Agenda & sessions



7:30-8:30     Registration

8:30-8:40     Welcome

8:40-9:45     Keynote Address  Lead Astray: The Importance of Healthy Homes

9:45-10:00   Break & Time for Exhibits 

10:00-11:00 Concurrent Sessions - Block A

11:00-11:15 Break & Time for Exhibits

11:15-12:15 Concurrent Sessions - Block B

12:15-1:15   Lunch (provided) & Time for Exhibits

1:15-2:15     Concurrent Sessions - Block C

2:15-2:30     Break, Exhibits & Raffles

2:30-3:30     Concurrent Sessions - Block D

Scroll down for session descriptions.

Ready to Register

Please scroll down to review the sessions being offered. You will be asked to pre-register for a session in each block during the registration process so we strongly encourage reviewing offerings before proceeding with your registration.  

The cost to attend is $50 and is payable via check or credit card. 



Picture of Dr. Kim Cecil

Lead Astray: The Importance of Healthy Homes

Kim M. Cecil, PhD, Professor of Radiology, Pediatrics, Neuroscience and Environmental Health, Cincinnati Children’s Hospital Medical Center

How does lead damage the brains of the over 800 children poisoned by this toxic substance in New Hampshire each year? The Cincinnati Lead Study (CLS), the longest running longitudinal study of the long-term negative impact of childhood lead exposure in the world, answers these questions. Dr. Kim Cecil of Cincinnati Children’s Hospital, lead imaging researcher for the CLS, will review the outcomes for study participants as they were followed into adulthood. MRI studies brain-scans of participants detail the undeniable reality of how lead exposure damages children’s brains in areas critical for learning and behavior, causing a lifetime of consequences. Learn why healthy home environments, free of lead paint hazards, are vitally important to supporting the health of New Hampshire’s children and communities.


You will be asked during the registration process which sessions you would like to attend in each block.

Block A Concurrent Sessions 10:00-11:00

A1. The Importance of High Performance Schools: It Is More Than Test Scores 

Six hours per day, 180 days per year - students spend a lot of time in schools. The impact the school facility has on student health, learning, and the community is huge. The three pillars of high performance schools – health, energy efficiency, and environmentalism – and their importance to students, staff, and community members will be introduced. Highlighting real-world examples, benefits, and resources, gain understanding on how to keep community's schools in tiptop shape and students out of the nurse's office.

Following this session, participants will be able to:

  • Communicate with stakeholders in their own community about the benefits of designing schools to a high performance standard.
  • Utilize free resources available to them to put their current school buildings or new construction projects on the pathway to high performance. 
  • Integrate real-world, NH-specific, examples to their own projects to ensure the success of future projects. 

Presented by: John Balfe V, Senior Buildings & Communities Solutions Associate, Northeast Energy Efficiency Partnerships


A2. Opening the Door with Respect: Conversations on Diversity and Culture

Personal cultural attitudes impact our daily interactions with clients. Learn to identify your personal cultural attitudes toward communication, time, health, authority, and work habits and how these attitudes impact your work. To build positive, respectful, collaborative relationships with clients, it is critical to identify behaviors that indicate a lack of cultural competence and those that indicate skill in cultural competence. Learn the importance of cultural competence for home visitors and other service providers. 

Following this session, participants will be able to:

  • Define “diversity” and “culture” and explain similarities and differences between them.
  • Identify their own cultural attitudes towards communication, appearance, time, authority, and work habits.
  • Explain how diversity and culture relate to education, social service, and behavioral health settings.
  • Describe how personal cultural attitudes impact daily interactions.
  • Identify behaviors that indicate a lack of cultural competence and those that indicate skill in cultural competence.
  • Explain the importance of cultural competence in education, health, and/or behavioral health.
  • Foster an inclusive culture and model best practices.

Presented by: Bhagirath Khatiwada, MPA, Cultural and Linguistic Competence Coordinator, NH Department of Education


A3. There Is No Place Like Home: Helping Older Adults Age at Home 

The Bureau of Elderly and Adult Services (BEAS) provides a wide array of supports and services that can be accessed by those who partner and collaborate with the NH’s Healthy Homes initiatives. The information, tools, and assistance available through the LTTS System of Access and the prevention and protection programs and resources that BEAS can connect partners with will be reviewed. Tips to prevent Ageism and stereotypes that can be a barrier to accessing supports that help people stay healthy and age at home will also be discussed. 

Following this session, participants will be able to:

  • Access resources on New Hampshire's LTSS System of Access and explain what is available for information, tools, and assistance.
  • Connect clients and partners to BEAS and other resources on prevention and protection programs, and information. 
  • Identify barriers to accessing supports that help people stay healthy and age at home, and provide tips and resources to clients to prevent Ageism and stereotypes. 

Presented by: 

Wendi Aultman, MS, Bureau Chief, Bureau of Elderly and Adult Services, NH Department of Health and Human Services

Rachel Lakin, Adult Protective Services Administrator, Bureau of Elderly and Adult Services, NH Department of Health and Human Services

Jean Crouch, Supervisory, Bureau of Elderly and Adult Services, NH Department of Health and Human Services


A4. Our Family's Experience with Lead Poisoning: When Home is the Most Dangerous Place of All 

Bill and Elizabeth Burr will share their personal story of how their recently purchased home in Dover poisoned them and their four children -- with one child's blood lead level so high hospitalization for chelation treatment was required. They will share how their lives were turned upside-down as they realized what they thought they knew about the presence of lead hazards was hopelessly out of date and how there were so many people involved in the buying of their home, too, who either did not know or were incentivized not to mention these hazards. It was only through a blood lead level test at their then one year old daughter's Well Child Check visit that they became aware that the whole family was being poisoned by lead. They will share how when looking up and down their street and around the neighborhood, they are now aware that this problem is all around us, and very few people are aware of the extent to which they and their children are at risk.

Following this session, participants will be able to:

  • Identify common sources of lead exposure in pre-1978 houses that can cause elevated blood lead levels in children.
  • Explain the importance of blood lead level tests at age 1 and age 2 and the negative impact lead poisoning can have on children's development and behavior.
  • Identify importance of home inspections that include lead risk assessment prior to purchasing a pre-1978 home. 
  • Recognize how many professionals involved in the process of selling and renovating homes either do not have current knowledge of lead hazards and risk to young children OR are dis-incentivized to share the information.

Presented by: William and Elizabeth Burr, Parents of Four Children


A5./B5. We've Opened the Door: Understanding the Secondary Trauma after a Suicide Loss

This session continues through Block B. You must register for it in both blocks. 

This presentation and panel discussion will help provide tools to support suicide loss survivors at the scene and to help bridge the trauma with resources and healing. Review of video interviews of others on the scene and in the family, will provide 'real experience' information on the secondary impact of trauma after suicide loss related to the process that occurs after the unattended death. Learn resources, training, and guidance available for first responders, family, friends and others impacted by a suicide.

Following this session, participants will be able to:

  • Describe the secondary impact of trauma after a suicide loss related to the process that occurs with first responders and family members on the scene. 
  • Identify guidelines offered to NH law enforcement responding to an unattended death that will help to reduce the traumatic impact and build a bridge towards resources and healing.
  • Utilize and recommend resources for family, friends, and others impacted by a suicide.

Presented by: 

Debbie Baird, Community Educator and Support Specialist, National Alliance of Mental Illness - New Hampshire

Lt. Keith Chauvette, Goffstown Police Department

Janyce Demers, Suicide Loss Survivor

Block B Concurrent Sessions 11:15-12:15

B1. Recent Changes to NH’s Lead Laws: What Landlords and Others Need to Know about Senate Bill 247

NH Senate Bill 247 was signed into law by Governor Sununu on February 8, 2018 and it is a game changer. Many landlords and realtors are unaware of this legislation and the changes has brought to NH’s lead laws. Discussion will include the legislation, the changes to the laws, and new requirements and liabilities for landlords. 

Following this session, participants will be able to:

  • Restate key points in the law.
  • Identify areas of increased liability for landlords who don't practice lead safe renovation.
  • Identify and discuss lead hazards created by do it yourself renovation or renovation by contractors who are not educated in lead safe work practices.
  • Identify sources of "take home lead" from jobsites, antiques, collectables, yard and estate sales, and home workshops.
  • Identify sources of lead from hobbies, collections, and leisure activities.

Presented by: Kate Kirkwood, Author, Speaker, Trainer, RRP - EPA, Lead Abatement - NH, Dust Sampling Technician - EPA, HUD Healthy Homes Rating Specialist, K. Kirkwood Consulting, LLC

B2. 2-1-1: Only One Call Away 

Learn how one phone call to 2-1-1 NH's referral network can connect callers to information on statewide support services and resources. This valuable, free, easy-to-access, service has been a helpful to NH citizens and home visitors for over ten years. Participants might not know about 2-1-1 before this presentation, but they will want to call it before it is over.

Following this session, participants will be able to:

  • Describe what 211 does.
  • Explain how 211 is funded. 
  • Access and refer clients to the 211 referral system.

Presented by: Joseph Frappiea, Director 2-1-1 NH Call Center Operations, Granite United Way

B3. North of the Notch: An Orientation to the Culture of New Hampshire’s North Country

The culture of Northern New Hampshire- an area often referred to as "The North Country"- is unique and complex. Participants will view the North Country Health Consortium’s recently released video production “The Culture of the North Country: An Orientation to Northern New Hampshire.” The video helps participants develop an understanding of both the culture of the North Country and an understanding of the culture of poverty which also exists in this region. Considerations for health and human service providers and home visitors working with this region’s population will follow.

Following this session, participants will be able to:

  • Recognize inherent characteristics of the North Country culture and the culture of poverty to enhance competency in service provision.
  • Employ cultural concepts regarding the social determinants of health to facilitate conducive discussions to achieve the goals of NH Healthy Homes when working with North Country clients.
  • Recall barriers to acquiring necessary resources, such as affordable food, and the fortitude and resiliency of the communities and people residing in rural Northern New Hampshire to overcome these hurdles.

Presented by: Elaine M Belanger, LPN, BA, Public Health Coordinator, North Country Health Consortium

B4. Fostering a Partnership between Indoor Air Quality and Healthy Homes Professionals

The NH Healthy Homes Program (NHHHP) and the NH Indoor Air Quality (NHIAQ) industry have many things in common, including a mission to improve the health and safety of NH's vulnerable citizens. Until now, these two groups of professionals have operated independently. Through practice, policy and leadership, we have an opportunity to form a solid and mutually beneficial partnership between these two groups, minimizing gaps and overlap, and promoting healthier environments for our citizens. 

Following this session, participants will be able to:

  • Explain how IAQ and HH currently operate.
  • Recognize how IAQ and HH can work together to meet mutual goals.
  • Identify opportunities where their own organizations might be able to partner with HH or IAQ, respectively.

Presented by: Guy Sylvester, Industrial Hygienist, CEO, Absolute Resource Associates


A5./B5. We've Opened the Door: Understanding the Secondary Trauma after a Suicide Loss

This session continues through Block B. You must register for it in both blocks. 

Block C Concurrent Sessions 1:15-2:15

C1. 5 Steps to Safe Drinking Water

Almost half of NH residents get their water from private wells. Many private wells exceed health standards for at least one contaminant. Many contaminants have no taste or smell. The only way to determine the safety of your water is to have it tested. Participants will learn how to have water tested and what contaminants to test for. Learn how to use NH’s Department of Environmental Services 'Be Well Informed' website to help understand water test results.

Following this session, participants will be able to:

  • Identify common water well contaminants in NH.
  • Test their own well water and advise the public on how and what to test in their own wells. 
  • Act on treatment needs to reduce exposure to common water contaminants.

Presented by: Cynthia Klevens, PE, Water Treatment Engineer, Drinking Water and Groundwater Bureau, NH Department of Environmental Services

C2. Old Vices, New Devices: E-cigarettes, Vapes and Juuls

For an estimated two million teen and young adults who were NOT smokers before their first ‘vape’, e-cigarettes are an introduction to nicotine addiction. Usage in US high schools and middle schools exploded in the 2017-2018 school year, leaving parents and educators scrambling to learn about the devices, the liquid nicotines, and the potential health consequences. This presentation will explore the trend data, identify the marketing strategies targeting youth and examine what’s known and unknown about the potential health effects of exposure to the most popular products.

Following this session, participants will be able to:

  • Describe the prevalence of e cigarette use among teens and young adults.
  • Explain the specific danger exposure to addictive substances present to the developing adolescent brain, and how that can prime the brain for future addictive behaviors.
  • Recognize the products and marketing strategies that have targeted youth via social marketing, product design. 

Presented by: Laurie Warnock, EMT, MPH, NH Education Coordinator, Northern New England Poison Center


C3. Making Public Health Programs’ Messaging Accessible: How NH Disability & Public Health Project Can Help 

In NH, more than 20% of adults ages 18 and over experience a disability. The New Hampshire Disability & Public Health Project (DPH), a collaboration between the New Hampshire Division of Public Health Services and the Institute on Disability (IOD) at the University of New Hampshire, works to strengthen the capacity of the state’s public health programs and initiatives to include people with intellectual disabilities and mobility limitations. Come learn about the technical assistance DPH offers to make program messaging user-friendly for people with disabilities. Make sure your program outreach is extending to your complete client base. 

Following this session, participants will be able to:

  • Discuss the prevalence of disability in NH.
  • Recognize the health inequalities among people with disabilities in NH.
  • Restate the goals and objectives of the NHDPH project and how to contact us for technical assistance. 

Presented by: 

Crissie Ferrara, MS, Project Director / Outreach and Health Promotion Specialist, Institute on Disability at the University of New Hampshire

Kathy Bates, BA, Technical Advisor, Institute on Disability at the University of New Hampshire

C4. Asthma Home Visiting Program: A Racial Justice Approach

“Reducing asthma disparities” between white patients and patients of color is usually the language used when discussing asthma outcomes. Discussion will include difference between disparities and inequities and why a shift in thinking and language is needed to focus on achieving equity and not just reducing disparities. The Massachusetts Department of Public Health's Asthma Prevention and Control Program will discuss how they applied a racial justice approach to their Asthma Home Visiting and developed a guiding document that invites Toolkit users to do the same. Discussion will include how a Racial Equity Initiative pushed them to lead with race explicitly in their work, but never exclusively and to always apply intersectional training.

Following this session, participants will be able to:

  • Examine a public health framework centered on racial justice.
  • Determine the levels of racism and how it impacts health inequities.
  • Apply the 4 racial justice reframe questions to their work using examples of the traditional versus racial justice reframe approach.

Presented by: 

Ashley Stewart, MS, CHES, Program Coordinator, Massachusetts Department of Public Health

C5. Be SMART About Safe Gun Storage in the Home 

The combination of frequent unsafe storage of guns and infrequent discussion of gun safety with friends and neighbors often leads to unintended injury and death.

The Be SMART campaign was created to bring together all responsible adults to reduce suicides and the number of unintentional shootings that occur when children get ahold of an unsecured firearm. Discussion will include how to secure guns in homes and vehicles and how easy it can be to talk to friends and neighbors about safe gun storage.

Following this session, participants will be able to:

  • Identify the importance of safe gun storage and the acronym Be SMART.
  • Have a discussion with friends, family and neighbors about safe storage.
  • Bridge the gap with legislators by being equipped to have an open discussion about the common sense approach. 

Presented by: Amy Bradley, MA, Senior Organizing Manager, Everytown for Gun Safety

Block D Concurrent Session 2:30-3:30

D1. Radon: The Silent Killer

Exposure to radon is the leading environmental cause of lung cancer in the US. This session will focus on what radon is, how to test for it, and how to mitigate it if it turns out to be a problem. Information where in New Hampshire radon is most prevalent, its origin, and biological interactions will be reviewed. Learn how to protect yourself and your family from this silent killer. 

Following this session, participants will be able to:

  • Describe what radon is and the prevalence of it in NH.
  • Explain radon testing methods and advise homeowners on safe levels and when to take appropriate action.
  • Identify methods of mitigation that are the most effective and compare associated costs. 

Presented by: Eugene Benoit, MS, Environmental Engineer, US Environmental Protection Agency


D2. Healthy Homes for a Healthy Planet: Climate Change and Clean Energy in New Hampshire

What's more 'New Hampshire' than maple syrup, fall foliage, and moose? Sadly, these and other wonders of our State’s natural world are under heightened threat from climate change. This session will examine the latest trends in local climate science and clean energy, and outline cost-saving steps Granite Staters can take to make their homes and communities healthier and more efficient. Discussion will include how to apply specific clean energy/efficiency options to your own home and to the homes of others in your community to achieve cost-saving and sustainability objectives.

Following this session, participants will be able to:

  • Describe recent research on climate change and energy consumption in New Hampshire.
  • Describe developments in alternative clean energy options available to homeowners and renters in NH.
  • Demonstrate how to apply specific clean energy/efficiency options to their own or other specific home contexts to achieve cost-saving/sustainability objectives.

Presented by: Dan Weeks, Director of Market Development, ReVision Energy

D3. Toxic Tomatoes Avoiding Soil Contaminants in the Garden

Most homeowners don’t realize that garden soils can be contaminated with lead and other toxins. This presentation will discuss what contaminants can be found in local garden soils and how they can be ingested by humans eating fruit and vegetables grown. The importance of getting soils tested and how to interpret the results to determine whether or not it's safe to grow produce in garden will be reviewed. 

Following this session, participants will be able to:

  • Identify sources of lead contamination in the soil.
  • Determine risk from soil test information.
  • Choose appropriate gardening activities based on soil test results. 

Presented by: Carl Majewski, MS, Field Specialist, Food & Agriculture, UNH Cooperative Extension


D4. There’s Something in the Air: Asthma Among Home Health Professionals

Asthma among homecare workers can be worse due to exposures at work. Using the Behavioral Risk Factor Surveillance System (BRFSS) survey, we will explore prevalence of asthma by industry and occupation, focusing on the homecare industry.

Following this session, participants will be able to:

  • Describe work-related asthma - focusing on the difference between occupational asthma and work-exacerbated asthma.
  • Recognize trends in asthma prevalence for healthcare support occupations including home health workers.
  • Apply interventions that will better protect home health workers when entering homes with possible respiratory hazards.

Presented by: Karla R. Armenti, MS, ScD, Program Director, Assistant Research Faculty, NH Occupational Health Surveillance Program, Institute on Disability at the University of NH


D5. It Can Start at Home: Understanding the Risks and Consequences of Teenage Drinking

Most underage drinkers get their alcohol from adults in the home. Today, the average age an American girl has her first drink is 13; for a boy, it's 11. In the U.S underage drinking is a widespread problem with often serious consequences. Drinking at a young age greatly increases the risk of developing alcohol problems later in life. In 2004 the NH legislature passed a law (RSA 644:18) to hold “hosts” of parties responsible for the actions of underage participants. In this session participants will learn about NH’s Party Host Liability Law and their role in preventing underage drinking. Participants will also gain an understanding of youth alcohol substance use in NH and the country.

Following this session, participants will be able to:

  • Explain NH's Party Host Liability Law.
  • Prevent underage drinking and minimizing youth access to alcohol.
  • Utilize local and national Youth Risk Behavior Survey (YRBS) data to gain a deeper understanding regarding rates of substance use, perception of harm and access.

Presented by:

Kelley Gaspa, MS, CPS, Assistant Director/Director of Prevention & Intervention Programs, Partnership for Public Health

Eric Adams, Prevention Enforcement Treatment Officer, Laconia Police Department