Shurooq Hasan

Suliject: FW Conference call line.

Hi Shyroog, The conference call line for tomorrow’s call from 2:30-3:30pm is: , 1-877-873-8017 ; Access code: 7931338 Thanks, Shannon Shannon Andrews Johnson, MPH Infectious Disease Epidemiologist Michigan Dept. of. Community: Health xxxEND_PAGE:deq26_b240_1890_2019_084 201 Townsend St., CVB5™ Floor Lansing, M1 48913 Phone: 517-335-8165 Fax: 517-335-8263 val xxxEND_PAGE:deq26_b240_1890_2019_085 yt Devereaux, Tracy Jo (DEQ) i a

‘Hi Shuroogq, The conference call line for tomorrow’s call from 2:30-3:30pm is: 1-877-873-8017) -Access.code: 7931338 © Thanks, Shannon Shannon Andrews Johnson, MPH Infectious Disease Epidemiologist Michigan Dept. of Community Health 201 Townsend St., CVB 5" Floor Lansing, MI 48913. Phone: 517-335-8165 Fax: 517-335-8263 xxxEND_PAGE:deq26_b240_1890_2019_082 Devereaux, Tracy Jo (DEQ)

Hi Laurel, Thank you for ycur response. We are working with Shannon Johnsen and her team at the state as well. | have attached the survey again. Any input would be appreciated. Thank You, Shuroaq

Hi Shuroog, Lauri isn’t working on legionellosis anymore and she forwarded your email. i'm happy to help brainstorm and/or review your questionnaire. rm also ccing my contacts at the state so they are in the loop. | didn’t get the attachment...can you send again? Best regards, Laurel Laure! Garrison, MPH xxxEND_PAGE:dhhs02_b0554_2097_2100_2 002099 Legionellosis Surveillance & Outbreak Response NCIRD/DBD/Respiratory Diseases Branch Centers for Disease Control and Prevention 1606 Clifton Rd. MS C-25 Atlanta, GA 30333 Tel: 404.639.3424 Fax: 464.315.4680 E-mail: lee5@cdc.gov

Hello Lauri, Dr. Janet Stout referred me to you. We are currently experiencing a legionella outbreak in our county and are investigating multiple sources as potential causes for our increase. Since June 2014, we have had 47 cases of Legionella, almost four times the number of cases we had during 2013, and the highest number of cases per county in the state for 2014. We have investigated a hospital as a potential source for the disease, but have expanded our investigation to include the city water supply. Of our 47 cases, 25 cases have occurred within the city water supply distribution system. No common links or associations have been determined between the cases. The majority of our cases are home bound immune-comprised individuals who have not traveled and are not readily mobile. They are also unable to answer our questions when we investigate due to the severity of their conditions once hospitalized. We are in the process of developing a survey to implement for all new incoming cases as well as going back to all our previous cases. Dr. Stout xxxEND_PAGE:dhhs02_b0554_2097_2100_3 002100 mentioned your experience and knowledge with legionella and suggested we seek your input on the survey we have developed. We would really appreciate any feedback, or the opportunity to talk any time you are free. We are working ona tight deadline and we need to have our survey done by Friday. | have attached the survey and | am looking forward to hearing from you soon. Thank You, Shurooq Shuroog Hasan, M.P.H Epidemiologist Genesee County Health Department 630 S. Saginaw Street Flint, MI 48502 (810) 257-3815 shasan@gchd.us xxxEND_PAGE:dhhs02_b0554_2097_2100_4