[{"_1":2,"_100":-5,"_101":-5},"loaderData",{"_3":4,"_26":27},"root",{"_5":6,"_17":10,"_18":19,"_20":21,"_22":10,"_23":-5,"_24":-5,"_25":10},"user",{"_7":8,"_9":10,"_11":10,"_12":-5,"_13":-5,"_14":15,"_16":-5},"roles",[],"isAuthenticated",false,"isPremium","planName","subscriptionStatus","featureFlags",{},"insightsBudget","isDevelopmentHost","userPreferences",{},"recaptchaSiteKey","6LcvOJcUAAAAAHsB-gPGfGktcRlKpH7OTIU_dMTD","isImpersonating","impersonation","affiliateStatus","isFreedomPortal","routes/v2/article/layout",{"_28":29,"_30":31},"notFound",true,"relatedArticles",[32,76,88],{"_33":34,"_35":36,"_37":38,"_39":40,"_41":42,"_43":44,"_45":46,"_47":48,"_49":50,"_51":52,"_53":54,"_55":56,"_57":58,"_59":60,"_61":62,"_63":64,"_65":66,"_67":68,"_69":70,"_71":72,"_73":74,"_75":74},"mediaId",6078783,"mediaKeyId","2957875-1b28e180fe279f978e5a69ab9a146d43","parentId",2957875,"title","Committee approves $111,915 for overdose-prevention work; health director outlines data limits, needle-box pilot idea","audioSeconds",624,"startMs",118000,"endMs",742000,"viewUrl","/Search/View?dp=1&key=2957875-1b28e180fe279f978e5a69ab9a146d43&start=118&end=742","thumbnailUrl","https://assets.pipeline.soar.com/2957875-1b28e180fe279f978e5a69ab9a146d43/thumbnail_118000.jpg","articleUrl","/articles/6078783/New-Hampshire/Committee-approves-111915-for-overdose-prevention-work-health-director-outlines-data-limits-needle-box-pilot-idea","mediaUrl","https://secure.pipeline.soar.com/6078783-5ced2fee141ce32280edf5d5cd8ad8bc/orig.mp4?Expires=1771190863&Signature=cx184NvjEkYp90lQ6fn0C7n1P5Ov3pYp6nZCxiVOSdT-D0Pk7H8leC0ZXNRuSqpisWN5NJLmylnbMgRmRzcKGz97xhcWEzvXYZVKmFQ-PNRpwIc~c43IXdzylHYQG~tNQkGhH74H5i8~SdQrg-41V1pqW0FbWoAYht2~u~y~kbrrjNOOo8ypHqK~5IKorc5oWcZ1baacuc8BfqYQ6xQodr5GrL8SyCD0KlbPnlxRwQkhlUNsJSulmXszrBX8N4esUlYaN3MDhX2W3PSOGqWUXvaibtemamCpurUHJ0OUeF1hTXRKDXtwS7DEo-psAkH5LxIyHQTtv6-PUj-noTEtOw__&Key-Pair-Id=KUT5TJCACFTXG","author","City Council of Manchester NH","date","2025-04-01T00:00:00Z","article","The Manchester Board of Mayor and Aldermen's Committee on Community Improvement voted to approve an amending resolution transferring $111,915 for CIP 211325, designated for overdose-prevention funding.

Public Health Director Anna Thomas told the committee the city's local numbers are compiled primarily from American Medical Response calls and from police and fire reports, and that the data represent events recorded by first responders rather than every instance of an overdose in the community. \"Keep in mind, these are only people who end up in the first responder system, so there's a lot of community overdosing happening, people self administering Narcan, or others administering Narcan, that never get counted in these numbers,\" Thomas said.

Thomas and aldermen discussed how the locally compiled figures differ from finalized medical-examiner determinations because toxicology confirmation can take months. Thomas said the counts are \"suspected overdoses\" until confirmed and that event counts can be inflated when the same individual is treated multiple times: \"If somebody overdoses multiple times, like we've had 1 individual I think overdose 20 times in a weekend, all 20 of those overdoses get counted in these numbers.\" She said March may be the first month in a long time without an overdose fatality, pending confirmation.

The discussion also covered harm-reduction services, Narcan distribution and syringe disposal. Thomas said many outreach clients and outreach teams already know how to use nasal Narcan and that the health department has been trying to shift work \"upstream to treatment and recovery\" and away from some in-field harm-reduction services the department had provided earlier. On syringe disposal, Thomas described an existing Stericycle contract that covers needles generated at city clinics and said that community groups such as Queen City Exchange maintain publicly placed syringe boxes at their own expense in some locations. \"They've put in boxes in various locations ... and they take on the cost of maintaining those boxes,\" she said.

Aldermen asked whether the city should install lockboxes for needles. Thomas recommended piloting receptacles in limited locations and noted they require ongoing monitoring and maintenance: \"If we wanted to test it, it's, I would, if, my recommendation would be just to pilot it somewhere ... they have to be well monitored, they have to, you know, somebody's gotta go and clean them out.\" She also reminded the committee that an ordinance passed by the Board gives the health department authority to oversee and, if needed, enforce requirements for such programs.

The committee approved the transfer after discussion; Alderman Birkisch moved the motion and Alderman Long seconded. The chair announced the ayes carried.

Thomas said the department will continue to monitor syringe litter closely as warmer weather approaches, when needles are more visible in parks and rights-of-way, and report back to the committee.

Votes at the meeting were recorded by voice; an explicit roll-call tally for this item was not stated on the record.

Ending: Committee members and the health director framed the approved funding as part of a broader shift toward treatment and recovery referrals while acknowledging ongoing community-level needle activity and the need for monitoring and enforcement under the city ordinance.","mediaType","Video","parentTitle","Committee on Community Improvement 04/01/25 ","oneSentenceSummary","The Manchester Board of Mayor and Aldermen's Committee on Community Improvement voted to approve an amending resolution transferring $111,915 for CIP 211325, designated for overdose-prevention funding.","taxTitle","Manchester Board Mayor & Aldermen, Manchester, Hillsborough County, New Hampshire","taxId",75997,"location","New Hampshire","headline","","shortSummary",{"_33":77,"_35":36,"_37":38,"_39":78,"_41":79,"_43":80,"_45":81,"_47":82,"_49":83,"_51":84,"_53":85,"_55":56,"_57":58,"_59":86,"_61":62,"_63":64,"_65":87,"_67":68,"_69":70,"_71":72,"_73":74,"_75":74},6078773,"Committee approves series of budget authorizations and communications; items include recreation, dilapidated buildings, demolition, shelter operations and grant",716,753000,1469000,"/Search/View?dp=1&key=2957875-1b28e180fe279f978e5a69ab9a146d43&start=753&end=1469","https://assets.pipeline.soar.com/2957875-1b28e180fe279f978e5a69ab9a146d43/thumbnail_753000.jpg","/articles/6078773/New-Hampshire/Committee-approves-series-of-budget-authorizations-and-communications-items-include-recreation-dilapidated-buildings-demolition-shelter-operations-and-grant","https://secure.pipeline.soar.com/6078773-54e4167b5b420a3d3083c6abab87b33b/orig.mp4?Expires=1771190864&Signature=niWOUQuwMIeUG8TOYrPnEH-j8Sq~2fkK8QFY2BOm~vOJm7rzrI4SnfSa~lfRwrx28ytomsPQO~w2wNJ2rWYgDu9XmAD74XyBcDM9CdIQK7a-rK5xpnT3~LKK89g~37oKmileOKVUHCd9iD3k40X0Gtr2qh~neJ0Dm11ytVBIEt5~7fD~58Nxqs7TjA-mL8U7qUCsStbHLAxNbSoUE0eRaSp6C9iScgybFaxLDOdoosxj~1wVCJIyp7GzQ8sn03jq~XhBNrdsw5fT817GDduIcv7BbPyldWxN-bJxRSS0ezlNIQzoGfSJQ4r~zIv-ygz58nyEHwwwUWCgdA9UD-2elQ__&Key-Pair-Id=KUT5TJCACFTXG","During its meeting the Manchester Board of Mayor and Aldermen's Committee on Community Improvement approved a package of amending resolutions and communications covering recreation programming, blight remediation, demolition, shelter operations, food-protection project extension, vehicle plates for the fire department, an FY22 Homeland Security grant certificate update and two years of community response-unit grant funding.

Votes at a glance

- Item 2: Accept and expend $480,000 for CIP 511322 recreation programming. Motion by Alderman Long; second by Alderman Birkisch. Committee recorded \"ayes have it.\"

- Item 3: Transfer and expend $3,700 for CIP 610424 dilapidated buildings. Motion by Alderman Long; second by Alderman Burkes. Committee recorded \"ayes have it.\"

- Item 4: Accept and expend $100,000 for CIP 610425 (Chestnut Street Invest NH Demolition Grant). Motion by Alderman Long; second by Alderman Birkisch. Committee recorded \"ayes have it.\"

- Item 5: Accept and expend $500,000 for CIP C160060025 State of New Hampshire Beech Street Shelter operations. Motion by Alderman Long; second by Alderman Burkisch. The committee recorded the motion approved; minutes indicate a question by an alderman but the item passed on voice vote.

- Item 7: Extend CIP 210224 modernization of food protection to Dec. 31, 2025. Motion by Alderman Long; second by Alderman Burkes. Committee recorded \"ayes have it.\"

- Item 8: Communication from Fire Chief Ryan Cashin requesting modification to the number of license plates allocated to the fire department to accommodate a fleet addition. Motion approved; mover and seconder recorded on the floor.

- Item 9: Communication from the Fire Chief requesting an updated certificate of authority for a previously awarded FY22 Homeland Security grant. Motion approved on voice vote.

- Item 10: Accept two additional years of grant funding totaling $512,000 for the Fire Department's community response unit from the State of New Hampshire. Motion approved on voice vote.

- Item 11: Communication from Jeff Belanger, Director of Planning and Community Development, advising that the planning department and the mayor's office have applied for grant funding from two programs administered by the New Hampshire Department of Business and Economic Affairs. Motion to accept was approved by the committee.

Procedural notes: Most items were approved by voice vote after a motion and second. The meeting record shows motions, seconds and chair announcements of \"ayes have it,\" but explicit roll-call tallies for each item were not read into the record in the transcript provided.","The committee voted on multiple amending resolutions and communications, approving several transfers, acceptances and requests including $480,000 for recreation programming, $3,700 for dilapidated buildings, $100,000 demolition grant and $500,000 for Beech Street shelter operations, among others.",{"_33":89,"_35":36,"_37":38,"_39":90,"_41":91,"_43":92,"_45":93,"_47":94,"_49":95,"_51":96,"_53":97,"_55":56,"_57":58,"_59":98,"_61":62,"_63":64,"_65":99,"_67":68,"_69":70,"_71":72,"_73":74,"_75":74},6078778,"Committee approves $1.64 million for 'healthcare for the homeless'; director outlines outreach, services and data",496,875000,1371000,"/Search/View?dp=1&key=2957875-1b28e180fe279f978e5a69ab9a146d43&start=875&end=1371","https://assets.pipeline.soar.com/2957875-1b28e180fe279f978e5a69ab9a146d43/thumbnail_875000.jpg","/articles/6078778/New-Hampshire/Committee-approves-164-million-for-healthcare-for-the-homeless-director-outlines-outreach-services-and-data","https://secure.pipeline.soar.com/6078778-a34486ed97f1918e271900583328becc/orig.mp4?Expires=1771190864&Signature=ftFC6h9Iw~aeI1xTe4r~zDCcbmfVTjgp44bIYa10zzzDv4iQyk96AJxva6HpF5jpTPAm8Bx6Sviv8~8pWcgSbBS0XGEh6IFSs1nIKkvZsn8QsPqBnvNcwZ4eG37cb88eLgxAKFbf4YODwtOJalRiZt-9hu6Hjix~AN9u1Yv4AI14aZNAqxwH0Rl6oLaINI23ZAPklxd~6HdkHhavNFHlgXs9cyTyBvtr~K02EQzUDxG5-riUcboepeIflHBW8fyH0zcujO0hYXzqfMhoqd1ctywwhwgHCcUnKMOp1~RPl38fgyPpxukgiY~eYzK73EPlGFK-GPR60nDaZbzQr1pcHw__&Key-Pair-Id=KUT5TJCACFTXG","The Manchester Board of Mayor and Aldermen's Committee on Community Improvement approved an amending resolution to accept and expend $1,642,325 for CIP CIPC41002025, designated for homeless-health services.

Public Health Director Anna Thomas described the way different agencies define homelessness and the services the city funds under \"healthcare for the homeless.\" \"The definition of homelessness varies depending on which branch of government you speak to,\" she said, adding that Health and Human Services' definitions can include people at risk of homelessness as well as those experiencing it. Thomas said Healthcare for the Homeless provides outreach, two fixed facilities (one next to Hope for New Hampshire Recovery and one at 199 Manchester St.), and a street-medicine van that functions as a mobile primary-care clinic.

Thomas told aldermen that Healthcare for the Homeless performs outreach in multiple languages, places flyers and relies on partner agencies to refer clients. She said at any time the program cares for roughly 1,200 active patients (the panel's patient base can rise as high as 1,700 during parts of the year) and that the program treats about 200 children among those active patients. \"We're about 200 kids out of about 1,200 active patients at any time,\" Thomas said.

The director also described common health needs among the population served: behavioral and mental health needs and untreated chronic diseases such as diabetes and heart disease. On dental services she said the city contracts with Catholic Medical Center (Poisson/Prusson Dental Facility referenced in the meeting) for adult dental referrals and operates a dental van that provides free dental care to about 600 children a year.

On payment and eligibility, Thomas said the program does not ask about citizenship and will see anyone presenting for care. She said 55 percent of patients are on Medicaid and that the program uses federal funds and other insurance before uncompensated-care dollars.

Aldermen asked whether the state's recent $80 million in returned funds would affect the program. Thomas said the impact has been minimal so far: \"So far, no. Not significantly. There was 1 small grant that we were still spending down ... it was a grant that was going to sunset in June of this year anyway, so we weren't expecting it beyond this.\" She cautioned that the city's reliance on multiple federal grants creates uncertainty about future funding and said she would notify the board if positions or grant-supported services were at risk.

The motion to accept and expend $1,642,325 was made by Alderman Long and seconded by Alderman Birkisch; the chair announced the ayes carried.

Ending: The committee approved funding for homeless-health services and asked that the health director continue to coordinate with partner agencies and report budget or staffing impacts if federal or state support changes.","The committee approved $1,642,325 for homeless-health services. Public Health Director Anna Thomas described how the program defines homelessness, outreach methods including a mobile clinic and two fixed sites, and said roughly 55% of patients are on Medicaid and about 200 children are active pediatric patients at any time.","actionData","errors"]

Article not found

Committee approves $111,915 for overdose-prevention work; health director outlines data limits, needle-box pilot idea

Committee approves series of budget authorizations and communications; items include recreation, dilapidated buildings, demolition, shelter operations and grant

Committee approves $1.64 million for 'healthcare for the homeless'; director outlines outreach, services and data