisions on local COVID data. While numbers are improving, “Our local COVID numbers are still higher than they were last fall when we asked municipal leaders to reinstate the mask mandate. We’re not out of the woods yet.”
Several metrics are reviewed: Test positivity rates? Community transmission rates?
How well vaccinated is your community?
COVID numbers are improving locally and while everyone is eager for change in mitigation measures - especially masking in schools - decisions will be made weighing community needs and data. Change is on the horizon, the sun is coming out, “We’re in a boat in the storm of the century, there’s no guarantee that another storm isn’t around the corner, but the sun is coming out so let’s get things ready to hang out to dry.”
Family Resources and Long-Term Care Facilities
St. Vincent de Paul: No update on this call.
Coos County Nursing Home: This week (2/8/22) the nursing home shared a summary of all COVID cases during the Omicron surge. A total of 17 resident cases so far, 5 residents have recovered; 12 residents have active COVID-19 infections. A resident who was cleared of isolation has passed away. It has not been determined if this passing was COVID related. CCNH staff sent heartfelt condolences to the resident’s family. Two CCNH staff have active COVID cases, one remains out of work while the other is able to work on the COVID isolation unit. All COVID infection prevention and control measures continue.
Northern Human Services: No update on this call.
Family Resource Center: No update on this call.
Tri-County CAP: No update on this call.
Emergency Services and Correctional Facilities
Berlin Fire / EMD: In attendance, no additional update.
Gorham EMS: The department remains busy responding to calls and is preparing for February vacation and Wildcat skiers. No employees currently out. Local libraries may have COVID home test kits available soon. More info to come.
Northern NH Correctional Facility: The facility continues to see improving trends with very few active COVID cases among staff and residents. Mask fatigue continues, but masks remain an important tool to mitigating further outbreaks.
Federal Corrections Institution: No update on this call.
Municipal and Local Business
City of Berlin and Town of Gorham: No update on this call.
Androscoggin Valley Chamber of Commerce: No update on this call.
Community and Legislative
Public Health Network: The PHN is hosting several upcoming vaccination clinics with local partners including this week at Woodsville EMS (Feb. 12th), Lancaster Town Hall (Feb. 18th), and Wildcat Mountain for employees and public, as available (Feb. 25th). All clinics will offer primary vaccination series and boosters of all available vaccination presentations (Pfizer, Moderna, Janssen) for anyone 5+ years old. The community-based clinics at local EMS departments have been successful as many residents appreciate being at their local, trusted EMS department. NH DHHS has announced that it will not use the PHNs around the state when vaccination is available to 6 month - 4 years olds, instead relying on primary care providers. The PHN will partner with local providers to offer support needed.
Congressional Delegation: Staff are appreciative of the thoughtful discussion by local leaders about COVID mitigation and masking policies at this point in the pandemic, especially in schools. Delegation members continue to advocate for more pediatric mental health resources as many children continue to experience challenges and are not finding available support.
“Our students are part of the community. Our numbers make up a significant part of the community. We have a hand to play in this. We have to do our part.”
2/3/2022: On the downhill slide but a ways to go
Our work today is dedicated to the medical staff at our area correctional facilities and nursing homes.
***
With a downhill slide of COVID numbers, trends are moving in the right direction, however community transmission is still at an extremely high level. Everyone is eager to move beyond this surge and conversations are happening about when and how we can move into behaviors that meet the pandemic’s end. However it’s too soon to move away from COVID protocols and decisions will be based on community transmission data. Hopefully numbers will continue to drop and in the next few weeks schools may move from ‘red’ to ‘yellow’. Vaccination across the board is still one of the most important tools for ending the pandemic. There is a lot of room for improvement given Coos County’s vaccination rates, including boosters and pediatric up to date shots. There are signs of encouragement in the current trends.
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NH announced 840 new cases on February 3, 2022. There were an average of 1,093 cases per day for the most recent 7-day period (January 28 to February 3). This is a 40% DECREASE compared to the previous 7-day period. More information at https://www.covid19.nh.gov/.
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Who needs an additional Covid-19 vaccine or booster?
Informational FAQ from North Country Healthcare
NCH videos: #StepUpNH and #MaskUpNH
Vaccine is available to anyone 5+ years old by calling Coos County Family Health Services at 603-752-2040. On-Site Medical Services is now leading a fixed vaccination site at The Chalet in Berlin. It is open Monday through Friday, 10 am - 7 pm and Saturday, 10 am - 2 pm. No appointment is needed.
***
Get up to date! Being fully vaccinated means receiving as many vaccination doses you are eligible for.
Don’t wait to get a booster shot! Booster shots can help build immune response right away so now is the time if you haven’t received one and protect against the Omicron surge.
Health Care and Medical Services
Update from Androscoggin Valley Hospital: This week shows continued improving COVID trends. There is one inpatient being treated for COVID-19, a similar number observed at other area hospitals. Testing has dropped off drastically with 8 tests administered on Wednesday, including 3 rapid tests. Only 10 tests scheduled for Friday. The reduced testing numbers are likely due to increased home testing, resulting in likely underreporting of positive cases in the community. Only one staff is out due to COVID, down from a peak of 10 earlier in the week. AVH is still very busy with 24 beds filled in the 25 bed hospital. Activity is due to diverse illnesses, not COVID-related. Overall the hospital is managing well and moving back into normal operations. North Country Healthcare CEO Tom Mee joined other NH hospital Presidents / CEOs in a WMUR article reflecting back two years into the pandemic and what lies ahead.
Update from Coos County Family Health Services: This week’s testing clinics showed decreasing COVID trends. Tuesday’s testing clinic of 33 had zero positive COVID cases and Thursday’s testing clinic was not full with two repeat positive results. Dr. Beal’s pediatric testing clinic had 6 positive cases all expected within family units. At the trailer testing site there were only a couple positive cases this week but respiratory visits continue to fill up each day. The decreased COVID numbers will hopefully continue. Vaccine clinics every Monday and Wednesday 8:30 - 11:30 am continue but may change soon as uptake is slowing. Testing continues every Tuesday and Thursday 8:30 - 11 am. Call CCFHS at 603-752-2040 for appointments.
COVID-19 / Vaccine Updates in NH: The statewide hospitals COVID call shared a similar story of decreasing COVID trends at the statewide scale, with the exception of Seacoast area. The number of inpatient active COVID cases is decreasing, however there are still a high number of NH hospital inpatients still recovering from COVID complications. Staff are returning to work. There is an increasing supply of COVID oral antivirals being developed which will be an important tool in future spikes. Overall COVID numbers are coming down and heading in the right direction. It feels like we’re on the downhill slide of this surge.
Education
Update from Berlin Public Schools: Number of COVID cases continues to decline - 1 staff out and 9 students. This is a huge reduction from numbers 2 to 3 weeks ago. Next week will continue with ‘red’ COVID protocols and will assess on a week by week basis to assure the trajectory continues to improve. Visit Berlin Public School Facebook Page for more information.
Update from SAU 20: There are significantly fewer COVID cases indicating a continued downward trend. There are currently 5 cases in GMHS, 1 in MVS, and 3 EdFenn Elementary School. Two to three weeks ago there were much higher numbers. SAU 20 will continue with ‘red’ COVID protocols and will assess on a week by week basis to assure the trajectory continues to improve. A snow day is called for Feb. 4th. Visit the SAU 20 office website for updates.
White Mountains Community College: Smooth sailing continues into WMCC’s third week of classes this semester.
“Pandemics end when we stop seeing sharp spikes in numbers and we hit a steady endemic state.”
There was much conversation on how and when to move into next phase behaviors after this current Omicron surge is over. Public health staff and clinicians noted that it’s too early to turn back COVID prevention protocols but hopefully with several more weeks of declining numbers the area will be at a better community transmission level. Schools will be able to consider resuming ‘yellow’ standards after a long time of being in ‘red’. Decisions will continue to be made following the data and guidelines set at the beginning of the school year. Everyone is aware of the fatigue but there is confidence in the Androscoggin Valley community to stay the course and work together to reach better community transmission numbers.
Family Resources and Long-Term Care Facilities
St. Vincent de Paul: No update on this call.
Coos County Nursing Home: The nursing home provides multiple updates a week to CCNH residents, family, and friends including the AV COVID-19 Community Group. As of Friday Feb. 4th there are three new residents and two new staff members testing positive today for COVID-19. There are currently thirteen residents with active COVID-19 infection and two staff with active infection. Starting today CCNH has had to ask positive staff to work on the COVID-19 Isolation Unit if they are well enough to work, per CDC guidance. The Isolation Unit is self contained. All group activities and communal dining are on hold until further notice. Residents are able to receive visitors however visitors and residents are made aware of the increased risk of COVID transmission at CCNH and the local community. If you have questions please be in touch with CCNH.
Northern Human Services: No update on this call.
Family Resource Center: No update on this call.
Tri-County CAP: There are currently two staff out due to COVID-19 and three recently returned. Dental and weatherization staff are struggling with daily n95 mask use and members of the call provided suggestions and resources to assist.
Emergency Services and Correctional Facilities
Berlin Fire / EMD: The department is back to full staffing and emergency response is stable.
Gorham EMS: The department is back to full staffing and is busy transporting patients to the hospital - not COVID related. Emergency response is stable.
Northern NH Correctional Facility: COVID cases have improved from previous weeks. There are a handful of staff out due to COVID and a couple of inmates testing positive. One housing unit remains in quarantine. Overall trends are heading in a better direction.
Federal Corrections Institution: COVID cases have improved from previous weeks. There are several staff out due to COVID and 6 inmates testing positive, including three on Thursday. Four housing units remain on quarantine. Testing continues and numbers are improving.
Municipal and Local Business
City of Berlin and Town of Gorham: No update on this call.
Androscoggin Valley Chamber of Commerce: No update on this call.
Community and Legislative
Public Health Network: The PHN continues to schedule vaccination clinics and share information on COVID resources to area partners. School districts expressed a need for more testing supplies and while DHHS couldn’t provide additional kits, the PNH shared a comprehensive list of testing resources to area school districts. The organization continues to connect residents with resources, including new community health workers (1.5 FTE) available to support individuals and families navigating COVID illness, isolation, and quarantine. More information here.
Congressional Delegation: With encouragement from members of the NH delegation, the Biden administration announced that Medicare will cover over the counter COVID-19 test at no cost starting in early spring. Press release with more information is circulating. Delegation staff attended the call and had no additional updates.
“It feels like we’re on the downhill slide of this surge, but we have a ways to go.”
1/27/2022: Characteristics of the Omicron Variant
Our work today is dedicated to all clinical staff who work outside in northern NH January temperatures performing COVID testing.
***
Local and statewide trends are improving after several weeks of extremely high and increasing COVID positivity rates and hospitalizations. We’re not through yet as numbers are still high and likely an undercount due to home testing. If you test positive, inform your healthcare provider. Follow NH DHHS guidelines. Remember COVID symptoms + exposure = COVID. People with symptoms report testing negative multiple times before a positive test result shows up. The Omicron variant may result in milder illness for many but may also produce a delayed worsening in the 7-10 day window. If you still feel bad when you think you should feel better, reach out to your healthcare provider.
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NH announced 1,941 new cases on January 13. There were an average of 1,770 cases per day for the most recent 7-day period (January 21 to January 27). This is a 38% DECREASE compared to the previous 7-day period. More information at https://www.covid19.nh.gov/.
***
NCH videos: #StepUpNH and #MaskUpNH
Who needs an additional Covid-19 vaccine or booster?
Informational FAQ from North Country Healthcare
Vaccine is available to anyone 5+ years old by calling Coos County Family Health Services at 603-752-2040. On-Site Medical Services is now leading a fixed vaccination site at The Chalet in Berlin. It is open Monday through Friday, 10 am - 7 pm and Saturday, 10 am - 2 pm. No appointment is needed.
***
Get up to date! Being fully vaccinated means receiving as many vaccination doses you are eligible for.
Don’t wait to get a booster shot! Booster shots can help build immune response right away so now is the time if you haven’t received one and protect against the Omicron surge.
Health Care and Medical Services
Update from Androscoggin Valley Hospital: There are four inpatients being treated for COVID-19 at AVH. Patients are vaccinated and unvaccinated. At the testing site on Wednesday 57 tests were administered, including 13 rapid tests with 4 positive. This is an improving trend from the past several weeks. AVH is stable but there are 6 staff out currently and staff continue to cycle out and back in once recovered. Patients are receiving monoclonal antibody treatment for the Omicron variant as needed. Supply of the antibodies is available but is used judiciously across the NCH system. The ED is busy with upper respiratory illnesses but flu is sporadic and on the decline in the state. The Omicron variant of COVID may result in milder illness for many but also may also produce delayed worsening symptoms in the 7-10 day window.
Update from Coos County Family Health Services: Testing clinics are full with Thursday’s testing clinic of 40 people, including 18 rapid tests with 4 positive cases. Dr. Beal saw 11 kids with 2 positive cases during pediatric testing clinic. A total of 7 staff are currently out due to a combination of positive COVID cases, quarantine, as well as lingering significant symptoms. Normal operations are maintained. Vaccine clinics are filling up every Monday and Wednesday as people are getting their boosters. Vaccine appointments are available Monday and Wednesday 8:30 - 11:30 am and testing Tuesday and Thursday 8:30 - 11 am. Call CCFHS at 603-752-2040 for appointments.
Vaccine / COVID Updates in Androscoggin Valley and NH: There are signs of optimism among the statewide NH hospitals as several southern hospitals had capacity on their med surg and ICU units for the first time in several weeks. NH has extended National Guard assistance at many health care facilities.
Rapid testing kits can be found in a variety of locations when supply is available. Private insurers are now required to cover the cost of 8 at-home coronavirus tests, per member, per month. In addition, the federal portal for Americans to order test kits through the US Postal Service is currently open. The State of NH announced its purchase of 1M testing kits to be made available at NH Liquor Stores for purchase sometime in the next two weeks. Nationally there have been 850,000 deaths due to COVID-19 during the two year pandemic. Health officials are watching COVID-19 numbers nationally and across the globe to see if trends will return to past lows or settle at a new baseline.
Education
Update from Berlin Public Schools: The number of positive cases continues to come down thankfully. There are 5 staff out and 19 students out with confirmed COVID cases. There are additional students out with symptoms or waiting to return after symptoms improve. Staffing is getting a little easier and each day is better. Visit Berlin Public School Facebook Page for more information.
Update from SAU 20: Schools are starting to see fewer cases of COVID in both students and staff. Schools remain busy as ever but the trend appears to be moving past the highest point of the latest variant surge. Visit the SAU 20 office website for updates.
White Mountains Community College: Things are going well on the COVID front during week two of the new semester. No staff and faculty are out and only a few students are remotely attending classes due to COVID-19 cases or exposure.
Family Resources and Long-Term Care Facilities
St. Vincent de Paul: As of Wednesday 1/26/22, SVP has two positive staff and four positive residents with COVID-19 cases. All residents have been tested and staff testing is being conducted.
Coos County Nursing Home: Positive COVID cases have dropped from last week. All residents and staff were PCR tested early in the week with all negative results for COVID-19. Later in the week one new positive employee and one new resident tested positive via rapid testing, both present with symptoms of COVID-19. There are a total of three active employee cases and three resident cases with COVID-19.
Northern Human Services: No update on this call.
Family Resource Center: No update on this call.
Tri-County CAP: No update on this call.
Emergency Services and Correctional Facilities
Berlin Fire / EMD: A couple of staff firefighters are cycling out and back when recovered from recent COVID cases. Emergency response is stable.
Gorham EMS: Staff are completing the cycle of testing and returning when recovered. Several staff were out last week. Emergency response is stable.
Northern NH Correctional Facility: Facility leaders provided a COVID update on staffing and residents. There are several positive COVID cases among residents and several units are in quarantine. Visits are currently closed and will be re-evaluated next week.
Federal Corrections Institution: Since Tuesday there are an additional 25 positive COVID cases, totalling 46 positive inmates. There are 10 staff still out due to positive COVID cases. Housing units continue the cycle of quarantining and testing. Additional housing unit results will be known Friday. Approximately 300 inmates have tested positive during this outbreak.
Municipal and Local Business
City of Berlin and Town of Gorham: No update on this call.
Androscoggin Valley Chamber of Commerce: No update on this call.
Community and Legislative
Public Health Network: The PHN continues to work with partners to host vaccine clinics including Wildcat Mountain in mid-February, and with housing agencies to offer vaccines and boosters to residents. Like many organizations experiencing temporary staffing shortages, the PHN has fewer volunteers available to staff vaccine clinics. More updates soon on additional testing opportunities.
Congressional Delegation: Staff are informing the Congressional representatives of the updates shared on this call. Sen. Shaheen extended her thanks to NH’s healthcare workers during a visit to Memorial Hospital in North Conway this week. No additional updates.
“We’re standing at the edge of the forest and starting to see the light shine between the trees.”
1/20/2022: COVID exposure + symptoms = COVID
Our work today is dedicated to the National Guard members who are making a big difference in many healthcare settings.
***
Cases are ticking up across the North Country. The Omicron variant is contributing to positive cases that are more than twice the previous surges. The federal prison’s numbers contribute to the county’s high rates but the high positivity rate also means that the hospitals will see a portion of the general population that needs acute care. Elderly residents are still most at most risk for severe COVID and may be most affected around day 10 - 14 post infection. Check on your neighbors, family, and friends. COVID exposure plus symptoms equals COVID, especially in the same family and household.
***
NH announced 2,461 new cases on January 20, 2022. There were an average of 2,663 cases per day for the most recent 7-day period (January 14 to January 20). This is a 14% DECREASE compared to the previous 7-day period. More information at https://www.covid19.nh.gov/.
***
Vaccine is available to anyone 5+ years old by calling Coos County Family Health Services at 603-752-2040
Anyone 12+ years may be eligible for their booster or additional COVID-19 vaccine:
Informational FAQ from North Country Healthcare
NCH videos: #StepUpNH and #MaskUpNH
***
Health Care and Medical Services
Update from Androscoggin Valley Hospital: At the testing site on Wednesday 52 COVID tests were administered, including 23 rapid tests with 11 positive, a 48% positivity rate. Family spread is contributing to the positivity rate. In an increase from last week, there are currently 5 people being treated for COVID-19 as inpatients on the Med Surg unit. Many patients are seeking medical care after initial infection around day 10 - 14 when they are struggling with the ongoing impacts of the virus. In coordination with CCFHS, supply of monoclonal antibodies treatment specific for the Omicron variant became available and was given to qualifying patients. Past patients have been unvaccinated, as well as partially vaccinated. The ER and ICU are busy but not with COVID patients. AVH is stable and managing day by day with staffing affected by COVID. Currently there are 4 staff and one provider out. The flu is circulating regionally and elsewhere in the state.
Update from Coos County Family Health Services: Dr. Beals is busy with pediatric testing clinics including 26 kids on Wednesday and Thursday with seven positive cases, an increase from last week. Testing clinic on Thursday had 37 people and 4 were positive. Thursday's testing clinic was not full, a first after several weeks of full clinics. The first dose of Paxlovid, an oral antiviral COVID treatment, was given to a qualifying patient this week. Staffing is stressed with many absences due to COVID or childcare closures including 6 nurses, 2 providers, 3 IT, and 2 receptionists. Vaccine appointments are available Monday and Wednesday 8:30 - 11:30 am and testing Tuesday and Thursday 8:30 - 11 am. Call CCFHS at 603-752-2040 for appointments.
“What more can we do but provide a calm and consistent approach for our community. We’re going to continue to do that even when it can be exhausting. So proud of everyone now approaching two years of this work together.”
Education
Update from Berlin Public Schools: A slight decrease from last week, there are 32 students and 9 staff positive with COVID across the district, with others out on quarantine and pending test results. Each day is a different staffing challenge to provide coverage at schools. School nurses have noted that not everyone is ready to return to school on day 6. Some are still testing positive or have considerable symptoms. Negative test to return is now required and a testing resupply is scheduled for next week. Visit Berlin Public School Facebook Page for more information.
Update from SAU 20: An average of 10% of students are positive across SAU 20 schools with a constant rotation of students isolating and returning after testing. Fewer staff (approx. 4) are out across the SAU. Approximately 60 rapid tests are administered each day and supply is going quickly. Schools are maintaining in person learning while managing COVID by following guidelines when infections occur. In person learning provides the most optimal and equitable learning environment for students and families and mitigation efforts are working to keep that in place. Visit the SAU 20 office website for updates.
White Mountains Community College: This is the first week of spring semester. WMCC is able to continue in person programs as the best method of instruction. Closing in on two years of the pandemic, students are showing signs of mask fatigue. Students, faculty, and staff who have to isolate or quarantine for COVID are following guidelines to return. Remote options are encouraged for those who continue to be symptomatic past day 5 until they are well enough to return.
Family Resources and Long-Term Care Facilities
St. Vincent de Paul: No update on this call.
Coos County Nursing Home: As of Thursday there are 10 employees out of work due to COVID, including three direct care employees recently testing positive. All residents will have PCR tests. There are no residents with COVID-19 at this time. CCNH continues all previously reported COVID infection prevention and control measures. (As printed in Berlin Sun 1/20/22)
Northern Human Services: No update on this call.
Family Resource Center: No update on this call.
Tri-County CAP: Three more staff are out with COVID cases originating from close household contacts. Agency remains closed to the public and staff are required to wear masks at all times. Services continue to be offered to the community.
Emergency Services and Correctional Facilities
Berlin Fire / EMD: There are two positive firefighter cases, possibly three. Cases are not affecting emergency services response.
Gorham EMS: There are four firefighter and EMS personnel out, but it is not affecting emergency services response.
Northern NH Correctional Facility: No update on this call.
Federal Corrections Institution: There is a large outbreak of COVID cases at the prison with 167 inmates and 29 staff testing positive. This is an increase from 59 positive inmate cases last week. There is a total population of 760 inmates at FCI and approximately 70% are vaccinated. Cases are mostly mild and staff are testing to return to work. (As shared on the call, further updates available in Berlin Sun article 1/20/22)
Municipal and Local Business
City of Berlin and Town of Gorham: No update on this call.
Androscoggin Valley Chamber of Commerce: No update on this call.
Community and Legislative
Public Health Network: Like other organizations with temporary staffing shortages, the PHN is experiencing a decrease of available volunteer staff for vaccination clinics. The PHN is following and working with state level partners to weigh in on proposed legislation intended to support NH’s public health infrastructure.
Congressional Delegation: No additional updates on this call.
“It’s ticking up again and a portion of the population is going to need acute care."
1/13/2022: Get up to date and get prepared
Our work today is dedicated to those sharing Covid-19 information with the local community to keep them informed.
***
Covid-19 Omicron variant is now responsible for 90% of the current Covid cases in NH. NH is seeing the highest cases we’ve seen in the past two years. Local community transmission is lower than the state average, however that will likely change as the surge moves northward. Local stores are curtailing hours due to Covid staffing shortages. People are encouraged to get prepared to follow the NH DHHS new guidance if positive with Covid or with a household contact:
Everyone, regardless of vaccination status or symptoms, should isolate for at least 5 days if they test positive for COVID-19 (or have symptoms of COVID-19 while awaiting testing), and then wear a well-fitting face mask for an additional 5 days when around other people at home or in public locations.
***
NH announced 3,818 new cases on January 13. There were an average of 2,754 cases per day for the most recent 7-day period (January 7 to January 13). This is a 32% INCREASE compared to the previous 7-day period. More information at https://www.covid19.nh.gov/.
***
NCH videos: #StepUpNH and #MaskUpNH
Who needs an additional Covid-19 vaccine or booster?
Informational FAQ from North Country Healthcare
Vaccine is available to anyone 5+ years old by calling Coos County Family Health Services at 603-752-2040. On-Site Medical Services is now leading a fixed vaccination site at The Chalet in Berlin. It is open Monday through Friday, 10 am - 7 pm and Saturday, 10 am - 2 pm. No appointment is needed.
***
Get up to date! Being fully vaccinated means receiving as many vaccination doses you are eligible for.
Don’t wait to get a booster shot! Booster shots can help build immune response right away so now is the time if you haven’t received one and protect against the Omicron surge.
Health Care and Medical Services
Update from Androscoggin Valley Hospital: There is a slight uptick with three inpatients being treated for Covid-19. At the testing site over the past week 160 Covid tests were administered, including 85 rapid tests with 36 positive - a 42% positivity rate. Many people are taking home tests instead of a testing site. Across NH the Omicron variant is 90% of the positive cases. AVH is stable but staffing is affected with 7 to 9 staff out and some returning soon. Elective procedures have not been delayed, but may need to be considered if more staff are out. Monoclonal antibodies treatment given for the Omicron variant is different from Delta and is currently in short supply. AVH / NCH hospitals have established a system to allocate the potentially scarce resource to those who need it most. Patients are receiving the treatment locally and more supply is hoped for next week. NCH continues to thank all of its healthcare employees for their hard work.
Update from Coos County Family Health Services: Testing clinics are full each testing day including Thursday with 2 positive rapid tests. Dr. Beal’s is busy with pediatric testing clinics including 17 kids on Wednesday / Thursday with two positive cases. Testing appointments are booking out. Providers are advising that if there is a confirmed Covid case in the household any other symptomatic family members are assumed to be Covid positive and should act accordingly. CCFHS is providing an informational checklist to all patients to encourage preparation if quarantining is needed. Vaccine appointments are available Monday and Wednesday 8:30 - 11:30 am and testing Tuesday and Thursday 8:30 - 11 am. Call CCFHS at 603-752-2040 for appointments.
Vaccine / Covid Updates in Androscoggin Valley and NH: NH hospitals are meeting 7 days / week to coordinate and meet the demand for patient beds. There are 561 inpatients across the state, almost 2 times the winter surge of last year. While the severity of illness is not as high, the volume of patients is crushing the system combined with staff out due to Covid. Example, Elliot Hospital this week was 5 patients away from treating patients in non-medical conference rooms. Hospitals are transporting patients to each other as needed to meet the demand for beds. AVH will support the northeast region of the state to assist with the volume in southern regions. AVH is successfully having Covid positive staff return with improving symptoms on day 6 after isolation, followed by 5 more days of complete masking. Crisis standards of care may come into play if staffing is greatly affected.
Education
Update from Berlin Public Schools: Across the district there are 44 students and 13 staff positive with Covid with others also out on quarantine and pending test results. Staffing is taxed but managing. The district will move to require a negative test to return to school on day 6 in order to reduce the number of symptomatic students returning to school too early. Nursing staff are rising to the occasion and there is an opening in the district. Please share widely to avoid short-staffing of school nurses at this critical time. Visit Berlin Public School Facebook Page for more information.
Update from SAU 20: Schools are seeing a spike in cases since the return to school after vacation. Policy for returning to school on day 6 with a negative test and masking is working well to move through this time. Visit the SAU 20 office website for updates.
White Mountains Community College: No update on this call.
Family Resources and Long-Term Care Facilities
St. Vincent de Paul: No update on this call.
Coos County Nursing Home: As of mid-day Thursday 1/13 there are 13 positive Covid cases among staff and contract tracing is occurring. No residents are positive at this time and all resident testing is pending from 1/11/21. Additional support with non-clinical duties provided by several National Guard members could not be better timed and is allowing staff to continue meeting resident and family needs.
Northern Human Services: No update on this call.
Family Resource Center: No update on this call.
Tri-County CAP: One staff member is out due to Covid. Home testing kits are more difficult to find since they are currently in short supply.
Emergency Services and Correctional Facilities
Berlin Fire / EMD: No update on this call.
Gorham EMS: Department is stable, however Covid continues to affect staffing with quarantines due to close contacts.
Northern NH Correctional Facility: No update on this call.
Federal Corrections Institution: There are currently 59 positive Covid cases among inmates and several positive staff members.
Municipal and Local Business
City of Berlin and Town of Gorham: No update on this call.
Androscoggin Valley Chamber of Commerce: No update on this call.
Community and Legislative
Public Health Network: Staff continue to host vaccine clinics including school-based and booster blitzes around the region. The PHN supports the region’s continued effort to get more people up to date with Covid vaccination.
Congressional Delegation: Staff are informing the Congressional representatives of the updates shared on this call. No additional updates.
“ Get up to date and don’t wait to get boosted!”
1/6/2022: Staffing Challenge
CODE RED MESSAGE 1/7/22:
Prepare for what is expected to be a surge in Covid infections in our region. Area residents should prepare for the possibility of illness in their families and the need to quarantine or isolate for 5 - 10 days. Businesses and services may be affected due to temporary absence of staff. Read more from the City of Berlin, Town of Gorham, Androscoggin Valley Hospital and Coos County Family Health Services.
Our work today is dedicated to all the parents who are trying to navigate lots of information and often difficult situations impacting their kids and families.
***
Positive cases are increasing again in the community. Staffing is likely going to be a major challenge over the next few weeks as Covid disrupts the essential organizations that we all count on - especially healthcare, schools, and childcare. The number of reported Covid cases have greatly increased over the past week in NH and this is likely an undercount due to many people taking rapid tests at home. NH DHHS will update quarantine and isolation guidance based on the CDC’s new recommendations.
***
NH announced 2,184 new cases on January 6. There were an average of 1,776 cases per day for the most recent 7-day period (December 31 to January 6). This is a 55% INCREASE compared to the previous 7-day period. More information at https://www.covid19.nh.gov/.
***
Vaccine is available to anyone 5+ years old by calling Coos County Family Health Services at 603-752-2040
Who needs an additional Covid-19 vaccine or booster?
Informational FAQ from North Country Healthcare
***
Booster Blitz on Saturday Jan. 8th 9 am - 4 pm at White Mountains Community College
On-Site Medical Services is now leading a fixed vaccination site at The Chalet in Berlin. It is open Monday through Friday, 10 am - 7 pm and Saturday, 10 am - 2 pm. No appointment is needed.
Health Care and Medical Services
Update from Androscoggin Valley Hospital: One inpatient is being treated for Covid at AVH. While acute illness is down, there is a lot of patient volume and staffing affected by Covid. 56 were tested at the drive through on Jan. 5th. Of the antigen tests (22) 50% were positive (11). A 50% positivity rate is consistent across other NCH facility testing at this time. Four AVH staff, including providers, are out due to Covid. AVH remains stable but very busy. Staffing shortages due to Covid is consistent across NH and it is likely to be a tough few weeks ahead.
Update from Coos County Family Health Services: There was a busy testing clinic on Thursday Jan. 6th with 40 tested and 1 positive adult antigen result. Pediatric testing had 1 positive and three additional positives from CCFHS trailer visits. CCFHS is seeing a lot of sick people, likely with flu / colds if testing negative for Covid . CCFHS vaccine clinic is now Monday and Wednesday 8:30 - 11:30 am and testing Tuesday and Thursday 8:30 - 11 am. Call CCFHS at 603-752-2040 for a vaccine appointment.
Vaccine / Covid Updates in Androscoggin Valley and NH: A statewide sample of Covid tests indicates that Delta variant is still dominant and circulating. It appears that Omicron has or will soon arrive as many people in the community are reporting positive Covid cases that have less acute illness but are highly transmissible. To address circulating information, there is emerging information that antigen test kits may be more accurate with samples from the nose and throat. In the US, antigen test manufacturer directions for nose-only samples have not changed and remain the standard.
Education
Update from Berlin Public Schools: Schools are seeing more positive cases including a cluster at the special education pre-K program at the elementary school. Administrators are working on contingency plans for how to support the schools through the next few weeks, if need emerges. Schools are awaiting NH DHHS updates on quarantine and isolation guidance on the CDC's new guidelines of return after 5 day quarantine with improving symptoms and additional days of required masking. Visit Berlin Public School Facebook Page for more information.
Update from SAU 20: SAU 20 is also starting to see an increase in positive cases and is working on contingency plans. The two school systems continue to communicate with each other in crafting their contingency plans to address this surge. Visit the SAU 20 office website for updates.
White Mountains Community College: Staff are returning to campus this week and students start classes on Jan. 18th. Among higher education institutions, WMCC has prioritized maintaining in person learning, especially since hands-on labs are essential in many programs. Programs are run in cohorts and that has aided in successful face to face instruction. WMCC is working on contingency plans for instruction including lining up adjunct faculty if instructors need to be out due to Covid. WMCC is hosting Booster Blitz on Sat. Jan. 8th 9 am - 4 pm, spread the word!
“How do we live in this new normal? That’s what we’ve been figuring out in the past 6 months. The end point is not coming soon. How do we continue doing the things we’re supposed to be doing in this world with this new reality?”
Family Resources and Long-Term Care Facilities
St. Vincent de Paul: One new Covid positive staff case was reported on Jan. 6th. Contact tracing, follow up testing, and safeguards to reduce opportunity for potential spread are all taking place.
Coos County Nursing Home: (Updated Friday 1/7/22) There are a total of 6 positive Covid cases among staff and contact tracing is in process. There are no residents with Covid-19 at this time. The facility is taking an all hands on deck approach to care for residents, however as more staff are affected contingency staffing may come into play. The facility met with DHHS and National Guard to secure up to five National Guard members to support the facility with non-clinic work through mid-March. Guard members will be screened and oriented to assist with answering phones, transporting residents, greeting visitors, screening, data entry, etc. to discuss options for assistance with non-clinical duties at the Home. The facility is not taking any admissions until more Registered Nurses, Licensed Practical Nurses, and LNAs are recruited.
Northern Human Services: No update on this call.
Family Resource Center: No update on this call.
Tri-County CAP: There have been recent positive Covid cases among staff. All are back from quarantine and overall staffing is not affected.
Emergency Services and Correctional Facilities
Berlin Fire / EMD: The department is experiencing a small number of positive / potential Covid cases but overall staffing is not affected.
Gorham EMS: Similarly, Gorham’s department is experiencing a small number of positive / potential Covid cases but overall staffing is not affected.
Northern NH Correctional Facility: No update on this call.
Federal Corrections Institution: (Updated Friday 1/7/22) FCI is responding to a total of 48 resident positive Covid cases (25 on Jan. 6 and 23 on Jan. 7). Follow up testing, quarantining, and screening of the institution will continue until the outbreak has passed.
Municipal and Local Business
City of Berlin and Town of Gorham: No update on this call.
Androscoggin Valley Chamber of Commerce: No update on this call.
Community and Legislative
Public Health Network: “Booster Blitz” will be held Saturday Jan. 8th 9 am - 4 pm at White Mountains Community College in Berlin. Booster COVID-19 vaccines will be available, including all 3 vaccine presentations. The clinic is open to the public and more information including advanced registration is available.
Congressional Delegation: No additional update.
“Staffing - that’s the major challenge right now, especially in the hospitals. In the North Country and NH staff are rapidly being affected so it’s going to be a tough couple of weeks.”
12/30/21: Keeping Up the Fight
Our work today is dedicated to the extraordinary leaders in this group who have dedicated their time, energy, and passion to the cause.
***
With an unprecedented surge of infections forecasted for early in the year, community members are encouraged to make preparations in order to avoid potential disruptions.
NH announced 1,580 new cases on December 30. There were an average of 1,076 cases per day for the most recent 7-day period (December 24 to December 30). This is a 6% DECREASE compared to the previous 7-day period. More information at https://www.covid19.nh.gov/.
***
NCH videos: #StepUpNH and #MaskUpNH
Who needs an additional Covid-19 vaccine or booster?
Informational FAQ from North Country Healthcare
Vaccine is available to anyone 5+ years old by calling Coos County Family Health Services at 603-752-2040
***
Health Care and Medical Services
Update from Androscoggin Valley Hospital: AVH is experiencing some challenges with staff shortages, however, there are currently 0 COVID-19 patients in the hospital. Operations are running normally. There have been 8 patients who have received monoclonal antibodies this week, which is a slight uptick. The main variant in New Hampshire still appears to be Delta, though experts are estimating that 18% of cases are due to the Omicron variant. The state is currently working on establishing procedures for oral antiviral treatments. Overall, the number of inpatient COVID-19 patients seems to have decreased, as many patients have shifted to recovery. AVH is currently stable and is preparing for the forecasted surge in infections that may take place early in the coming year.
Update from Coos County Family Health Services: As far as COVID-19 testing, clinics have filled back up again. However, there have only been 4 positive test results for this week. There have not been a lot of flu cases either, though there may be a respiratory virus circulating. CCFHS is still administering booster vaccinations. Volume for immunizations has decreased significantly, almost cut in half. CCFHS is continuing preparations, in light of the anticipated incoming wave of infections, in order to avoid disruptions. Community members are encouraged to make preparations as well, if possible, including securing groceries and supplies; making a plan to stay in contact with family and neighbors; reducing gatherings; and ensuring masks are worn as much as possible. Call CCFHS at 603-752-2040 for a vaccine or testing appointment.
Education
Update from Berlin Public Schools: There are currently very few positive cases in the student and staff populations, except for a handful of positive tests from one of the sports teams. Berlin Public Schools was successful in securing tests for these students and the program has shut down in the meantime. Schools will return from break on Monday, January 3. Visit Berlin Public School Facebook Page for more information.
Update from SAU 20: SAU 20 is experiencing a similar situation to Berlin Public Schools in terms of the COVID-19 landscape. Visit the SAU 20 office website for updates.
White Mountains Community College: WMCC is preparing for a Booster Blitz event that will take place on January 8 at the Community College.
Family Resources and Long-Term Care Facilities
St. Vincent de Paul: No update on this call.
Coos County Nursing Home: No update on this call.
Northern Human Services: No update on this call.
Family Resource Center: No update on this call.
Tri-County CAP: No update on this call.
Emergency Services and Correctional Facilities
Berlin Fire / EMD: No update on this call.
Gorham EMS: No update on this call.
Northern NH Correctional Facility: No update on this call.
Federal Corrections Institution: No update on this call.
Municipal and Local Business
City of Berlin and Town of Gorham: No update on this call.
Androscoggin Valley Chamber of Commerce: No update on this call.
Community and Legislative
Public Health Network: PHN is gearing up for the Booster Blitz 2.0 event on January 8.
Congressional Delegation: No update on this call.
“We are all in this together. No matter what, we will keep up the fight.”
12/23/21: Be Careful, Be Safe, and Happy Holidays
Our work today is dedicated to front-line healthcare workers.
***
While the spread of COVID-19 seems to have generally calmed down in the North Country, healthcare facilities are preparing to face the Omicron variant.
NH announced 1,088 new cases on December 23. There were an average of 1,042 cases per day for the most recent 7-day period (December 17 to December 23). This is a 14% DECREASE compared to the previous 7-day period. More information at https://www.covid19.nh.gov/.
***
NCH videos: #StepUpNH and #MaskUpNH
Who needs an additional Covid-19 vaccine or booster?
Informational FAQ from North Country Healthcare
Vaccine is available to anyone 5+ years old by calling Coos County Family Health Services at 603-752-2040
***
The COVID-19 New Hampshire site provides information on how to obtain free at-home tests. Please visit the site to learn more.
The CDC has issued a “What you Need to Know” memo on the emerging Omicron variant.
Health Care and Medical Services
Update from Androscoggin Valley Hospital: AVH currently has 1 COVID-19 patient on the Med-Surg floor. They have 16 patients overall, which is more than normal. Volume and turnover of patients has been high at the hospital lately. There have also been a fair amount of monoclonal antibody treatments administered.
Update from Coos County Family Health Services: In terms of testing clinics, Tuesday’s clinic had 28 tests administered and 4 positive results, while today’s clinic had 40 tests and 1 positive result. Testing demand is picking up, though the positivity rate remains relatively low. At-home tests are available for distribution at the facility. In January, the vaccination clinics at CCFHS will change from a Tuesday/Thursday schedule to a Monday/Wednesday schedule from 8:30 am - 11:30 am. The demand for vaccination is currently slowing down. On the medical front, emergency use authorization was issued for an oral medication for the treatment of COVID-19, if administered within 3 days of the onset of symptoms. AVH Pharmacy expects to receive a shipment, though it appears the supply will be limited. CCFHS remains concerned about the repercussions of the emerging Omicron variant and is continuing preparations to minimize disruption. Call CCFHS at 603-752-2040 for a testing or vaccine appointment.
Education
Update from Berlin Public Schools: No update on this call. Visit Berlin Public School Facebook Page for more information.
Update from SAU 20: No update on this call. Visit the SAU 20 office website for updates.
White Mountains Community College: WMCC closes out today with 0 cases of COVID-19 internally. In January, students, faculty, and staff will return (with a mask mandate in effect). In-person events will be limited during the first week of January to prepare for any after-effects of holiday travel. Small orientations will take place during the second week of January. WMCC has been exploring grants aimed at strengthening workforce opportunities and rural and economic development.
Family Resources and Long-Term Care Facilities
St. Vincent de Paul: No update on this call.
Coos County Nursing Home: No update on this call.
Northern Human Services: No update on this call.
Family Resource Center: No update on this call.
Tri-County CAP: No update on this call.
Emergency Services and Correctional Facilities
Berlin Fire / EMD: No update on this call.
Gorham EMS: Two new changes have been issued from the state level, including a requirement of eyeshields on ambulance crews, as well as a policy related to EMS transfers.
Northern NH Correctional Facility: No update on this call.
Federal Corrections Institution: No update on this call.
Municipal and Local Business
City of Berlin and Town of Gorham: No update on this call.
Androscoggin Valley Chamber of Commerce: No update on this call.
Community and Legislative
Public Health Network: January 8, 2022 has been confirmed as the date for Booster Blitz 2.0. They are currently exploring possible locations. PHN has been working with the Senior Center in Haverhill to ensure that residents can sign up for booster vaccinations. They are planning to call residents to help schedule their boosters, rather than using the online format that may be challenging. PHN is planning to prioritize this age group for the Booster Blitz 2.0 event. A few booster clinics have been hosted recently and there is a second-dose clinic occurring on December 30 for the children who received their primary dose at the White Mountain Regional High School clinic previously.
Congressional Delegation: The Senate has recessed for the year and offices will be closed until January.
“There are 3 ways in which the Omicron variant may be different than previous waves:
It is likely to be more national in scope than regional.
It is possible that it will occur more quickly (since it appears to be 2-3 times more infectious) and will be shorter in duration than previous waves.
Community members without 3 doses (2 doses and a booster dose) are very vulnerable to this variant.
It is incredibly important for community members to receive a booster shot!”
12/16/2021: A Fragile State
Our work today is dedicated to the communications professionals, who play a significant role in COVID-19 response and public health efforts (including James Patry, Sarah Gibson, Alli Fam, and many others).
***
Community transmission appears to have stabilized in the North Country, though forthcoming challenges, including the Omicron variant and rising cases in other parts of the state, indicate that it is not yet time to ease efforts.
NH announced 1,126 new cases on December 16. There were an average of 1,105 cases per day for the most recent 7-day period (December 10 to December 16). This is a 19% DECREASE compared to the previous 7-day period. More information at https://www.covid19.nh.gov/.
***
NCH videos: #StepUpNH and #MaskUpNH
Who needs an additional Covid-19 vaccine or booster?
Informational FAQ from North Country Healthcare
Vaccine is available to anyone 5+ years old by calling Coos County Family Health Services at 603-752-2040
***
One year ago today, on December 17, 2020, the first COVID-19 vaccine was administered in the North Country.
The CDC has issued a “What you Need to Know” memo on the emerging Omicron variant.
Health Care and Medical Services
Update from Androscoggin Valley Hospital: AVH currently has 2 patients who are COVID-19 positive, though both are currently stable. There was an increase in demand for monoclonal antibody treatment this week, almost twice as high as normal, which is a good indication. In terms of rapid testing, the positivity rate is approximately 20% and increased slightly yesterday. The PCR tests from Monday all had negative test results. Staffing remains tight at the hospital. Looking at the state overall, the south continues to have high community transmission rates, while the North Country seems to have stabilized for the time being. AVH is currently working on communication efforts to spread awareness about the COVID-19 situation in hospitals across the state.
Update from Coos County Family Health Services: This weekend, there were 9 positive test results which was highly unusual for a weekend clinic and caused a bit of a scare. However, there have only been a handful of positive test results throughout the week. Overall, the situation appears to be stable. There is a decreased demand for testing. In terms of vaccination efforts, 66 COVID-19 vaccinations were administered this week - 63 were booster shots and 3 were primary doses. CCFHS is working on a project to expand capacity for adult respiratory visits and they are hoping to be able to offer that service early in the new year. Significant concerns are emerging about the potential impact of the Omicron variant. Planning has begun to minimize potential disruption. Call CCFHS at 603-752-2040 for a testing or vaccine appointment.
Education
Update from Berlin Public Schools: There was a small uptick in the number of positive cases this week and the number of individuals in quarantine. At Berlin Elementary School, there are 4 students in isolation, 10 students in quarantine, and 1 staff member in isolation. At Berlin Middle High School, there are 3 students in isolation, 5 students in quarantine, 1 staff member in isolation, and 1 staff member in quarantine. It appears that these numbers are higher than normal because of community transmission numbers and household contacts. Vacation will begin next week and they are hoping that staffing remains stable. Visit Berlin Public School Facebook Page for more information.
Update from SAU 20: Echoing Berlin Public Schools, there has been a slight increase in COVID-19 cases. There are currently a handful of student cases, including 3 in the Middle School and 4 in the High School. There are no staff cases currently. They will continue to stay in the “red” risk level and will revisit in January. Visit the SAU 20 office website for updates.
White Mountains Community College: Final examinations are finishing up, with the last exams occurring on Thursday. There are very few cases currently at WMCC. All COVID-19 precautions will continue in the spring semester, including the mask mandate.
Family Resources and Long-Term Care Facilities
St. Vincent de Paul: No update on this call.
Coos County Nursing Home: No update on this call.
Northern Human Services: No update on this call.
Family Resource Center: No update on this call.
Tri-County CAP: 4 staff members are currently out on quarantine. Tri-County CAP would also like to extend a special “thank you” to AVH and all of their staff working every day to deliver an exceptional patient experience.
Emergency Services and Correctional Facilities
Berlin Fire / EMD: No update on this call.
Gorham EMS: No update on this call.
Northern NH Correctional Facility: No update on this call.
Federal Corrections Institution: No update on this call.
Municipal and Local Business
City of Berlin and Town of Gorham: No update on this call.
Androscoggin Valley Chamber of Commerce: No update on this call.
Community and Legislative
Public Health Network: PHN has been consumed with preparations for the Booster Blitz effort that occurred on December 11. Their team administered 182 vaccinations at the Haverhill location. A significant number of additional registrants, unfortunately, did not attend and it appears that the weather could have been a factor. Overall, the clinic went smoothly and the next Booster Blitz clinic is planned for January 8, 2022. PHN has been able to partner with community health workers on new efforts due to recent additional funding. The community health workers are already working with vaccine recipients to scan for social determinants of health needs. They will also prepare a marketing campaign to share their capacity and the services that they can offer. With a new grant from the UNH Cooperative Extension Service, PHN is undertaking a new exciting project to identify and film vaccination ambassadors for the North Country. Print and video versions will be available by the beginning of the new year.
Healthy 603 Coalition: The Healthy 603 Coalition is a new organization consisting of different stakeholders, including the hospital association, the nurses association, medical societies, non-profit organizations, and businesses, who are working together to advocate for responsible vaccination legislation at the state level. In addition to legislative efforts, they will lead social media campaigns.
Congressional Delegation: No update on this call.
“The challenges will be plentiful, but I’m more confident than ever before that whatever hardships come to the North Country, we will work together to overcome them.”
12/09/2021: Rapidly Approaching a Crisis
Our work today is dedicated to the IT professionals who have supported the efforts of organizations that make essential services available. Their vital work has enabled telehealth capabilities and has often included the implementation of brand new systems to adapt to the rapidly changing environment.
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The state of New Hampshire is rapidly approaching a crisis as new records of cases are reported daily and state healthcare facilities are increasingly strained.
NH announced 1,408 new cases on December 9. There were an average of 1,245 cases per day for the most recent 7-day period (December 3 to December 9). This is an 18% INCREASE compared to the previous 7-day period. More information at https://www.covid19.nh.gov/.
According to the New York Times, there has been a 20% increase in reported COVID-19 cases by day in Coos County.
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NCH videos: #StepUpNH and #MaskUpNH
Who needs an additional Covid-19 vaccine or booster?
Informational FAQ from North Country Healthcare
Vaccine is available to anyone 5+ years old by calling Coos County Family Health Services at 603-752-2040
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Healthcare professionals are continuing to encourage those who have developed COVID-19 symptoms to seek care as soon as possible. In addition, community members who have tested positive for COVID-19 (including those who have used a home-based testing kit) should contact their primary care provider.
On-Site Medical Services is leading a fixed vaccination site at The Chalet in Berlin. It is open Monday through Friday, 10 am - 7 pm and Saturday, 10 am - 2 pm. No appointment is needed.
Health Care and Medical Services
Update from Androscoggin Valley Hospital: There are record numbers almost every day in terms of COVID-19 cases and hospitalizations, though Coos County numbers have not been as high as those in the southern part of the state. AVH is meeting daily with the New Hampshire Hospital Association and the New Hampshire Department of Health and Human Services. At the hospital, there are currently 3 COVID-19 patients, with 2 in Med/Surg and 1 in the ICU. None of the patients are on ventilators. Testing volume continues to be low. There was a 25% positivity rate from the rapid tests yesterday (though it was a small sample of only 12 tests). The volume in the Emergency Department has been increasingly high and there are very few options for patient transfers. Hospitals in the state are over-capacity and there is an increased sense of urgency.
Update from Coos County Family Health Services: CCFHS is concerned about the rising number of cases in the region, as well as the possibility of re-infection in long-term care facilities. They are strongly encouraging community members to receive their booster shots. At CCFHS testing clinics, there were 12 positive results this week between both PCR and rapid tests. However, there are low levels of testing overall. Vaccination clinics continue to be incredibly busy with booster shots. There has been a significant uptick in flu transmission and CCFHS is seeing daily cases. Call CCFHS at 603-752-2040 for a vaccine appointment.
Education
Update from Berlin Public Schools: The case count has remained low, with approximately 6 cases between both Berlin Elementary School and Berlin Middle High School. There are no current cases amongst staff members. There are a few students currently quarantining, as well as a couple of staff members who are symptomatic and awaiting results. In terms of mental health, it has been a difficult time for the students, with ongoing stressors of the pandemic adding to the situation. This is emotionally tiring work for staff. The upcoming school break starts on December 23 and will run through January 2. Visit Berlin Public School Facebook Page for more information.
Update from SAU 20: Cases are currently low, though SAU 20 is monitoring the situation in the region. Although they continue to see a low number of cases, it is not reaching zero. Echoing the concerns of Berlin Public Schools, mental health has been a focus and remains a critical aspect of adapting to the “new normal.” Visit the SAU 20 office website for updates.
White Mountains Community College: No update on this call.
Family Resources and Long-Term Care Facilities
St. Vincent de Paul: No update on this call.
Coos County Nursing Home: A direct care employee tested positive for COVID-19 today. All residents in the related area will undergo testing. Group activities in the related area and communal dining will be placed on hold until further notice.
Northern Human Services: No update on this call.
Family Resource Center: No update on this call.
Tri-County CAP: No update on this call.
Emergency Services and Correctional Facilities
Berlin Fire / EMD: No update on this call.
Gorham EMS: Gorham EMS is seeing an increase in COVID-19 patients.
Northern NH Correctional Facility: The Facility is doing well, with low rates of COVID-19 and zero current cases.
Federal Corrections Institution: No update on this call.
Municipal and Local Business
City of Berlin and Town of Gorham: No update on this call.
Androscoggin Valley Chamber of Commerce: No update on this call.
Community and Legislative
Public Health Network: The PHN team is working diligently to prepare for the Booster Blitz, taking place on December 11, from 10 am - 2 pm in Haverhill.
Congressional Delegation: Senator Hassan recently published an article explaining how vaccinations can save lives while supporting the economy. The delegation would like to thank all of the education and healthcare professionals for their continued hard work and dedication.
“We are rapidly approaching a point where none of us wanted to be. If things do not change significantly and quickly, we will be in a crisis.”
12/2/2021: Cause for Concern
Our work today is dedicated to the maintenance crew of the Berlin Public Schools. Bryan Lamirande and his group have been part of the many groups of unsung heroes. Without all of the behind-the-scenes folks, including maintenance workers and those who are helping to run the vaccination clinics, we would not have accomplished what we have so far.
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Despite marginally improved rates of community transmission in the region, the state healthcare system is under incredible stress due to an increase in COVID-19 cases in the southern part of the state.
NH announced 1,134 new cases on December 2. There were an average of 975 cases per day for the most recent 7-day period (November 26 to December 2). This is a 5% DECREASE compared to the previous 7-day period. More information at https://www.covid19.nh.gov/.
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NCH videos: #StepUpNH and #MaskUpNH
Who needs an additional Covid-19 vaccine or booster?
Informational FAQ from North Country Healthcare
Vaccine is available to anyone 5+ years old by calling Coos County Family Health Services at 603-752-2040
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The CDC Health Alert Network distributed an official health advisory regarding Omicron, a new SARS-CoV-2 variant.
On-Site Medical Services is now leading a fixed vaccination site at The Chalet in Berlin. It is open Monday through Friday, 10 am - 7 pm and Saturday, 10 am - 2 pm. No appointment is needed.
Do It For the People Who Love You is a short video encouraging vaccination. Please consider sharing the video with your networks.
Health Care and Medical Services
Update from Androscoggin Valley Hospital: Over the last week, the hospital has been very busy in the ICU and in Med-Surg. The number of community members interested in testing has increased, with 47 people tested. 19 rapid tests were administered and 5 had positive results (approximately 26%). AVH is very concerned about the rise in cases in the southern part of the state. There have been 1,250 new COVID-19 cases in the last 24 hours. Tertiary facilities are currently completely full, which is a major concern. There are 4 patients currently with COVID-19 in the hospital and 2 post-COVID patients. In terms of communications, the AVH/NCH website will be undergoing updates and revisions within the next week.
Update from Coos County Family Health Services: Similar to the experience of AVH, community interest in testing seems to have increased at the CCFHS sites. Testing clinics were conducted throughout this week, with a handful of positive results. At today’s clinic, there were 40 individuals tested, with 4 positive results (a higher than normal rate). Regarding vaccinations, 103 individuals attended the Brown School vaccination clinic hosted today. Almost all of the attendees received their booster shot. CCFHS continues to offer vaccinations on Pleasant Street on Tuesdays and Thursdays from 1 pm - 4 pm. They are currently booking about a month out, due to the increase in demand stemming from the fact that all adults, 18+, are now eligible for a booster. Noting that there are currently many questions regarding the new Omicron variant, a CDC health advisory was issued this week with new guidance. CCFHS is also continuing their ongoing efforts to promote vaccinations. Call CCFHS at 603-752-2040 for a vaccine appointment.
“There is no need to panic. We have a number of tools to address what the Omicron variant throws at us, including antivirals that are on the cusp of being approved. Patience is the watchword here.”
Vaccine Update in Androscoggin Valley: The rates of community transmission are far lower in the Berlin/Gorham area than a couple of weeks ago. However, there are higher rates of transmission in Lancaster, Conway, and Littleton, as well as significant rates in the lower part of the state. There is incredible stress on the state healthcare system. It has not been greater at any point over the last 22 months. It is incredibly important to preserve capacity at the hospitals. It appears to be a fairly dire situation even though community transmission rates seem to have marginally improved.
Education
Update from Berlin Public Schools: The Berlin Public Schools remain stable with low numbers of COVID-19. One staff member is currently in isolation at Berlin Elementary School and no staff members are in isolation at the Berlin Middle High School. A few students at each school are currently in isolation. The schools are preparing to host upcoming gatherings as responsibly as possible, including Parent-Teacher conferences and holiday concerts, which will require masks and physical distancing. The schools will remain in “red,” noting the responsibility to the community amid the current strain on medical facilities. Visit Berlin Public School Facebook Page for more information.
Update from SAU 20: SAU 20 started on Monday with zero cases of COVID-19 among staff and students, however, there have been a handful of cases throughout the week. They will likely continue in “red” through the holidays due to the current strain on hospitals. Visit the SAU 20 office website for updates.
White Mountains Community College: No update on this call.
Family Resources and Long-Term Care Facilities
St. Vincent de Paul: No update on this call.
Coos County Nursing Home: No update on this call.
Northern Human Services: No update on this call.
Family Resource Center: No update on this call.
Tri-County CAP: Tri-County CAP would like to emphasize that there is not a vaccination requirement to obtain services through their organization. In terms of programming, there is currently an increase in applicants for fuel and rental assistance. As of right now, it does not matter if a community member has been affected by COVID-19 directly in order to receive services. All regular programs are running, operating on an income-basis. They are starting a new program to provide assistance to pay for water bills. All information on this new program, as well as the application, is on their website. As a note, if a community member qualifies for fuel assistance, they will be automatically approved for water assistance.
Emergency Services and Correctional Facilities
Berlin Fire / EMD: No update on this call.
Gorham EMS: In the past week, Gorham EMS has seen some higher acuity patients. They are preparing for their community Santa workshop tomorrow evening, where masks will be required.
Northern NH Correctional Facility: No update on this call.
Federal Corrections Institution: Boosters continue to be administered to staff and there will be an extension issued regarding disciplinary action if staff members have not yet been vaccinated.
Municipal and Local Business
City of Berlin and Town of Gorham: No update on this call.
Androscoggin Valley Chamber of Commerce: No update on this call.
Community and Legislative
Public Health Network: PHN has been very busy helping to plan the “Booster Blitz” initiative that was announced before Thanksgiving. There will be 3 different locations in the North Country, leveraging existing sites and current mobile capacity. Haverhill has been chosen as one of the sites, bolstered by the presence of On-site Medical Services in Berlin. At the 3 different locations on December 11, booster shots will be available for adults over the age of 18, from 9 am - 3 pm. PHN will also be hosting their second-dose community clinic this Saturday, December 4 at White Mountains Regional High School from 10 am to 2 pm. Primary series and booster COVID-19 vaccines will be available, including all 3 vaccine presentations. Flu vaccines will also be available for children. The clinic is open to the public and no advance registration is required. The statewide initiative for home-based testing also began this week, which was a partnership between the Institute of Health and Amazon. 1 million tests were secured, though 850,000 were claimed in the first 24 hours of the announcement. There is an effort underway to secure more tests to distribute. The intent of the program is to provide free, easily accessible testing methods to community members who may be symptomatic.
“We are seeing an incredible amount of activity right now in our clinics, but it is all booster activity. The same people who were hungry for vaccines in the beginning of the year are still interested. The people who have been resistant all along still seem to be resistant. There are only so many ways to share the same message.”
Congressional Delegation: No update on this call.
“There is incredible stress on the state healthcare system. It has not been greater at any point over the last 22 months. It is incredibly important to preserve capacity at the hospitals. It appears to be a fairly dire situation even though community transmission rates seem to have marginally improved.”
11/23/21: The Next Wave
Our work today is dedicated to those in Coos County who have lost their lives as a result of COVID-19 (69 Coos County residents and 1,672 statewide residents). We are keeping those folks, as well as their family and friends, in our hearts.
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Partners are preparing for a surge in COVID-19 cases, amid the steady rise of infections in the southern part of the state and the upcoming holiday.
NH announced 561 new cases on November 23. There were an average of 955 cases per day for the most recent 7-day period (November 17 to November 23). This is a 9% INCREASE compared to the previous 7-day period. More information at https://www.covid19.nh.gov/.
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NCH videos: #StepUpNH and #MaskUpNH
Who needs an additional Covid-19 vaccine or booster?
Informational FAQ from North Country Healthcare
Vaccine is available to anyone 5+ years old by calling Coos County Family Health Services at 603-752-2040
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Health Care and Medical Services
Update from Androscoggin Valley Hospital: It is currently busy, but stable, at AVH. The state is experiencing a new record for hospitalizations (367 individuals) and the emergency departments in the southern part of the state are definitely overwhelmed. AVH is worried and concerned about the surge that is likely coming. In terms of COVID testing, 40 individuals were tested yesterday and 20% of the results came back positive. Berlin recently extended their mask mandate last night, while Gorham has ended their mask mandate (while encouraging the community to continue wearing them). AVH staff issued a strong letter in local media platforms to emphasize the importance of vaccination and of continuing protective measures to halt community spread. In a recent development, the Governor will be issuing executive orders focused on alleviating testing demand, increasing vaccination opportunities, and providing flexibility to hospitals to prepare for the upcoming surge in cases.
Update from Coos County Family Health Services: In terms of testing, CCFHS provided 14 tests over the weekend, with 4 positive results. There were 11 tests provided today and no positive results. In anticipation of the next wave of cases, CCFHS is preparing to provide additional respiratory visits for adults. In partnership with AVH, they are also hoping to provide monoclonal antibodies to patients directly at their site, in order to keep patients out of the hospital. CCFHS continues to invite the community to brainstorm methods of creative outreach in order to strengthen vaccination efforts: “We’re going to have to do something a little different to move the needle here...this is about engaging people in conversation, listening to concerns, and trying to reach out to that subset of people who are on the fence - to answer questions and to see what we can do to help them make a decision.” Call CCFHS at 603-752-2040 for a vaccine appointment.
Update from On-Site Medical: Planning is on-schedule to open the vaccination clinic next week in Berlin on November 29. Vaccinations will be available Monday through Friday (10 am - 7 pm), and Saturday (9 am - 2 pm). On-Site Medical has continued preparations to offer mobile vaccinations as well. They are continuing to look into the possibility of adding testing capabilities to their sites, as well as the opportunity to provide flu vaccinations.
Education
Update from Berlin Public Schools: The Berlin Public Schools will be closing for the rest of the week for the holiday. Both staffing levels and COVID cases are currently stable. Visit Berlin Public School Facebook Page for more information.
Update from SAU 20: Sports are starting soon for SAU 20. The number of current COVID cases is stable. Visit the SAU 20 office website for updates.
White Mountains Community College: No major update on this call. The Community College will be closed on Thursday and Friday for the holiday.
Family Resources and Long-Term Care Facilities
St. Vincent de Paul: No update on this call.
Coos County Nursing Home: CCNH does not have any active resident cases of COVID-19. There is a second non-direct care worker who has tested positive for COVID-19, though they are asymptomatic. This makes two (2) active cases of non-direct care employees who are positive with COVID-19. Public Health is aware and contact tracing has been completed.
Northern Human Services: No update on this call.
Family Resource Center: No update on this call.
Tri-County CAP: No update on this call.
Emergency Services and Correctional Facilities
Berlin Fire / EMD: No update on this call.
Gorham EMS: The mask mandate ended last night in Gorham, although it has been recommended that community members continue wearing them. No other updates on this call.
Northern NH Correctional Facility: No update on this call.
Federal Corrections Institution: No update on this call.
Municipal and Local Business
City of Berlin and Town of Gorham: No update on this call.
Androscoggin Valley Chamber of Commerce: No update on this call.
Community and Legislative
Public Health Network: PHN recently attended a meeting with the state and found out that the Governor has decided to set up several vaccination sites. One will be hosted in Haverhill near PHN. They are recommending sites in the Haverhill/Woodsville area due to anticipated need. More information will be coming in the future.
Congressional Delegation: No update on this call.
“We are anticipating the next wave coming...it is not a matter of if, but when.”
11/18/2021: Status Quo
Our work today is dedicated to Dr. Brian Beals, who was recognized this week as the 2021 New Hampshire Community Star from the National Association of State Offices of Rural Health.
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Overall, cases seem to have generally stabilized in the region over the past few weeks. However, amid concerns of a surge in nearby areas, there is work to be done and a need to consider methods of additional action.
NH announced 986 new cases on November 18. There were an average of 880 cases per day for the most recent 7-day period (November 12 to November 18). This is an 18% INCREASE compared to the previous 7-day period. More information at https://www.covid19.nh.gov/.
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NCH videos: #StepUpNH and #MaskUpNH
Who needs an additional Covid-19 vaccine or booster?
Informational FAQ from North Country Healthcare
Vaccine is available to anyone 5+ years old by calling Coos County Family Health Services at 603-752-2040
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Health Care and Medical Services
Update from Androscoggin Valley Hospital: Over the past few days, there has not been a lot of COVID activity in the Emergency Room at AVH. There are currently 2 COVID patients in the ER, 1 active patient in Med/Surg, and no patients in the ICU. In terms of testing, only 25% of the rapid tests yesterday came back positive. While there have been beds available at AVH over the past few weeks in the Med/Surg and ICU units, in certain areas, such as Littleton, there appears to be a shortage. COVID cases across the state appear to be very high as of yesterday (the highest since January). There are concerns that as the southern section of the state experiences a surge in cases, the North Country will not be far behind.
Update from Coos County Family Health Services: In terms of testing, there were 28 tests performed yesterday and 31 performed today and none of the tests had positive results. Overall, the testing clinics are not filling up, which continues to be a trend. Testing will likely continue weekly despite the decreased demand to ensure access for the public. At the vaccine clinic this week, 77 people received vaccinations, though there was capacity for 400. CCFHS is hoping that demand will increase once it is decided that all adults (18+) are eligible for a booster shot. Currently, the majority of people coming to the clinics are receiving booster shots and there are only a handful of people receiving their first dose. CCFHS would also like to brainstorm creative ways to conduct outreach to the section of the public that may be hesitant to receive a vaccine. Call CCFHS at 603-752-2040 for a vaccine appointment.
Update from On-Site Medical: The fixed vaccination site in Berlin is starting on November 29 and will have capabilities for mobile access. It will be open Monday through Friday from 10 am - 7 pm, as well as on Saturday from 9 am - 2 pm. There is no charge for vaccines offered through this program. Sites in Plymouth, Claremont, and Rochester will likely follow.
Education
Update from Berlin Public Schools: The number of cases has dropped in the schools. There is currently 1 staff member and 2 students in isolation from Berlin Elementary School and 1 staff member and 6 students out in isolation and/or quarantine from the Berlin Middle High School. It is a relief to have stable levels of staffing once again. Visit Berlin Public School Facebook Page for more information.
Update from SAU 20: There is currently only 1 active case in the schools and a couple of individuals in quarantine. However, there are concerns about surges in nearby areas and SAU 20 will stay in the “red” zone for the time being. The schools are focused on educating the students and trying to enjoy the school year in the “new normal.” Visit the SAU 20 office website for updates.
White Mountains Community College: No update on this call.
Family Resources and Long-Term Care Facilities
St. Vincent de Paul: No update on this call.
Coos County Nursing Home: There is currently 1 active case from a non-direct care employee and contact tracing has been completed. Testing of unvaccinated staff for COVID-19 continues twice weekly, due to the high transmission rate of COVID-19 in Coos County. On November 5, 2021, the Centers for Medicare and Medicaid (CMS) announced they will now require mandatory COVID-19 vaccines for certain healthcare settings. The Coos County Nursing Home is covered by this regulation and must establish a policy ensuring all eligible staff have received the first dose of a two-dose COVID-19 vaccine or a one-dose COVID-19 vaccine prior to providing any care, treatment, or other services by December 5, 2021. Visitation is now allowed for all residents at all times, subject to the Core Principles of COVID-19 Infection Prevention.
Northern Human Services: No update on this call.
Family Resource Center: No update on this call.
Tri-County CAP: There is currently only 1 active case. Tri-County CAP is glad to hear of the new developments with the vaccination site in Berlin and they are hoping to provide free transportation to upcoming vaccination clinics.
Emergency Services and Correctional Facilities
Berlin Fire / EMD: No update on this call.
Gorham EMS: This week, there was a decrease in call volume. There were no COVID patients in their cases this week.
Northern NH Correctional Facility: In terms of COVID cases, the facility is doing well. They hosted a vaccination clinic for staff members on Monday, offering booster shots and the flu shot, with a positive turnout. Booster shots are also currently being offered to inmates.
Federal Corrections Institution: No update on this call.
Municipal and Local Business
City of Berlin and Town of Gorham: No update on this call.
Androscoggin Valley Chamber of Commerce: No update on this call.
Community and Legislative
Public Health Network: It was recently discovered that there might be a disconnect at the state level regarding the vaccine capability in the North Country due to the current methods for publicizing vaccination availability online. PHN is continuing to connect local groups with information about vaccination, including homeless shelters and housing facilities. They are starting to receive more requests for community-based clinics. PHN is thinking thoughtfully about how to conduct outreach and message effectively in ways that are specific to the North Country, recognizing that there is hesitation in the region regarding vaccination. The North Country Health Consortium 2021 Annual Meeting will be hosted tomorrow morning and all stakeholders are invited to participate.
Congressional Delegation: As today is National Rural Health Day, the delegation would like to recognize the work of this community group: “This group exemplifies what energized rural health truly means.”
“We want to make sure that the resources made available in the North Country are being made available in ways that make good sense for the North Country.”
11/11/2021: Grateful for Partnership
Our work today is dedicated to our elected officials who are trying to support their communities and to create public policy to serve the state well, all while addressing the concerns of multiple constituents.
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Partners throughout the region continue to work together to promote vaccination opportunities to the public. This week, the N.H. Executive Council voted to accept significant funding to improve vaccination rates in the state (final approval is still needed from the Fiscal Committee).
NH announced 736 new cases on November 10. There were an average of 675 cases per day for the most recent 7-day period (November 4 to November 10). This is a 27 % INCREASE compared to the previous 7-day period. More information at https://www.covid19.nh.gov/.
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NCH videos: #StepUpNH and #MaskUpNH
Who needs an additional Covid-19 vaccine or booster?
Informational FAQ from North Country Healthcare
Vaccine is available to anyone 5+ years old by calling Coos County Family Health Services at 603-752-2040
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Health Care and Medical Services
Update from Androscoggin Valley Hospital: AVH had two COVID inpatients today, which is a lower number than they have seen in a while. Unfortunately, one patient passed away earlier in the week. In terms of testing, their center had 25 swabs, 11 rapid tests, and only 3 positive results. They are happy to share that they have noticed an improvement in coordination between primary care providers and monoclonal treatment. The last 2 patients received monoclonal antibodies within 48 hours, which is a marked improvement from when patients might not receive this treatment until 5-10 days into care. AVH is also focusing on flu vaccine administration in the hospital. Generally, it seems that COVID numbers have decreased compared to the numbers from the last couple of weeks, though Littleton seems to be experiencing a high COVID positivity rate. Although the situation can change rapidly, overall, it seems that the numbers are headed in the right direction. As an additional note, AVH would like to thank the Berlin Fire Department and to recognize the 3 firefighters who helped to administer emergency CPR during a recent situation in the Emergency Room. They are grateful to the Fire Department for their partnership.
Update from Coos County Family Health Services: Overall, the testing volume is down. They have received a few positive results, but the numbers are much lower than a few weeks ago. The Brown School clinic hosted approximately 170 people, mostly who were receiving a booster shot (though at least 2 individuals received their first dose). Although they do not have the final headcount, it generally seems to have been lower than expected. The clinic had capacity to administer 400 vaccines. CCFHS continues to consider ways to improve messaging to ensure the community is aware of their booster eligibility. The state is setting up a vaccination clinic in Berlin and Plymouth and CCFHS has reached out to ensure efforts are coordinated. In the news, the N.H. Executive Council voted to accept $22 million for vaccination efforts (though approval is still needed from the Fiscal Committee). Call CCHFS at 603-752-2040 for a vaccine appointment.
AVH and CCFHS are encouraging the community to familiarize themselves with vital COVID-19 early intervention information. This helpful flyer provides tips on what to do if you become sick with COVID-19 symptoms.
Education
Update from Berlin Public Schools: No update on this call. Visit Berlin Public School Facebook Page for more information.
Update from SAU 20: No update on this call. Visit the SAU 20 office website for updates.
White Mountains Community College: The event yesterday went well and they would like to thank the Congressional Delegation (particularly Chuck and Madison) for their work in organizing it. The remarks were appreciated for their recognition of what was going on in the region and the highlights shared from the work of this group.
Family Resources and Long-Term Care Facilities
St. Vincent de Paul: No update on this call.
Coos County Nursing Home: No update on this call.
Northern Human Services: No update on this call.
Family Resource Center: No update on this call.
Tri-County CAP: No update on this call.
Emergency Services and Correctional Facilities
Berlin Fire / EMD: No update on this call.
Gorham EMS: No update on this call.
Northern NH Correctional Facility: No update on this call.
Federal Corrections Institution: No update on this call.
Municipal and Local Business
City of Berlin and Town of Gorham: No update on this call.
Androscoggin Valley Chamber of Commerce: No update on this call.
Community and Legislative
Public Health Network: The Public Health Network is excited to learn of the recent news that the Executive Council intends to move forward with some of the available federal funding for vaccination support. In particular, they would like to recognize the importance of the infrastructure opportunities that will become available if this funding proceeds. For example, this funding will be used for several temporary positions allocated to improving and integrating the state’s immunization information system, resulting in long-lasting positive effects for the New Hampshire Immunization Program, which delivers all types of vaccines administered in the state. They are also gearing up for their community-based clinic on November 13 at White Mountains Regional High School from 10 am to 2 pm. COVID-19 vaccines will be available for kids aged 5-11. They will also provide all 3 COVID vaccines for adults looking to receive their primary COVID-19 vaccination series and booster shots, as well as the flu vaccine for children aged 4-19. The clinic is open to the public. No advance registration is required, but registration forms are available at https://bit.ly/WMRHSclinic for folks who would like to fill them out in advance. Second doses will be offered three weeks later, on Saturday, December 4. They are hoping to administer at least 100 vaccines, with capacity for up to 300. PHN has provided a graphic to use for the promotion of tomorrow’s vaccination clinic.
Congressional Delegation: The Congressional Delegation is grateful to the members of the group for their partnership and their continued work in communities. At a recent community event, the efforts of the partners in the group were highlighted and the Congressional Delegation was able to share how they are working to ensure that funding and support continues to be provided.
“We are encouraging the public to step up...every dose that is administered is important to this whole process.”
11/04/2021: Lots of little ones being vaccinated!
Our work today is dedicated to: all of CCFHS for working to get a youth clinic set up so fast, as well as the partners at the state (and UPS!).
***
This week brings uplifting news, with the FDA authorization of the Pfizer- BioNTech COVID-19 pediatric vaccine in children 5-11 years of age, but it is clear that there is still work to be done as numbers of new cases in the North Country remain quite high.
NH announced 635 new cases on November 4. There were an average of 585 cases per day for the most recent 7-day period (October 29 to November 4). This is a 38% increase compared to the previous 7-day period. More information at https://www.covid19.nh.gov/.
***
NCH videos: #StepUpNH and #MaskUpNH
Who needs an additional Covid-19 vaccine or booster?
Informational FAQ from North Country Healthcare
The Vaccine is available to anyone 5+ years old by calling Coos County Family Health Services at 603-752-2040
***
Pediatric Vaccine Authorization: On October 29th, 2021, the U.S. Food and Drug Administration (FDA) authorized use of the Pfizer- BioNTech COVID-19 pediatric vaccine in children 5-11 years of age.
Early COVID-19 Intervention Encouraged: North Country Healthcare (NCH) is strongly encouraging all patients who begin to experience symptoms consistent with COVID-19 (difficulty breathing, nasal congestion, nausea, vomiting, etc.) to not delay seeking care. Rather, it is encouraged to speak with your healthcare provider, and promptly explain the changes in your health. Prompt action, including COVID-19 testing, is critical to appropriate treatment of this disease.
Health Care and Medical Services
Update from Androscoggin Valley Hospital: Yesterday, the Emergency Department had 21 patients, a slight uptick from the day prior. Of the 6 in-house patients, 4 are unvaccinated. 24 individuals were tested yesterday, with 16 positive rapid test results. AVH is conducting flu clinics for employees today and a Moderna booster clinic tomorrow, with 17 people already signed up. In terms of communications, there is a letter in the paper stressing urgency of care today, with another planned from senior staff tomorrow. A survey also was sent to staff today asking if people were interested in having their children get vaccinated.
Update from Coos County Family Health Services: Of the pediatric testing carried out today, there were no positive results. Generally, the positive results have occurred at smaller percentages compared to a couple of weeks ago. However, new cases in North Country remain quite high overall and rapid testing supplies are starting to become tight again. In terms of communication efforts, CCFHS started the “My Why” campaign, which was highlighted in the local paper today and appears to resonate well with the community. A sample of the “My Why” campaign is available here. CCFHS plans to move back to a more normal posture starting on Monday, November 8, pivoting from a primary focus on telehealth to a more face-to-face format.
Vaccine Update in Androscoggin Valley: A lot of vaccines are currently being administered, with boosters and third doses available at Brown today. Close to 400 vaccines will be administered by staff from CCFHS, AVH, and volunteers. Dr. Beals has started a pediatric vaccination clinic today. Confirmation is still needed on the numbers, but CCFHS received 500 doses from the State yesterday. Clinics will occur this evening and tomorrow afternoon at Pleasant Street Clinic. CCFHS continues to offer testing and vaccines through clinics on Tuesdays and Thursdays with individual appointments available. CCFHS also shared a fact sheet detailing important information for parents to know regarding the vaccine. Call CCHFS at 603-752-2040 for a vaccine appointment.
Education
Update from Berlin Public Schools: There are lots of little ones being vaccinated and Berlin Public Schools would like to thank everyone for their efforts in this accomplishment. Dr. Beals reached out to the schools to notify families regarding the clinics being offered today and tomorrow afternoon. It was reported that, as of this morning, 75 had signed up for the clinic today and 50 more for tomorrow. There are over 100 people signed up for the staff booster clinic tomorrow, which will offer all 3 vaccines. Only 1 new positive case was reported today. Overall, things have been trending well. Visit Berlin Public School Facebook Page for more information.
Update from SAU 20: There continues to be a decline in active cases and there is currently only 1 active case per building. Mitigation efforts seem to be working well. If the trends continue, SAU 20 is hoping to move toward allowing students to eat together again in the cafeteria to allow for a sense of normalcy. Booster clinics have already occurred for employees at the Middle/High schools and nearly all staff have attended. A clinic for the Elementary school staff is currently being planned. Visit the SAU 20 office website for updates.
White Mountains Community College: There has been minimal transmission at the Community College, with only a case here and there. White Mountains Community College is trying to allow flexibility for parents as children become eligible for the vaccine.The community has unfortunately recently experienced loss due to COVID-19, so there are some additional folks stepping up to get their vaccines as a result of that.
Family Resources and Long-Term Care Facilities
St. Vincent de Paul: No update on this call.
Coos County Nursing Home: They have been advised that the second employee who was presumed positive for Covid-19 is negative, with all of the resident activities, social visits, and communal dining in the related section of the Nursing Home resuming, and another round of testing being initiated for the other section of the facility. All of the same infection prevention and control measures as previously reported are being continued.
Northern Human Services: No update on this call.
Family Resource Center: No update on this call.
Tri-County CAP: No update on this call.
Emergency Services and Correctional Facilities
Berlin Fire / EMD: No update on this call.
Gorham EMS: There have not been many changes. There has been a drop-off in requests for testing. Many staff members are getting their third doses of the vaccine. Gorham EMS also shared an official NH DHHS Health Alert regarding the recent FDA vaccine authorization for children 5-11 years old.
Northern NH Correctional Facility: No update on this call.
Federal Corrections Institution: There have not been any major changes. They are continuing the efforts regarding booster shots.
Municipal and Local Business
City of Berlin and Town of Gorham: No update on this call.
Androscoggin Valley Chamber of Commerce: No update on this call.
Community and Legislative
Public Health Network: With a rapid turnaround, the Public Health Network received contracts to extend their vaccination efforts tied to ARPA funding. The funding will allow the Network to continue vaccination efforts for the newly eligible 5-11 year old age group, as well as to continue primary series, boosters, and third doses that they have been working hard to get to communities. They also received an additional piece of funding to fund a community health worker position, which will allow for an increased focus on alleviating the primary drivers of inequity in communities. The community worker will conduct active outreach and connect individuals to testing and vaccines, particularly focusing on more vulnerable populations, such as homebound elderly, lower socioeconomic groups, and homeless individuals. They are also working on an employer request for a booster clinic and took a count of employees that are interested in receiving one (75 have responded so far). 2 clinics have been requested to provide boosters to first responders. The North Country PHN will conduct a vaccine clinic on November 13 at White Mountains Regional High School from 10 am to 2 pm. COVID-19 vaccines will be available for kids aged 5-11. They will also provide all 3 COVID vaccines for adults looking to receive their primary COVID-19 vaccination series and booster shots, as well as the flu vaccine for children aged 4-19. The clinic is open to the public and no advance registration is required. Second doses will be offered three weeks later, on Saturday, December 4.
Congressional Delegation: The Offices of Senator Shaheen and Senator Hassan both sent letters to Secretary Becerra regarding the shortage of COVID tests in New Hampshire and the increased wait times for testing results. In a Committee meeting this morning, Senator Hassan received confirmation that New Hampshire will receive 60,000 additional rapid tests (10,000 tests per week).
“This is an emotional moment for many people...there is a real sense of relief stemming from the fact that their kids can get protection.”
Additional Information:
10/28/21: Counting on you #StepUpNH
Our work today is dedicated to all those involved in reinstating mask mandates passed in Berlin and Gorham this week to protect community members.
(Read more about local mask ordinances in Berlin Sun article 10/28/21)
***
Counting on you:
As the team at Coos County Family Health Services gears up for a second pandemic winter, we urge our community members to get vaccinated, wear your masks, practice good hygiene and do all you can to protect yourself and those around you. (Read more at Berlin Sun’s 10/28/21 editorial letter)
“The surge in Covid-19 cases appears to have eased in Androscoggin Valley but health care officials are wary that the recent numbers are a temporary lull. The state Monday reported 59 active cases in Berlin, 12 in Gorham, 7 in Milan, and under 4 in Randolph, and Dummer. A week ago, the Berlin-Gorham area had about 174 active cases. Coos County now has 131 active cases compared to 217 active cases a week ago. There is guarded optimism among AV Covid-19 Community Group members”: (Read more at Berlin Sun’s 10/28/21 coverage)
Due to an issue with the system healthcare providers use to inform NH DHHS of new cases of Covid-19, new case data is unavailable as of 10/28/21. The state dashboard will be updated soon. Visit https://www.covid19.nh.gov/ for more information. Visit www.covidactnow.org for additional NH and Coos County information.
NCH videos: #StepUpNH and #MaskUpNH
Who needs an additional Covid-19 vaccine or booster?
Informational FAQ from North Country Healthcare
Vaccine is available to anyone 12+ years old by calling Coos County Family Health Services at 603-752-2040
***
Sadly, another Androscoggin Valley community member has passed away from Covid-19 related illness: Pastor Rob leaves legacy of caring. (Berlin Sun, 10/26/21) Our deepest condolences to Pastor Rob’s family, friends, and the community.
Health Care and Medical Services
Update from Androscoggin Valley Hospital: On Wednesday 10/27, AVH saw 18 patients in the ER, four (4) of the 18 were positive for Covid. Thursday 10/28, on MedSurge (non-ICU) unit, there are currently 11 inpatients, three (3) of whom are Covid positive. On ICU, there are three (3) patients, two (2) of which are Covid positive. Three patients received monoclonal antibodies. On Wednesday 10/27, 45 Covid tests were administered, of them 27 were rapid and 4 were positive. Numbers are improving however, systems and services remain impacted to focus on Covid response. Maternity ward is busy over the next week.
Update from Coos County Family Health Services: Testing volume this week is down compared to past few weeks and there have only been a few positive cases. Telehealth will continue next week.
Vaccine Update in Androscoggin Valley: The Brown School vaccine clinic administered over 100+ Moderna third dose / boosters on Thursday 10/28. Next week vaccine clinic continues on Thursday with an anticipated 400 appointments. Informational FAQ from North Country Healthcare on Covid-19 third doses or boosters. Call CCHFS at 603-752-2040 for a vaccine appointment.
Other health updates: Healthcare providers are fielding calls from parents asking questions about the pediatric vaccine anticipated to be approved for 5 - 11 year olds. Dosage is dependent on age and immune system development rather than size. More information to come from North Country pediatric healthcare providers.
Education
Have a safe and Covid-free Halloween!
Update from Berlin Public Schools: Berlin Schools continue to see Covid numbers drop. There are currently two (2) staff and nine (9) students out with positive cases. The schools are working with CCFHS to set up staff vaccine booster clinics for next week. Visit Berlin Public School Facebook Page for more information.
Update from SAU 20: Numbers of positive cases continue to drop in SAU20 schools as well. Currently 1 student and 1 staff out at GMHS, down from a high of 13 several weeks ago. There is a low absence rate and optimistic to return to yellow status, however the schools are currently supporting required masking to end this surge. Staff are signing up for booster shots. Visit the SAU 20 office website for updates.
White Mountains Community College: No update on this call.
“Many staff members are eager and anxious to get their third dose booster shots - that’s good news.”
“We will respond to this new normal with ups and downs and through it all we’ll provide the best education we can for our students.”
Family Resources and Long-Term Care Facilities
St. Vincent de Paul: No update on this call.
Coos County Nursing Home: Public Health advised CCNH to test all residents potentially exposed to a positive staff member over the past 14 days, which is a change from the previous 48-hour exposure window policy. All rapid tests were negative and a second round of PCR lab-based testing will occur early next week (Nov. 1 or 2). Visits will continue following policies based on residence floor. Call CCNH for more information. All infection prevention measures will continue and Covid vaccines and boosters are offered in-house to all residents and staff in coordination with AVH. (Update from Berlin Sun 10/28/21 editorial letter)
Northern Human Services: No update on this call.
Family Resource Center: No update on this call.
Tri-County CAP: Two (2) staff are out with positive Covid cases causing some staff shortage in programs. The organization is looking forward to hosting students this week from NH health careers programs to share the role social services play in supporting social determinants of health.
Emergency Services and Correctional Facilities
Berlin Fire / EMD: Attended, no additional update today.
Gorham EMS: The department is assisting businesses and the public with understanding Gorham’s updated mask ordinance. Call Town Hall for posters available to area businesses.
Northern NH Correctional Facility: No update on this call.
Federal Corrections Institution: No update on this call.
Municipal and Local Business
City of Berlin and Town of Gorham: What does the mask ordinance mean to me? (Berlin) Both municipalities updated their ordinances to require masking in public settings - Berlin for the next 30 days and Gorham for the next two weeks, with review at the Nov. 8th meeting to extend or end the mandate in town. Mask requirements are in response to high community transmission in the Berlin-Gorham area. Read more in Berlin Sun 10/28/21.
Androscoggin Valley Chamber of Commerce: No update on this call. The Chamber is communicating with its membership regarding the updated mask mandate.
Community and Legislative
Public Health Network: The network received revised orders to supply vaccine boosters in the region. A vaccine clinic was held 10/28/21 with SAU58 for flu and Pfizer Covid-19 booster vaccines available to those eligible. Public health officials are responding to school requests to begin planning for vaccine clinics available to students 5-11 years old with their parent(s)/guardian. NH is anticipating delivery of pediatric doses as early as next week once officially approved. There are 100,000 5-11 year olds in NH and public health officials are encouraged that the enough vaccine doses will be made available to avoid any immediate shortages for pediatric doses. Area health partners are supporting workforce development with hosting public health AHEC scholars this week to learn more about practicing healthcare in NH’s rural communities
Congressional Delegation: Federal delegation offices are involved in the new legislative reconciliation package currently being considered. Sen. Maggie Hassan joined the call to express her thanks to everyone working in public health and Covid-19 response in the Androscoggin Valley community. The senator expressed her condolences for the community members recently lost to Covid-19. Members of the call expressed thanks to Sen. Hassan and the delegation for working to get federal funding available to NH to support vaccine and other public health efforts, including funds recently passed up by NH’s Executive Council. The senator recognized the hard work in Androscoggin Valley and the North Country in light of the recent Covid surge, including the effects on schools and workforce.
“It’s a hard time and a time that we will get through. It’s a time to partner with each other as this group does. We hope to see the Covid positive numbers continue to go down and see an uptick in vaccination and boosters. The entire delegation is working to find ways to get you the funds needed to respond to this public health crisis.”
10/21/21: It’s hurting right now
“Unfortunately for some in the community, it doesn’t become real until it really hurts. It’s hurting right now. The front page of the paper this week tells the simple story of how dangerous Covid is.”
Sadly, we have lost community members to Covid this week:
COVID claims life of dedicated Berlin community volunteer, Guy Lopez. (Berlin Sun, 10/21/21)
Our deepest condolences to family, friends, fellow volunteers, and the community.
Amid a COVID-19 surge in the North Country, residents and officials hope behavior will change. (NHPR, 10/20/21)
***
Coos County positivity rate remains at an extreme level with 96 per 100,000 as of 10/20/21. Coos County continues to have the highest 7-day test positivity rate in NH at 13.2%. There are early indications that numbers are improving, however they are still very high compared to the rest of NH. (Sources CovidActNow.org and Covid19.nh.gov)
NH announced 609 new cases on 10/21/21. There were an average of 538 cases per day for the most recent 7-day period (10/15/21 - 10/21/21). This is a 6% decrease compared to the previous 7-day period. More information at https://www.covid19.nh.gov/.
Initial vaccine and third doses are available by calling Coos County Family Health Services at 603-752-2040
#MaskUpNH video #SleeveUp with AVH and CCFHS
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Our work today is dedicated to our southern NH healthcare colleagues, especially at Cheshire Medical Center, Dartmouth-Hitchcock, and Concord Hospital.
Health Care and Medical Services
Update from Androscoggin Valley Hospital: The hospital has seven (7) Covid inpatients in a census of 18. Sadly, patients have passed away due to Covid illness. One patient remains on a ventilator. There were a total of 67 Covid tests conducted on Wednesday 10/20/21, and of 38 rapid tests, 7 were positive. Overall the hospital is stable though some non-emergency services are curtailed to care for Covid patients. Within the North Country Healthcare system, Weeks Medical Center is very busy with some critical Covid patients and Upper Connecticut Valley Hospital in Colebrook is experiencing high volume.
“We know how sick people can get. Seven (7) Covid inpatients may not sound like a lot, but this has a BIG impact on available hospital services and staff capacity.”
Update from Coos County Family Health Services: On Thursday 10/21/21, 49 tests were conducted, with 11 rapid tests, and for the first time in a long time, there were 0 positives. There were nine (9) pediatric rapid tests and one positive result. CCHFS update: Currently 50% of patients are coming in for appointments, 40% are seen over the phone, and 10% have telehealth appointments.
Vaccine Update in Androscoggin Valley: The former Brown School vaccine clinic will soon reopen on Thursdays for third doses of Moderna. Initial clinics aim to see 200, followed by 400 a day, once a week to meet demand. More details and getting the word out soon. CCFHS Pleasant Street is open for Pfizer third doses. Call CCHFS at 603-752-2040 for a vaccine appointment - initial and third doses. Vaccine clinics for pediatrics will be developed soon, likely held at CCFHS buildings and exam rooms at times best for families - evenings and weekends.
Other health updates: NH state senate is working on another vaccine funding effort after the Executive Council voted down federal funds to support the effort.
“Super powers are built when you get a Covid vaccine. Getting Covid in an unvaccinated state can have a very different outcome.”
Education
Update from Berlin Public Schools: At each school, BMHS and Berlin Elementary, there are four staff and seven students positive. Staffing was difficult at the Elementary School on Thursday even as numbers are starting to go down. The Public Health Network has a supply of PPE to deliver to Berlin Public Schools.
Update from SAU 20: Covid positivity numbers are decreasing this week. Positive cases in schools are: one staff and two students at GMHS, two at Ed Fenn Elementary, and one at Milan Village School. Staff are interested in clinic information for the third dose. Visit the SAU 20 office website for updates.
White Mountains Community College: Present, but no additional update this call. Status quo.
“Covid has a huge impact on all of us, including our schools. There is interconnectedness through the whole community.”
Family Resources and Long-Term Care Facilities
St. Vincent de Paul: No update on this call.
Coos County Nursing Home update: No update on this call.
Northern Human Services: Services continue to be available in person with preventative measures and remote / telehealth services are available. The Crossroads program with communal gathering is on hold for several weeks until Covid numbers decrease. Staff are affected but client services have not been impacted. The organization will coordinate with the Public Health Network for third dose vaccine clinics.
Family Resource Center: No update on this call.
Tri-County CAP: No update on this call.
Emergency Services and Correctional Facilities
Berlin Fire / EMD: The department helped place over 30 Covid-prevention best practice posters around city businesses and buildings to help remind people. Chief James Watkins was on NHPR sharing Berlin’s current Covid story and hoping behavior will change.
Gorham EMS: The department is involved in transferring Covid patients from the hospital. EMS will provide information to the Public Health Network to reach those eligible for third vaccine doses in local housing facilities. In non-Covid news, the department transported several car accident patients to the hospital on Wednesday night.
Northern NH Correctional Facility: The last quarantine unit was cleared on Thursday 10/21/21 and there are no inmate cases. One staff member remains out. Covid impacts on the facility have improved and are stable.
Federal Corrections Institution: No update on this call.
Municipal and Local Business
Androscoggin Valley Chamber of Commerce: No update on this call.
City of Berlin and Town of Gorham: On Monday 10/25/21 Berlin City Council will consider reinstating the mask mandate in response to the very high community transmission rate in the local area. No Gorham update on this call.
Community and Legislative
Public Health Network: Public health staff are coordinating with southern NH colleagues to assist with third dose vaccine clinics in the North Country. The network continues its effort with northern NH schools as well.
Congressional Delegation: Present on the call, no additional updates.
10/14/21: Rockstars for the kids
Our work today is dedicated to those working in public health – their important work is valued by this group.
***
Limiting community transmission is now the best tool for mitigating the current surge in Androscoggin Valley, including staying home, social distancing and mask compliance indoors, and masking outdoors when within 6 ft. Vaccination is the best defense against COVID-19. Vaccines and testing are available by appointment at CCFHS and testing at AVH.
___
NH announced 620 new cases on Thursday Oct. 14th. There were an average of 537 cases per day for the most recent 7-day period (Oct. 8 to Oct. 14). This is a 12% INCREASE compared to the previous 7-day period. More information at https://www.covid19.nh.gov/.
#MaskUpNH video #SleeveUp with AVH and CCFHS
Vaccine is available to anyone 12+ years old by calling Coos County Family Health Services at 603-752-2040
***
Coos County's fully vaccinated rate is 55.9% as of October 14th, the lowest county-wide rate in NH. A slight uptick in vaccination is occurring in response to the surge, however it is weeks away from having a real mitigation impact at the community level. Preventing transmission, including masking, is a critical strategy right now to reduce the spread.
Now is also the time to get a seasonal flu shot!
Health Care and Medical Services
Update from Androscoggin Valley Hospital: There are currently ten (10) Covid-19 inpatients, one on a ventilator. There were four (4) Covid patients admitted to the ER Thursday, some received monoclonal antibodies, and all are returning home. AVH is working hard to support patient needs in all circumstances. Mike Peterson, AVH President and CEO, spoke with NHPR on 10/14/21 to share more about AVH’s experience with its worst Covid surge since the pandemic’s start. All critically ill AVH Covid-19 inpatients are unvaccinated. Hospital staffing is stretched thin and steps are being taken to free up beds and make staff available. Staff of Berlin Public Schools are sending care baskets to AVH staff in appreciation of their hard work in these extreme circumstances.
Statewide update: Hospitals in the neighboring regions and southern NH regions are also experiencing a surge. There are 140 inpatients statewide and ICU beds are critically low across the state.
Update from Coos County Family Health Services: 38 rapid tests were conducted Thursday with two (2) positives. Dr. Beals tested 14 on Thursday with two (2) positive children under the age of 5. Pediatric testing is trending down compared to last week. Dr. Beals and his team are greatly appreciated by the community! Staff are stretched thin and experiencing fatigue and stress from the past couple of weeks. CCFHS will be starting telehealth visits on Monday for the next weeks and the waiting rooms remain closed.
Vaccine Update in Androscoggin Valley: CCHFS is seeing an uptick in demand for Covid shots as well as for eligible 3rd doses. They are looking to expand the vaccination clinics to meet demand and need. Homebound individuals can receive a home visit for 3rd dose by calling CCHFS. Call CCHFS 603-752-2040 for a vaccine appointment for anyone 12+ years. Vaccine development for ages 5-11 is being monitored, as well as consideration of Moderna third doses.
Education
Update from Berlin Public Schools: BMHS currently has three (3) positive staff for a total of four (4) staff positive since the beginning of this school year. There are currently 20 positive BMHS students, with a total of 66 since the beginning of the school year. Berlin Elementary School has no staff currently positive, with a total of 10 since the beginning of the school year. There are currently 24 positive BES students, for a total of 37 since the beginning of the school year. School nursing offices have been out straight with a high of 17 students sent home on one day last week at BMHS. This is showing improvement this week with one day having only 3 sent home. BMHS absence rates peaked at 27% and now down to 20%. BES absence rates peaked at 22% and now slightly down to 17%. Elementary staff experienced two very difficult weeks covering students with 20% absence last week. At the end of this week 6% staff absence shows improvement. Universal masking has helped to improve the situation. There continues to be little school transmission compared to most contract tracing to outside school and family activities. In good news, the school district received a large grant for computers and chromebooks from emergency connectivity legislation - thank you to the delegation! Visit Berlin Public School Facebook Page for more information.
Update from SAU 20: GMHS now has six (6) active cases, down from 13 positive students and staff from two weeks ago. Mitigation and masking efforts have improved the situation. With large community events this weekend during this surge, schools are asking community members to wear masks indoors and to continue masking outdoors because distances may not be maintained at all times during these events. The school nursing offices are quickly going through available testing kits, as well as sending students out for testing. Visit the SAU 20 office website for updates.
Update from SAU 7: The Superintendent from NH’s northern most SAU attended the call to listen and provide an update. Pittsburg School has one (1) positive case, with six (6) cases since the beginning of this school year. Universal masking is in currently in place. Stewartstown had one recent case, which was resolved and not spread. Colebrook has 15 active cases, with 18 since the beginning of the school year. Last week was a peak. There are significant staffing issues with 40% staff out last week and student absence 15-18%, which is high for the schools. Unrelated clusters have been identified so the schools are in outbreak status with universal masking in place, which has helped mitigate transmission. This week is seeing some improvement.
White Mountains Community College: No update this call.
Family Resources and Long-Term Care Facilities
St. Vincent de Paul: The last rounds of Covid testing for all residents and staff were returned with no additional positive cases. The initial positive from last week has not resulted in additional cases so far and if negative status is maintained, the organization will be out of response mode by next week. The state lab identified some errors and false positives and the additional staff provided negative results when retested.
Coos County Nursing Home update: No update this call.
Northern Human Services: Masks and screening before entry for all staff and clients is required and in person visits may continue in the absence of any symptoms. Remote / telehealth services are available to those who need it.
Family Resource Center: Attended, but no additional update this call.
Tri-County CAP: No update this call.
Emergency Services and Correctional Facilities
Berlin Fire / EMD: Attended, but no additional update this call.
Gorham EMS: First responders have upgraded to wearing n95 masks on calls with Fire Department personnel upgrading as well. The department is not extra busy with Covid response, but they are working with AVH on transfer requests. Staff are drained and spread thin with several staff out or in quarantine to care for family. Staff are noting that the severity of illness from C-19 is worse than previous strains.
Northern NH Correctional Facility: As of Wed. 10/13/21, there are five (5) positive inmates, a reduction of two (2) positive cases since Monday, and two (2) positive staff, with other staff cleared to return by the end of the week. Two units are quarantined and will be cleared next week, pending any further positive cases. The situation is showing slight improvement over the previous week.
Federal Corrections Institution: No update this call.
Municipal and Local Business
City of Berlin and Town of Gorham: Both local municipalities issued a Code Red last week updating community members on the C-19 surge and recommended action to reduce community transmission. The Code Red information was sent out to additional Gorham businesses. Ken Gordon, CCFHS and Mike Peterson, AVH met with both Berlin City Council and Gorham Select Board this past week to discuss the surge and response.
Androscoggin Valley Chamber of Commerce: No update this call. The Code Red information was sent out to all Chamber members.
Community and Legislative
Public Health Network: Flu vaccine clinics are currently being held around the region, with Covid vaccines available. Mobile vaccine van is available to employers and for community gatherings and the state is looking to add North Country visits. PPE supplies are available to partner organizations. Get in touch with Kris van Bergen-Buteau at NCHC for supplies or mobile clinic information.
Congressional delegation: Offices of Sen. Shaheen and Rep. Kuster are working to assist Androscoggin Valley organizations in their response to the current surge. NH’s Executive Council voted to turn down 27M from the federal government for vaccine support and other community health center / public health efforts. The congressional delegation is looking into other opportunities to provide support to NH.
“The pediatric team of Dr. Beals and staff are rockstars. They are doing an amazing job of caring for young people in this community, especially over the recent weeks. They are greatly appreciated.”
10/11/21 Code Red - Berlin Emergency Management COVID Task Force
And shared by other Androscoggin Valley municipalities
Forwarding on behalf of the Berlin Emergency Management COVID Task Force:
With the current situation in the community, our COVID Emergency Management Task Force wanted to reach out to everyone with a few updates and reminders. Please share this message.
As you likely have heard, Berlin and Gorham are experiencing extremely high levels of community transmission, the larger problem is that this is overwhelming Androscoggin Valley Hospital, Coos County Family Health Services, and the local Emergency Medical Services.
To put this in perspective, this is the worst we have seen since the pandemic started 18 months ago.
An update on yesterday's Oct. 11th local conference call regarding the status at AVH:
Eleven (11) patients currently in the hospital due to COVID.
Three (3) of them are in the Intensive Care Unit.
Two (2) of them are on ventilators.
AVH is working to transfer any non-Covid emergency patients to other hospitals for care, but beds are scarce across the State.
The situation at AVH is being described as dire. AVH and CCFHS are experiencing staffing shortages, Covid positive employees, and systems which are being stressed to the max.
The good news is you and your networks can do something to make a difference:
Stay home from work if you have any symptoms and get tested.
Wear a mask indoors in public settings.
Avoid large groups, especially indoors.
Get vaccinated, Covid-19 and the flu shot.
We have all been down this road before, but this time the situation at AVH is dire, Please help do your part to get us through this. The consensus is that we likely have at least 2 weeks more during which it will only get worse. The pandemic won't last forever and now is the time to make a difference.
We are posting a Face Covering message that is similar to the attached message on City buildings. I know many businesses have done this. Now is a good time to set the same expectation.
Stay Safe and Healthy,
Berlin Emergency Management COVID Task Force
Jay Watkins, Fire Chief, EMD
Pete Morency, Police Chief BPD
Dan Buteau, Deputy Chief BPD
Jennifer Cloutier, Communications Manager BPD
Pamela Laflamme, Community Development Director
Jim Wheeler, City Manager
10/7/2021 We all need to pull together again
Our work today is dedicated to the Emergency Room staff at AVH.
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Daily new cases in Coos County average 92.3/100k, which is a very high level of community transmission. The positive test rate is 7.2%. The infection rate is 1.21.
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Health Care and Medical Services
§ Update from Androscoggin Valley Hospital: Things have been busy in the ER with Covid. They are getting about 2 admissions per day. They currently have 8 patients, as there have been a few discharges. There are 3 in the ICU who are stable but not getting better, and 5 on the floor. They had their first Covid death with an elderly patient. In speaking with other area hospitals, Lancaster currently has 4 patients, Colebrook 2, possibly 3, and the ICU in Littleton is full. Cases are becoming widespread. They did 70 tests yesterday, 42 rapid tests, and 10 were positive. They are having a difficult time transferring any patients, and will probably not be able to transfer any Covid positive patients. Although they cannot control the Covid population, they can control elective surgeries, of which some have been moved out a few weeks. They can also cut down on procedures to preserve respiratory therapists. All in all, the hospital is stable. There is a shortage of Covid testing, and they are working to get additional testing. Currently, they are considering utilizing a third space for Covid testing, monoclonals, IV therapy, and provider coverage to preserve the functions of AVH and CCFHS. Both Brown School and the Armory were suggested as possible locations. They would need to obtain a waiver, and if the plan is put in place, would like to put it up in 48-72 hours depending on what IT is able to do. WMCC advised that nurses and medical assistants would be happy to help if there is a way for them to be of assistance at the alternate location. It was noted that the surge in the South lasted about 4 weeks, and they are hoping it will only last 2-3 weeks here. They reviewed the Kentucky trend, and pointed out that NH is mirroring what happened there. They are trying to avoid what happened there with hospitalizations. Everyone is the community plays a part in taking steps to minimize the impact here.
§ Update from Coos County Family Health Services: They are struggling with supplies for BiNAX and rapid test supplies. They had an additional 20 positive cases, of which 7 were school age. Three of the school age children were from Berlin, and 4 form Gorham. They are still continuing vaccine clinics, and have had about 20 per clinic. They administered 7 third doses this week. Flu clinics are beginning to ramp up. The waiting rooms are closed. The RiverFire 5k will be held virtually again this year. A concern was shared about the FFRCA benefits, as employees are now required to use their own leave time to stay home with children or family members. This creates a hardship on parents and may jeopardize public health. They will reach out to the national delegation to try to extend this benefit.
§ Other updates: AVH advised they do have a marketing campaign in the works and more information will be available on that later.
Education
§ Update from Berlin Public Schools: This week was better than last with fewer positives, but they still have about 14 students in isolation from both schools and many more out with symptoms. At the high school, they noticed that almost all of the students that have been positive are unvaccinated. They do not have any staff at the high school on isolation. At the elementary school they currently have 6 staff on isolation that are all vaccinated, also many staff out with symptoms or with childcare issues. They will be picking up BiNAX now supplies tomorrow in Concord. It was noted that some are going early for tests and they are not reading accurately. It was suggested that the community numbers be posted so that people are aware of what is happening, as the information bar that used to be on WMUR is gone.
§ Update from SAU 20: They have slowed a little with cases. They have a total of 6 students and 3 staff out. There is only 1 case in Milan and no cases in Errol.
§ White Mountains Community College Masks are now required, they are spacing as much as possible, and they are canceling or limiting events that were planned.
Family Resources and Long-Term Care Facilities
§ St. Vincent de Paul: They had one employee test positive.
§ Coos County Nursing Home: They still have a few positives among staff.
§ Northern Human Services: No update this call.
§ Family Resource Center: They have had several staff test positive and have closed down offices until next Tuesday. Staff meeting will be held virtually only. Visits with clients will be conducted outside or by telehealth. They do have an event planned at the end of the month for Halloween, and will be discussing whether or not this will be cancelled.
§ Tri-County CAP: They officers will be closed to the public but will remain operational, as they have had several staff members test positive. Transit will still be running but they will be limiting the number of passengers on the buses. If there is a new testing site, they will work to provide transportation safely to those needing it.
Emergency Services and Correctional Facilities
§ Gorham EMS and Berlin Fire / EMD Gorham EMS advised they have been doing 1 or 2 rapid tests for first responders each day, with a couple of positives, but mostly negatives. They advised that any first responders who are having trouble getting tested should contact them and they can provide the service. Berlin Emergency Management advised that they are monitoring numbers with RiverFire coming up.
§ Northern NH Correctional Facility: They do have a cluster of cases at the prison.
§ Federal Corrections Institution: No update this call.
Municipal and Local Business
§ Androscoggin Valley Chamber of Commerce: They met with the Berlin PD today on the logistics for RiverFire. They are still moving forward with the event, but cautiously and with modifications. Everything is held outdoors and they will space out as much as possible. They will be cancelling the bouncy houses and may require masks on the hayrides.
§ City of Berlin and Town of Gorham: No update this call.
Community and Legislative
§ Public Health Network: They have been continuing with school-based clinics in communities along the Connecticut River, and find that parents are more interested in the flu vaccine than in the Covid. They are paying close attention to the hot spots in Coos County, which include the Androscoggin Valley and Lancaster. Cases in Lancaster have been linked to some private child-care providers and they find that cases are coming from transmission in the home. They have received a revised order for vaccine clinics for delivering Pfizer boosters shots in addition to third doses and have been thinking of their vaccine strategy through the fall. They are concerned about staffing and suggested that many retired providers would be more interested in short shifts. The Governor’s Municipality Initiative is moving forward and of the list of towns with the lowest vaccination rates in the state, the North Country has 12. They do have a community health worker that will be joining them part-time to help with clinics.
§ Senator Shaheen’s Office: They will be getting some answers on the question from CCFHS tomorrow.
§ Senator Hassan’s Office: No update this call.
§ Berlin Daily Sun: They asked about the number of cases in the area, which is well over 100, and the county, which is about 200. AVH advised that they are seeing some breakthrough cases in vaccinated people, but find that the unvaccinated are sicker. Those getting monoclonal antibodies are the patients that are very ill. They asked about vaccinations and testing and were advised that testing is not easy to get now, as supplies are limited. The demand is exceeding the capacity. AVH is no longer doing vaccinations for the public, as CCFHS is doing this along with pharmacies and Walmart. CCFHS advised that they can make appointments for those who cannot attend the vaccine clinics on Tuesday and Thursday.
9/30/2021 Staying Focused
Our work today is dedicated to all those who are helping children and families to stay safe and keep school in session.
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Health Care and Medical Services
Update from Androscoggin Valley Hospital: The hospital has been stable. There are currently three COVID positive patients in the hospital, two vaccinated and one unvaccinated who has received monoclonals. The census is still high, with a number of discharges earlier in the week. They have done a lot of testing and have offered 4-6 doses of monoclonals in the last few days, including two nursing home residents from Bethel, ME.
Update from Coos County Family Health Services: This morning at the Pleasant Street location they did 17 rapid tests with three positives, two adults and one child. Dr. Beals had over 30 tests scheduled this afternoon, and Chelsey Andrea was also doing testing at the Pleasant Street office. A fair amount of students that were in direct contact tested negative, which was encouraging. There seems to be clusters that were associated with homecoming events. There is still strong evidence of community transmission. The pediatric team has been struggling to keep up with supply for the BinaxNOW kits, and they may reach out to schools if AVH does not have an additional supply. They have started offering Pfizer boosters for those who qualify. Flu clinics will continue on Monday and Wednesday next week.
Other updates: AVH advised in terms of communication they have been fielding inquiries from the media, including the BBC, regarding their vaccine mandate policy.
Education
Update from Berlin Public Schools: They had lots of negatives today, but were busy on Monday and Tuesday with positive cases and symptoms. They currently have 2 positive staff and 4 students at the elementary school, and 19 students and 1 staff at the middle/high school. The absentee rate is about 25% at both schools, which is causing a challenge with staffing. Due to the hours needed for direct contact calls, they have changed the process a little and will no longer be making personal calls when volume is high. They will use automated messaging, which can be narrowed down to select the specific families to be notified. They are following DHHS guidelines, and if there is direct contact from a non-household member they may still come to school with a mask and a test is recommended within 3-5 days. As far as SAS testing, one portal has been set up and consent forms have been sent to students and staff. They have sent in their application for CLIA so they can start BinaxNOW and get their supply in. They do have one nurse out, non-COVID related, and have put out an ad for a substitute nurse.
Update from SAU 20: Monday was busy but things have calmed down since then. They are trying to set up protocols with AVH and CCFHS on how to use the BinaxNOW so that it will be a positive for everybody. The middle/high school is still in red, with 5-6 students and 5 staff out. They are only 3-4 weeks into school and staff is already very tired with the constant barrage of unknowns. CCFHS agreed that fatigue is clearly setting in as it has been a tough stretch.
White Mountains Community College No update this call.
Family Resources and Long-Term Care Facilities
St. Vincent de Paul: No update this call.
Coos County Nursing Home: No update this call.
Northern Human Services: No update this call.
Family Resource Center: No update this call.
Tri-County CAP: No update this call.
Emergency Services and Correctional Facilities
Gorham EMS and Berlin Fire / EMD Gorham EMS advised they have received 80 BinaxNOW kits and have reached out to Berlin PD, Gorham PD, and Berlin and Gorham Fire and EMS to clear those with symptoms so that they can return to work, as there is a staffing issue at the PD.
Northern NH Correctional Facility: No update this call.
Federal Corrections Institution: No update this call.
Municipal and Local Business
Androscoggin Valley Chamber of Commerce: No update this call.
City of Berlin and Town of Gorham: The City of Berlin advised that they have had employees sick, but testing negative, as the cold season seems to be kicking in.
Community and Legislative
Public Health Network: They have been watching the Delta variant spread in the Lancaster area. School based clinics have started, with the first being SAU58 in Groveton. The uptake has been slow, partly due to the state being backlogged in terms of setting up appointments. They are hoping to see a good uptake in the schools they are working with this fall. They had a good conversation with state leadership teams regarding vaccinations on Tuesday, and they indicated they may be reaching out to municipalities with lower vaccination rates to figure out how to increase vaccine confidence. Two-thirds of the towns in our region have a less than 50% vaccination rate. An interesting takeaway from the conversation was that if distrust of government agendas is the reason for the low vaccination rates, then a push from Concord is not the right answer. The potential to bring up the EMS workforce with additional temporary staffing was suggested, so that those local, trusted faces that did clinics this spring would be freed up and would be good influencers in the community. There will be more to come as they figure out what is happening with the Governor and Council with the vaccine funding in Concord, and whether they will be able to accept the Federal vaccination funds from the recovery plan for vaccination efforts in the state. They are planning to host scholars that are currently in healthcare programs at the Geisel School of Medicine, Franklin Pierce College, and UNH, to see what it is like to practice in a rural area. They have expressed an interest in hearing from the workgroup on COVID response in rural areas, and would like to set up a panel discussion in the morning on Saturday, October 30. They are currently seeking a location for this. Gorham EMS inquired about third doses of Moderna, however the FDA has not approved boosters for Moderna yet. Gorham EMS is hoping to provide these when available to the homebound and they were advised that there is still funding for EMS on the books to provide this service. It was noted that many people are looking for boosters, however there are still people who need to get a first dose.
Senator Shaheen’s Office: They are working on a resolution so that the government will not shut down and are still trying to pass some version of the infrastructure bill.
Senator Hassan’s Office: They advised that the resolution to extend the limit to avoid a government shutdown has passed the House and Senate.
9/23/21 We are starting to see an increase in positive cases
Our work today is dedicated to the Information Technology (IT) people in our community who have been behind the scenes supporting the work of all essential service providers.
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Daily new cases in NH average 43.9/100k, which is the highest level of community spread we have seen. The positive test rate is 17.4%.
61.5% of the state’s population have received at least the first vaccine dose. About 55% of the state is considered to be fully vaccinated.
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Health Care and Medical Services
Update from Androscoggin Valley Hospital: The hospital has been doing 70-100 swabs per day, a total of 91 yesterday. Out of 48 rapid tests yesterday, 17 were positive, and PCR’s are coming back with a high rate of positivity. There is widespread community transmission. There are currently two COVID in-patients at AVH. Both patients are elderly; one was partially vaccinated and the is fully vaccinated. Both patients are stable. The emergency department was busy two days ago with lots of COVID activity, but yesterday and today were not as bad. There are a couple staff members who tested positive and they are concerned about the Med-Surg unit if there are more positive cases. The hospital stressed that despite the vaccine mandate protest, they are not divided, and everyone works hard to meet needs. Every time there is a challenge, they fight harder and they are incredibly proud of the efforts. They have made a change in their visitor policy, which is one visitor per patient. They did have a family that was rotating visitors, but this will not be allowed. Exceptions to the rule will be for pediatric or end-of-life cases, or based on clinical judgement as has been practiced effectively to date.
Update from Coos County Family Health Services: Dr. Beals reported that he did 33 tests today and 4 were positive. One was undetermined and they will need to test again tomorrow. Today at the clinic at AVH, they tested 27 with 5 positive cases. Three of the positive cases were in children under 18. Since they have to account for every COVID vaccine, they have not been able to administer them as planned this week due to the computer issues. AVH did get some second vaccine doses done for them. The waiting rooms remain open on a limited basis, but consideration is being given to temporarily restricting access again. They have started to restore the computer system and it is going smoothly, however it will take several days before returning to normal. There is limited phone service at each site and lots of catch-up work is being done. They plan to be fully operational on Monday. To the best of their knowledge, there was no release of any confidential or health information, and they are grateful for all of their partners for the help.
Other updates:
Another print ad regarding credible sources ran this week and they will continue to get information out.
The vaccine van will be at St. Barnabas tonight with vaccines and cookies. They have all three vaccines on-board.
They are currently watching the news from the CDC and FDA on third shots.
Education
Update from Berlin Public Schools: Additional positive cases were reported including students and staff. There are currently two staff out, 1 student at the elementary level, and 5 at the middle/high school level. No in-school transmission has been identified, as no one was in direct contact in the building. However, they are getting close to the red zone. Homecoming is scheduled for this weekend, and all activities including the pep rally will be held outside. They will send out a Facebook message reminding those watching the parade to wear a mask if they cannot distance.
Update from SAU 20: One positive case reported today. Currently have 6 middle school students out, none in the high school, and 1 in the elementary school. They have moved to the red phase at the middle/high school and are masking all day, with the hope of returning to yellow at the end of next week. EFS, Milan, and Errol will stay in yellow. They have BinaxNOW test kits which the nurses can offer on-site. They will administer them in the parking lots with the nurses in PPE. CCFHS advised they are open to talking about a vaccine clinic held at a convenient time for students ages 12-17.
White Mountains Community College No update this call.
Family Resources and Long-Term Care Facilities
St. Vincent de Paul: No update this call.
Coos County Nursing Home: They have 4 positive cases among unvaccinated staff, but no cases in patients at this time. Both nursing homes are struggling with staffing and are being careful with admissions. They are concerned about the vaccine mandates.
Northern Human Services: No update this call.
Family Resource Center: No update this call.
Tri-County CAP: They are operating programs as normal with COVID restrictions. They do have a couple of staff who are positive and quarantining. They also have a couple staff quarantining due to travel. They are disinfecting offices and the waiting areas daily.
Emergency Services and Correctional Facilities
Gorham EMS and Berlin Fire / EMD No update this call. The Director can be reached by email this week due to quarantine.
Northern NH Correctional Facility: No update this call.
Federal Corrections Institution: They have one more case among staff for a total of three. There are no cases in inmates.
Municipal and Local Business
Androscoggin Valley Chamber of Commerce: No update this call.
City of Berlin and Town of Gorham: No update this call.
Community and Legislative
Senator Hassan’s Office: No update this call.
9/16/21 Back up and Running
Our work today is dedicated to the children and families who are trying to make their way through this start to the school year, and all the decisions and challenges they are facing.
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Health Care and Medical Services
Update from Androscoggin Valley Hospital: The hospital has been stable. There are currently no COVID positive patients in the hospital. The COVID testing line has been busy, with 30 testing yesterday. Of the 30, two were positive. They do not have the results from the PCR tests yet. One employee was not feeling well, and the rapid test was positive, so they are home isolating. The need for travelers and the difficulty finding housing was discussed. This is an issue that will need to be addressed as a community, as it has an impact on staffing at the nursing homes and hospital. Concerns about housing inventory and rates was noted to be a statewide problem, and the lack of policy concerning rates on rent hikes has led to those on fixed incomes becoming homeless or housing insecure. It was also noted that AirBNB has added to the problem, and that Gorham is addressing this with a 120-day cap on residential properties. James Wheeler mentioned that the City of Berlin has been trying to get property values to increase for more than two decades, and that people need to make money to maintain their properties. It was agreed that property owners need to earn income to invest in their properties, however the base rate for travelers does not change, and although they get a stipend for housing they will not come if costs are too high. This may lead to nursing homes not having available beds and emergency rooms backing up, along with other hospitals not having beds and being unable to transfer patients.
Update from Coos County Family Health Services: There were no positive rapid tests yesterday or today. They are wrapping up the week with 14 positives, of which 10 were in children. Eight of the positive cases were at the Christian Unity Academy, which will be closed through next week. They did 42 vaccinations last week, but do not have a number yet for this week. Only 7 of the vaccinations were third doses for immuno-suppressed, as there has been almost no demand. They will be starting flu clinics on September 20, and will be offering drive-thru clinics on Mondays from 11:30 am- 4:30 pm and Wednesdays from 8:30 am- 4:30 pm. Appointments will be required for the flu clinic, and same day appointments will be available by calling. They will also roll out boosters as soon as they are announced. Waiting rooms are still partially open and staff is still masking and socially distancing when possible.
Other updates: Information on monoclonal antibodies was sent by James Patry to be shared with the group. Monoclonal antibodies should be given within 10 days of the start of symptoms for high-risk patients with a positive test who have not been admitted to the hospital and are 12 years of age or older. These are now under the control of DHHS and will be allocated to the areas where it is most needed, so they will need to be conservative.
A print ad regarding credible sources will be going in the paper next week that is consistent with the one released this week by UCVH.
Education
Update from Berlin Public Schools: There was one positive case this afternoon at the high school. The nurses have completed contact tracing and notified those in direct contact, who will be required to wear a mask. Testing will be recommended within 3-5 days for those involved. There have been lots of students with symptoms at the high school and middle school level, however not many at the elementary level. The press conference with Dr. Chen was mentioned and Julie King advised that the general message from the commissioner is that you cannot close or move to remote, students must be on-site. The concern is how to educate two groups of students if a majority is out due to quarantine or isolation. An effort to get the 12-17-year-old students vaccinated was proposed, as there is room for growth from the numbers last spring.
Update from SAU 20: There are no positive cases yet, and it was noted that things are much better than last year so far. They are hoping to stay in yellow as long as they can.
White Mountains Community College No update this call.
Family Resources and Long-Term Care Facilities
St. Vincent de Paul No update this call.
Coos County Nursing Home No update this call.
Northern Human Services: No update this call.
Family Resource Center: No update this call.
Tri-County CAP: No update this call.
Emergency Services and Correctional Facilities
Gorham EMS and Berlin Fire / EMD Gorham EMS reported no changes this week. They are waiting to see if they will be doing third doses for the homebound. Their first group of vaccinations are coming up on 8 months next week, and there have been some questions about third doses for them.
Northern NH Correctional Facility: There were no new cases.
Federal Corrections Institution: There were no cases for the last couple of weeks, so the outbreak reported must be an artifact from prior reporting.
Municipal and Local Business
Androscoggin Valley Chamber of Commerce: No update this call.
City of Berlin and Town of Gorham: No update this call.
Community and Legislative
Public Health Network: They continue to do mobile clinics. They are waiting to hear on the State’s response to President Biden’s mandates announced last week. They are hesitant to go full-bore on an employer-based campaign if the State will not support their efforts. They have started setting things up for employers who have reached out to request clinics. The school-based influenza clinic roll-out is continuing as the state makes information concerning registration, protocols, and training available. Most schools that hold the flu clinics have also welcomed Covid-19 vaccinations as well. However, they are starting to see some battle fatigue among school staff who are concerned about how offering Covid vaccines in schools will be perceived by community members. They will navigate this on a district-by-district basis and try to be as supportive as they can to assist schools in offering this to community members who are interested. They have scheduled a meeting with DHHS and NH Immunization Program leadership, trying to get ahead of the plan for the State to reach out to municipalities with a less than 50% vaccination rate. More than half of the towns in the North Country region have less than 50% rates. There has been a significant amount of feedback from community members of distrust of government agendas. They are hoping to collaborate with the State before they start calling municipalities. They are hoping to set strategy at the municipal level to address the vaccination rates.
6/24/21: Celebrate the wins and more to be done
Our work today is dedicated to everyone who has lost someone or something over the past 16 months – family members, colleagues, jobs, homes, and time spent with loved ones. We give our support to the collective loss experienced during this time.
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As summer begins, COVID-19 testing and positive cases in the Androscoggin Valley have significantly decreased. Coos County is now one of three NH counties with a green COVID designation. County level vaccination rates are on par with the rest of the state, however there is still much work to do to increase the vaccination rate and continue preventative measures to end the pandemic.
Vaccine is available to anyone 12+ years old by calling Coos County Family Health Services at 603-752-2040
NH announced 30 new cases on June 24th. New cases continue trending downward across the state. There was an average of 21 cases per day for the most recent 7-day period (June 18 – June 24). This is a 33% decrease compared to the pervious 7-day period. More information at https://www.covid19.nh.gov/.
#MaskUpNH video #SleeveUp with AVH and CCFHS
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The AV COVID-19 Community Group will take a summer break and will resume meeting in August 2021 to explore its continuation addressing COVID-19 and other emergent and long-term public health needs of the Androscoggin Valley community.
This is the final update for the AV COVID Dashboard which documented updates to the community over the past 6+ months. Thank you to everyone participating and staying updated with local COVID information. The AV COVID Dashboard site was supported by SAU 20 on behalf of the Androscoggin Valley community.
Health Care and Medical Services
Vaccine Update in Androscoggin Valley: Vaccine clinic at the former Brown School in Berlin closed its doors last week after successfully serving as the hub of COVID-19 vaccination for the Androscoggin Valley. Vaccine is available to anyone 12+ years old by calling Coos County Family Health Services at 603-752-2040. A celebration of the Brown School vaccination clinic and the AVH and CCFHS teams will be planned to acknowledge the great work.
Update from Androscoggin Valley Hospital: COVID testing is at very low demand, in the single digits each day, mostly from pre-op testing. The hospital is maintaining its policies and procedures around COVID-19 preventative measures, including masking, limited visitors, and social distancing.
Update from Coos County Family Health Services: A total of 62 COVID tests were administered over the past two weeks, a 50% decrease from a month ago. There were no positive test results. Vaccine is available at CCFHS offered in a clinic setting, similar to a flu clinic, during other appointments, or with a nurse appointment. Call CCHFS at 603-752-2040 for a vaccine appointment.
Other vaccine updates: Vaccination rate in Coos County is close to state average and there have been great gains in controlling the pandemic. Vaccination is the best tool for ending the pandemic and there is still a significant number of people unvaccinated. As more is learned about the Delta variant, the community remains vulnerable in some ways and more work can be done. The Public Health Network (NCHC) will continue to look at vaccine pop-up clinics, including partnership with local businesses. Vaccine data is now available at a town level which will help with targeted vaccination efforts around the region.
Other updates: Cases continue to decrease in NH and Coos County is now one of three NH counties with a green designation. It is reported that there has not been a new COVID case in Coos County since June 18th.
Education
Update from Berlin Public Schools: School is out for the summer and a busy summer program is underway with close to 300 students participating. A staff nurse is available for student check ins every morning. Mask guidelines were updated and the district submitted its reopening plans with DOE this week. Visit Berlin Public School Facebook Page for more information.
Update from SAU 20: The schools are supporting the recreation department full day summer program. A smaller education program will run this summer as well. The district is looking forward to some to time to reflect and celebrate getting through this difficult time as a team, including the work of this group. Visit the SAU 20 office website for updates.
White Mountains Community College: The college is updating its mask guidance to reflect new protocols outlined by DHHS and the CDC. As of July 1st WMCC will no longer be requiring screening to enter facilities.
Family Resources and Long-Term Care Facilities
St. Vincent de Paul: no update this call.
Coos County Nursing Home update: no update this call.
Northern Human Services: no update this call.
Family Resource Center: no update this call.
Tri-County CAP: no update this call.
Emergency Services and Correctional Facilities
Gorham EMS and Berlin Fire / EMD: Gorham Fire and EMS is stable on the COVID front, though an increase in other calls was notable this week. The department is preparing for 4th of July celebrations where lighter than normal crowds are expected with no specific COVID concerns at this point.
Northern NH Correctional Facility: There are 0 COVID cases in the facility and normal operations are resuming including inmate movement within the facility and weekend visits with masks in place. Vaccination is upwards of 80% among inmates and 75% among staff, rates which are supporting more normal activities and operations.
Federal Corrections Institution: no update this call.
Municipal and Local Business
Androscoggin Valley Chamber of Commerce: no update this call.
City of Berlin and Town of Gorham: no update this call.
Community and Legislative
Congressional delegation: A bipartisan group has reached a tentative agreement on the infrastructure plan, including several areas supporting rural health (access to broadband for telehealth, etc.)
“We need to celebrate some of the wins. Think back to a year ago and the many unknowns and questions we had. We’re now on the other side. Proud to be part of this team.”
5/27/21: We can move mountains
Our work today is dedicated to this Androscoggin Valley COVID-19 Community Working Group in acknowledgement of the remarkable journey over the past 16 months and the extraordinary work that was accomplished.
Also, in appreciation of Patty Couture and Dr. Gessner for their leadership and commitment especially over the past challenging year. You each leave a legacy. Congratulations on well-earned retirements from CCHFS and we know they will remain a resource and presence for many on this call.
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COVID-19 testing and positive cases in the Androscoggin Valley are decreasing in line with trends across the state. However, the prevalence of COVID is higher in Coos County than elsewhere in NH and there continue to be positive cases in the community. NH is on a path back to normal and vaccination rates continue to pave the way as the best way forward. When social distancing cannot be maintained mask wearing and preventative measures should still be taken to reduce community transmission.
NH announced 105 new cases on May 27th. New cases continue trending downward across the state. There was an average of 89 cases per day for the most recent 7-day period (May 21 – May 27). This is a 33% decrease compared to the pervious 7-day period. More information at https://www.covid19.nh.gov/.
Nearly 800,000 Granite Staters (796,608) have received at least the first vaccine dose – 58.7% of the state’s population. About 47.6% of the state is considered to be fully vaccinated. Vaccine registration is currently open to all NH residents 16+ years old. The vaccine clinic at the former Brown School in Berlin has availability on Fridays. To register visit https://www.vaccines.nh.gov/, call 2-1-1, or call AVH at 603-752-2300.
#MaskUpNH video #SleeveUp with AVH and CCFHS
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The summaries for May and June are available once a month as the AV COVID-19 Community Working Group transitions into its next steps. The community working group will continue to meet through June. The group will then explore the best avenue and focus in its continuation addressing COVID and other emergent and long term public health needs of the Androscoggin Valley community.
Health Care and Medical Services
Vaccine Update in Androscoggin Valley: Vaccine clinic at the former Brown School in Berlin is winding down as initial vaccination numbers are slowing. This week a small student clinic was held Wednesday and walk ins worked well. On Friday 5/28/21, 35 – 40 are scheduled. Friday clinics will continue into June but as the state transitions away from fixed sites, vaccine will be available at AVH, CCHFS, and retail pharmacies. Individuals interested in the Johnson & Johnson vaccine may call AVH to check on available supply. NH residents 16+ years are eligible and encouraged to register at vaccines.nh.gov, call 2-1-1, or call AVH at 603-752-2300.
Update from Androscoggin Valley Hospital: COVID testing and positive cases are decreasing steadily. This week approximately 25 tests were administered with 2 positives mid-week, the first in about a week. Positives were travel related and community transmission. Hospital is busy as people return to more normal routines and addressing health issues that may have been delayed over the past year. There is an increase in behavioral and mental health needs in the region and across the state. NCH is working with regional partners and the state to address mental health needs.
Update from Coos County Family Health Services: A total of 61 COVID tests were administered Monday through Thursday and one adult, four children received positive test results. Demand for testing is decreasing, however there still are several positive cases in the community. Regular health visits are increasing. CCFHS is waiting on specifics for when vaccine will be available in the clinic.
Other vaccine updates: The Public Health Network (NCHC) continues the effort to vaccination for homebound residents. On May 14th NCHC held three concurrent school-based vaccination clinics for eligible school age students with 22% participation. Overall good numbers for day one. Students were very enthusiastic and empowered to receive a vaccine. Day two will follow with second dose. A NH / VT vaccination clinic at Lancaster Fairgrounds was held May 21st with 145 people. Vaccine recipients mentioned reasons for getting vaccine including: a loved one asked them to; someone they knew and trusted encouraged them; upcoming travel plans; and free Lancaster Fair tickets. NCHC is looking to host small pop-up vaccine clinics in the region. The State of NH is processing 180 provider agreements that will get vaccine into primary care and community health centers across the state.
Other updates: While cases are diminishing in NH and the county, the prevalence of COVID is higher in Coos County than elsewhere in NH with 13.1 cases / 100,000 people. This is a decrease from the past several months but important to be aware that Coos is trending higher than elsewhere in the state. The news is covering cases of mild heart inflammation for younger people after vaccination but there does not appear to be evidence of connection. Medical professionals are watching this closely, but numbers are on par with normal levels of this condition in the population. Getting COVID and other viruses can also cause the same heart response. Moderna vaccine is proven effective for 12 – 17 age group. Novavax is coming out with another vaccine that we will not likely see distributed in the US because of the current substantial supply. Vaccine rates in Coos County are 68% received at lease one dose and 44% fully vaccinated. Good number for the county. Providing more vaccine education and addressing hesitancy are next step efforts.
Education
Update from Berlin Public Schools: No update this call. Visit Berlin Public School Facebook Page for information.
Update from SAU 20: The schools are seeing some continued positive cases and the impact of quarantining reminds everyone to keep diligent with preventative procedures and encourage vaccination. The school districts are creating reentry plans to submit to the state, knowing that changes will happen. The goal is to be back to normal as possible by August. Visit the SAU 20 office website for updates.
White Mountains Community College: Now that the academic year and commencement have passed, the current focus is on planning for future COVID precautions on campus. WMCC is currently looking to phase out some of the screening and use of forms/apps to attest to screening questions. Additionally, the college will be updating mask policies as appropriate. If there is a local outbreak or increase in cases the college is able to shift back to additional preventative tools as needed. The goal will be to streamline procedures and encourage vaccination.
Family Resources and Long-Term Care Facilities
St. Vincent de Paul: There are no new updates from CMS or CDC for long-term care facilities. St. Vincent’s is committed to following guidance available to support residents and families as best as possible.
Coos County Nursing Home update: no update this call.
Northern Human Services: Berlin area staff will return to the office June 7th to assist clients accessing services more easily in person. More clients will see therapists and case managers for services as the organization continues to transition back in person. There was update and discussion about changes to inpatient hospitalization for mental health crisis. NCH / AVH and Northern Human Services work in close collaboration and are considered a model that can be shared elsewhere in the state as mental and behavioral health partners navigate the current changes and challenges.
Family Resource Center: no update this call.
Tri-County CAP: no update this call.
Emergency Services and Correctional Facilities
Gorham EMS and Berlin Fire / EMD no update this call.
Northern NH Correctional Facility: no update this call.
Federal Corrections Institution: no update this call.
Municipal and Local Business
Androscoggin Valley Chamber of Commerce: no update this call.
City of Berlin and Town of Gorham: no update this call.
Community and Legislative
Congressional delegation: no update this call.
“It’s natural to see this chapter of COVID come to a close. The next public health crisis is probably around the corner. This is a good group to tackle any public health crisis – both emergency and long term. We can move mountains.”
“We need to celebrate. Memory fades from what this battle really took.”
MAY 21: Vaccine Clinic in Lancaster
The North Country Public Health Network will be holding a COVID-19 Vaccination Clinic this Friday at the Lancaster Fairgrounds. The Johnson and Johnson vaccine will be used so this will be a one and done shot.
Individuals who schedule an appointment and receive their vaccine will receive a 1 day pass and ride bracelet to this year's Lancaster Fair! Do your part in our best "shot" at getting back to normal.
5/6/21: The bumpy path back to normal
Our work today is dedicated to the nurses on this call and in our community on National Nursing Day.
Also, in appreciation of Julie King who was awarded the Sylvia Evans Leadership Award of 2021 for her community contribution in education.
***
COVID-19 testing and positive cases in the Androscoggin Valley area are holding steady with slight upticks of positive cases and ED patients observed this week. Although NH is announcing a path back to normal with sunsetting statewide mandates, mask wearing, social distancing, and vaccination are very important to reduce community transmission.
NH announced 269 new cases on May 6th. New cases are trending downward across the state. There was an average of 228 cases per day for the most recent 7-day period (April 30 – May 6). This is a 15% decrease compared to the pervious 7-day period. More information at https://www.covid19.nh.gov/.
725,000 or 53% of NH’s population has received one vaccination dose and 36% are fully vaccinated. Vaccine registration is currently open to all NH residents 16+ years old. The vaccine clinic at the former Brown School in Berlin has availability on Fridays. To register visit https://www.vaccines.nh.gov/, call 2-1-1, or call AVH at 603-752-2300.
#MaskUpNH video #SleeveUp with AVH and CCFHS
***
Health Care and Medical Services
Vaccine Update in Androscoggin Valley: The vaccine clinic at the former Brown School in Berlin administered 130 doses on Wednesday including only 15 new first doses. This week was the last Wednesday clinic as initial vaccination numbers are slowing and there will be transition to CCFHS primary care and retail pharmacies. Friday clinics will continue, including approximately 100 vaccinations scheduled for this Friday. The state is beginning to plan for its fixed sites to wind down in the coming months and fully transition vaccine availability to primary care and retail pharmacies. Individuals interested in the Johnson & Johnson vaccine may call AVH to check on available supply. NH residents 16+ years are eligible and encouraged to register at vaccines.nh.gov, call 2-1-1, or call AVH at 603-752-2300.
Update from Androscoggin Valley Hospital: COVID testing is holding steady at approximately 100 tests per week, with 1 – 2 positive cases per day. There is an observed slight uptick in positive cases, including seeing several unvaccinated younger adults with COVID coming through the ED. The hospital is overall stable. Upper Connecticut Valley Hospital in Colebrook is seeing a similar uptick in positive cases with 66 tests and 5 positive cases as of Tuesday this week. A few positive COVID cases are coming through UCVH ED as well.
Update from Coos County Family Health Services: A total of 55 COVID tests were administered Monday through Thursday and one adult, five children received positive test results. The uptick in pediatric cases is likely originating through local community transmission. Contact tracing is being conducted and the uptick is being monitored. Strep continues to be present in the community with 9 positive strep tests this week.
Other vaccine updates: The Public Health Network (NCHC) is reaching out to North Country schools to arrange school-based student clinics in anticipation of Pfizer vaccine approval for 12 – 15 year olds before the end of the school year. NH and VT organizers are planning for an open vaccination clinic to be held at the Lancaster Fairgrounds. North Country Healthcare has administered a total of over 18,300 vaccine doses, the majority given to Coos County residents.
Other updates: The 7-day average of new COVID cases is down in NH, though there is still a substantial transmission rate in every NH county, including Coos. There are 5-10 new cases in Coos County each day and there community transmission is present. While mandated statewide NH COVID policies are sunsetting, state epidemiologists continue to encourage universal best practices of masking, social distancing, and hand hygiene to prevent community transmission. Vaccination rate is Coos County is encouraging and will hopefully reach 60% of eligible population soon. Vaccinate education and encouragement continues, including a planned community event to address COVID vaccine Q+A with local medical professionals.
Education
Update from Berlin Public Schools: For the first time since September no staff members are out on quarantine on this week, though there are two new positive student cases. Teachers and staff continue to be thankful to receive vaccination. School is in person 5 days a week and there was a slight drop in fully remote students, now at approximately 16%. People are happy to be closer to normal operations. Planning is underway for next year. Visit Berlin Public School Facebook Page for information.
Update from SAU 20: After a few weeks of quiet COVID activity there are a few staff and students out on quarantine. Vaccinated staff do not need to quarantine. Administrators are navigating staff quarantine policies going forward. Spring events and spring sports are underway. Visit the SAU 20 office website for updates.
White Mountains Community College is status quo and no additional updates this call.
Family Resources and Long-Term Care Facilities
St. Vincent de Paul reported on many changes allowing more back to normal activities and visits at the nursing home. Group activities, community dining, and socializing may resume following the state’s standard of the CDC’s universal best practices. In group settings mask wearing and social distancing will be continued. Vaccinated residents and vaccinated family members may have close unmasked visitations, including off site outings. The organization is encouraging vaccination among residents, family, and community members as a way to more safely enjoy back to normal activities.
Coos County Nursing Home update: The state closed the outbreak case that was being monitored at Coos County Nursing Home. No additional information or update provided.
Northern Human Services: no update this call.
Family Resource Center: no update this call.
Tri-County CAP: no update this call.
Emergency Services and Correctional Facilities
Gorham EMS and Berlin Fire / EMD no major updates this call. The departments encourage community members and businesses to continue proven preventative measures even as NH statewide mandates begin to sunset.
Northern NH Correctional Facility: no update this call.
Federal Corrections Institution: FCI outbreak status from the past several weeks has improved. There are currently 5 positive cases among staff and inmates. The institution continues to use widespread testing, quarantine units, and careful monitoring.
Municipal and Local Business
Androscoggin Valley Chamber of Commerce: no update this call.
City of Berlin and Town of Gorham: no update this call.
Community and Legislative
Congressional delegation staff shared that the legislators are preparing the congressional directed appropriations process which will provide funding to NH projects, including efforts in the North Country. Recent legislative topics include career pathways, including pipeline for skilled nursing, and the opioid workforce act to address medical response to opioid misuse. The Friendship House will be reopening soon under a new name and management and will start taking referrals to provide residential treatment to individuals with substance use disorders. Congressional summer college interns observing the call noted the high-level of communication among community stakeholders to be interesting and encouraging.
“The path back to normal is going to be a little bumpy.”
4/22/21: Sleeve Up - NH’s rural residents get vaccinated
Our work today is dedicated to the residents in skilled nursing facilities in our community and across the country. Separation from family over the past 14 months has been challenging and we keep their experience in mind.
***
COVID-19 testing and positive cases in the Androscoggin Valley area are holding steady this week. The Federal Corrections Institution and Coos County Nursing Home, both in Berlin, are in outbreak status reported by NH DHHS. As variants are likely becoming widespread around the state, mask wearing, social distancing, and vaccination are very important preventative measures to slow community transmission.
NH announced 515 new cases on April 22nd. There was an average of 352 cases per day for the past 7-day period. This is a decrease compared to the pervious 7-day period, which had been rising for several weeks. See more NH COVID information at https://www.covid19.nh.gov/.
Vaccine registration is currently open to all NH residents 16+ years old. The vaccine clinic at the former Brown School in Berlin has availability on Wednesdays and Fridays. To register visit https://www.vaccines.nh.gov/, call 2-1-1, or call AVH at 603-752-2300.
#MaskUpNH video #SleeveUp with AVH and CCFHS
***
THE NEXT COMMUNITY SUMMARY WILL BE POSTED May 7, 2021 of the May 6, 2021 MEETING
Health Care and Medical Services
Vaccine Update in Androscoggin Valley: The vaccine clinic at the former Brown School in Berlin administered 268 doses on Wednesday, including 50 first doses and the remaining as second doses. Friday will be another busy day however demand for first doses is starting to show some decline, initiating the next phase of outreach and education. NH Bureau of Infectious Disease Control reports that 48% of Granite Staters have received at least one shot of the vaccine and 28% are fully vaccinated (NHPR). NH residents 16+ years are eligible and encouraged to register at vaccines.nh.gov, call 2-1-1, or call AVH at 603-752-2300.
Update from Androscoggin Valley Hospital: COVID testing numbers decreased this week, however there continues to be community spread. Testing and positive cases are expected to go up and down in the coming weeks. The hospital is overall stable and there are no COVID cases among the in-patient population.
Update from Coos County Family Health Services: A total of 77 COVID tests were administered Monday through Thursday, holding steady to last week’s testing numbers. Three adults and six children received positive test results. Testing and positive rates are similar to last week. Strep continues to be present in the community with 5 positive strep tests.
Other vaccine updates: The Public Health Network (NCHC) is wrapping up its role with final 1B and 2A clinics and will transition its focus to making vaccine even more accessible to individuals in northern NH. The PHN is exploring the idea of mobile vaccine clinics with business and school partners, in a similar model to other PHNs around the state. More information to come. COVID vaccination continues to be available through the state run VINI system at the hospital and fixed sites (including Brown School in Berlin), as well as through NH retailers of Walgreens, CVS, Walmart, and Osco around the state.
Other updates: Data indicates that NH has done well to vaccinate older residents (65+) living in rural areas, something that is considered a challenge due to dispersed population. The vaccination rate for NH rural residents 65+ years is 5.8 percentage points higher than urban residents in NH, a data point that is leading the county. The outreach of the AV Community COVID Workgroup contributed to this effort to ensure rural accessibility to vaccine.
Education
Update from Berlin Public Schools: No update this call. April school vacation is next week. Visit Berlin Public School Facebook Page for information.
Update from SAU 20: No update this call. April school vacation is next week. Visit the SAU 20 office website for updates.
White Mountains Community College: no update this call.
Family Resources and Long-Term Care Facilities
St. Vincent de Paul is status quo and compassionate care visits continue.
Coos County Nursing Home update: The organization continues to be in state designated outbreak status, one of two statewide. There have been no new positive cases since 4/12/21 and there are currently no active positive cases for residents or staff in the facility. The Nursing Home expects to close its official outbreak status on Monday 4/26/21 pending test results. Residents and staff are in good spirits as the situation continues to improve daily.
Northern Human Services continues to support clients with in person and remote services. Initial in person intake appointments are helping clients to attend follow up appointments. No other major COVID updates.
Family Resource Center: no update this call.
Tri-County CAP: no update this call.
Emergency Services and Correctional Facilities
Gorham EMS and Berlin Fire / EMD no major update this call. Berlin Fire / EMD is meeting with organizers of a summer ATV festival to discuss COVID safety protocols.
Northern NH Correctional Facility: Status quo with no positive cases and operating in standard procedure. The facility continues to use routine testing, quarantine units when necessary, and monitoring.
Federal Corrections Institution: FCI is in designated outbreak status, one of two statewide. There have been no new cases since Saturday and test results are pending. There are currently 100 positive cases among inmates, an improvement from 175 active cases last week. NH DHHS reported new COVID cases (515) on 4/22/21 which includes 100 cases connected to the federal prison. The plateauing and reduction of case numbers at the prison is encouraging. The institution continues to use widespread testing, quarantine units, and careful monitoring.
Municipal and Local Business
Androscoggin Valley Chamber of Commerce will be communicating more information soon about changes in their role with the Jericho ATV Festival. Many area businesses continue to require and encourage masks, distancing, and preventative measures as best practices against the spread of Covid-19.
City of Berlin and Town of Gorham: no update this call.
Community and Legislative
Congressional delegation staff had no update this call.
“The efforts of this group contributed to a successful vaccination effort to reach rural NH residents age 65+ years.”
4/15/21: Cases rising, continue to #maskupNH
Our work today is dedicated to the 3,600 healthcare workers who have lost their lives to COVID-19 over the last 14 months.
***
COVID-19 testing and positive cases in the Androscoggin Valley area are increasing this week. The Berlin FCI is in a significant outbreak which will be reported on the state numbers soon and represents the highest numbers for the area for the past 14 months. The next couple of weeks will be important. As variants are likely becoming widespread around the state, mask wearing, preventative measures, and vaccination are very important.
NH announced 552 new cases for April 15th. There was an average of 445 cases per day for the past 7-day period. This is a 10% increase compared to the previous 7-day period. See more NH COVID information at https://www.covid19.nh.gov/.
Vaccine registration is currently open to all NH residents 16+ years old. The vaccine clinic at the former Brown School in Berlin has availability on Wednesdays and Fridays. To register visit https://www.vaccines.nh.gov/, call 2-1-1, or call AVH at 603-752-2300.
#MaskUpNH video #SleeveUp with AVH and CCFHS
***
Health Care and Medical Services
Vaccine Update in Androscoggin Valley: The vaccine clinic at the former Brown School in Berlin administered 336 doses on Wednesday, including 126 first doses and 210 second doses. Friday will be another busy day however demand is starting to drop. NH residents 16+ years are eligible and encouraged to register at vaccines.nh.gov, call 2-1-1, or call AVH at 603-752-2300.
Update from Androscoggin Valley Hospital: For COVID testing, 23 COVID swabs were administered on Wednesday, of those 7 symptomatic (antigen tests), 2 were positive. On Thursday 20 tests were given and Friday 30 are scheduled. There is a significant increase in testing as an indication of community spread. The hospital is overall stable and there are no COVID positives in the in-patient population.
Update from Coos County Family Health Services: A total of 79 COVID tests were administered Monday through Thursday, an increase over last week. Three adults and four children received positive test results. Strep continues to be present in the community with 10 positive strep tests.
Other vaccine updates: State epidemiologists shared information on the pause on the Johnson & Johnson vaccine. The vaccine review panel is being very cautious and is looking at global data including the AstraZeneca vaccine, as it is similar to the J&J vaccine. At the time of the announcement, a very small number of cases (6) were reported out of the nearly seven (7) million doses of the J&J vaccine administered so far in the United States. The vaccine review panel will meet again in a week and may issue conditions of use for the vaccine to exclude people with certain autoimmune disorders, thrombotic conditions, or medication use to avoid the very rare complication of blood clots. This pause in the J&J vaccine illustrates the very careful and rigorous vaccine review process that FDA medical professionals are leading. American public should have confidence in the vaccination strategy and assured that there is enough vaccine available with Pfizer and Moderna vaccines. More information visit CDC’s recommendation to pause J&J 4/15/21.
Other updates: Governor's 4/15/21 press conference announced changes to statewide COVID regulations. The statewide mask mandate will expire on 4/16/21. Other Safer at Home regulations will relax after May 7th. The Governor encouraged continued mask wearing and preventative measures as best practices and noted that any business and municipality can continue to require masks. NH cases continue to rise with 552 new cases announced on 4/15/21. AV Community COVID Workgroup members strongly encourage local businesses, organizations, and individuals to continue using masks and social distancing as effective measures to reduce community transmission.
Education
Update from Berlin Public Schools: Administrators are busy creating plans to return to 5 day / week in person instruction, as well as remote pathway for those requiring the option. The waiver request was denied by the state. Schools will continue masking and all preventative measures, including 3ft. distance as much as possible. Sports competitions are likely to be affected by the rising positive cases in Berlin. School administrators ask the community to continue preventative measures to try to keep numbers down to keep students in school and playing sports and activities. Visit Berlin Public School Facebook Page for information.
Update from SAU 20: The schools will meet the Governor’s order to offer 5 day in person instruction following a plan approved by Milan and GRS Cooperative School Boards. April 23rd will be a student vacation day, followed by April vacation, and the week of May 3rd will run 5 days in person. Visit the SAU 20 office website for updates.
White Mountains Community College continues commencement plans and summer course enrollment. No major updates this call.
Family Resources and Long-Term Care Facilities
St. Vincent de Paul is in response mode with frequent testing and monitoring. Compassionate care visits continue, and business is as usual overall. The organization will continue preventative mask wearing and encouraging all to be socially responsible.
Coos County Nursing Home update: The organization continues to be in designated outbreak status, one of three statewide. No additional information or update provided.
Northern Human Services held its second dose vaccine clinic with full participation. The organization will be sharing policies regarding continued mask wearing and preventative measures. There may be telehealth impacts with a change to Safer at Home orders.
Family Resource Center is status quo and the organization will be sharing policies regarding continued mask wearing and preventative measures.
Tri-County CAP: no update this call.
Emergency Services and Correctional Facilities
Gorham EMS and Berlin Fire / EMD no major update this call. Gorham EMS will be working with the town to support messaging about mask wearing and other preventative measures.
Northern NH Correctional Facility: There are currently 0 positive cases and operating in standard procedure. The facility continues to use quarantine units, routine testing, and monitoring.
Federal Corrections Institution: FCI is in designated outbreak status, one of three statewide. A total of 149 inmates and 3 staff have tested positive. This wave includes a trend of younger individuals who are experiencing more severe COVID-19 symptoms. The institution continues to use widespread testing, quarantine units, and careful monitoring. The surge in positive cases will show up in state reported numbers soon.
Municipal and Local Business
Androscoggin Valley Chamber of Commerce is receiving calls from member businesses expressing concern about the Governor’s announcement of lifting the statewide mask mandate. Businesses, organizations, and municipalities may continue mask requirements as an effective preventative measure to reduce transmission of COVID-19.
City of Berlin and Town of Gorham: no update this call.
Community and Legislative
Congressional delegation shared a press release that the City of Berlin received federal support for a program with Berlin Housing Authority to connect residents of public housing with job training and placement. No further update from staff.
4/15/21: Cases rising, continue to #maskupNH
Our work today is dedicated to the 3,600 healthcare workers who have lost their lives to COVID-19 over the last 14 months.
***
COVID-19 testing and positive cases in the Androscoggin Valley area are increasing this week. The Berlin FCI is in a significant outbreak which will be reported on the state numbers soon and represents the highest numbers for the area for the past 14 months. The next couple of weeks will be important. As variants are likely becoming widespread around the state, mask wearing, preventative measures, and vaccination are very important.
NH announced 552 new cases for April 15th. There was an average of 445 cases per day for the past 7-day period. This is a 10% increase compared to the previous 7-day period. See more NH COVID information at https://www.covid19.nh.gov/.
Vaccine registration is currently open to all NH residents 16+ years old. The vaccine clinic at the former Brown School in Berlin has availability on Wednesdays and Fridays. To register visit https://www.vaccines.nh.gov/, call 2-1-1, or call AVH at 603-752-2300.
#MaskUpNH video #SleeveUp with AVH and CCFHS
***
Health Care and Medical Services
Vaccine Update in Androscoggin Valley: The vaccine clinic at the former Brown School in Berlin administered 336 doses on Wednesday, including 126 first doses and 210 second doses. Friday will be another busy day however demand is starting to drop. NH residents 16+ years are eligible and encouraged to register at vaccines.nh.gov, call 2-1-1, or call AVH at 603-752-2300.
Update from Androscoggin Valley Hospital: For COVID testing, 23 COVID swabs were administered on Wednesday, of those 7 symptomatic (antigen tests), 2 were positive. On Thursday 20 tests were given and Friday 30 are scheduled. There is a significant increase in testing as an indication of community spread. The hospital is overall stable and there are no COVID positives in the in-patient population.
Update from Coos County Family Health Services: A total of 79 COVID tests were administered Monday through Thursday, an increase over last week. Three adults and four children received positive test results. Strep continues to be present in the community with 10 positive strep tests.
Other vaccine updates: State epidemiologists shared information on the pause on the Johnson & Johnson vaccine. The vaccine review panel is being very cautious and is looking at global data including the AstraZeneca vaccine, as it is similar to the J&J vaccine. At the time of the announcement, a very small number of cases (6) were reported out of the nearly seven (7) million doses of the J&J vaccine administered so far in the United States. The vaccine review panel will meet again in a week and may issue conditions of use for the vaccine to exclude people with certain autoimmune disorders, thrombotic conditions, or medication use to avoid the very rare complication of blood clots. This pause in the J&J vaccine illustrates the very careful and rigorous vaccine review process that FDA medical professionals are leading. American public should have confidence in the vaccination strategy and assured that there is enough vaccine available with Pfizer and Moderna vaccines. More information visit CDC’s recommendation to pause J&J 4/15/21.
Other updates: Governor's 4/15/21 press conference announced changes to statewide COVID regulations. The statewide mask mandate will expire on 4/16/21. Other Safer at Home regulations will relax after May 7th. The Governor encouraged continued mask wearing and preventative measures as best practices and noted that any business and municipality can continue to require masks. NH cases continue to rise with 552 new cases announced on 4/15/21. AV Community COVID Workgroup members strongly encourage local businesses, organizations, and individuals to continue using masks and social distancing as effective measures to reduce community transmission.
Education
Update from Berlin Public Schools: Administrators are busy creating plans to return to 5 day / week in person instruction, as well as remote pathway for those requiring the option. The waiver request was denied by the state. Schools will continue masking and all preventative measures, including 3ft. distance as much as possible. Sports competitions are likely to be affected by the rising positive cases in Berlin. School administrators ask the community to continue preventative measures to try to keep numbers down to keep students in school and playing sports and activities. Visit Berlin Public School Facebook Page for information.
Update from SAU 20: The schools will meet the Governor’s order to offer 5 day in person instruction following a plan approved by Milan and GRS Cooperative School Boards. April 23rd will be a student vacation day, followed by April vacation, and the week of May 3rd will run 5 days in person. Visit the SAU 20 office website for updates.
White Mountains Community College continues commencement plans and summer course enrollment. No major updates this call.
Family Resources and Long-Term Care Facilities
St. Vincent de Paul is in response mode with frequent testing and monitoring. Compassionate care visits continue, and business is as usual overall. The organization will continue preventative mask wearing and encouraging all to be socially responsible.
Coos County Nursing Home: The organization continues to be in designated outbreak status, one of three statewide. No additional information or update provided.
Northern Human Services held its second dose vaccine clinic with full participation. The organization will be sharing policies regarding continued mask wearing and preventative measures. There may be telehealth impacts with a change to Safer at Home orders.
Family Resource Center is status quo and the organization will be sharing policies regarding continued mask wearing and preventative measures.
Tri-County CAP: no update this call.
Emergency Services and Correctional Facilities
Gorham EMS and Berlin Fire / EMD no major update this call. Gorham EMS will be working with the town to support messaging about mask wearing and other preventative measures.
Northern NH Correctional Facility: There are currently 0 positive cases and operating in standard procedure. The facility continues to use quarantine units, routine testing, and monitoring.
Federal Corrections Institution: FCI is in designated outbreak status, one of three statewide. A total of 149 inmates and 3 staff have tested positive. This wave includes a trend of younger individuals who are experiencing more severe COVID-19 symptoms. The institution continues to use widespread testing, quarantine units, and careful monitoring. The surge in positive cases will show up in state reported numbers soon.
Municipal and Local Business
Androscoggin Valley Chamber of Commerce is receiving calls from member businesses expressing concern about the Governor’s announcement of lifting the statewide mask mandate. Businesses, organizations, and municipalities may continue mask requirements as an effective preventative measure to reduce transmission of COVID-19.
City of Berlin and Town of Gorham: no update this call.
Community and Legislative
Congressional delegation shared a press release that the City of Berlin received federal support for a program with Berlin Housing Authority to connect residents of public housing with job training and placement. No further update from staff.
4/8/21: Community Partner Award
Our work today is dedicated to Ken Gordon of Coos County Family Health Services for his leadership with the AV COVID Community Group. The work is a group of many, but it is held together with Ken’s leadership.
Congratulations!
2021 Campus Compact for NH Presidents’ Community Partner Award
Every spring, college and university Presidents throughout New Hampshire each recognize a community partner that has engaged with them in the development of a sustained, reciprocal partnership. This year White Mountains Community College has selected the Androscoggin Valley Covid-19 Workgroup, with Ken Gordon as the representative, to be the recipient of the 2021 Campus Compact for NH Presidents’ Community Partner Award.
***
COVID-19 testing and positive cases in the Androscoggin Valley area have dipped slightly this week compared to the increased levels over the last several weeks. However, NH is seeing a 10% increase in cases compared to the last 7-day period. Last week NH opened vaccine registration to all residents 16+ years and there is availability at the Brown School Clinic in Berlin. As spring progresses and vaccine availability increases, we are very close to turning the corner, but we must work together to get there.
NH announced 515 cases for April 8. There were an average of 408 cases per day for the past 7-day period. This is a 10% increase compared to the pervious 7-day period. See more NH COVID information at https://www.covid19.nh.gov/.
Vaccine registration is currently open to all NH residents 16+ years old. The vaccine clinic at the former Brown School in Berlin has availability on Wednesdays and Fridays. To register visit https://www.vaccines.nh.gov/, call 2-1-1, or call AVH at 603-752-2300.
#MaskUpNH video #SleeveUp with AVH and CCFHS
***
Health Care and Medical Services
Vaccine Update in Androscoggin Valley: The vaccine clinic at the former Brown School in Berlin administered 345 doses on Wednesday, including first doses and second doses. Friday will be another busy day. Several 16 and 17 year old recipients received their first doses accompanied by their parent or guardian. The clinic has plenty of availability and encourages NH residents 16+ years to register at vaccines.nh.gov, call 2-1-1, or call AVH at 603-752-2300.
Update from Androscoggin Valley Hospital: For COVID testing, 30 COVID swabs were administered on Wednesday, of those 8 symptomatic (antigen tests) all were negative. On Thursday 25 tests were scheduled and all the symptomatic (antigen tests) at least administered by noon were negative as well. Numbers for testing and positive results are dropping slightly this week compared to the increase over the past several weeks. There are strep cases in the community right now. The hospital is overall stable and there are no COVID positives in the in-patient population. AVH is supporting Coos County Nursing Home in Berlin in their COVID response and resident care.
Update from Coos County Family Health Services: A total of 51 COVID tests were administered Monday through Thursday, a 50% decrease compared to last week. There was only one positive. Strep is present in the community and there were 12 positive strep tests.
Other vaccine updates: NCH and its affiliate partners across the region will receive up to 500 doses of Johnson & Johnson vaccine in the coming weeks to reach additional vulnerable North Country residents. NH announced that it plans to open vaccine registration to non-residents (ie out of state college students) in the coming weeks. The AV COVID Community Group continues to discuss how to increase vaccine education and address hesitancy with accurate medical information in the community. There are many resources available including the COVID-19 Community Corps coordinated by U.S. Department of Health and Human Services, visit https://wecandothis.hhs.gov/. Johns Hopkins Medicine also released an informative article addressing vaccine hesitancy.
Other health updates: State epidemiologists shared the information from recent studies confirming that vaccines are tolerated well by pregnant and nursing mothers with an added benefit that antibodies were found in breastmilk, passing along some protection to children. This is further encouraging and reassuring information. Women who are pregnant or breastfeeding are encouraged to speak with their medical provider. There were antibody treatment updates for those positive with COVID-19.
Education
Update from Berlin Public Schools: Schools are currently affected by several COVID cases and quarantines with 3 positive cases in Berlin Elementary School, resulting in 34 students and 5 staff in quarantine. Also 2 positive cases in Berlin Middle High School resulted in 21 students quarantining. Administrators are responding to the Governor’s new directive to return to in-person instruction 5 days / week. Families are providing input via survey and email, many of whom communicate a preference to remain status quo for the rest of the year since another shift in schedule is very challenging. It will be very difficult for the district to offer full time in-person instruction, as well as a full-time remote option for those with medical documentation. There will be discussion about applying for a waiver during the emergency School Board meeting. Administrators are cautious as news from south of the notch Kennett High School in Conway had to move to fully remote this week due to several positive cases and many staff quarantines. Visit Berlin Public School Facebook Page for information.
Update from SAU 20: COVID impacts have tailed off over the last two weeks which is promising after several cases had popped up the weeks prior. The district is responding to the Governor’s new directive to return to in-person instruction 5 days / week. Plans were already underway to return to that model May 10th. School Boards and administrators are meeting early next week and a plan will be announced next week. Visit the SAU 20 office website for updates.
White Mountains Community College is planning a socially distanced outdoor commencement for approximately 130 graduates and their guests (limited 4 people per grad). A similar event was tested successfully in September. The college continues to open up more for prospective student tours, new student advisory meetings, and community partners interviewing students for job offers.
Family Resources and Long-Term Care Facilities
St. Vincent de Paul is conducting twice a week testing for all residents and staff out of cautious response after a possible exposure from over 10 days ago. The organization is optimistic that the facility will return to routine operations next week. All visits are now categorized as compassionate care visits in order to continue family connection for the well-being of residents. Vaccine clinic will be offered again to residents and staff next week and vaccine is available as needed. Several staff are willing to share their stories to advocate for vaccine uptake.
Coos County Nursing Home update: The organization has 3 total active COVID cases among residents and staff as of Friday this week. There has been a decrease in cases from the previous weeks which is a hopeful sign of the slowing and end of the current outbreak status. The nursing home is working closely with its medical director, AVH, and is responding with care to manage and prevent any further spread. Sadly, a resident has passed away during this time and the family has shared this information publicly with the community. Our thoughts and prayers go out to the family and friends of the deceased. Compassionate care visits continue to take place. Staff and residents emphasize the critical role that preventative measures and vaccination play together in protecting individuals and reducing community-spread of the COVID-19 virus.
Northern Human Services is continuing to slowly and safely re-open in person services. The vast majority of NHS Berlin office staff are vaccinated (70%) and the organization expects the uptake to continue to increase over time.
Family Resource Center is status quo and no additional update this call.
Tri-County CAP: no update this call.
Emergency Services and Correctional Facilities
Gorham EMS and Berlin Fire / EMD held the final mobile clinic this week with Johnson & Johnson vaccine for 35 additional municipal employees. The departments have concluded their clinics for Phase 1 & 2 individuals and the command staff meetings have ended. In total 590 vaccines were administered, reaching 355 fully vaccinated individuals (including 20 J&J) and 20 first doses that were concluded elsewhere. Many of the vaccine recipients are among the most vulnerable in the community. People were very appreciative of the effort to reach them in their residence.
Northern NH Correctional Facility: This week was an improvement over last week. Four quarantining inmates are expected to be cleared and last week’s 5 positive cases have not resulted in a further rise of cases. The facility continues to use monitoring, routine testing, and contract tracing. A Johnson & Johnson vaccine clinic will be offered early next week hoping to reach up to 300 individuals.
Federal Corrections Institution: no update this call.
Municipal and Local Business
Androscoggin Valley Chamber of Commerce: no update this call.
City of Berlin and Town of Gorham: no update this call.
Community and Legislative
Congressional delegation staff reported that Sen. Hassan and Rep. Kuster are home in NH this week meeting with residents and organizations from around the state. Sen. Hassan visited community partners in Berlin on Tuesday. Rep. Kuster is planning her three day North Country tour; dates to be set soon.
4/1/21: People caring for people the North Country way
Our work today is dedicated to staff and residents at Coos County Nursing Home in Berlin. We keep them in our minds and hearts this week.
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The Androscoggin Valley region continues to have increasing COVID cases and community spread as seen in growing testing and positive test results this week. This is on trend across NH as the state is seeing an increased positive daily rate of approximately 400+ cases, up from 250-300 daily average from several weeks ago. As of Friday April 2nd all NH residents 16+ years old are eligible to register for vaccine. Community members are encouraged to continue COVID prevention protocols of masking, social distancing, and hand hygiene. As spring arrives and vaccine availability increases, we are very close to turning the corner, but we must work together to get there.
#MaskUpNH video #SleeveUp with AVH and CCFHS
Vaccine registration is currently open to all NH residents 16+ years old. The vaccine clinic at the former Brown School in Berlin has availability on Wednesdays and Fridays. To register visit https://www.vaccines.nh.gov/, call 2-1-1, or call AVH at 603-752-2300.
SPECIAL NOTICE for 16 + 17 year old registrants: North Country Health Consortium (Littleton) has been listed in error on the registration website as a site where 16 & 17 year olds can receive the Pfizer vaccine. If you are registering a 16 or 17 year old vaccine recipient, please disregard this notice and continue the registration process - vaccines are available at the clinic at the former Brown School in Berlin.
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Health Care and Medical Services
Vaccine Update in Androscoggin Valley: The vaccine clinic at the former Brown School in Berlin administered 353 doses on Wednesday, including 254 first doses and 99 second doses. Friday will be another busy day. The following week appears slower as of now with only 88 appointments scheduled for Wednesday 4/7/21 . The clinic has availability and encourages people to get the word out that all NH residents age 16+ years are eligible. The clinic may be able to assist walk-ins with registration when possible.
NH opened registration to all NH residents this week in a phased approached by age. As of Friday April 2nd all NH residents 16+ years are eligible. Visit vaccines.nh.gov to register or call 2-1-1. SPECIAL NOTICE for 16 + 17 year old registrants: North Country Health Consortium (Littleton) has been listed in error on the registration website as a site where 16 & 17 year olds can receive the Pfizer vaccine. If you are registering a 16 or 17 year old vaccine recipient, please disregard this notice and continue the registration process - vaccines are available at the clinic at the former Brown School in Berlin.
Update from Androscoggin Valley Hospital: For COVID testing, 26 COVID swabs were administered on Wednesday. Of those 26, 12 were symptomatic (antigen tests) and 3 were positive. In addition 2 positive send out tests were returned. On Thursday 13 tests were administered including 5 symptomatic (antigen tests) and 4 close contacts were tested. Results are not in from Thursday’s tests. Numbers for testing and positive results are showing an increase in COVID cases in the local community. There is also some strep in the community as well. The hospital is overall stable and there are no COVID positive cases in the in-patient population. AVH is supporting Coos County Nursing Home in Berlin in their COVID response and resident care.
Update from Coos County Family Health Services: A total of 110 COVID tests were administered Monday through Thursday with 3 adult and 5 pediatric positive results. Increasing testing numbers and positive results are showing a growing trend of positive COVID cases in the community. People are reminded to limit their indoor close interaction with groups outside of their household.
Other vaccine updates: The Public Health Network (PHN) continues its homebound and homeless initiative to bring vaccines to these harder to reach populations. PHN is working with Littleton Fire Department and Tri-County CAP to reach the homeless or housing insecure populations in Littleton and Lancaster areas, and will reach out to Berlin-Gorham area as well. As more retail sites are offering vaccines (Walmart and Walgreens) the fixed sites are seeing slowing activity. The PHN thanks Chief Cloutier and Chief Watkins for their help with vaccination clinics as Phase 1 and 2 wind down. As of Friday April 2nd all NH residents age 16+ are eligible to receive vaccination. Children 16 and 17 years will need ID and parent consent. (See notice above for 16+17 year old registrants). The state is rolling out its vaccine education and encouragement campaign this week.
Other health updates: There is a significant rise in positive cases in NH and around the country. NH is now averaging 400+ new cases per day, a return to December 2020 levels, and up from the 250-300 average cases per day from several weeks ago. Most of New England, Michigan, and Minnesota are current hot spots in the country. State epidemiologists share that while more data needs to be collected, vaccines are effective in reducing asymptomatic spread. Getting vaccinated protects the individual and there are indications that it reduces transmission to others. Vaccine trials for ages 12 -15 years old show good results with high efficacy rates and health officials are hoping vaccination for this age range will be available before school starts in the fall.
Education
Update from Berlin Public Schools: Administrators are reacting to the Governor’s April 1st announcement that all NH students must have two learning pathways available to them by April 19th, in-person 5 days / week instruction and remote learning option for those who need it. After developing and implementing in-person and remote instruction pathways at the district level this year, it will be very challenging to pivot in such a short timeframe without having any advanced notice from the state. Visit Berlin Public School Facebook Page for more information.
Update from SAU 20: District plans are already underway for students to return to in-person instruction 5 days / week on May 10th. Administrators are reacting to the announcements made at the Governor’s press conference. There is currently one positive student COVID case which resulted in no additional close contact quarantines from school. A student-directed group is working on a school-based informational campaign aimed towards 16+ year old students to educate and encourage vaccine uptake. Visit the SAU 20 office website for updates.
White Mountains Community College is planning a socially distanced graduation and all is well.
Family Resources and Long-Term Care Facilities
St. Vincent de Paul: All visits can continue as compassionate visitations which benefits all residents and families. This transition sets up the organization to quickly incorporate any changes. There is no testing this week.
Coos County Nursing Home update: The organization is currently responding to 12 positive COVID cases among residents (5) and staff (7). NH Department of Health and Human Services announced that the facility is in designated outbreak status. The nursing home is fully prepared for managing and preventing further spread and is working closely with its medical team and AVH to provide medical care to those affected. Additional staff and residents requested vaccination as a result of the outbreak. Compassionate care visits will continue to take place. Members of the AV COVID call expressed their care and hope that the organization moves through this quickly without further spread.
Northern Human Services is continuing to work on safely re-opening in person services when possible.
Family Resource Center is working on vaccine education and encouragement for staff. Limited staff are currently affected by quarantine.
Tri-County CAP is working with the Public Health Network to bring vaccines to the unsheltered or homeless population in northern NH. The organization continues to provide utility subsidies, food support, and other support services as people are challenged to afford housing and other living costs during the pandemic. A new ‘TCAP to go’ program will be launched in fall 2021 with a mobile unit available to medical providers and other partner organizations.
Emergency Services and Correctional Facilities
Gorham EMS and Berlin Fire / EMD conducted a mobile clinic with 28 second doses at Birch Grove Housing this week. A 30-dose clinic is planned for town employees soon.
Northern NH Correctional Facility: There are currently 5 positive COVID cases among inmates and the facility was declared in outbreak status. Testing results indicate numbers holding steady from earlier this week. The facility continues to use quarantine units, routine testing, and contact tracing. An independent study conducted by an outside department after the fall 2020 outbreak concluded that policies and procedures were held to the highest standard. The facility did everything possible to prevent and respond appropriately to the situation. Many policies and procedures were informed by being part of the AV COVID community group.
Federal Corrections Institution is preparing more vaccinations for inmates next week. The facility continues to do routine testing, contact tracing, and monitoring.
Municipal and Local Business
Androscoggin Valley Chamber of Commerce is coordinating with AVH to get vaccine education and encouragement announcements on Magic 104 radio.
City of Berlin and Town of Gorham no update this call.
Community and Legislative
Congressional delegation staff reported that Sen. Hassan and Sen. Shaheen helped to secure an additional $30.6 million for NH to help with vaccine distribution. Staff continue to learn and share information with NH communities and organizations on the impacts of the American Rescue Plan Act. Sen. Shaheen met with Tri-County CAP to learn more about the outreach services the organization has developed to respond to COVID needs, including delivering food to individuals and families in need.
“Home vaccination visits and home food delivery to those who need it most – that is people caring for people the North Country way. When people are feeling forgotten and lonely, personal service goes a long way in getting people’s mental health back on track.”
3/25/21: Vaccine registration opens to all NH residents next week
Our work today is dedicated to the members of this group in acknowledgment of all the work that has been done by individuals and organizations to keep the community well and safe during this challenging year.
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There is a slight increase in testing and positive cases locally this week, which is on trend across NH and the country. Next week all NH residents 16+ years old will be eligible to register for vaccine. Registration is available in the state’s new VINI system at https://www.vaccines.nh.gov/ or by calling 2-1-1. Community members are encouraged to continue COVID prevention protocols of masking, social distancing, and hand hygiene. As spring approaches and vaccine availability increases, we are very close to turning the corner, but we must work together to get there.
#MaskUpNH video #SleeveUp with AVH and CCFHS
Vaccine registration is currently open to Phase 1, 2A, and 2B. Next week a phased registration by age will begin on Monday March 29th and by Friday April 2nd all NH residents 16+ years will be eligible to register. There are two methods to register either through https://www.vaccines.nh.gov/ or by calling 2-1-1.
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Health Care and Medical Services
Vaccine Update in Androscoggin Valley: The vaccine clinic at the former Brown School in Berlin had another busy week which will only continue to increase. On Wednesday, 327 doses were administered, including 222 first doses and 105 second doses. Friday will be another big day, followed by the second Saturday clinic. As of Monday March 22nd approximately 3,000 vaccine doses had been administered at the Brown School and by the end of Saturday an additional 1,000 doses will be given this week, increasing the total to 4,000.
The Governor announced Thursday at a press conference that all NH residents over the age of 16 will be eligible to register for the vaccine next week. Registration will open in phases throughout the week based on age as outlined: 40-49 years old on Monday 3/29, 30-39 years old on Wednesday 3/31, and 16 years+ on Friday April 2nd. Visit vaccines.nh.gov to register or call 2-1-1.
Update from Androscoggin Valley Hospital: For COVID testing, 18 COVID swabs were administered on Wednesday, with no positives. One positive out of Thursday’s testing numbers. Testing numbers and positive results are showing a small increase this week. The hospital is overall stable and doing well.
Update from Coos County Family Health Services: A total of 96 COVID tests were administered Monday through Thursday with 6 adult and 2 pediatric positive results. Testing numbers and positive results are showing a small increase this week. Contract tracing indicates sources from a place of business, social gatherings, and community spread. People are reminded to limit their indoor close interaction with groups outside of their household.
Other vaccine updates: A large vaccination clinic held at the Loudon Speedway will take place this weekend and there may be appointments available for eligible individuals. North Country Medical reserve corps volunteers participated in the last Loudon mass vaccination clinic. The Public Health Network (PHN) held the last of the first dose clinics for Phase 1B and is finishing up second dose clinics at age restricted housing. The PHN continues to reach homebound individuals with service providers. Around the region clinics for school districts and Phase 1B eligible residents were held this week. The AV community COVID group has plans to address vaccine hesitancy and offers assistance to the larger community.
Other health updates: There is a rise in positive cases in NH and around the country likely due to the predicted spring surge as people begin moving around more and fatigue to COVID preventions increases. NH extended its mask mandate another 21 days and masks and other preventative measures are the best approach to the variant strains. The AstraZeneca-Oxford vaccine is being carefully review by the FDA and the process is showing how diligently the FDA conducts its reviews. The AstraZeneca-Oxford vaccine is likely to be approved in the US, however may not be immediately distributed as enough vaccine is available with Pfizer, Moderna, and Johnson & Johnson supply. AstraZeneca-Oxford vaccine is very appealing for international distribution as it is easy to store, transport, and is shelf-stable for a long time.
Education
Update from Berlin Public Schools: Continued appreciation to the local vaccination clinic and partners for getting school staff in on the first day of Phase 2A. Many schools around the state are just getting first dose now or waiting to schedule. Administrators are planning for end of year events including graduation as an outside tented gathering. Healthcare-interested students appreciated the volunteer opportunities at the vaccination mobile clinics. Berlin Ambulance is opening up a job shadowing opportunity for students. Visit Berlin Public School Facebook Page for information.
Update from SAU 20: School administrators are adopting new DHHS guidelines, including some flexibility in classroom configuration and ability to return to school directly after April vacation. To meet the needs of students, administrators now have better options to consider after having to choose the best of bad options due to COVID for a long time. Graduation plans are underway with the possibility of continuing a new tradition of an outdoor event at Great Glen. Visit the SAU 20 office website for updates.
White Mountains Community College is excited that all staff, faculty, and students will be able to register for vaccination starting next week. The college remains closed to the public, however it will be opening up to more college business operations to allow for necessary student meetings, prospective student visitations, etc.
Family Resources and Long-Term Care Facilities
St. Vincent de Paul is awaiting results from Tuesday’s routine weekly testing. Vaccine clinics continue. Animal visitation has resumed and the smiles and joy are magnificent to see.
Coos County Nursing Home in Berlin is responding to unrelated COVID cases in the residential facility, the firsts for the organization as it had yet to experience any infections. The nursing home is fully prepared for managing and preventing further spread and is working very closely with its medical team and AVH. Most all residents and staff have been vaccinated as part of Phase 1B and additional vaccinations were immediately made available to them which was appreciated by all. The community is asked to keep them in your hearts and show support as they make every effort in the coming weeks to keep residents and staff safe.
Northern Human Services no update this call.
Family Resource Center is looking forward to sharing the news with staff and clients that vaccine registration will open to all residents over 16 years next week.
Tri-County CAP no updates this call.
Emergency Services and Correctional Facilities
Gorham EMS and Berlin Fire / EMD: The departments supported the second dose clinic for 48 residents of Berlin Housing Authority, as well as vaccine for additional St. Vincent de Paul staff. Birch Grove Housing will receive their second dose clinic next week. Additional mobile clinics will be considered as needed.
Northern NH Correctional Facility: No additional update this call. The facility continues to do routine testing, contact tracing, and monitoring.
Federal Corrections Institution: No additional update this call. The facility continues to do routine testing, contact tracing, and monitoring.
Municipal and Local Business
Androscoggin Valley Chamber of Commerce no update this call.
City of Berlin and Town of Gorham no update this call.
Community and Legislative
The congressional delegation gave an update on recent federal legislation and activities. Senator Shaheen and Senator Collins (ME) sponsored legislation that would prevent impending cuts to Medicare in acknowledgment that now is not the time to reduce healthcare spending. Senator Hassan was involved in legislation passed this week for the Veterans Affairs (VA) to administer COVID vaccine to any veteran regardless of whether they get their healthcare through the VA. Congressional delegation staff continue to do stakeholder outreach on the American Rescue Plan and are available for any questions.
3/18/21: Brown School Vaccine Clinic – A Place of Community Connection
Our work today is dedicated to all the doctors on the frontline of this pandemic, including our own Dr. Gessner who was out this week on home visits to administer vaccine to homebound residents. Dr. Gessner has been a guiding light in keeping this group up to date with latest medical research.
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A few positive cases are popping up locally after several weeks of declining testing numbers and cases. Phase 2A is underway with the state’s new VINI registration system at https://www.vaccines.nh.gov/ or by calling 2-1-1. On Monday 3/22/21 Phase 2B 50+ years opens. Community members are encouraged to continue COVID prevention protocols of masking, social distancing, and hand hygiene. As spring approaches and vaccine availability increases, we are very close to turning the corner, but we must work together to get there.
#MaskUpNH video #SleeveUp with AVH and CCFHS AVH Facebook Page
Vaccine registration is currently open to Phase 1, 2A, and 2B (on Monday 3/22/21). There are two methods to register, https://www.vaccines.nh.gov/ or by calling 2-1-1.
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Health Care and Medical Services
Vaccine Update in Androscoggin Valley: The vaccine clinic at the former Brown School in Berlin kicked off Phase 2A last Friday. This week continues with vaccine for 2A and 1B individuals. On Wednesday, 100 first doses and 92 second doses were administered. On Friday 3/18/21 there are 360 individuals scheduled, including 113 first doses and 247 second doses. Teachers were greeted at the former Brown School clinic with a Welcome Home banner and carnations in appreciation of their commitment this year. WMCC nursing students provided personalized vaccine education and assisted with vaccinations. Dr. Gessner and staff provided vaccine to older, homebound individuals this week. Many of these individuals are isolated and appreciated the check-in and socialization. Neighbors remember to check on your neighbors!
Eligible individuals in Phase 1B, 2A, and 2B (starting Monday 3/22/21) are able to register for a vaccine appointment through the state’s new VINI system. Register at https://www.vaccines.nh.gov/ or by calling 211. If you are eligible for NH's Phase 1B and haven't yet received a vaccine, appointments may be available with AVH. Please call (603) 752-2300.
Update from Androscoggin Valley Hospital: For COVID testing, 19 COVID swabs were administered on Wednesday, and 14 Thursday on Thursday. There was only 1 positive antigen (rapid / symptomatic) test and 0 send out positive returns. Testing numbers and results are stable, as is the hospital overall.
Update from Coos County Family Health Services: A total of 74 COVID tests were administered Monday through Thursday with 6 adult positive results. There is likely to be an uptick in people for testing resulting from an indoor gathering. People are reminded to limit their indoor close interaction with groups outside of their household. After several weeks of decreased testing and positive returns, there may be a slight increase in the coming weeks.
Other vaccine updates: The Governor announced that Phase 2B, 50 years+ will open Monday 3/22/21 and that eligibility for everyone over 16 years is “weeks away.” By mid-April the state is expected to receive 120,000 per week, significantly increasing the supply. The Public Health Network continues to coordinate vaccine distribution to homebound individuals. Androscoggin Valley is a leader in this distribution. Phase 2A eligible childcare providers are restricted to those individuals with state license or license-exempt status. DHHS and childcare advocates are aware of the gap in eligibility. With more vaccine available, the AV COVID group will be addressing vaccine hesitancy during their next meeting. The state issued updated guidance on travel.
Other health updates: While some state guidelines are changing (DHHS #38), statewide masking is still in effect. There are preventative measures that can be taken to remain ahead of the curve, especially as variants continue to gain attention. Vaccines are having an impact on overall national figures and vaccines do have efficacy on some variants.
Education
Update from Berlin Public Schools: Teacher and school staff vaccination clinics went very well, and many appreciative people received vaccination. School administrators are closely following and adjusting to DHHS guidelines for schools. There are several positive COVID cases popping up as a slight increase from the past several weeks. Visit Berlin Public School Facebook Page for information.
Update from SAU 20: Teacher and school staff vaccination clinics went very well, and many appreciative people received vaccination. School administrators are closely following and adjusting to DHHS guidelines for schools. SAU 20 will not have a remote week after the April vacation as had been done earlier in the year. The district is looking forward to safely hosting student events this Spring to offer those opportunities and memories. Visit the SAU 20 office website for updates.
White Mountains Community College is on spring break this week and will follow travel and preventative guidelines when students return and classes resume. WMCC will be closely monitoring the situation next week and anticipate all will go smoothly.
Family Resources and Long-Term Care Facilities
St. Vincent de Paul is communicating with families and residents about the new guidelines set out by DHHS that allow for more visitations, interactions, and activities. It is an exciting time for residents, families, and staff and SVP is adjusting quickly to support its residents and families.
Coos County Nursing Home in Berlin, no update this call.
Northern Human Services: This week’s mobile vaccination clinic reached 130 vulnerable clients, caregivers, and staff members. The organization is very appreciative to the Public Health Network / NCHC for hosting a successful clinic for their clients, many of whom have developmental needs. There were many big smiles from clients getting to walk into a familiar building and see staff they know and trust. The organization is looking forward to supporting clients to re-engage in person with their activities and community services.
Family Resource Center participated in a mobile clinic for home visiting staff through the Public Health Network / NCHC. With COVID protocols and preventions the organization is able to conduct services in person with vulnerable families, as well as offer support groups.
No updates from Tri-County CAP this call.
Emergency Services and Correctional Facilities
Gorham EMS and Berlin Fire / EMD: This week the departments supported the first dose clinic for Phase 2A childcare staff, as well as second clinic at St. Regis with 25 second doses and 4 first doses. Nursing students from Berlin High School assisted and it was a good day for residents. Several second dose mobile clinics will be held in the coming weeks.
Northern NH Correctional Facility: The facility continues to do routine testing, contact tracing, and monitoring; the preventative measures are going well.
Federal Corrections Institution: The facility continues to do routine testing, contact tracing, and monitoring; the preventative measures are going well.
Municipal and Local Business
Androscoggin Valley Chamber of Commerce made the difficult decision not to move forward with the 2021 Jericho ATV Festival. More information will be available from the Chamber soon.
City of Berlin and Town of Gorham thank everyone working on vaccine distribution.
Community and Legislative
The congressional delegation gave an update on expected increase in vaccination availability; the United States will be quadrupling the distribution of vaccine to the states during April. By the end of April it is expected that there will be enough vaccine to reach 200 million people. The Secretary for Health and Human Services was confirmed this week. Senator Hassan continues to advocate for equity in vaccine registration with accessibility that is in compliance with federal law. Rep. Kuster spoke recently with the NH Hospital Association.
The northern region of Coos County has a similar community COVID call led by NCH / UCVH with area leaders to support the region’s COVID and vaccine response.
“A Welcome Home banner greeted teachers at the vaccine clinic at the former Brown School. Teachers and school staff were given a carnation in appreciation of their commitment this year. From the personalized check in, personalized vaccine education and appreciation, the Brown School vaccine clinic is truly a special place of community connection.”
3/11/21: Championship games come full circle
Our work today is dedicated to the people in the food service industry, especially those in frontline positions at grocery stores, cafeterias, and restaurants, who are keeping the supply chain going to keep us fed. We appreciate and recognize their efforts.
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Local testing numbers continue to drop and show improvement. Phase 2A opens Friday March 12th with local teachers and school staff enthusiastically receiving vaccines. Over 300 vaccines will be administered on Friday. This week marks the one-year milestone since the pandemic changed life in NH communities. The resilience and perseverance of the Androscoggin Valley communities is evident as sports teams head into championship games this weekend, coming full circle from last year. All are reminded to continue COVID prevention protocols of masking, social distancing, and hand hygiene. Bring home the championship!
#MaskUpNH video #SleeveUp with AVH and CCFHS
Vaccine registration is currently open to Phase 1B eligible individuals and Phase 2A begins Friday 3/12/21. There are two methods to register either through https://www.vaccines.nh.gov/ or by calling 2-1-1.
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Health Care and Medical Services
Vaccine Update in Androscoggin Valley: The vaccine clinic at the former Brown School in Berlin remains busy with approximately 600 doses administered this week. Phase 2A will kick off on Friday March 12th with 300 doses being administered to local teachers and staff, as well as first and second doses for 1B individuals. Since the first day at the former Brown School, a total of 2,508 doses, including 1,613 first doses of vaccine have been administered. Outreach calls are being made to offer vaccine to Phase 1B individuals. Uptake from 1B is beginning to slow, indicating local readiness for Phase 2A&B. Local vaccination nursing team from CCFHS and AVH have reached 39 homebound individuals. If vaccination for an eligible homebound individual is needed, call CCFHS directly.
To receive vaccination eligible Phase 2A individuals (teachers, school staff, childcare providers, youth recreation) will register for an appointment with more information from their workplace. More information for Phase 2A & B is coming soon and registration will be available through https://www.vaccines.nh.gov/ or by calling 211. If you are eligible for NH's Phase 1B and haven't yet received a vaccine, appointments may be available with AVH. Please call (603) 752-2300.
Update from Androscoggin Valley Hospital: A total of 22 COVID tests were administered on Wednesday and Thursday, with 0 positive antigen and send out returns. Testing numbers and results continue to show community improvement. The hospital remains stable with normal volume.
Update from Coos County Family Health Services: A total of 59 COVID tests were administered Monday through Thursday with only 3 positive results. Decreased testing numbers and falling positive returns indicate continued community improvement three weeks in a row.
Other vaccine updates: Extra vaccine clinics held across the region and at the state site in Loudon last weekend were very successful. The Public Health Network is coordinating with agencies to reach the additional homebound individuals in the region outside of the Androscoggin Valley area. Childcare providers in the region will be offered vaccine as part of Phase 2A. North Country Healthcare is readying a public service campaign about vaccines and masking information. The AV COVID Community Group will address remaining vaccine hesitancy with accurate, scientific information from the CDC, local healthcare organizations, and delivered by trusted local sources.
Other health updates: Epidemiologists will be providing updated guidelines for fully vaccinated individuals, including travel information. NH continues its mask mandate and though some travel and occupancy state requirements have eased to recommendations, caution is still advised.
Education
Update from Berlin Public Schools: Over 100 teachers and school staff receive vaccination on Friday this week as Phase 2A begins. The Berlin-Gorham boys hockey team plays in the state championship game on Saturday. The Berlin Unified Basketball Team plays in the state championship game on Friday. The timing marks a one-year milestone since the pandemic affected schools and athletics; the championship hockey game of B-G vs. its rival was cancelled last year. Championship games were also cancelled in the fall due to a local COVID spike. The school community is especially looking forward to the two competitions this weekend. Visit Berlin Public School Facebook Page for information.
Update from SAU 20: Teachers and school staff receive vaccination on Friday this week as Phase 2A begins. The Berlin-Gorham boys hockey team plays in the state championship game on Saturday. The systems and protocols that have worked well this year will continue and plans are underway for adjustments next year. The innovative thinking and silver linings will be applied to thoughtful instruction going forward. Visit the SAU 20 office website for updates.
White Mountains Community College The college continues to operate in hybrid and in person instruction and all is going well. The college is scheduled for spring break vacation next week.
Family Resources and Long-Term Care Facilities
St. Vincent de Paul will adjust its visitation guidelines in accordance to Centers for Medicare and Medicaid Services as more staff and residents have received vaccination. SVP continues emphasizing the importance of maintaining infection prevention practices while supporting increasing resident and family visitations. Visitors are strongly encouraged to be tested weekly and receive vaccination when eligible. Additional prevention protocols will be followed and more information is available with SVP.
Coos County Nursing Home in Berlin, no update this call.
Northern Human Services: Vaccination clinics are being arranged for staff and 1B eligible clients. Vulnerable clients appreciate receiving calls offering vaccination. The organization continues to slowly open up in person services.
No updates from Family Resource Center, Tri-County CAP this call.
Emergency Services and Correctional Facilities
Gorham EMS and Berlin Fire / EMD have fully vaccinated 150 individuals through the clinic at the station and have reached an additional 110 1B individuals in their own residence, many of whom are our most vulnerable community members. Second dose mobile clinics for eligible residents will be conducted this month, including St. Regis next week.
Northern NH Correctional Facility: The facility is operating as normal and preventative measures are going well.
Federal Corrections Institution: The facility is operating as normal and preventative measures are going well.
Municipal and Local Business
Androscoggin Valley Chamber of Commerce is considering if and how the Chamber can host the Jericho ATV Festival safely this year. The organization is working in coordination with local EMS / EMD partners to explore the options. The Chamber and NCH / AVH may coordinate on radio messaging to increase information in the community about vaccines, masking, and other preventative measures.
No updates from City of Berlin, Town of Gorham this call.
Community and Legislative
The congressional delegation gave an update that today the American Rescue Plan was signed into law. Of the many funded efforts, the plan includes $170B to schools to safely reopen, address learning gaps due to the pandemic, as well as dedicated funding for students who experience learning disabilities; $160B for public health, including funding to support vaccine distribution, and funding to ramp up vaccine supply; $1.5B for state and local governments to offset costs due to the pandemic. Congressional delegation staff will send out a summary and are available for individual follow up on any items or questions.
“One year ago we had three teams heading to winter championship games and then everything shut down. … It’s so great to see it come full circle and to be in that same position and actually be able to play and to do so safely. We learned a lot and we learned it together. Bring home that championship!”
3/4/21: Light at the end of the tunnel, but this isn’t over yet
Our work today is dedicated to the local High School students and White Mountains Community College nursing students who volunteered at vaccine clinics. The assistance and friendly conversations were appreciated by all.
***
Local testing numbers continue to drop and show improvement. North Country Healthcare hospitals, including AVH, will conduct extra Phase 1B vaccination clinics this weekend. The extra clinics across the region will help to move more quickly through Phase 1B. The light at the end of the tunnel can be seen, but is still at a distance. The commitment to continuing COVID prevention protocols of masking, social distancing, and hand hygiene will get us there. We can do this together.
Keep Coos Healthy #MaskUpNH video
Vaccine registration is currently open to Phase 1B eligible patients. If you meet the criteria for NH's Phase 1B guidelines and haven't yet received a vaccine, appointments are available with AVH. Please call (603) 752-2300.
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Health Care and Medical Services
Vaccine Update in Androscoggin Valley: On Wednesday, the vaccine clinic at the former Brown School in Berlin administered 100 first doses and 100 second doses. The extra NCH vaccine clinic this weekend will administer an additional 575+ vaccines to 1B recipients at the former Brown School. The local vaccination team will reach the final group of 10-12 homebound patients on Friday.
To ask about appointments for this weekend's clinic, please call (603) 752-2300.
To receive vaccination, eligible individuals MUST register for an appointment. There are two methods to register either through https://www.vaccines.nh.gov/ or by calling 211 or 1-866-444-4211. Registration is currently open to Phase 1B eligible patients. Community members are thanked for their patience in the rollout of the vaccine.
Update from Androscoggin Valley Hospital: On Wednesday and Thursday, a total of 14 tests were administered at the COVID testing site, with 0 positive out of 3 antigen (symptomatic rapid) tests from Wednesday. Testing numbers and results continue to show community improvement. The hospital remains stable with normal volume.
Update from Coos County Family Health Services: On Thursday 17 tests were administered with no positives, with a weekly total of 46 tests and 2 pediatric positives. Decreased testing numbers and falling positive returns indicate continued community improvement two weeks in a row.
Other vaccine updates: This weekend extra vaccine clinics are held by North Country Healthcare (NCH) across the region administering up to 2,200 doses to 1B individuals. As part of Phase 2A, teachers and school staff, childcare providers, and youth recreation staff are eligible. Vaccinations are anticipated to begin in late March. Public health officials are working with Superintendents, childcare representatives, and municipalities to plan for the roll out. A mass clinic is held this weekend at the NH Motor Speedway in Loudon to administer 10,000 doses of Johnson & Johnson vaccine to 1B individuals. Appointments are required.
Other health updates: Epidemiologists are concerned about a fourth wave of COVID cases this spring driven by multiple variants that have emerged. Johnson & Johnson vaccine was approved and arrives in the state for this weekend. It was announced this week that that there will be enough vaccine for all adults in the U.S. by the end of May (though distribution may take longer). This was largely made possible by the partnership between Johnson & Johnson and Merck that was brokered by the federal government.
Education
Update from Berlin Public Schools: There are currently very few positive cases and quarantines among students and staff. Spring event planning for proms and graduations are underway with more optimism than last year, however events will be different, and conditions change quickly. Department of Education is said to be coming out with new guidance soon. Visit Berlin Public School Facebook Page for information.
Update from SAU 20: There are very few COVID impacted numbers this week. Schools are considering how to adapt procedures as conditions continue to improve. Planning for teacher and school staff vaccine clinics is underway and the pace of vaccine distribution is increasing which is encouraging. People are reminded that school will continue with many safety protocols next year since the pediatric trials of the vaccine are still underway. Students age 12 – 16 may have vaccine this fall and younger students not until early 2022. Visit the SAU 20 office website for updates.
White Mountains Community College The college continues to operate in hybrid and in person instruction and all is going well. There are very few members of the college community isolating on quarantining.
Family Resources and Long-Term Care Facilities
St. Vincent de Paul officially returned to Phase 1 this week and resumed resident communal dining, small group activities, and scheduling visitations. DHHS is easing restrictions on compassionate care visitations. There will be a balanced approach to allow families to safely visit SVP to be with their loved ones during times of need. All staff will continue to be tested weekly.
Coos County Nursing Home in Berlin no update this call.
Northern Human Services: Vaccination clinics are being arranged for staff and vulnerable clients. Vulnerable clients appreciated receiving calls offering vaccination.
Family Resource Center: No update this call.
Emergency Services and Correctional Facilities
Gorham EMS and Berlin Fire / EMD held a first dose clinic for Birch Grove housing residents in Gorham this week. The majority of the 110 people that have been vaccinated through mobile clinics so far are among the most vulnerable in the community.
Northern NH Correctional Facility: There are no COVID cases and the facility is operating as normal.
Federal Corrections Institution in Berlin: No update this call.
Municipal and Local Business
Androscoggin Valley Chamber of Commerce no update this call.
No updates from City of Berlin, Town of Gorham this call.
Community and Legislative
The congressional delegation provided an update on the American Rescue Act moving through the Senate. A major focus of the legislation is on vaccine and related healthcare equity and access, including for rural areas. Sen. Hassan is bringing attention to concerns about online vaccine registration, accessibility, and equity.
“We see a light at the end of the tunnel, but we’re not done. This isn’t over yet.”
2/25/21: “Why I got the vaccine”
Our work today is dedicated to the nurses in our community and around the country who are doing heartbreaking and hopeful work of taking care of COVID-19 patients.
***
After a small but worrying uptick in positive cases last week, testing numbers show improvement this week. Local schools finish up vacation week and resume with a week of remote learning. To continue the improving trend, everyone is reminded to continue following COVID prevention protocols of masking, social distancing, and hand hygiene. We can do this together.
Keep Coos Healthy #MaskUpNH video
Vaccine registration is currently open to Phase 1B eligible patients. There are two methods to register either through https://www.vaccines.nh.gov/ or by calling 2-1-1.
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Health Care and Medical Services
Vaccine Update in Androscoggin Valley: On Wednesday the vaccine clinic at the former Brown School in Berlin administered 70 second doses and 100+ first doses and is scheduled for 90 second doses and 120+ first doses on Friday.
To receive vaccination, eligible individuals MUST register for an appointment. There are two methods to register either through https://www.vaccines.nh.gov/ or by calling 211 or 1-866-444-4211. Registration is currently open to Phase 1B eligible patients. Community members are thanked for their patience in the rollout of the vaccine.
Update from Androscoggin Valley Hospital: On Thursday 25 tests were administered at the COVID testing site, with 2 positive out of 4 antigen (symptomatic rapid) tests. One positive send-out test was returned Thursday, totaling approximately 6 positive tests this week. Most of the positives this week were within families. The hospital is responding to mental health needs – the other pandemic during this health crisis.
Update from Coos County Family Health Services: On Thursday 12 tests were administered with no positives, with a weekly total of 39 tests and 2 positive returns. After a slight uptick last week, it is encouraging to see a decline this week indicating continuing community improvement.
Other vaccine updates: In addition to the hospital-based distributed vaccine, the Public Health Network has administered a total of 3700 doses along with its partners across the region in mobile clinics. All first and second dose 1A clinics are complete. Plans for Phase 2 are underway with North Country superintendents and public health officials meeting this week to discuss a vaccine distribution plan for school staff. Similarly paving the way ahead of the state is CCHFS and AVH with innovative local systems to reach those who are homebound. The state is currently developing its plans for vaccine distribution to homebound individuals. The federal program to distribute direct to Walgreens is ramping up. Walgreens and the state of NH are coordinating to hopefully reach the majority of 1B population in March to begin Phase 2 in early April. “Why I got the vaccine” educational events by trusted local medical professionals have proven effective in Colebrook area and may be an idea for Berlin-Gorham region.
Other health updates: The Johnson & Johnson vaccine is up for FDA approval and will likely be distributed as early as next week. This one-dose vaccine is proven to prevent serious disease and is considered very effective overall. Studies of millions of administered vaccines confirm that adverse effects are on par with other widely used vaccines. Common side effects are headache, tiredness, fever, chills for approximately 24 hours. Mental health supports continue to be a community need locally and nationally.
Education
Update from Berlin Public Schools: February vacation this week followed by a week of remote instruction for all students. No additional updates. Visit Berlin Public School Facebook Page for information.
Update from SAU 20: Encouraged to hear the decline in positive test results after last week’s slight spike in pediatric numbers. February vacation this week followed by a week of remote instruction for all students. Administrators are encouraged by this week’s planning meeting for vaccine distribution to school staff as part of Phase 2. Visit the SAU 20 office website for updates.
White Mountains Community College The college continues to operate in the hybrid and in person instruction. There are very few members of the college community isolating on quarantining at this time. The WMCC COVID taskforce continues to meet regularly and communicating diligence on mask wearing as pandemic fatigue is increasing.
Family Resources and Long-Term Care Facilities
St. Vincent de Paul has received back the majority of this week’s test results and there are zero positive cases. The organization is on its way to return to Phase 1 which allows small group activities, communal dining, and indoor family visitations. Morale is boosted among staff and residents with the anticipated good news. New staff received vaccination and systems are coming together to have ongoing access to vaccine for new residents and staff.
Coos County Nursing Home in Berlin no update this week.
Northern Human Services: No update this week.
Family Resource Center: Observing an improving trend among staff and clients and an increasing ability to connect with clients over the past weeks.
Emergency Services and Correctional Facilities
Gorham EMS and Berlin Fire / EMD continue mobile vaccine clinics including Berlin Housing Authority this week with 43 first doses given door to door to help appreciative residents. Gorham EMS held its last second dose clinic with 40 first responders. First dose clinic for Birch Grove housing in Gorham is happening next week. EMS continue managing COVID precautions within the departments.
Northern NH Correctional Facility: Staff are receiving second dose vaccines this week and there are 0 positive cases.
Federal Corrections Institution in Berlin: Staff have completed vaccination and administrators continue to manage COVID precautions within the facility.
Municipal and Local Business
Androscoggin Valley Chamber of Commerce no update this call.
No updates from City of Berlin, Town of Gorham this call.
Community and Legislative
Staff from Senator Shaheen’s and Senator Hassan’s offices are reviewing the American Rescue draft plan. Sen. Hassan attended a bi-partisan meeting with President Biden to discuss shoring up American supply chain with lessons learned from last spring’s PPE shortage. Staff from Congresswoman Kuster’s office report all is well.
“We’re starting to see some patchworking that will hopefully get the vaccine out to Phase 1B faster than we’ve seen so far.”
2/18/21: Perseverance and the rover that landed on Mars
Our work today is dedicated to those around the country who lost their lives from COVID-19. As the total U.S. tally nears 500,000, we keep those individuals and their families in our mind.
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There is a small, but noticeable uptick in this week’s positive COVID cases among children. Cases are not originating or transmitting in school. To continue supporting our students and schools, everyone is reminded to continue following COVID prevention protocols of masking, social distancing, and hand hygiene. Persevere. We can do this together.
Keep Coos Healthy #MaskUpNH video
Vaccine registration is currently open to Phase 1B eligible patients. There are two methods to register either through https://www.vaccines.nh.gov/ or by calling 2-1-1.
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Health Care and Medical Services
Vaccine Update in Androscoggin Valley: This week the vaccine clinic at the former Brown School in Berlin administered 102 vaccines on Wednesday and is scheduled for 90 vaccine appointments on Friday. Second dose appointments begin next week. If you have a vaccination appointment in Berlin through VAMS, the information lists AVH and the clinic address is the former Brown School.
To receive vaccination, eligible individuals MUST register for an appointment. There are two methods to register either through https://www.vaccines.nh.gov/ or by calling 211 or 1-866-444-4211. Registration is currently open to Phase 1B eligible patients. Community members are thanked for their patience in the rollout of the vaccine.
Update from Androscoggin Valley Hospital: The hospital has been seeing a lower rate of positive COVID tests but the trend was interrupted by the end of the week with a slight increase of positive tests. On Wednesday 2/17/21 two out of the 7 rapid tests returned positive. The hospital is busy but not in response to COVID. On Friday 21 COVID tests are scheduled.
Update from Coos County Family Health Services: This week 72 tests were administered with 12 positive returns, 4 adults and 8 children. Contact tracing suggests cases originated from small gatherings and pediatric cases are from family exposure. The last few days of the week are showing a slight uptick in positive cases.
Other vaccine updates: Planning begins for Phase 2A and 2B with a hopeful start in March or April depending on vaccine availability. North Country vaccine coordinators are beginning conversations with school officials to design vaccine rollout for school staff as part of Phase 2. The limiting factor on vaccine timeline remains the amount of vaccine available. The state receives approximately 19,000 doses a week.
Other health updates: The known Covid variants are reported across the country. The effectiveness of the vaccines available in the U.S. appear promising however there will be more study conducted and adjustments made. Universal guidance is to continue wearing masks, including vaccinated healthcare workers when seeing patients. In other news, the rover Perseverance landed on Mars Thursday.
Education
Androscoggin Valley schools were commended for their work keeping school buildings open for in-person instruction this year. Administrators and teachers were appreciated for their commitment and hard work on behalf of students in this difficult year.
Update from Berlin Public Schools: Schools saw a slight increase in positive COVID cases this week after improvements the week before. Positive cases are not originating or transmitting in school as all prevention protocols are in place. District wide 27 students and 7 staff are in quarantine or isolation. February vacation is next week followed by a week of remote instruction for all students. Visit Berlin Public School Facebook Page for updates.
Update from SAU 20: Schools saw a slight increase in positive COVID cases this week at the same time the district has the lowest quarantine numbers for students (4) and staff (0) in recent weeks. Positive cases are not originating or transmitting in school as all prevention protocols are in place. February vacation is next week followed by a week of remote instruction for all students. Remote instruction decisions are made to support the goal of keeping schools open for in person instruction. Students are creating a digital archive project for stories of life during COVID. Visit the SAU 20 office website for updates.
White Mountains Community College The college maintains the status quo of hybrid and in person instruction. COVID positive cases are not originating within school but are a result of decisions outside of school. Applications are up 10% for the fall and WMCC is finding a way for students to safely visit campus as they make plans and decisions.
Family Resources and Long-Term Care Facilities
St. Vincent de Paul is completing an infection control survey after the recent COVID outbreak and reports are going well. All PCR tests conducted Tuesday have returned negative. The organization is coordinating with AVH and others on how to provide vaccines to new residents or new staff.
Northern Human Services: The organization is working on vaccination for group homes and second doses for staff. No additional updates from family services and long-term care facilities.
Emergency Services and Correctional Facilities
Gorham EMS and Berlin Fire / EMD continue mobile clinics, including St. Regis House this week, a second dose clinic for first responders on Saturday, and Berlin Housing next week. At St. Regis students volunteered as observers and residents were very appreciative and happy with the attention and conversation.
Northern NH Correctional Facility: Status quo with 0 positive cases.
Federal Correctional Institution in Berlin: Status quo with 0 positive cases.
Municipal and Local Business
Androscoggin Valley Chamber of Commerce noted that we’re coming up on one year of no in-person events. No decisions on events in 2021 yet since there are too many factors. Membership is rolling in for 2021 and businesses were appreciative of the Chamber’s coordination of PPE and COVID support over the past year.
No updates from City of Berlin, Town of Gorham this call.
Community and Legislative
Staff from Senator Shaheen and Senator Hassan voiced appreciation for the information from this group. Sen. Hassan held a roundtable to hear experiences from first responders. No other major updates.
“It’s been quite a year. We are still strong. Being part of groups like this really helped. Thank you for being part of it.”
2/1/21: Student artwork lifts spirits
Our work today is dedicated to the 1,000+ New Hampshire residents who have died as a result of COVID-19 during the pandemic thus far.
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The Androscoggin Valley COVID-19 Community Working Group reminds the community to enjoy a safe Superbowl weekend with your own household. It only takes one holiday with our guard down to see another spike in local COVID cases. This is the time to continue practicing preventative measures to mask up, keep social distance, practice hand hygiene, and follow all quarantine and isolation guidelines. We can do this together.
Keep Coos Healthy #MaskUpNH video
Vaccine registration is currently open to Phase 1B eligible patients. There are two methods to register either through https://www.vaccines.nh.gov/ or by calling 2-1-1.
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Health Care and Medical Services
Vaccine Update in Androscoggin Valley: The vaccine clinic at the former Brown School in Berlin continues with two days of appointments this week. Last week the clinic successfully administered vaccines over two days of appointments. To receive vaccination, eligible individuals MUST register for an appointment. There are two methods to register either through https://www.vaccines.nh.gov/ or by calling 211 or 1-866-444-4211. Registration is currently open to Phase 1B eligible patients. Community members are thanked for their patience in the rollout of the vaccine.
Update from Androscoggin Valley Hospital: On Monday 2/1/21 there were 59 tests administered but results were not yet returned. On Friday 1/29/21, 51 tests were administered with only 1 positive rapid test. Coos County COVID numbers continue to decline from recent increase in cases. AVH staff are receiving second doses of vaccine this week. North Country Healthcare is developing communication materials about vaccination information.
Update from Coos County Family Health Services: Last week (1/25/21 – 1/29/21) 152 tests were administered with 14 positive returns, mostly of children. Monday 2/1/21 nine rapid tests were administered to children with 1 positive. There are 40 scheduled tests for Tuesday 2/2/21. There are signs of improvement in the community with the decrease in testing numbers and positive cases.
Other vaccine updates: Mobile clinics are being organized for group homes and age-restricted housing. People are reminded that there are normal side effects from vaccination. Improving registration for the vaccine continues to be a focus for those working on vaccine efforts.
Other health updates: More information is being published about COVID-19 ‘long haulers’ who are those affected by illness from COVID for more than several months. Many people may have ongoing symptoms from COVID, including those who had mild cases. Symptoms include persistent cough, shortness of breath, and sometimes lung tissue damage. Additionally, more information is being learned about various COVID variants.
Education
Update from Berlin Public Schools: Schools remain consistent to last week. A full snow day has been called for Tuesday 2/2/21 with the anticipated snowstorm. Visit Berlin Public School Facebook Page for updates.
Update from SAU 20: Schools remain consistent to last week with some quarantining. The improving trends in the community are helping. A remote half-day is scheduled for Tuesday 2/2/21 with the anticipated snowstorm. Visit the SAU 20 office website for updates.
White Mountains Community College cancelled classes and closed locations for Tuesday 2/2/21 in anticipation of the snowstorm. The college is seeing improving trends in COVID affected numbers and is working on developing policies consistent with state and health guidelines for any vaccinated people returning from future travel.
Family Resources and Long-Term Care Facilities
St. Vincent de Paul is several weeks into the current wave of COVID positive cases among staff and residents. Separation of affected staff and residents has played an essential role in preventing and slowing additional cases and is challenging all the same. There are currently 34 residents and 15 staff members with confirmed positive cases. The second vaccine clinic is scheduled and 90% of residents will have received vaccination when clinics are complete.
No additional updates from family services and long-term care facilities.
Emergency Services and Correctional Facilities
Gorham EMS and Berlin Fire / EMD are planning vaccine clinics for assisted living facilities.
Northern NH Correctional Facility: There are currently 0 positive cases in the resident inmate population. Vaccine clinic was held for staff.
Federal Corrections Institution in Berlin: No update this call.
Municipal and Local Business
No updates from City of Berlin, Town of Gorham, or Androscoggin Valley Chamber of Commerce this call.
Community and Legislative
Staff from Senator Shaheen, Senator Hassan, and Congresswoman Kuster attended the call. Sen. Hassan held a roundtable with healthcare providers from around the state on Monday 2/1/21. No other major updates.
“The artwork that was made for healthcare workers by students of the Androscoggin Valley really made a difference in lifting spirits. We’ll be working hard to keep morale up for the next couple of months.”
1/27/21: Enthusiasm and patience as vaccine clinic starts this week
Our work today is dedicated to the caregivers who have stepped up to help family members register for the COVID-19 vaccine.
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As the first doses are administered at the COVID-19 vaccination clinic at the former Brown School in Berlin, the Androscoggin Valley COVID-19 Community Working Group thanks everyone working on this effort. It is encouraging to see the widespread enthusiasm. There continues to be limited vaccine supply sent to NH so community members are encouraged to be patient. To receive vaccination, eligible individuals MUST register for an appointment either through https://www.vaccines.nh.gov/ or by calling 2-1-1. #NHHospitals #SleeveUp
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Health Care and Medical Services
Vaccine Update in Androscoggin Valley: The first vaccine clinic led by AVH with CCFHS at the former Brown School in Berlin kicks off with patients scheduled for Thursday and Friday. To receive vaccination, eligible individuals MUST register for an appointment. There are two methods to register either through https://www.vaccines.nh.gov/ or by calling 211 or 1-866-444-4211. Registration is currently open to Phase 1B eligible patients. Community members are encouraged to register for an appointment and to be patient since there is limited supply of vaccine right now. Clinic organizers thank students at the Gorham Schools for the beautiful paintings they provided to healthcare workers. The paintings are displayed at the vaccine clinic at the former Brown School.
Update from Androscoggin Valley Hospital: On Wednesday 1/27/21 there were 33 tests administered, including 12 antigen rapid tests (for symptomatic patients) and only 1 positive. There is a definite drop in positive cases locally, indicating that the area is on the downward slope of the recent COVID-19 spike. More staff are returning from quarantines and hospital staffing is stable. Mental health supports continue to be a major need in the community and around the state.
Update from Coos County Family Health Services: This week Monday through Wednesday, 82 tests were administered and a total of 11 positive tests returned, including 2 adults and 9 children. Contact tracing indicates that the majority of cases originate from family members. Schools have been notified.
Statewide 213 individuals are currently hospitalized for COVID-19 which is an improvement over recent trends. Statewide COVID numbers continue to be high but improving from the recent spike. For the latest COVID numbers statewide visit https://www.nh.gov/covid19/.
Other vaccine updates: Members of the call expressed concern that older residents of the Androscoggin Valley have experienced barriers to registering for the vaccine due to limited technology, issues with 211, and appointments scheduled for distant locations. Many of these issues were discussed and follow up is planned. Tri-County CAP is providing transportation for senior passengers to their scheduled vaccine appointments. RSVP volunteers are reaching out to older residents to ask what support they need.
Education
Update from Berlin Public Schools: Recent positive cases in Berlin Schools have been reported and contact tracing is complete. More staff are returning from quarantine and in-person learning continues, though day to day evaluation is necessary. Staffing is likely to continue being a challenge until vaccines are widely available to educators. Visit Berlin Public School Facebook Page for updates.
Update from SAU 20: Recent positive cases in Gorham Schools have been reported (1/25/21 and 1/27/21) and contact tracing is complete. Evidence from around the country continues to show that schools are not the source of transmission when protective protocols are followed. Social distance of 6ft separation continues to play a critical role in continuing in-person learning and staff availability. The dedication from students and staff continues to impress. School administrators continue to advocate to the state to prioritize educators for vaccines. Visit the SAU 20 office website for updates.
White Mountains Community College remains in consistent operations and continues its weekly monitoring and communication strategy. Looking ahead to the spring the college is considering small open houses and orientations and planning commencement for May 14th.
Family Resources and Long-Term Care Facilities
St. Vincent de Paul is three weeks past the initial wave of COVID positive cases among staff and residents. Separation of residents has played an essential role in prevention. There are currently 31 residents and 15 staff members with confirmed positive cases. The initial larger wave is currently improving and the smaller second wave is holding steady. Members on the call expressed their continued support and resources to residents and staff. The organization remains in good spirits.
Coos County Nursing Home in Berlin is organizing residents and staff eligible for the vaccine.
Northern Human Services emphasizes that mental and behavioral health support services are in demand now and likely to increase as the pandemic slows and more individuals report needs. Telehealth services and in-person services continue.
Emergency Services and Correctional Facilities
Gorham EMS and Berlin Fire / EMD continue to support vaccination clinics, including recent clinic of 50+ people led by Gorham EMS. Berlin is looking into a mobile clinic for eligible residents in area housing units.
Northern NH Correctional Facility in Berlin: There are currently 0 positive cases in the resident inmate population.
Federal Corrections Institution in Berlin: There are currently 0 positive cases in the resident inmate population.
Municipal and Local Business
City of Berlin present on the call with no update.
Town of Gorham extended its mask ordinance which will continue in alignment with the statewide ordinance.
Androscoggin Valley Chamber of Commerce present on the call with no update.
Community and Legislative
Rep. Anne McLane Kuster joined the call to share an update from Washington and respond to questions and comments. The Congresswoman is working on legislation that will support mass production of vaccine, as well as increase funding to states for immunization infrastructure including IT needs. The Congresswoman and members of the call noted the acute and ongoing need to support the mental health services as community members of all ages are impacted now and for the long term. Rep. Kuster noted her appreciation of this multi-sector group working together to address the public health needs of the Androscoggin Valley.
NH delegation is receiving complaints from residents about difficulties completing vaccine registration using 211. Though a state-led effort, the federal delegation and staffers are following up with 211 and are working to assist residents.
“It takes a whole community to pull this off. We are very pleased that we are starting to administer vaccine to some of our community residents tomorrow.”
1/20/21: An extraordinary example of collaboration
During our work today we recognize the inauguration of the new administration. We hope for the administration’s success in addressing the COVID-19 pandemic in our country as we all have a vested interest.
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The Androscoggin Valley COVID-19 Community Working Group reminds community members and local businesses to mask up, keep social distance, practice hand hygiene, and please follow all quarantine and isolation guidelines so we can slow and prevent the spread of COVID-19 in the community. As a new phase of vaccine distribution begins, we need to continue working together to keep the residents of the Androscoggin Valley healthy. We can do this together.
Keep Coos Healthy #MaskUpNH video from North Country Healthcare
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Health Care and Medical Services
Vaccine Update in Androscoggin Valley: Members of the AV COVID-19 Community Working Group, including AVH and CCFHS, are creating a COVID vaccine clinic for the Berlin-Gorham region at the former Brown School building in Berlin. Vaccine for Phase 1B eligible patients will begin over the next several weeks. NH DHHS Health Alert #34b explains more about 1B eligibility and registration methods. Individuals eligible in Phase 1B can call their healthcare provider, visit https://www.vaccines.nh.gov/ for registration if 65+ years old, or call 2-1-1 or 1-866-444-4211 for more information. Remember to refer to NH’s Vaccination Phases for vaccination eligibility and estimated timeframes. Estimated timeframes depend on vaccine doses allocated to NH from the federal government and vaccine uptake. NH is currently receiving about 17,000 doses weekly from the federal government.
Update from Androscoggin Valley Hospital: On Tuesday 1/19/21 there were 49 tests administered, including 8 antigen rapid tests (for symptomatic patients) and 4 were positive. On Wednesday 1/20/21 24 COVID tests were administered. Compared to previous weeks, testing numbers are lower and there is improvement with lower positivity rates. There are currently a few admitted patients being treated for COVID.
Update from Coos County Family Health Services: This week Monday through Wednesday, 101 tests were administered and a total of 11 positive tests returned, including 9 adults and 2 children. There are 30 tests scheduled for Thursday 1/21/21. CCFHS is also seeing lower testing numbers and improvements. The second doses of COVID-19 vaccine will be administered soon to appreciative staff members. About 90% of eligible CCFHS staff are completing vaccination.
Other vaccine updates: Mobile clinics continue for Phase 1A around the North Country. Plans for Phase 1B in Northern NH are underway, including reaching 65+ age-restricted housing communities which includes approximately 700 people. There will be clarification on questions from school administrators about eligibility for their school-based educators and staff. Statewide teachers and educators have expressed concern about being assigned to the Phase 2A group.
Education
Berlin Public Schools has resumed in-person learning. Staffing is likely to continue being a challenge until the vaccine is widely available to educators. Quarantines and positive cases in the community continue to affect staffing availability. Families are reminded to follow quarantine guidelines if there is a positive case or if instructed through contract tracing. Visit Berlin Public School Facebook Page for more COVID updates and information.
SAU 20 has resumed its regular in-person learning schedule. The new normal continues, including responding to any new positive cases, contact tracing, and quarantining. On 1/20/21 a confirmed case of COVID-19 was announced at Gorham Middle School. Contract tracing was completed on 1/20/21. Middle School grade 6 will be in remote instruction. Milan School Board and GRS Cooperative School Board extended remote Fridays for the duration of the COVID-19 pandemic. Everyone’s cooperation and willingness to work together is appreciated. Visit the SAU 20 office website for more COVID updates and information.
White Mountains Community College began Spring Semester this week and is stable. Nursing students are available to volunteer with the vaccine clinic.
Family Resources and Long-Term Care Facilities
St. Vincent de Paul is two weeks into a wave of COVID positive cases among staff and residents. Administrators are optimistic that this week is the apex and numbers improve quickly. There are currently 25 residents and 12 staff confirmed positive cases. The organization has successfully created a separate COVID unit for residents and though it has been tough, staff teamwork is high. Members of the call expressed their thoughts and prayers.
Coos County Nursing Home in Berlin no update this meeting.
Northern Human Services continues to primarily provide support to families and individuals with telehealth services, except for those in crisis or in need of select in-person services. The organization hoped to open for more in person services but staffing numbers continue to be affected. The organization will continue to assess over the next several weeks.
Emergency Services and Correctional Facilities
Gorham EMS and Berlin Fire / EMD continue to coordinate to support vaccination clinics. Recent weeks have been busy with emergency services responding to calls from community members for COVID related symptoms.
Northern NH Correctional Facility: It is a good day with currently 0 positive cases in the resident population. Testing continues and administrators are cautiously optimistic.
Berlin FCI: No positive cases among inmate population. Vaccination of staff is underway.
Municipal and Local Business
City of Berlin and partners are working on a MOU for the vaccine clinic in Berlin.
Town of Gorham is ready to assist in any way needed. There are low numbers of staff currently affected by COVID.
Androscoggin Valley Chamber of Commerce has PPE available to local businesses, including disposable masks, hand sanitizer, gloves, and alcohol wipes. The Chamber is providing higher-grade PPE to vaccine clinics and healthcare partners who need it.
Community and Legislative
The NH delegation attended today’s inauguration and is hopeful for starting off a new administration with a spirit of cooperation. Addressing COVID-19 pandemic is one of the top 4 priorities for the new administration and Congress. Another COVID relief bill will be considered.
COVID Executive Orders released on 1/21/20 aim to contain the COVID-19 crisis by expanding testing, administering vaccines, advancing racial equity in healthcare delivery, safely reopening schools and ensuring production of PPE. National Strategy for COVID-19 Response and Pandemic Preparedness and Fact Sheet
“Thank you to everyone working so closely together in the community and throughout the region to help bring the vaccine and make it available to the general public. It’s really an extraordinary example of collaboration that isn’t happening in all places around the state.”
1/13/21: Vaccination has started. More is coming.
Our work today is dedicated to those whose lives have been lost to COVID-19 and their families. Especially in our thoughts is the first patient at AVH who died from the virus this week, as well as their COVID survivor family member.
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The Androscoggin Valley COVID-19 Community Working Group reminds all business owners and their employees of the importance of wearing masks and social distancing in their respective establishments. We are all feeling mask fatigue, but our goal is to keep the residents of the Androscoggin Valley healthy and to make it through this pandemic. The way we ‘get things done’ in the North Country is by coming together and working as a team to meet our goal or objective. We can do this together.
Remember to mask up, keep social distance, practice hand hygiene, and please follow all quarantine and isolation guidelines so we can slow and prevent the spread of COVID in the community. There are signs of improving positivity rates at community testing sites so let’s all keep up the good efforts.
Keep Coos Healthy #MaskUpNH video from North Country Healthcare
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Health Care and Medical Services
Update from Androscoggin Valley Hospital: On Tuesday 1/12/21 there were 58 tests administered, of those 12 were antigen rapid tests (for symptomatic patients) and 2 were positive. One send-out test returned positive. Compared to last week, there is improvement with lower positivity rates. There are a few patients being treated for COVID at the hospital. AVH is readying its team and coordinating partners to establish a COVID vaccine clinic in the Berlin-Gorham area.
Update from Coos County Family Health Services: On Tuesday 1/12/21 and Wednesday 1/13/21, 77 tests were completed. Of those 8 were positive, including 5 adults and 3 children. Thirty-five tests are scheduled for Thursday 1/14/21. Numbers are lower indicating continued improvement compared to the last several weeks.
An open letter from the Androscoggin Valley COVID-19 Community Working Group to area businesses and community members is being sent as a reminder and encouragement to follow CDC guidelines for COVID-19 prevention of masking, social distancing, hand hygiene, and adherence to quarantining and isolation.
Vaccine update: Vaccine clinics in the Androscoggin Valley are administering vaccine to people in the 1A group. The rate of vaccine distribution continues to be limited by the supply received and not limited by the systems or structures in place. More vaccine is anticipated as the next phases roll out, including a significant change from the federal government about expanding qualifications for receiving vaccine (65+ years). Currently NH continues to follow its Vaccination Plan with Phase 1, 2, and 3. Vaccine distribution is currently in Phase 1A and anticipates beginning 1B by the end of January.
Members of the AV COVID-19 Community Working Group are coordinating to create a COVID-19 vaccination clinic in the Berlin-Gorham area to administer vaccine to the remaining tiers of NH’s Vaccination Phases, starting with 1B towards the end of January. The identified clinic location is Berlin Middle High School gymnasium. All essential stakeholders in this effort are working together to lead this effort. All members of the AV COVID-19 Community Working Group are ready to offer support.
Find out when you will be eligible for vaccine in NH’s Vaccination Phases. More information will be coming soon.
Education
Berlin Public Schools resumed in-person learning this week for students and staff after being remote through part of December and post-vacation. There are several staff affected by quarantines and available staffing is being monitored. Visit Berlin Public School Facebook Page for more COVID updates.
SAU 20 resumed in-person learning this week after a week remote post-vacation. There is a noticeable appreciation by students for being back in the school building and kudos to staff and teachers for all that they do to make that possible. Visit the SAU 20 office website for more COVID updates.
White Mountains Community College classes resume for the spring semester on 1/19/21. The college is already staggering students in the building and continue to offer hybrid, flex, and in-person classes to meet the needs of students. The modality of instruction is assessed weekly and administrators are monitoring COVID numbers and screening protocols carefully.
Family Resources and Long-Term Care Facilities
Coos County Nursing Home in Berlin has no positive COVID cases among residents as of 1/13/21. There is a recent positive case among staff and the organization is in response status with 100% regular testing of residents and staff. Family letters are going out and staff are responding with a high level of caution and care.
St. Vincent de Paul remains stable and optimistic this week with an increase in positive COVID cases among staff (5) and residents (7). The organization is taking an aggressive approach and is testing residents and staff close to daily. Staff are responding with a high level of caution and care. The organization held its first vaccination clinic last week with 89% of residents receiving first doses. The organization is anticipating and planning for vaccination procedures for newly admitted residents going forward.
Northern Human Services continues to primarily provide support to families and individuals with telehealth services, except for those in crisis or in need of select in-person services. The organization is closely following COVID data in the sub-regions of their northern NH catchment area in hopes of increasing in-person services within the next several weeks.
Emergency Services and Correctional Facilities
Gorham EMS and Berlin Fire / EMD collaborated on a successful vaccination clinic this week and administered vaccine to 56 first responder and emergency services staff. It was a very positive and optimistic environment.
Northern NH Correctional Facility in Berlin: There are currently 11 resident inmates in COVID unit as many more were cleared this week. The trend continues to improve week to week and normal routines are resumed. Corrections Officers are readying to receive vaccine.
Berlin FCI: There are no positive cases among inmates and administrators are readying to administer vaccine this week or next.
Municipal and Local Business
City of Berlin Council Members approved extending the masking ordinance for another month and is aligned with statewide mask ordinance and guidance.
Town of Gorham is ready to help with communication about vaccine distribution and in any other way.
Androscoggin Valley Chamber of Commerce Board of Directors were updated about the work of the AV COVID Community Working Group. Chamber Directors voiced their readiness to help with any community effort needed by this COVID response group. An open letter from the Androscoggin Valley COVID-19 Community Working Group to area businesses and community members is being sent as a reminder and encouragement to follow CDC guidelines for COVID-19 prevention of masking, social distancing, hand hygiene, and adherence to quarantining and isolation.
Community and Legislative
Senator Shaheen, along with leadership of AVH and CCFHS, heard updates from CVS on the federal program for vaccine distribution in long term care. The two currently approved vaccines are in production for about 20 million each (40 million) each month. With several additional vaccines applying for emergency use soon, there will be many more millions of doses soon in anticipation of the next phases of vaccine distribution this late winter and spring.
Senator Hassan met with the nominee to lead Health and Human Services for the President-elect’s administration. The Senator shared some of the barriers and speed bumps experienced in this group and elsewhere with the rate of vaccine distribution. A higher rate of distribution is expected soon.
Representative Kuster is kept updated on the efforts of this group and is currently addressing business of the House of Representatives.
“That’s the beauty of this group. Each of us brings something different to the table. We’re going to get this vaccination out to the community as soon as we get it.”
1/6/21: “I never thought in my lifetime…”
Our work today is dedicated to the EMTs and first responders, many of them volunteers who put themselves out there in the service of the community.
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Families and community members are reminded to take precautions and limit close exposure to other households. Following CDC guidelines during this critical time will help to prevent and slow the spread COVID transmission in the community. There are signs of improvement in the community so keep up the good efforts.
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Health Care and Medical Services
Update from Androscoggin Valley Hospital: On Monday 1/4/21 97 tests were administered, on Tuesday 1/5/21 66 tests administered with 13 positive results coming in that day. The numbers of both testing and positive cases appear to be slowing which may indicate improvement from the past several weeks. Activity at the hospital is stable. Staffing is steady but affected and contingency plans for cross-coverage strategy for staffing is being readied again. Vaccine clinic resumes this week for eligible staff and the first of the second doses will be administered. The birth of a New Year’s Day baby at AVH lifted spirits.
Update from Coos County Family Health Services: 130 tests were administered over the first three days the week (Monday 1/4/21 – Wednesday 1/6/21). Of those there were 11 positives, including 8 adults and 3 children. Through contact tracing all of these positive cases originate within households. There are 85 tests scheduled for Thursday 1/7/21. There are signs indicating improvement over the past several weeks as testing and positive cases appear to be slowing, as well as known source transmission within households.
Vaccine update: Vaccine is currently being administered to the tier 1A group of first responders, medical staff, school nurses, etc. There is limited allocation of vaccine as the state and the region is currently receiving less than expected. Those coordinating for Coos County are working hard to advocate for the North Country and are keeping the supply coming and administered as quickly as possible. The state is distributing vaccine to the regions and is not holding much vaccine back, as has been reported in other states. It is estimated that educators and schools may have access to the vaccine in March. Vaccine tracking numbers by state is available. NH’s Vaccination Plan is available. NH Vaccine Phases infographic.
Education
Berlin Public Schools is currently in remote learning week after vacation and is assessing whether to return to in person instruction starting on Monday 1/11/21. Staffing is affected but stable. School nurses are registering for vaccination. Vaccine for educators may be available in March. Visit Berlin Public School Facebook Page for more COVID updates.
SAU 20 is currently in remote learning week after vacation and is assessing and preparing to return to in person instruction starting on Monday 1/11/21. Students, families, and school staff are adjusting to the new normal. Vaccine for educators may be available in March. School nurses are registering for vaccination. Visit the SAU 20 office website for more COVID updates.
White Mountains Community College is planning to open for the spring semester on January 19th. Staff and students are preparing for two modalities for instruction – in person or remote – and the decision will be made by the start of the semester and remain in that same modality through the entire semester. The college is using a daily screening tool for everyone entering the building and there is a high level of coordination to support students, especially many new and transfer students starting the semester.
Family Resources and Long-Term Care Facilities
St. Vincent de Paul held its first vaccination clinic with 89% of residents and 66% of staff receiving vaccination. There is currently one staff member with positive COVID which was not facility acquired. The organization is in response status, not outbreak status, and will conduct 100% resident and staff testing. Families of residents are notified and staff are responding very quickly with a high level of caution and care.
No update from Coos County Nursing Home in Berlin.
Emergency Services and Correctional Facilities
Berlin Fire / EMD and Gorham EMS are arranging for vaccination clinics.
Northern NH Correctional Facility in Berlin: There are currently 33 resident inmates in COVID unit as many are getting cleared each week. The trend continues to improve significantly and working on getting back into normal routine. Administrators are readying for vaccine available to corrections officers who are in the next tier.
Berlin FCI: There are no inmate positive cases and administrators are readying for vaccine.
Municipal and Local Business
Androscoggin Valley Chamber of Commerce: Chamber members expressed the PPE distribution through the regional Great North Woods Region Chamber Partnership had a positive impact on their business since many did not have budget available for PPE. It also made a significant difference in the community by helping to create a safer way to continue conducting business and remain open. Through the CARES Act the partnership secured 5,575 gallons of sanitizer, 1,500 sanitizer spray tops, 5,500 pairs of industrial globes, 270 face shields, 6,000 cloths masks, 504,00 disposable masks, 47,400 KN95 masks, 515 N95 masks, 1,000 mask lanyards, 60 thermometers, 19 plexiglass partitions, 11,250 pairs of medical gloves, and 1,452 canisters of alcohol wipes. PPE is still available and contact the local Chamber for assistance.
No update from City of Berlin or Town of Gorham this week.
Community and Legislative
During this meeting, the NH delegation of Congressional representatives and their staff were in lock down in the country’s capital as pro-Trump supporters breached the capital building. Members of the AV COVID Community call expressed their thoughts, prayers, and thanks to the delegation and staff for carrying out their work for the residents of NH.
“I never thought in my lifetime I would see a global pandemic or what happened today.”
12/28/20: Good teamwork behind the scenes
Our work today is dedicated to the families of staff and leadership in healthcare, emergency services, and community roles, as their support and patience also plays an essential role in this community response.
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Families and community members are reminded to take precautions and limit close exposure to other households. Following CDC guidelines during this holiday season will help to prevent and slow the spread COVID transmission that is currently happening in the local community.
Check out: Keep Coos Healthy #MaskUpNH video from North Country Healthcare
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Health Care and Medical Services
Update from Androscoggin Valley Hospital: Activity in the hospital picked up after a quiet holiday weekend. Approximately 50 tests were administered on Monday 12/28 and phones are busy for scheduling tests. On Monday 12/28, 17 rapid tests of symptomatic people were administered and 3 were positive. Total number of positive test counts from over the weekend were unavailable at the time of the call. Staffing is stable but affected by quarantines and positive cases. AVH continues vaccine distribution among staff and coordinating to provide vaccine to Coos County Family Health Services frontline staff as well.
Update from Coos County Family Health Services: Over three days (Saturday 12/26 – Monday 12/28) 15 rapid tests were administered to symptomatic people and 10 returned positive. Contact tracing indicates a couple of new sources of transmission as well as unknown source, indicating continued community transmission. There are 60+ tests scheduled for Tuesday 12/29, 20 scheduled for 12/30 and phones are busy with more people scheduling tests. Frontline CCFHS staff will receive vaccine this week.
Vaccine update: Vaccine is being administered to the tier 1A group of frontline healthcare and emergency service workers, including public safety and school nurses. Fixed site in Littleton opens 12/29 for those in the tier 1A group and clinics are being set up in local areas as well. It was noted that the vaccine protects against symptomatic disease from COVID-19 and is not known to be a vaccine against transmission. This means that community members need to continue masking, distancing, and taking COVID precautions as the vaccine continues to roll out, even if having received vaccination.
Other updates: Influenza (flu) is very low in NH, though it is active, as COVID preventative measures such as masking, social distance, and good hand hygiene are helping to reduce the spread of flu. Local healthcare offices are seeing Strep in patients.
Education
Berlin Public Schools is currently in vacation week and will resume with remote learning on January 4th. Over the next weeks, administrators will assess returning to in person learning on January 11th. School nurses are registering for vaccination. Visit Berlin Public School Facebook Page for more COVID updates.
SAU 20 is currently in vacation week and will resume with remote learning on January 4th. Over the next weeks, administrators will assess returning to in person learning on January 11th. School nurses are registering for vaccination. Visit the SAU 20 office website for more COVID updates.
White Mountains Community College is currently closed for winter break and continues to communicate with staff and students for the start of the spring semester in mid-January.
Family Resources and Long-Term Care Facilities
Long term care facilities: Vaccination clinic for staff and residents was held at Coos County Nursing Home in Berlin. The vaccination clinic for St. Vincent de Paul is scheduled in early January. There is currently no transmission of COVID-19 at either long term care facilities.
Emergency Services and Correctional Facilities
Berlin Fire / EMD and Gorham EMS are arranging for vaccinations.
Northern NH Correctional Facility in Berlin: There are currently 63 active COVID positive cases among inmate residents. The number of positive cases is decreasing from the surge in positive cases over the past weeks as many cases are being resolved. The trend appears to be improving significantly. NNHCF and AVH staff have been in constant communication and coordination to address and manage needs.
Berlin FCI no update this week.
Municipal and Local Business
City of Berlin is sharing communication with the public about the current COVID positive numbers in Berlin published by the state (https://www.nh.gov/covid19/). DHHS website reported 113 active positive cases in Berlin as of 12/27/20. NNHCF reported 63 total active cases as of 12/28/20. DHHS numbers for Berlin includes NNHCF numbers. With regards to these numbers there are approximately 50 active positive cases in Berlin that are not part of the NNHCF inmate population. Because of different reporting mechanisms, schedules and other potential reasons for variation in numbers, the total number of positive COVID cases will not always reflect real-time accuracy. What is certain is that there has been an increase in the incidence of positive COVID cases in the Berlin community.
Androscoggin Valley Chamber of Commerce notes that the business community is experiencing a slower pace as community members take COVID precautions.
Community and Legislative
Bipartisan Emergency COVID Relief Act of 2020 was passed and signed into law.
“It’s been good teamwork behind the scenes over the holiday.”
12/21/20: In the North Country we rely on each other
Our work today is dedicated to substitute teachers and travelling nurses and to all those acting as reinforcements to support the work that we do.
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Families and community members are reminded to limit close exposure to other households. It is difficult during holiday time with traditions of gathering, but following CDC guidelines during this holiday season will help to prevent and slow the spread COVID-19 in our local community.
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Health Care and Medical Services
Update from Androscoggin Valley Hospital: Administered 50 tests on Monday Dec. 21st with two positive COVID results, indicating a potentially improving trend in the community and building on momentum over the weekend. People are reminded to continue preventing spread by carefully following guidelines. Medical staff discussed how people can test positive after testing negative since the ideal window for testing is 3-5 days after the exposure. AVH is working in conjunction with state prison staff for testing during the surge in COVID positive cases at the state prison in Berlin.
Update from Coos County Family Health Services: Over 40 tests are scheduled for Tuesday 12/22, the handful of rapid tests administered 12/21 were negative. The pediatric trend of positive COVID cases appears to continue slowing with only a couple of new positive cases traced to known sources, with no new sources of infection. Remote visits continue for about 70% of medical appointments and staff are waiting to receive vaccine.
Elsewhere in the North Country Healthcare system, Upper Connecticut Valley Hospital (UCVH) in Colebrook administered 122 tests over the past week with 6 positive COVID results showing a continued slowing in positive test results in the area. UCVH began immunization of healthcare staff over the past week.
Vaccine update: The state continues to roll out vaccine distribution, including working directly with hospitals for their staff in the tier 1A category. Long term care facilities are working with the state under the CVS / Walgreens program to receive vaccinations soon. The state is setting up fixed sites (Littleton) and coordinating with North Country Health Consortium, the public health network for the region, for dispersed sites and mobile clinics for vaccine distribution to first responders and healthcare workers in the tier 1A group. Once tier 1A is complete, the next tier of identified people will be eligible to receive vaccine. More community messaging to be rolled out soon.
The COVID-19 variant identified in the UK and reported in the media is expected to be responsive to the vaccine and scientific research is following.
Education
Berlin Public Schools continues to be in remote session with holiday vacation starting on Wednesday 12/23/20 and will continue with one-week of remote schooling after the break. Administrators continue to evaluate how increased distancing can occur within school buildings. The on-site pod for students of essential workers will be reevaluated since staffing continues to be a challenge. Basketball and hockey practice will begin with small group pods. More information is updated regularly on Berlin Public School Facebook Page.
SAU 20 remains on an in-person hybrid schedule. There will be a one-week remote schedule after the holiday vacation. Many staff and students are returning after quarantine and trends appear to be improving. Visit the SAU 20 office website for more COVID updates.
White Mountains Community College will soon close the building for holiday break and will return in the first week of January with limited staff, followed by the start of spring semester in mid-January.
Superintendent of SAU 7 in northern Coos County joined today’s call to observe the collaboration of AV COVID Working Group. Students in SAU 7 will return to in person after the holiday break after a period of remote school during a COVID surge which is now improving.
Family Resources and Long-Term Care Facilities
St. Vincent’s nursing home reports that supervised indoor visitations with COVID precautions are allowed as the current CMS rate for active cases in the county is below 5%. A 10% rate in the county is the threshold when indoor visitations are put on hold.
Family support organizations continue to provide services both remotely and in person as the holiday approaches.
Family Resource Center’s Christmas Caring Tree was a big success with supporting holiday gifts for children in 168 families in northern NH.
Emergency Services and Correctional Facilities
Berlin Fire Department received a large donation of toys for Christmas and is looking to provide them to children and families in need. Contact the Fire Department to help distribute the holiday cheer.
Berlin Fire / EMD reports quarantining numbers are improving among staff and both Berlin and Gorham Emergency Services are working towards vaccination available to staff very soon.
State prison in Berlin has 71 residents confirmed COVID positive and several staff members (as of 12/21/20). State prison staff are working around the clock to slow and contain transmission of COVID during this major surge. AVH is working closely with state prison staff to coordinate testing. Contact tracing, quarantining, and COVID unit are all being used to manage response.
Berlin FCI no update.
Municipal and Local Business
Androscoggin Valley Chamber of Commerce has disposable masks and sanitizer available if local businesses are in need.
No update from municipalities.
Community and Legislative
The major Bipartisan Emergency COVID Relief Act of 2020 is scheduled to pass the House and Senate by Tuesday 12/22/20. Direct payments of $600 to adults and children are included, as well as unemployment support, support for COVID testing, vaccine distribution, research, and small business, community healthcare, mental health, school and higher education support among much more. The entire text of the bill is available online. The NH Congressional delegation and staff were active in the legislative process.
“In the North Country we rely on each other and that works well for us.”
12/16/20: We help each other through these COVID waves each time
Our work today is dedicated to those administering COVID tests locally, especially those in the testing tents as the weather gets colder.
Health Care and Medical Services
Testing update from Androscoggin Valley Hospital: Administered testing to 118 on Monday Dec. 14th, 92 tests on Dec. 15th, and over 50 on Wednesday Dec. 16th. There were 4 positive tests results returned over 24 hours (Tues/Wed). AVH is also supporting the state prison staff navigate COVID testing and current uptick in positive cases.
Testing update from Coos County Family Health Services: From Monday Dec. 14th to Wednesday Dec. 16th, 191 tests administered and a total of 17 positive tests returned, including 9 adults and 8 children.
Pediatric trend of positive COVID cases may be slowing – Dr. Beals reporting 0 new positive results among pediatrics over the past two days (12/15 and 12/16).
Vaccine update: First doses of the vaccine have arrived in Coos County to be administered to health care workers. North Country Healthcare released the following 12/15/20 press release about vaccines. More community messaging to be rolled out soon.
Education
Berlin Public Schools continues to be in remote session. More information is updated regularly on Berlin Public School Facebook Page.
SAU 20 remains on a hybrid schedule. There was an informational COVID forum for parents and staff with Dr. Beals and SAU 20 administers on Monday Dec. 14th about COVID updates, share decision-making matrix, and answer questions. Building administrators are working hard to arrange class coverage and keep school buildings open for students and families. Visit the SAU 20 office website for more COVID updates.
White Mountains Community College has no major updates and is wrapping up fall term.
Family Resources and Long-Term Care Facilities
Family support organizations continue to provide services both remotely and in person as possible. Quarantines are creating staffing challenges for in person services, but organizations continue to meet community need.
St. Vincent’s remains stable with no current COVID cases among staff or residents.
Gorham Community Learning Center remains closed for cleaning.
Families and community members are reminded to limit close exposure to others. It is difficult during holiday time with traditions of gathering, but following guidelines during this holiday season will help to reduce and slow COVID transmission that is currently happening in the local community.
Emergency Services and Correctional Facilities
Berlin Fire / EMD and Gorham EMS have no major updates. Local first responders are registering to receive vaccination when it is available soon.
State prison in Berlin currently has 35 confirmed COVID cases among inmates and several staff members. State prison staff are working closely with AVH to coordinate testing and follow up. Contact tracing, quarantining, and COVID unit are all being used to manage response.
Berlin FCI has no COVID positive staff and one COVID positive inmate. Vaccination plans are in place.
Municipal and Local Business
Berlin City Council revisited the mask ordinance on Monday Dec. 14th as scheduled. No changes were made and the statewide mask mandate issued by Gov. Sununu remains in place as well.
No update from local Chamber of Commerce.
Community and Legislative
The NH delegation continues to work on negotiations for the Bipartisan Emergency COVID Relief Act of 2020 at the national level. Staffers are cautiously optimistic a bill will be passed soon.
“It’s just one wave after another. We help each other through these waves each time - whether it’s a pediatric wave or at the state prison. We’re in one right now. Having this regular COVID community response call gives us a fighting chance.”
12/9/20: Keeping the ship afloat
Our work today is dedicated to the nurses we work with. We are grateful for their contributions to our community and for keeping the ship afloat for the last 10 months during COVID.
Health Care and Emergency Services
From Monday Dec. 7th to Wednesday Dec. 9th there were a total of 18 new COVID positive tests returned, including 11 children and 7 adults in the Androscoggin Valley community.
Testing continues at a high and stable level at Androscoggin Valley Hospital and Coos County Family Health Services, including 108 tests conducted at Family Health Services on Tuesday Dec. 8th and 60 tests scheduled for Thursday Dec. 10th. AVH conducted around 40 tests on Tuesday Dec. 8th.
There appears to be a pediatric increase or trend of COVID positive cases in the local community right now, including in daycare centers and private childcare settings. Contract tracing is occurring and identifying those in close contact who need to quarantine. It is very important for those in quarantine to follow guidelines and to limit exposure to slow or stop a rise in positive COVID cases.
There is a steady stream of calls for information and testing. Contact Coos County Family Health Services and Androscoggin Valley Hospital for more information.
Coos County is readying for vaccine deployment. Vaccines are expected to arrive towards the end of the month. The first vaccines will be available to high-risk healthcare workers followed by a stratified prioritization in healthcare, emergency services, and other high-risk individuals based on many factors. The first allotment of vaccine coming to NH is less than originally anticipated with plans underway for next allotments.
Education
Berlin Public Schools has current positive COVID cases in staff and students, focused mainly on the Elementary School though both school building staff and students are affected. School is in a full remote phase currently with staff having the option to be in the building. CTE classes in person are on hold. Sports are on hold. A new program for students of first responder families has started successfully onsite.
Anxiety and social emotional concerns are high right now among students, staff, and families. The Berlin Public School Facebook Page offers resources by the school social worker and guidance counselors. Everyone is urged to take care of themselves.
SAU 20 remains on a 4-day onsite and Fridays remote schedule. Positive COVID student cases remain limited and are followed up with contact tracing. By carefully following school procedures and precautions there has been no transmission in school. Visit the SAU 20 office website for more COVID updates.
White Mountains Community College has limited students and staff on campus through next week, followed by a remote period and break before Spring semester in January.
Family Resources and Long-Term Care Facilities
Coos County Nursing Home’s COVID-19 vaccination planning is in process and information is mailed to families. No facility transmission to date.
No major updates. Family support organizations continue to provide services both remotely and in person as possible.
Gorham Community Learning Center is currently closed.
Families and community members are reminded to limit close exposure to others. It is difficult during holiday time with traditions of gathering, but following guidelines during this holiday season will help to reduce and slow COVID transmission that is currently happening in the local community.
Emergency Services and Correctional Facilities
Both Berlin and Gorham Police Departments and Fire Departments are managing staffing levels affected by police officers and fire fighters needing to go into quarantine and coming out of quarantine on a regular basis.
State prison in Berlin has no positive COVID cases and one staff out on quarantine due to a positive family member.
Berlin FCI has one staff positive COVID case and all recommended testing and quarantining is being followed.
Municipal and Local Business
Local businesses are feeling the anxiety during the slow time between seasons coupled with the rise in local cases. Residents are encouraged to shop local, shop curbside, shop online to support local business. “We hope to not lose any more businesses during this.”
“Thank you everyone for all the work that you’re doing. It’s vitally important to the municipal side of things.” No updates from municipal offices in Gorham and Berlin.
Community and Legislative
The NH delegation is working on the Bipartisan Emergency COVID Relief Act of 2020 at the national level to extend support for small businesses with PPP program; rural providers; testing and contract tracing; nursing homes; substance misuse and mental health; and childcare providers. More information on the bill coming soon.
"I think we have another four or five days seeing where this trend leads us. … Even though we recognize that there are some holes in the boat, we can all bail pretty hard.”
The entire community needs to be bailing the boat together. Here’s how:
Social distancing and avoiding gatherings without masking; following CDC guidelines; participating in contact tracing; following quarantine restrictions when known to be exposed.
This is how we will pull through together.
12/2/20: It’s like a hurricane season. There’s certain things you do to get ready for it.
Our work today is dedicated to front line staff who are working hard and who continue to show up everyday and put in the time to care for our community members.
Health Care and Emergency Services
On Wednesday Dec. 2nd there were 8 newly positive COVID-19 tests returned, including 2 adults and 6 children. No source was identified through contact tracing, indicating that this is community transmission, though likely NOT related to transmission in the schools.
Health care facilities encourage ASYMPTOMATIC people who believe they have been exposed to schedule a test 3-5 days after the possible exposure to allow time for infection to develop to get an accurate test. Make the call to schedule the test and while waiting limit exposure to others outside the household. Be mindful of yourself and others, but do not panic.
If you are SYMPTOMATIC call your health care provider and schedule a test immediately.
Contract tracing is occurring locally, and these calls are taking considerable time as many people have been very active in moving around. Continue to be mindful about limiting close exposure to others each day. If believed to be exposed to someone with coronavirus and are awaiting testing or results, please LIMIT exposure to others.
There is an uptick in demand for testing as local positive cases are reported. This included 50 tests completed on Tuesday 12/1/20 at Coos County Family Health Services. Testing is also available at Androscoggin Valley Hospital.
The CDC has announced recent changes in quarantine guidelines, however NH’s Department of Health and Human Services quarantine guidelines have not changed as of 12/2/20. Refer to your healthcare provider for more information.
Education
Berlin Public Schools has two positive Covid cases as of 12/2/20 but contact tracing indicates that cases DO NOT originate by spread within the schools. All contact tracing is complete. Due to direct staff contacts in quarantine, the Meri-Center Preschool program is moved to remote learning for two weeks. The SAU 3 office communicates more information about positive cases and recommended action on Berlin Public School Facebook Page.
Berlin Public Schools remains close to needing to go fully remote due to Covid-related staffing challenges, especially at Berlin Elementary School. Administrators are very aware a fully remote elementary school impacts the community and families the hardest because of childcare. A program for first-responder families is being developed. Community members are encouraged to continue following COVID precautions so school buildings can remain open.
Milan Elementary School 5/6th grade class is remote for two weeks due to a positive case. All contact tracing is complete. Visit the SAU 20 office website for more COVID updates.
White Mountains Community College currently has limited students and staff on campus and many remote and is looking forward to Spring semester starting in January. The extended wireless internet connection is available in the parking lot open to the community.
Family Resources and Long Term Care Facilities
St. Vincent’s Nursing Center is watching the Coos County positive test rate which is currently at 8.3%. Concern that this number is getting dangerously close to the 10% positive rate for the county which would require the nursing center to stop indoor family visits.
Currently residents are able to have indoor family visits with Covid precautions which is very important to the well-being of residents and families, especially during the holiday season. All community members can contribute to keeping visitations going by keeping the positivity rate below 10%.
Vaccine deployment plans are underway in Coos County.
Emergency Services and Correctional Facilities
Local first responders staffing and correctional facilities staffing is stable. No current positive Covid cases throughout inmate population in local correctional facilities.
A first responder surveillance testing program is underway for the Gorham, Randolph, Shelburne Fire Department and Gorham Police Department
Municipal and Local Business
No update this week
Community and Legislative
Federal CARES ACT is coming to a close at end of December 2020 and NH’s federal delegation is working on trying to pass a continued COVID relief plan in Washington
Similar to preparing for a big storm, community members are encouraged to be prepared for possible quarantining with food, staples, and a network of people who can help run errands. For those in need of delivery supports, there is interest in creating a program to deliver medications or groceries. There is vulnerability for community members who may not have a safety net or support network.
Other
Sharing lessons learned across Coos County: An emergency response coordinator from the Colebrook area will join Androsoggin Valley’s COVID working group next meeting to see how to replicate a similar cross-sector working group in northern Coos County.
NHPR article about this group's work was published and captured much of the unique collaboration and communication that occurred behind the scenes in responding to and planning for Covid-19 in Androscoggin Valley. See article here: How A Daily Zoom Call Became A Lifeline For COVID Response In N.H.'s North Country