NH DHHS - Merrimack County is the Healthiest in the State; Coos County Still Poorest in Health

New Hampshire Also Announces Release of Its Own Report

Concord, NH – Merrimack County has the healthiest residents in New

Hampshire and Coos County remains the least healthy county in the State,

according to the third annual County Health Rankings, released today by the

University of Wisconsin Population Health Institute and the Robert Wood

Johnson Foundation (RWJF). Merrimack has replaced Rockingham County, which

was ranked the healthiest in New Hampshire in 2011. According to the

Rankings, residents of Coos County have more than 1 ½ times the rate of

premature deaths than residents of Merrimack County.

The Rankings, available at www.countyhealthrankings.org, include a snapshot

of each county in New Hampshire with a color-coded map comparing each

county’s overall health ranking. Researchers used five measures to assess

the level of overall health or “health outcomes” for New Hampshire by

county: the rate of people dying before age 75, the percent of people who

report being in fair or poor health, the numbers of days people report

being in poor physical and poor mental health, and the rate of

low-birthweight infants.

The Rankings also consider factors that affect people’s health within four

categories: health behavior, clinical care, social and economic factors,

and physical environment. Among the many health factors they look at: rates

of adult smoking, adult obesity, excessive drinking among adults, and

teenage births; the number of uninsured under age 65, availability of

primary care physicians, and preventable hospital stays; rates of high

school graduation, adults who have attended some college, children in

poverty; community safety; limited access to healthy foods; rates of

physical inactivity; and air pollution levels.

The County Health Rankings rank the overall health of nearly every county

in all 50 states, using a standard way to measure how healthy people are

and how long they live. This year’s Rankings include several new measures,

such as how many fast food restaurants are in a county and levels of

physical inactivity among residents. Graphs illustrating premature death

trends over 10 years are new as well.

“This is the third year that this report has been compiled and we are

definitely seeing trends, though the order may change from year to year,”

said New Hampshire Department of Health and Human Services (DHHS) Public

Health Director Dr. José Montero. “The reports confirm what we have

believed, that the health of the residents of Coos and Sullivan Counties

lags behind the rest of the State.”

“We believe this report is complementary to the New Hampshire State Health

Profile the Division of Public Health Services released last year,”

continued Montero. “We are also pleased to announce the release of 2011

Snapshot of New Hampshire’s Public Health Regions, Counties, and the Cities

of Manchester and Nashua. This snapshot, a companion document to the 2011

New Hampshire State Health Profile, is meant to assist community leaders

and to identify priority health issues in their communities. We have come a

long way in gathering and assessing data on public health here in the

Granite State and hopefully people in the public health community statewide

will use these reports to take action to improve the health of their


The 2011 Snapshot of New Hampshire’s Public Health Regions, Counties, and

the Cities of Manchester and Nashua confirms that Coos County fares

significantly worse than the State in areas such as obesity, binge

drinking, teen birth rates, and access to primary care providers.

Nancy Frank, Director of the North Country Health Consortium notes that

work has begun in the North Country to address the data from both reports.

“We are now meeting with members of our community in preparation for a

day-long North Country Health Improvement Initiative Summit planned for

June 14, 2012. The summit will result in action steps to make a real

difference in the health of people in our county.”

The Snapshot Report is available online at

www.dhhs.nh.gov/dphs/index.htm#regprof . To view the 2011 New Hampshire

State Profile, go to

www.dhhs.nh.gov/dphs/documents/2011statehealthprofile.pdf . For more

information about the Division of Public Health Services visit the DHHS

website at www.dhhs.nh.gov .

This report is one of the topics DHHS is focusing on this week in

recognition of National Public Health Week; for more information go to

www.nphw.org .