b'GREATER MONADNOCK COMMUNITY HEALTH IMPROVEMENT PLAN 2015-2018 8. HEART DISEASE & STROKE9. INFECTIOUS DISEASE Heart disease is the second leading cause of death in NH and stroke isVaccinesareamongthemostcost-effectivewaystopreventmany the fifth leading cause of death.Both heart disease and stroke arediseases.According to the National Immunization Survey, NH ranked stronglyrelatedtohighbloodpressure,highbloodcholesterol,secondhighestinthecountryforchildhoodimmunizationcoverage cigarettesmoking,diabetes,physicalinactivity,andinsufficient(80.1%ofthepopulationaged19-35months).Thischildhood amounts of fruits and vegetables. vaccination series prevents diseases that can have serious long-term health effects. Regionalassetsinclude:AntiochUniversityNewEngland,Cheshire Medical Center, Faith-Based Communities, Home Healthcare HospiceRegional assets include: Cheshire Medical Center, City of Keene, Faith-and Community Services, Keene Family YMCA, Keene Housing, KeeneBasedCommunities,HomeHealthcareHospiceandCommunity StateCollege,MonadnockCollaborative/PilotHealth,MonadnockServices, Monadnock Community Hospital, Monadnock Developmental Community Hospital, Monadnock Developmental Services, SAU 29, andServices, SAU 29, and others others Goal:Increaseimmunizationratesandreducepreventable Goal:Improvecardiovascularhealthandqualityoflifeinfectious diseases. through prevention, detection, and treatment of risk factors forheartattackandstroke;earlyidentificationandStrategic Objectives:treatmentofheartattacksandstrokes;andpreventionof\x01Increase childhood vaccinations repeat cardiovascular events. \x01Reduce healthcare associated infections Strategic Objectives:\x01Increase timeliness of foodborne illness investigations \x01Reduce high blood pressure - In 2011, an estimated 30% of adults\x01Enhance food safety in the Region had high blood pressure. \x01Increase seasonal influenza vaccination \x01Reduce Childhood Obesity\x01Reduce coronary heart disease deaths - In 2010, the rate of heart disease deaths in the Region was 131.6 per 100,000 people.In 2000, the rate was 238.0 per 100,000. \x01Reduce stroke deaths55'