Joyce Lai

I am exceedingly busy---would recommend following all press releases (go to the MDHHS site) as well as those that come out today and tomorrow AM. That was not an emergency declaration, it was an emergency advisory. This is a multi-agency response being coordinated by the Governor's office. Will forward talking points to Jim Collins---if he thinks OK to send out to you all that is OK, not sure of how far distribution should go Also, I- do not tend to look at UM emails as frequently when doing MDHHS stuff ---you all got lucky! Eden V. Wells, MD, MPH, FACPM Clinical Associate Professor, Epidemiology Director, Preventive Medicine Residency University of Michigan School of Public Health 1415 Washington Heights, Ann Arbor, MI 48109 Tel: 734-647-5306 Fax: 734-936-2084 xxxEND_PAGE:dhhs03_b0319_1168_1170_1 001169

Hi Eden, Care to comment on what Tim has said below? As i explained te Tim, both Scott and | participate on the GLBHI Conference calls and lam responsible for updating the group on the Mi activities. Any details t should say about the Genesee and Emergency Declaration situation?

Hi Guys, | don't have anything written up - been staying away from this issue (kind of outside the CD realm, eh?). Mlive has had some good articles with timelines and actions taken by city/state government and the health department. When the Hurley Doc released her evaluation of lead data from their clinic evaluations there was an initial response from our environmental health folks that suggested that their data didn't show what Hurley's did. Unfortunately, after paring down MDHHS data to just kids who likely were exposed to Flint drinking water Eden (Wells) was quoted in one article that there indeed was an increase in kids less than 6 after the switch. (You may want to talk with Eden, Joyce - I've only been privy to what is in the news.) The Public Health Emergency was declared after that - (last Thursday). Honestly, | wouldn't offer too much information on this issue...(That's my 2 cents) Tim Tim Bolen Michigan Department of Health and Human Services; Regional Epidemiologist - Region 3 Midland County Health Department 220 W. Ellsworth Street Midland, ie 48640- i? Fax: (eas aD. Sos 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. xxxEND_PAGE:dhhs03_b0319_1168_1170_2 001170

Hi Tim As you know, both Scott and | participate in the GLBHI meetings and our next one is coming up tomorrow. Since this Genesee County and Emergency Health Declaration has been very dominate in the national news, | was hoping to get some details from you that | can pass onto the group. If you have a summary or something written up, | can just extract what you want me to from it and tell to the group as well. Thanks!! Joyce Lai, MPH Region 2 South Epidemiologist Surveillance and Infectious Disease Epidemiology Section Bureau of Disease Control, Prevention, and Epidemiology Michigan Department of Health and Human Services Physical Address: 5454 Venoy, Wayne, MI 48184 Ph: 734-727-7204 Cell: 517-930-6958 E-mail: fai "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.” xxxEND_PAGE:dhhs03_b0325_1211_1212_2