Chronic Disease Work Group

What is Chronic Disease?

Chronic diseases, particularly heart disease, stroke, diabetes, and asthma are a key priority for the Greater Nashua Public Health Region (GNPHR). Chronic diseases are now the leading cause of death and disability worldwide making addressing them critical to community health. According to the CDC, 6 out of 10 Americans are now living with at least one chronic disease.

Chronic disease is a particularly important health issue for the GNPHR for several reasons. Heart disease is the second leading cause of death in the GNPHR. Although Nashua has met the SHIP and Healthy People 2020 goals for heart disease and stroke they still affect a large number of the population therefore the risk factors and comorbidities related to these diseases must addressed. While the GNPHR and the state of New Hampshire have lower percent of diagnosed diabetes than the average for Americans, the city of Nashua is higher. Asthma is of particular concern for the GNPHR because New Hampshire has one of the highest asthma rates in the country. Preventing chronic disease in these four key areas is critical to increasing the overall health of the GNPHR.

Chronic Disease

Greater Nashua Chronic Disease Work Group


Kim Bernard - Chief Public Health Nurse, Nashua Division of Public Health and Community Services

Meeting Schedule

Please contact the work group facilitator for the meeting schedule.

Goals, Objectives, and Suggested Strategies


Increase community and provider buy-in for chronic disease prevention (focusing on asthma and diabetes) in the GNPHR.


1. Conduct a minimum of five educational opportunities per year organized by Greater Nashua Public Health Advisory Council (PHAC) member organizations related to chronic disease prevention (asthma and diabetes) education, awareness, and management.

2. Collaborate with PHAC organizations to develop and implement a framework for chronic disease prevention.

3. Decrease the prevalence of not well or poorly controlled asthma in low income populations.

Suggested Strategies

  • Educate providers on referral processes to support clinical management for poorly controlled asthma patients.
  • Improve communication amongst providers for coordination of patient care.
  • Provide community education on asthma prevention programs.
  • Provide diabetes prevention education in the 25 to 34 age group.
  • Target 55+ for chronic disease self-management.

Event Tracking

The Nashua Division of Public Health and Community Services, Greater Nashua Public Health Network would like to congratulate and thank your organization for hosting an educational opportunity around chronic disease (event, training, conference, etc.) in the Greater Nashua Region! Upon completion of your event, we request that you complete the Chronic Disease Event Tracking Form to assist us in tracking and evaluating health improvement activities within the region. 

If your event already required you to complete a tracking form, please feel free to skip this survey and send them directly to If you have any questions about completing this survey, or in regards to the 2018-2021 Greater Nashua CHIP, please contact the work group facilitator.