F Flint Water Crisis Public Archive

Jim Collins

Director of Division of Communicable Disease at State of Michigan / DCH

31

Emails

Jan 2015–Dec 2015

Archive range

31 emails found.

RE: Action items from yesterday's call

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michizan.goy)" "Lytle, Darren" <[email protected]>, "Fiedler, Jay (CDC michigan.zay)" <[email protected]>, "LaRocco, Toni™ <[email protected]>, "Henry, James" <[email protected]>, "Johnson, Mark (ATSDR/DCHI/CB)" <[email protected]>, "'Valacak, Mark" <MYALACAK@echdus>, "Johnson, Shannon (DHHS)" "Miller, Corinne (CDC michizan.gov)" <[email protected]>

(No subject)

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(CDC/ONDIEH/NCEH) <zse1. Gicele.gov>; Johnson, Mark (ATSDR/DCHI/CB) <[email protected]>; Valacak, Mark <MVALACAK @echd.us>; Henry, James <[email protected]>; LaRocco, Toni <[email protected]>; Fiedler, Jay (CDC michigan.gov) <fledieri@ michigan. goy> OK, fet’s go ahead and schedule for Thurs Bec, 10 at 9:00 AM Eastern. ode: i. Here is a proposed agenda... fed free to weigh iron other items we should discuss. Specific to Legionnaires’ disease: What type of assistance Uf any} is being requested? (State and County HD) -jAihat is the role of £PA and what assistance has bean provided so far? {EPA} What is the role of ATSDR and what assistance has been provided so far? (ATSDR) if additional federal assistance is needed, what can COC offer? (COC) Thanks everyone! Laurel xxxEND_PAGE:dhhs03_b0210_0805_0807_3

RE: Draft Response

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As part of our surveillance, we are always monitoring for an increase in reportable conditions and working with our local health departments to identify potential public health issues. Regarding Genesee county, in the last year we supported the Local Health Department in an investigation of a legionnaires cluster. Jim Collins MPH, RS Directer, CD Division MDHHS Desk: 517-335-8586 Confidentiality Notice: This message, including any attachments, is intended solely for the use of the named recipient{s}.and may contain confidential and/or privileged information. Any unauthorized review, use, disclosure or distribution of any confidential and/or privileged information contained in this email is.expressly prohibited. ff you are not the intended recipient, please contact the sender by reply e-mail and destroy any and all copies of the criginal message

RE: Draft Response

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xxxEND_PAGE:dhhs02_b0116_0387_0389_2 000389 Sorry ~ UPDATED! For your review — Jim, can you provide the date or timeframe below? As part of our surveillance, we are always monitoring for an increase in reportable conditions and working with our local health departments to identify potential public health issues. Regarding Genesee county, in the last year we supported the Local Health Department in an investigation of a legionnaires cluster. The investigation showed a number of cases that were related to one healthcare facility — and there have not been any additional cases associated with the cluster since Jennifer (Smith) Eisner Public Information Officer Michigan Department of Health and Human Services 517-241-2112 xxxEND_PAGE:dhhs02_b0116_0387_0389_3

Draft Response

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For your review — Jim, can you provide the date or timeframe below? There is always the potential for As part of our surveillance, we are always monitoring for an increase in reportable conditions and working with our local health departments to identify potential public health issues. Regarding Genesee county, in the last year we supported the Local Health Department in an investigation of a legionnaires cluster. The investigation showed a number of cases that were related to one healthcare facility — and there have not been any additional cases associated with the cluster since bee Jennifer (Smith) Eisner Public Information Officer Michigan Department of Health and Human Services 517-241-2112 xxxEND_PAGE:dhhs02_b0113_0382_0382_1

Fw: FW: genesee and emergency declaration

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Jay Fiedler, MS Section Manager Surveillance and Infectious Disease Epidemiology Section Bureau of Disease Control, Prevention, and Epidemiology Michigan Department of Health and Human Services 201 Townsend St - PO Box 30195 - Lansing, MI 48909 P: 517.335.9516 - E: [email protected] Confidentiality Notice: This message, including any attachments, is intended solely for the use of the named recipient(s) and may contain confidential and/or privileged information. Any unauthorized review, use, disclosure or distribution of this communication(s) is expressly prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and destroy any and all copies of the original message.

from Gongwer

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GENESEE COUNTY, MI — Don't drink the water. That's one message Genesee County officials are pushing to residents who get their water supply from the city of Flint. Genesee County Commissioners Brenda Clack, Jamie Curtis and Bryant Nolden, along with Genesee County Health Officer Mark Valacak, held a news conference Thursday, Oct. 1, urging residents to not drink the city's water until it is checked for lead or they have installed an approved water filter. Don't Drink Flint's Water, County Leaders Warn Genesee County commissioners urge residents to not drink Flint's water until it is checked for lead or until they have installed an approved water filter. The commissioners declared a public health emergency and said they are hoping their declaration will move Gov. Rick Snyder to declare a state of emergency to handle Flint's water crisis. "This falls directly on the doorstep of the governor," said Nolden. "If we look at what happened with going to the Flint River, this falls smack-dab on the emergency manager and the governor. Now, | think it's imperative that the state step up and help us fix this problem. We're just imploring that the state actively engage and look at ways we can connect to the Detroit River. ... This is a major health situation for this entire community." xxxEND_PAGE:dhhs02_b0329_1263_1263_1

RE: Hey, LGV

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Again, this is not a big ask.....but it is more to feed the Karens’ need far names in boxes, Jim Collins MPH, RS Director, CD Division MDHHS Desk: 517-335-8586 Celk 517-930-6832 Confidentiality Notice: This message, including any attachments, is intended solely for the use of the named recipientis} and may contain confidential and/or privileged information. Any unauthorized review, use, disclosure or distribution of any confidential and/or privileged information contained in this email is expressly pechibited. if you are not the intended recipient, please contact the sender by reply e-mail and destroy any and all copies of the original message

Hey, LGV

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Importance: High Karen K. is pretty insistent that we get a lead doc identified here as a resource for the LGV investigation. This is what it is. | don’t believe that it will be a hugely demanding responsibility and | know that Karen K has been in contact with Eden already, but | also know that Eden is swimming in Flint water right now so here’s my question. Would you all be alright with a transition of medical contact for this deal from Eden to Jevon. xxxEND_PAGE:dhhs02_b1280_4779_4780_1 004780 Just say yes and I'll make it happen. Jim Jim Collins MPH, RS Director Communicable Disease Division Michigan Department of Health and Human Services 201 Townsend St. Lansing, MI 48913 Desk: 517-335-8586 Confidentiality Notice: This message, including any attachments, is intended scilely for the use of the named recipient{s} and may contain confidential and/or privileged information. Any unauthorized review, use, disclosure or distribution of any confidential and/or privileged information contained in this emeil is expressly prohibited. H you are not the intended recipient, please contact the sender by reply e-mail and destroy any and all copies of the original message xxxEND_PAGE:dhhs02_b1280_4779_4780_2

RE: Legionellosis Outbreak Investigation

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4 conference call sounds great. We have 4 good rapport with the hospitals and same details of their activities. McLaren sampled, identified Legionella and hyper chlorinated, which brought most levels to “less thar 1". Hurley has increased filtration {reverse asmiosis} and ion exchange in certain areas, but are not sampling, Vl try to get an update of their activities on Manday. Have a good weekend, dir Jim Henry RS, MBA Environmenial Heatth Supervisor 430 S. Saginaw St., Suite 4 Flint, MI 48502-1540 Phone {810} 257-3418 Fax (810) 257-3125 xxxEND_PAGE:deq16_b5_0892_4900_3965

RE: Legionellosis Outbreak Investigation

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trecalled the original ernail. i didn't consider hackers or intended recinients may allow others {unintended recipients) to access their email. It won’t happen again. [hope the statement below is appropriate and adequately conveys the message, Sincerely, din Jim Henry RS, MBA Environmenial Health Supervisor 830 S. Saginaw St, Suite 4 Flint, MI 48502-1540 Phone {810} 257-3618 Fax (810) 257-3125

Legionellosis Outbreak Investigation

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Hella Team, The executive suramary regarding the Legionella outbreak is appreciated, but! don’t know if there is consensus that it is over, We have been collabearating with our local, state and federal partners regarding the next stens and efforts to improve mathads to obtain adequate clinical and environmental isolates. Genesee County has had three confirmed Legionella cases, since the beginning of May 2015, The mast recent cases have provided soutum samples to Mclaren Hospital for analysis. We have discussed concerns regarding the hospitals’ lack of success isolating the bacteria and MBCH and CDC have expressed interest to assist with the pracess. Below is a brief summary of the recent cases. Patient #1 was admitted to McLaren Hospital. Approximately one week after being discharged, returned to McLaren and wes diagnosed with Legionella, McLaren attempted, but was unable to collect an adequate respiratory specimen. Patient #1 does net receive Flint water at residence, xxxEND_PAGE:deq16_b5_0892_4900_3966 Patient #2 MDSS 7208825134 Patient #2 was admitted to McLaren Hospital. Anproximately 10 days after being discharged, returned ta Mclaren and was dlagnosed with Legionella, Patient #2 does not receive Flint water at residence. Patient #3 MRSS 7202952800 Patient #2 was admitted to Hurley Hospital. Apnroximately two months after being discharged, went to McLaren and was diagnosed with Legionella. Patient #3 resides anproximately 2-3 miles North of MeLarer Hospital and receives Flint water. A family memeber of Patient #3, indicated that flinesses lingered after returning hore fram Hurley Haspital and also mentioned that there has been low water pressure events at their residence. GCHD is prepared to collect environmental sarnples, as previously discussed, but without the clinical isolate the anvironimental samples may not have much value. if there are recommendations, questions or concerns, please reply to the group, a3 we all have differant roles with the investigation. Thanks Jim Jim Henry RS, MBA Environmenial Health Supervisor Genesee County Health Department www.gehd.us 630 S. Saginew St, Suite 4 Flint, MI 48502-1540 Phone {810} 257-3618 Fax (810) 257-3125 E-mail [email protected]

Flint, Michigan - Legionellosis Outbreak Investigation Summary

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Good Afternoon, xxxEND_PAGE:deq16_b5_0892_4900_3967 As we enter summer (finally) here in Michigan, | wanted to share a summary of the analysis of the data around this past year’s increase in legionella cases identified in proximity to the city of Flint. As you'll recall, while there were no clinical specimens available for testing from the 45 cases included in the investigation, there was a significant outreach to gather more patient information from cases. I’ve attached an executive summary of the investigation and analysis to this post. Please feel free to contact us is you have any questions, Jim dim Coiling MPH, RS tHrector, CD Division MIBHHS confidential ¢ and/or privile od informat re 2 closure = or dist 4 sof any cont fidentiai and/or t privileged inforrnation contained in this email is expressiy acon od. aRG are not the intended recipient, please contact the sender by reply e-mail and destroy any and ali copies of the original message xxxEND_PAGE:deq16_b5_0892_4900_3968

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