Christopher Paquet

Chief Operating Officer

Chris P NACCHO COO

Christopher Paquet joined the National Association of County and City Health Officials (NACCHO) in 2023 as Chief Operating Officer. In this role, his priorities are focused on advancing our journey to make NACCHO a better workplace for staff by focusing on continuous quality improvement; looking deeply at our policies, practices, and processes; and offering solutions. The intent of all this work is to improve how staff, and others who interact with us, experience NACCHO.

Paquet comes to NACCHO after serving 15 years in several leadership roles at the New York City Department of Health, including his most recent position as the Assistant Commissioner for the Bureau of Healthcare System and Community Readiness, where he worked with his team to build out, maintain and find innovative ways to strengthen the key capabilities needed to prepare, respond, and recover from emergencies with the primary goal of protecting the public’s health. Paquet also led his team to address policy issues, provide strategic direction, build out technological solutions, and implement critical communication initiatives. He worked closely with government agencies, healthcare delivery systems, community-based organizations, and state and regional health departments to prepare for the unexpected, including COVID-19, infectious diseases (Mpox, Ebola, meningitis, etc.), terrorist attacks, and natural disasters such as Superstorm Sandy. 

On a national level, he chaired the National Preparedness Initiative started by theCenters for Disease Control and Prevention (CDC) Office of Readiness and Response. Before his role in NYC, Paquet was a COO and consultant for Flanagan Consultants and Flanagan Social Initiatives, among other positions.

Paquet is originally from Biddeford, Maine. He holds a Bachelor of Arts degree from Wheaton College in Norton, Massachusetts, where he serves on the Board of Trustees. He has a Master of Public Administration degree from New York University’s Wagner School of Public Service, and he is a graduate of both Harvard’s National Preparedness Leadership Institute and the Executive Leaders Program at the Naval Postgraduate School, Center for Homeland Defense and Security.

Additional Members of NACCHO Senior Leadership

Lori Tremmel Freeman

Chief Executive Officer

Lori Tremmel Freeman has been the Chief Executive Officer for the National Association of County and City Health Officials (NACCHO) since May 2018, having returned to the organization after previously serving as its Associate Executive Director from 2010-2014.

Adriane Casalotti

Chief of Government and Public Affairs

Adriane Casalotti is the Chief of Government and Public Affairs for the National Association of County and City Health Officials (NACCHO), whose mission is to improve the health of communities by strengthening and advocating for local health departments. There she leads the Association's efforts on policy development, communications, and federal advocacy.

Jerome Chester

Chief Financial Officer

As chief financial officer (CFO), Jerome is responsible for NACCHO’s financial functions including accounting, audit, contracts, and grants. As a member of the leadership team, he shares the responsibility for the attainment of the organization’s strategic and operational goals. His career spans more than 30 years of varied experience in financial management, Federal Government contracts, business leadership, and organizational strategy.

Dennis Small

Chief Technology Officer (CTO)

As Chief Technology Officer (CTO) of the National Association of County and City Health Officials (NACCHO), Dennis leads the organization’s technology strategy, cybersecurity initiatives, and digital transformation efforts. In this role, he is responsible for advancing secure, scalable, and innovative technology solutions that support NACCHO’s mission to improve public health outcomes nationwide.

To reach out for an interview with Christopher or another member of our senior leadership team, please email [email protected].

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