F Flint Water Crisis Public Archive

Stan Bien

Director at Michigan WIC Program / DHHS

29

Emails

Sep 2015–Dec 2015

Archive range

29 emails found.

FW: Flint Water Project: Organizational Structure

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Hi Rashmi in looking at the chart, and the role of WIC, | prefer not te be included, but can be available only if/as needed. We are not seeing an increase the RTE or any new issues. Qurrole is now minimal, The WiC Clinic is handling the education and info very well, and seerns like things with USDA are calm. if we need to discuss, fet me know. Thanks

FW: Flint Water Project: Organizational Structure

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3] Star, The Flint Lead Water event has mover into a Project Management phase at this point and it willbe managed uncer the Bureau of Epidemiology. At this point, we will still have weekly calls with the team. But, there was various parts of the project that have been organized in the attached flow chart. | indicated that WIC needs to be involved with the Communications side of things, particularly with the educational materials for WIC cHents and anymore potential questions in regards to Ready to Feed. Who cdo vou want to include as part of this activity? Thanks, Rashrni

Genesee County WIC Materials - Formula Spreadsheets

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xxxEND_PAGE:dhhs02_b1176_4510_4511_1 004511 Stan, Attached are two documents for Genesee County WIC, to help support RTF formula use. 1) Anexcel spreadsheet depicting area vendor availability of 32 oz. RTF formulas. 2) An excel spreadsheet with 4 tabs/worksheets, containing formula quantity guidance for a) clients who may request some powder combined with some RTF, and b) clients who request to exchange redeemed powder formula for RTF formula. Both include IFF and IBP breakdowns by infant age group. Please confirm if you are ready for me to share with Dawn, of if these need to be pre-approved. Kristen xxxEND_PAGE:dhhs02_b1176_4510_4511_2

FW: WIC outreach

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Hi Rashmi Please see the inquiry from Senator Stabenow's office and advise if Ok to reply, and send the info we had previously provided to parents and providers on lead. Or is there are other materials we should share. Comments? Thanks Stan Bien, Director Michigan WIC Program - BFMCH Michigan Department of Health & Human Services 320 South Walnut Street - 6th Floor Lansing, MI 48913 517.335.8448 onan Original Message-----

WIC outreach

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ider@ag senate. gov ] Hi Stan, Hope you are doing well. | was curious if you could share some of the info and outreach materials you are providing to Flint participants about lead testing and RTF. We'd like to be consistent with the materials you are sharing so there is no confusion for participants. Would you mind sending is any materials you have been using? Please let me know if there is anything we can do to help. Thank you! Jacqlyn xxxEND_PAGE:dhhs02_b1175_4509_4509_1

More Flint Q's

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Importance: High Sorry Stan..maore questions from the Senator A few follow up questions from Sen. Stabenow’s office (Katie Bergh}: Earlier in October, we had said there are 855 infants in WIC in Flint. Do wa have a breakdown of how many are fully forrnula fed, partially breastfed, and fully breastfed? Can we get any numbers from the State on how many participants have exchanged their formula for RTF, and how many have been given vouchers for RTE? Do we have catalis on the proactive coramunication plan to reach out to all affected participants who may not be coming inte the clinic? How and when wil that communication happen? Katie has heard that there may be issues with retail availability of RTF, but she was not apecific. Is the State aware of any stocking issues? Can participants get REF at the clinic if it is not available at their WIC store, and are they informed of this option? Katie also rnentioned that Sen. Stabenow may do a press release or some other announcement to publicize the availability of RTF. Flease let me know if we would have any concerns with that or suggestions for haw she could be most helpful, xxxEND_PAGE:dhhs02_b1173_4499_4500_2

Request - DUE TODAY - CLEP Activities

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Hi Nancy and Stan, Per Rashmi, please submit a couple of bullet points to summarize what you did with the CLEP program, to me for the Bi- Weekly Briefing that’s due today. It can be a combination of last week’s and this week’s activities. Please try to sum it up in one or two bullets a piece, or three if necessary. Thanks in advance. Lesie A. Colston, GPC Bureau Executive Secretary for Director Rashmi Travis, MPH, CHES xxxEND_PAGE:dhhs02_b0807_2821_2822_1 002822 Michigan Department of Health and Human Services Bureau of Family, Maternal & Child Health and Health Services 201 Townsend Street, 6'" Floor, 6-019 Lansing, MI 48913 Phone: 517-335-9307 Email: [email protected] ded solely for the use of the nareed recipients) and may contain Cenfidertiality Notice: Thi tial and/or privil inforreation contained destroy any and aff cop’ osure or dist fof any confidentiat and/or privilege: expressly prohibited. if you are aot the intended recipient, please contact the sender by reply e-mail and af the original message. xxxEND_PAGE:dhhs02_b0807_2821_2822_2

FW: Updated Talking points - WIC

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Importance: High HiRashmi - Good morning. After further review of the Talking Points for WIC, the first bullet needs to be undated in the next version, It should read: e There are 1,427 infants participating in WIC in Flint that are receiving some type of infant formula. The info provided previously was preliminary data. Plus this nurnber is for infants who are also getting a partial formula package, as they may be partially breastfeeding or special formulas, ete.. ff you have any questions, please let me know. Thanks

Draft Reply - Inquiry from U.S. Senate on Situation in Flint

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Importance: High Hi Rashrni ~ Per your phone call, here’s a draft reply to review : 1 xxxEND_PAGE:dhhs03_b0243_0953_0955_1 000954 Jaeqlyn Thank you for your 10/2/15 email to Michigan WIC regarding the water situation in Flint. Our Michigan Dept. of Health & Human Services has been in regular contact with the local health department and working on the issues. Here are some key updates: Genesee County reports their WIC nutritionists are currently assessing whether or not clients have access to safe water. They first screen to determine which clients live in city (apparently this about 50- 60% total caseload), and then ask if they have access to bottled water. They indicated that the majority of clients who are reconstituting infant formula with water are already using bottled water. Filter Distribution: United Way is giving the County Health Dept. 4,000 filters. The Health Dept. is targeting this distribution to WIC clients They are planning to have a distribution even on Fri and Sat— possibly at U of M Flint. Lead Testing: Blood Lead testing for kids is currently done adjunct with WIC clinics. Also, Hurley does a good job of already testing their kids. Additionally, they are working on a plan to have McLaren Health Plan do additional testing. We will continue to monitor the overall situation and work with the local health department on this situation. Thank you.

Situation in Flint

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Hi Stan, Hope you are doing well. | just wanted to check in with you on the situation in Flint. Our office has been getting calls about the water situation and I’m curious what advice, if any, you all are giving to WIC parents. Have you all explored allowing ready-to-feed formulas or do you feel confident that the water filters being provided by the state are sufficient to address the concerns about lead? Hope all is well! Jacqlyn Jacqlyn Schneider Deputy Staff Director & Policy Director U.S. Senate Committee on Agriculture, Nutrition & Forestry 328A Russell Office Building Washington, D.C. 20510 202-224-2035 xxxEND_PAGE:dhhs03_b0243_0953_0955_3

FW: water issue

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Stan, Branda, Nancy, and Kristin, See attached. More info on the Genesee County Health Bept website. For WIC, we are follawing Health Officar Mark Valachek’s lead on this. tt looks Hike the testing is baing covered for water, if kids want to get lead tested, they can do that and work through WIC clinics if further steps needed. Thanks, Rashinl

Flint Talking Points

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Hi everyone, With the Hurley press event at 3pm, can you please take a look at the following/attached talking points to make sure these are accurate and send me your edits? Thank you. e The results of the Hurley Children’s Hospital are under review by the Michigan Department of Health and Human Services. e The analysis that Hurley conducted is different than the way MDHHS collects data regarding blood lead levels. e MDHHS is looking to see if we can replicate the results of the Hurley study to see how they achieved their results. Differences in Analysis e MDHHS data provides a much more robust picture of the entire blood lead levels for the Flint area, and specifically, accounts for data over the full course of the past five years. e Looking at the past five years as a whole provides a much more accurate look at the seasonal trends of lead in the area. 2 xxxEND_PAGE:dhhs03_b0768_2808_2810_2 002810 e Seasonal exposure is higher in the summer for a variety of reasons including children playing outside in the soil, and when windows are open and lead paint is more likely to be in the air. This seasonal increase would be unrelated to the water system. e Our data includes children from the entire city, including all medical facilities, rather than just Hurley, has a larger age group of children, and includes a much larger sample size. e MDHHS data also looks specifically at the first test with elevated blood lead levels which provides a much more accurate picture of when and how first exposure occurred. e The Hurley data includes a smaller sample size, much more limited time period (January-September of 2013 and 2015 only), and a smaller age group of children. WIC Children eFor children with elevated blood lead levels that receive WIC benefits, they may be eligible to receive ready made formula with a test result that indicates that the child has an elevated blood lead level. e WIC cannot cover bottled water. xxxEND_PAGE:dhhs03_b0768_2808_2810_3

Reply - Information requested about Flint, MI and lead in water issue

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Importance: High Hi Anne — In follow up to our phone discussion, attached is info our staff obtained this morning on the water issue. As discussed, this is a Public Health issue, not just WIC, As of now, there has been no ‘official advisory’ to not use the water and our SNAP clients can purchase water with their benefits if so needed. Per the WIC Regs, we must have special justification to issue RTF of ‘If the water is unsanitary or restricted’. We will continue to work with our Lead Program and monitor the situation. Thank you. Stau Bea, Director Michigan WIC Program - BFMCH Michigan Department of Health & Human Services 320 South Walnut Street - 6th Floor Lansing, Ml 48913 517.335.8448 xxxEND_PAGE:dhhs02_b0936_3233_3249_05 -003238

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