Christine Rygiel

Sure! | will be happy te take a look! Stay tuned... tam looping back in the ather folks fram our team, as well as Jay. | think they fell off the exchange when | had to resend that initial email to you, Suzanne. My apologies! Suzanne, you mentioned that Manday we will be talking abaut next steps. Somewhere earlier in that email exchange there was something about the 2 hospitals that Marc Edwards tested. Were they positive for Legionella? Just to catch us up fo speed, could either of you give us a quick rundown af: « What's happened in the interim since aur call December 107 « What are the Legionella-specific activities taking place currently? e What kind of next steps are you hoping to define? Epi investigation? Environmental investigation? Remediation? Phope | arm not making things more complicated. We just want the conversation te be as productive as possible... the more we understand about the current situation and needs beforehand, the better prepared we can be. Again, thank you! Laura Laura Cooley, MB, MPHTM Legionellosis Surveillance & Qutbreak Response NCIREV/DBD/ Respiratory Diseases Branch Centers for Disease Control and Prevention 2600 Clifton Road, M5 C-25 Atlanta, GA 20329 Tek: 404.639.2096 Fax: 404,315 4686 E-mail: LCooleviGede coy

Laura Cociey, My name is Christine Rygiel and | am the Epidemiclogist for the Genesee County Health Department. lam currently working with the Michigan Department of Health and Human Services (MOHMS) with a summary analysis with all the information collected from our questionnaire fattached), as well as information we gathered from the hospital records, Please have a look at our questionnaire. We would appreciate feedback on anything that may improve the interview process. Also, | would be more than happy to shave the data analysis once we have finished it! But with the recent holidays it may be a few weeks, Once we finish analyzing this data, we hape ta have a better understanding of what might be ruled in or ruled out as 3 possible explanation for the increase in Legioneila over the past couple years. in addition, we had anather confirmed case this morning. We are still gathering information an this individual. 2 xxxEND_PAGE:dhhs03_b0906_3190_3192_2 003192 Let me know if you have any questions! Christine Rygiel, MPH, MB (ASCP) Ephlemiologist Genesee County Health Department 630 §. Saginaw Street, Suite #4 Flint, MI 48502-1540 Office: 810-257-3815 | Fax: 810-257-3147 “E; This gmail, Including atiechnrenis, is Intended for the excleatve use of the addrassee and nay contain proprietary, confidential ar saidigged information, ff you ave at the intended recipient, any disclosure, use, distribution, copying, af taking of any action ip reliance of the contents of this e-nael is atricthy prohibited, {f you have received this e-mail iy error, please natty me ve email snd permanently delete the original and destroy aif copies. Thank yor. For a copy of the Health Qepartment’s Notice of information Practiogs, contect the Health Ogpartment ar visit he Health Deserimant’s webate at Bitar nehetas! xxxEND_PAGE:dhhs03_b0906_3190_3192_3

Eden, xxxEND_PAGE:dhhs02_b0437_1772_1773_1 001773 This is just a friendly reminder that the SEMEC meeting is fast approaching! If anyone else in your department plans on attending the meeting, please let me know so I can add them to the RSVP list (I have had a few so far). I cannot wait to see what you have in store for us! Also, we are working with the Flint Farmers Market on getting a phone loud enough. I will keep you updated. Thank you, Christine Rygiel, MPH, MB CASCP} Epidemiologist Genesee County Health Department 630 S. Saginaw Street, Suite #4 Flint, MI 48502-1540 Office: 810-257-3815 | Fax: 810-257-3447 <image001 .jpg> *NOTICE: This e-mail, including attachments, is intended for the exclusive use of the addressee and may contain proprietary, confidential or privileged information. If you are not the intended recipient, any disclosure, use, distribution, copying, or taking of any action in reliance of the contents of this e-mail is strictly prohibited. If you have received this e-mail in error, please notify me via e-mail and permanently delete the original and destroy ali copies. Thank you. For a copy of the Health Department’s Notice of Information Practices, contact the Health Department or visit the Health Department’s website at <2015.12.18 SEMEC agenda.pdf> xxxEND_PAGE:dhhs02_b0437_1772_1773_2