Jordan Kennedy

Below and attached. Thank you, Jordan Kennedy Communications Representative Executive Office of Governor Rick Snyder Phone: 517.335.6397 Flint Water Daily Update Updated Feb. 2 Current issues Talking Points Flint Mayor calls for immediate replacement of Flint pipes e Ina press conference today, Flint Mayor Karen Weaver called for immediate replacement of Flint’s water infrastructure. © immediately removing pipes could potentially add to the infrastructure problem and result in higher costs for the city. ® Both Senate Minority Leader Jim Ananich and Virginia Tech water treatment expert Marc Edwards advise first mapping the city’s pipes to determine the location of lead infrastructure. e Edwards also says the state is taking the correct actions to make Flint’s water safe again. Adding phosphate to the water to coat the pipes is a necessary first step toward ensuring safe drinking water for Flint residents. o Flint’s damaged pipes spark debate on fix (Detroit Free Press) o Prof. Marc Edwards discusses pipes in Flint (video) e The Governor continues to work with Edwards and the Flint Water Interagency Coordinating Committee to identify and implement a successful long-term solution for Flint families. Senate Minority Leader sends Governor Flint action letter @ The Governor’s senior staff has been in close communication with state Sen. Jim Ananich and have met with him frequently to provide updates, answer questions and get feedback. © The Governor remains committed to providing Flint residents with the resources needed to implement both short and long-term solutions and will continue to work closely with Ananich. ¢ ©The Governor will announce a long-term funding proposal in his forma! budget presentation next week to further address Flint water. DPS Emergency Manager Darnell Earley resigns e Today, Detroit Public Schools Emergency Manager Darnell Earley resigned, effective February 29. 1 xxxEND_PAGE:treasury01_b38_6783_6976_058 The Governor will appoint a transition leader before the end of the month to help guide DPS through a plan that will help address the district’s academics and finances giving students and teachers the learning environment they deserve. The Governor is encouraging the Legislature to pass a bill package that will help address the $515 million debt faced by DPS. With that support the district should be better able to manage its business and educational goals. Governor continues to stress importance of home water testing A video with instructions on how to properly test home water is available to share: The health and safety of Flint residents remains a top priority. It is essential that all Flint residents have the water in their homes tested as soon as possible. While water filters will eliminate lead in most homes, those with levels above 150 parts per billion will need to take extra precaution. if levels are above 150 ppb, residents should not drink water from the filtered faucet and use bottled water only. DEQ and DHHS will visit homes found to have lead levels over 150 ppb for additional testing. To date, less than one percent of Flint homes have been identified as having lead levels of this amount. Results showing lower levels indicate residents should continue following established protocols. Pregnant and nursing mothers and young children should continue to drink bottled water as a precaution. Free water testing kits are available at Fire Stations 1, 3, 5, 6, and 8. Water Samples should be returned to the fire stations for testing. Anyone who is unable to get to a Fire Station to pick up a free testing kit should call United Way 2-1-1 for assistance. xxxEND_PAGE:treasury01_b38_6783_6976_059 Stanton, Terry A. (T Treasury)

Below and attached. Thanks, Jordan Kennedy Communications Representative Executive Office of Governor Rick Snyder Phone: 517.335.6397 Flint Water Daily Update Updated Jan. 29 Current issues Talking Points Governor and DEQ encourage home water testing © The health and safety of Flint residents remains a top priority. Pregnant and nursing mothers and young children should continue to drink bottled water as a precaution. © It is essential that all Flint residents have the water in their homes tested as soon as possible. e Free water testing kits are available at Fire Stations 1, 3, 5, 6, and 8. Water Samples should be returned to the fire stations for testing. e Until water is declared safe, continue to follow established safety protocols. Governor secures emergency supplemental to immediately aid Flint residents e Snyder signs $28M Flint bill, hopes for safe water soon (Detroit News) © The $28 million in funding will help address immediate needs for the people and families of Flint. itis a necessary next step in ongoing recovery efforts for the city. # The Governor signed the legislation at the first possible opportunity, following its unanimous approval in both the House and Senate. e The Flint water crisis was a failure of government at all levels ~ city, state and local. The governor has apologized and taken responsibility for the state’s role in this failure. o Accepted the resignation of top DEQ officials and suspended two pending a civil service investigation. o Approved two emergency funding bills to support Flint residents (This $28 million and a previous $9.3 million in Oct. 2015). o Declared and extended a state of emergency for the city and activated the National Guard. e To date, the Governor and Legislature have approved a total of $37.3 million in emergency funding for Flint while the federal government has earmarked only $5 million in assistance. © The Governor will continue to call on the federal government and our Congressional partners to secure additional funding to help address the long-term needs of the city. 1 xxxEND_PAGE:treasury01_b41_7622_7971_331 This $28 million in emergency aid will help: °° ooo 00 oooonod0o This fun Supply free bottled water, faucet filters, and testing kits for Flint residents; Put nine nurses in local schools to monitor student health and well-being; Provide better nutrition for students and infants through WIC and in-school nutrition programs; Replace fixtures in schools, daycares, nursing homes and haspitals; Provide for an infrastructure study using independent experts; Treat any children who have high lead levels in the blood, using diagnostic testing, nurse visits and environmental assessments in the home; Provide additional community education opportunities within the Genesee County Health Department; Compensate the Michigan National Guard’s work to support water distribution; Assist with home lead abatement costs; Help the City of Flint with utility issues; Provide operational funding for the Flint Interagency Advisory Committee. ding package is just one step of many. Additional long-term resources will be needed as we work together to strengthen the city of Flint moving forward. Fresh water in State of Michigan Flint office building was for all Amid denials state workers in Flint got clean water (Detroit Free Press) Fresh water in Flint State building was for all {ABC News) In January 2015, as a customer of Flint water, DTMB received a notification that the water system in Flint’s state office building was found to be in violation of a drinking water standard. DTMB made the decision to provide an alternative drinking option for both building employees and public visitors. ° ° fo} Health of visitors was a top priority. Approximately 500 visitors sign into the Flint office building every day. Many of which enter the building for access to DHHS services. Those with an increased risk included people with severely compromised immune systems, infants, or the elderly. A large number of the clients using the DHHS services fall within those demographics. After receiving information from the city, verbally, in July 2015 that the water system issue had been addressed, the water coolers were removed. It wasn’t until late Sept/Oct 2015 when the presence of lead in the water was confirmed that the water coolers were replaced. xxxEND_PAGE:treasury01_b41_7622_7971_332 Flint Water Daily Update Updated Jan. 29 Current Issues Talking Points Governor and DEQ encourage home water testing The health and safety of Flint residents remains a top priority. Pregnant and nursing mothers and young children should continue to drink bottled water as a precaution. it is essential that all Flint residents have the water in their homes tested as soon as possible. Free water testing kits are available at Fire Stations 1, 3, 5, 6, and 8. Water Samples should be returned to the fire stations for testing. Until water is declared safe, continue to follow established safety protocols. Governor secures emergency supplemental to immediately aid Flint residents Snyder signs $28M Flint bill, hopes for safe water soon (Detroit News) The $28 million in funding will help address immediate needs for the people and families of Flint. It is a necessary next step in ongoing recovery efforts for the city. The Governor signed the legislation at the first possible opportunity, following its unanimous approval in both the House and Senate. The Flint water crisis was a failure of government at all levels — city, state and local. The governor has apologized and taken responsibility for the state’s role in this failure. o Accepted the resignation of top DEQ officials and suspended two pending a civil service investigation. o Approved two emergency funding bills to support Flint residents (This $28 million and a previous $9.3 million in Oct. 2015). o Declared and extended a state of emergency for the city and activated the National Guard. To date, the Governor and Legislature have approved a total of $37.3 million in emergency funding for Flint while the federal government has earmarked only $5 million in assistance. o The Governor will continue to call on the federal government and our Congressional partners to secure additional funding to help address the long-term needs of the city. This $28 million in emergency aid will help: © Supply free bottled water, faucet filters, and testing kits for Flint residents; © Put nine nurses in local schools to monitor student health and well-being; o Provide better nutrition for students and infants through WIC and in-school nutrition programs; o Replace fixtures in schools, daycares, nursing homes and hospitals; Provide for an infrastructure study using independent experts; © Treat any children who have high lead levels in the blood, using diagnostic testing, nurse visits and environmental assessments in the home; © Provide additional community education opportunities within the Genesee County Health Department; Compensate the Michigan National Guard’s work to support water distribution; Assist with home lead abatement costs; Help the City of Flint with utility issues; Provide operational funding for the Flint Interagency Advisory Committee. fo] oooo°0 xxxEND_PAGE:treasury01_b41_7622_7971_333 e This funding package is just one step of many. Additional long-term resources will be needed as we work together to strengthen the city of Flint moving forward. Fresh water In State of Michigan Flint office building was for all e Amid denials state workers in Flint got clean water (Detroit Free Press) e Fresh water in Flint State building was for all (ABC News) e = InJanuary 2015, as a customer of Flint water, DTMB received a notification that the water system in Flint’s state office building was found to be in violation of a drinking water standard. e DTMB made the decision to provide an alternative drinking option for both building employees and public visitors. © Health of visitors was a top priority. a Approximately 500 visitors sign into the Flint office building every day. Many of which enter the building for access to DHHS services. © Those with an increased risk included people with severely compromised immune systems, infants, or the elderly. A large number of the clients using the DHHS services fall within those demographics. e After receiving information from the city, verbally, in July 2015 that the water system issue had been addressed, the water coolers were removed. © jt wasn’t until late Sept/Oct 2015 when the presence of lead in the water was confirmed that the water coolers were replaced. xxxEND_PAGE:treasury01_b41_7622_7971_334 Pleyte, Beth (Ti reasury)

Below and attached. Regards, Jordan Kennedy Communications Representative Executive Office of Governor Rick Snyder Phone: 517.335.6397 Flint Water Discussion Points Updated Jan. 26 Current issues Talking Points Medicaid/Federal Asks e Governor Snyder today announced that a request will be sent to the federal government that asks for all Flint residents under age 21 to receive additional healthcare services to address potential problems brought on from exposure to lead. e We want to make sure comprehensive medical care services are available, and we hope the federal government will partner in our efforts. e Request will include: o Expanded Medicaid eligibility for all residents in the impacted areas up to age 21, regardless of income level. o Lead-abatement programs to help minimize and/or prevent any long term adverse health problems associated with lead exposure. o Additional, community-based resources to ensure all children, regardless of health insurance coverage, have access to comprehensive medical treatment. House passage of the $28 million supplemental bill (unanimous vote) ® The supplemental request includes short-term funding to address immediate needs in the city, including bottled water, filters and testing kits. © The supplemental request will also include funds to address the most critical needs of Flint residents. © The Governor has asked to completely re-open the budget proposal the administration has been working on since last fall to assess all of the resources available to provide long-term support for the health of Flint residents. e The health and safety of Flint residents remains a top priority. The Governor has worked closely with the Legislature to encourage quick passage of the supplemental to encourage immediate action. ® We look forward to the Senate taking action on this bill this week. 1 xxxEND_PAGE:treasury01_b41_7622_7971_150 General High-level talking points There are people in the state of Michigan that can’t drink their water, and that is unacceptable to all of us. As Governor, Rick Snyder has taken responsibility, taken emergency response measures and is committed to dedicate all the resources needed to make this right for the people of Flint. The top priority for Governor Snyder and his administration is ensuring every Flint resident has access to clean, safe drinking water. We are committed to providing affected children and families access to medical and educational resources to ensure long-term care and treatment. The Flint water crisis has been a systemic failure of government at all levels: from the city of Flint, the state of Michigan, the civil servant scientists and the U.S. Environmental Protection Agency (EPA). The Governor has held himself and his government accountable. The Governor replaced the leadership of Michigan Department of Environmental Quality (MDEQ) and has taken disciplinary measures on the staff and civil servant scientists responsible for the crisis. Actions have been taken to ensure a new and capable team is overseeing Flint water and creating a department culture focused on the health and safety of Michigan residents. Two DEQ officials involved in the testing of Flint water have been suspended pending an investigation, in accordance with civil service rules. The Governor has asked to completely re-open the budget proposal the administration has been working on since last fall to assess all of the resources available to provide long-term support to the health of Flint residents. In addition, the supplemental budget request will provide funds to the city to help alleviate the need for utility shutoffs. Governor Snyder and his administration are committed to working in partnership with Flint Mayor Karen Weaver, independent experts, and the federal government to ensure both short-term and long-term solutions. Resources distributed (as of 1/25/2016): 176,118 cases of water 93,048 filters 29,320 testing kits 198,552 filter cartridges Homes visited by Flint Water Response Teams (as of 1/24/16): 37,844 For more information, visit www.mi.gov/flintwater or www helpforflint.com. ATA GLANCE: Flint Action Timeline: For the 2006 —Jan. 16, 2016 Timeline click here Sept. 28, 2015: For the first time, DEQ and DHHS directors briefed the governor on the potential scope and magnitude of the lead issue. They begin discussion on what actions should be taken if the concerns raised by outside researchers were to he verified. Oct. 1, 2015: DHHS director informed the governor that his epidemiologists reviewed the data and confirmed Dr. Mona Hanna-Attisha’s conclusions that blood lead levels in children were elevated — due to an association with lead contaminated water in certain ZIP codes. October 2, 2015: Governor releases 10-point Plan to address water systems, designates $1 million for water filters and anticorrosion treatment. This action was taken with 24 hours of DHHS confirmation that there was lead present in Flint’s drinking water. The 10-Point Plan is available here. Oct. 8, 2015: Governor announces plan to reconnect to Detroit water. xxxEND_PAGE:treasury01_b41_7622_7971_151 © Oct. 15, 2015: Governor signs supplemental appropriation with $9.35 million to assist Flint in reconnecting to DWSD. Mott Foundation contributed $4 million and Flint $2 million. Flint officially reconnects to Detroit water system the following day, October 16. For October 15, 2015 — January 16, 2016 click here e January 19, 2016: Governor gives State of the State Address. Focuses on Flint response, short-term and long- term solutions. e January 20, 2016: Governor releases all Flint emails sent and received on Flint between January 2014 and December 2015. © January 20, 2016: Governor appeals denial of federal major disaster declaration for Flint. House of Representatives passes $28 million supplemental bill to support Flint. © January 22, 2016: Two DEQ officials involved in Flint water testing are suspended pending an investigation, in accordance with Civil Service rules. e January 22, 2016: Executive power to appoint city administrator and all department heads is returned to Flint Mayor via resolution approved by Flint RTAB and Treasurer Khouri. e January 22, 2016: Governor announces he will seek additional federal aid to help Flint residents despite rejected appeal. Will request resources under the Individual Households Program which provides housing assistance, personal property replacement and emergency protective measure funding. This announcement followed the President’s denial of the major disaster declaration appeal. xxxEND_PAGE:treasury01_b41_7622_7971_152 Flint Water Discussion Points Updated Jan. 26 Current Issues Talking Points Medicaid/Federal Asks e Governor Snyder today announced that a request will be sent to the federal government that asks for all Flint residents under age 21 to receive additional healthcare services to address potential problems brought on from exposure to lead. e We want to make sure comprehensive medical care services are available, and we hope the federal government will partner in our efforts. e Request will include: o Expanded Medicaid eligibility for all residents in the impacted areas up to age 21, regardless of income level. o Lead-abatement programs to help minimize and/or prevent any long term adverse health problems associated with lead exposure. o Additional, community-based resources to ensure all children, regardless of health insurance coverage, have access to comprehensive medical treatment. House passage of the $28 million supplemental bill (unanimous vote) © The supplemental request includes short-term funding to address immediate needs in the city, including bottled water, filters and testing kits. © The supplemental request will also include funds to address the most critical needs of Flint residents. 9 The Governor has asked to completely re-open the budget proposal the administration has been working on since last fall to assess all of the resources available to provide long-term support to the health of Flint residents. e The health and safety of Flint residents remains a top priority. The Governor has worked closely with the Legislature to encourage quick passage of the supplemental to encourage immediate action. e We look forward to the Senate taking action on this bill this week. General High-level talking points © There are people in the state of Michigan that can’t drink their water, and that is unacceptable to all of us. As Governor, Rick Snyder has taken responsibility, taken emergency response measures and is committed to dedicate all the resources needed to make this right for the people of Flint. e The top priority for Governor Snyder and his administration is ensuring every Flint resident has access to clean, safe drinking water. We are committed to providing affected children and families access to medical and educational resources to ensure long-term care and treatment. © The Flint water crisis has been a systemic failure of government at all levels: from the city of Flint, the state of Michigan, the civil servant scientists and the U.S. Environmental Protection Agency (EPA). e The Governor has held himself and his government accountable. The Governor replaced the leadership of Michigan Department of Environmental Quality (MDEQ) and has taken disciplinary measures on the staff and civil servant scientists responsible for the crisis. Actions have been taken to ensure a new and capable team is overseeing Flint water and creating a department culture focused on the health and safety of Michigan residents. Two DEQ officials involved in the testing of Flint water have been suspended pending an investigation, in accordance with civil service rules. xxxEND_PAGE:treasury01_b41_7622_7971_153 The Governor has asked to completely re-open the budget proposal the administration has been working on since last fall to assess all of the resources available to provide long-term support to the health of Flint residents. In addition, the supplemental budget request will provide funds to the city to help alleviate the need for utility shutoffs. Governor Snyder and his administration are committed to working in partnership with Flint Mayor Karen Weaver, independent experts, and the federal government to ensure both short-term and long- term solutions. Resources distributed (as of 1/25/2016): 176,118 cases of water 93,048 filters 29,320 testing kits 198,552 filter cartridges Homes visited by Flint Water Response Teams (as of 1/24/16): 37,844 For more information, visit www.mi.gov/flintwater or www.helpforflint.com. AT A GLANCE: Flint Action Timeline: For the 2006 —Jan. 16, 2016 Timeline click here Sept. 28, 2015: For the first time, DEQ and DHHS directors briefed the governor on the potential scope and magnitude of the lead issue. They begin discussion on what actions should be taken if the concerns raised by outside researchers were to be verified. Oct. 1. 2015: DHHS director informed the governor that his epidemiologists reviewed the data and confirmed Dr. Mona Hanna-Attisha’s conclusions that blood lead levels in children were elevated — due to an association with lead contaminated water in certain ZIP codes. October 2, 2015: Governor releases 10-point Plan to address water systems, designates $1 million for water filters and anticorrosion treatment. This action was taken with 24 hours of DHHS confirmation that there was lead present in Flint’s drinking water. The 10-Pomt Pian is available here, Oct. 8, 2015: Governor announces plan to reconnect to Detroit water. Oct. 15, 2015: Governor signs supplemental appropriation with $9.35 million to assist Flint in reconnecting to DWSD. Mott Foundation contributed $4 million and Flint $2 million. Flint officially reconnects to Detroit water system the following day, October 16. For October 15, 2015 — January 16, 2016 click here January 19, 2016: Governor gives State of the State Address. Focuses on Flint response, short-term and long-term solutions. January 20, 2016: Governor releases all Flint emails sent and received on Flint between January 2014 and December 2015. January 20, 2016: Governor appeals denial of federal major disaster declaration for Flint. House of Representatives passes $28 million supplemental bill to support Flint. January 22, 2016: Two DEQ officials involved in Flint water testing are suspended pending an investigation, in accordance with Civil Service rules. January 22, 2016: Executive power to appoint city administrator and all department heads is returned to Flint Mayor via resolution approved by Flint RTAB and Treasurer Khouri. January 22, 2016: Governor announces he will seek additional federal aid to help Flint residents despite rejected appeal. Will request resources under the Individua] Households Program which provides housing assistance, personal property replacement and emergency protective measure funding. This announcement followed the President’s denial of the major disaster declaration appeal. xxxEND_PAGE:treasury01_b41_7622_7971_154 Schafer, Suzanne K. (T Teasury)

Hello everyone, This afternoon we will be issuing the attached press release about the updated Flint blood lead level report, as well as the report itself. Of note, this report has changed slightly. Under past reports, people with an age of 5 % or 17 % were rounded up to be in the 6- 17 and 18 and older columns because of the way the data was pulled. They are now under the proper categories so while they may have switched which age bracket they fell into, the total numbers remain the same. Thank you, Angela Minicuci Office of External Relations and Communications Michigan Department of Health and Human Services 0 roinicucia@michigan. gov www. michigan gov/mebhis E-mail 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 e-mail 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:executiveofficeemails20_b1277_3289_3289_1

Press Releases: e ~=TBD - Flint EBL Data e Monday, November 23 — Family Health History e Tuesday, November 24 — Lung Cancer Awareness Month e Monday, December 30- Michigan 4x4 Grants Awarded Speaking Engagements: e Monday, November 23 — Chief Deputy Director Becker is speaking at the Bureau of Community Services staff meeting e Tuesday, November 24 — Director Lyon is speaking at the National Adoption Day event at the Hall of Justice e Tuesday, December 1 — Director Lyon is Speaking at a symposium on maternal health and mortality at the Henry Center Jennifer Eisner Public Information Officer Michigan Department of Health and Human Services Office: 517-241-2112 or Fisnerh@rnichigan. gov Cell i xxxEND_PAGE:executiveofficeemails21_b0195_0415_0415_1

i don’t think this should happen today at all. Governor is at an important event in Southeast Michigan this morning, and | think we need some direction from him and ethers on this issue.

Good evening, MDHHS friends, Here are suggested changes to the press release. | think it’s vitally important to have our “people first” approach, and be very up front about the results. | also think it’s important to show up high what we will do with this data. Please consider the changes. | also think it’s worth a conversation about whether we want to release this on a Friday morning. This is a challenging situation to be sure, but | think these results are fairly encouraging considering some of the heated rhetoric on this issue. Thank you, Dave FOR IMMEDIATE RELEASE CONTACT: Jennifer Eisner DRAFT (517) 241-2112 MDHHS releases October data outlining blood lead levels in Flint Results show 24 of 963 people tested had elevated levels LANSING, Mich. — Blood lead level testing results released today revealed that 24 of 963 adults and children tested in Flint in October had elevated levels, according to the Michigan Department of Health and Human Services. MDHHIS is working closely with the Genesee County Health Department to reach out to families testing with higher levels and help them reduce their exposure to lead sources. Information was gathered from tests administered citywide to 963 children and adults between October | and October 30. Eighteen people age 17 or younger had elevated blood lead levels. Six adults over the age 18 were identified with elevated blood lead levels. The report is intended to inform residents about blood lead level testing efforts in Flint and provide cumulative total numbers. “Our goal is to help families reduce their exposure to lead sources,” said Dr. Eden Wells, chief medical executive with the MDHHS. “We have made progress in testing and 1 xxxEND_PAGE:deq14_b0866_2868_2870_1 identifying those with elevated blood lead levels, and the department will continue to work closely with county health department to reach these families. We will update these numbers on a regular basis and remain diligent in our ongoing outreach and education.” The data in the report include the total number of tests conducted and the total number of elevated blood lead levels greater than 5 micrograms per deciliter, and captures both capillary and venous blood tests. ne alto have frail multiple tests are counted only : ater and will be updated as more data becomes available. The testing is part of the state’s action plan to address health concerns related to Flint’s water infrastructure. Last month, MDHHS collaborated with the county health department and local partners to distribute educational resources and informational letter to Flint parents regarding lead testing. GCHD nursing staff are conducting direct outreach to families when an elevated blood lead level has been detected, serving as an important resources by addressing questions and concerns, providing information, and meeting them in their home environment. MDHHS continues to provide free water filters and replacement cartridges to Flint residents at four locations including the MDHHS Flint offices and the Genesee County Community Action Resource Department. For a full list of locations and hours of distribution, visit www michiuas cov/fimtwater, To help residents properly install water filters, and to demonstrate how to replace the original when it expires, MDHHS has created an instructional on the ©{ 1. For additional updates on Flint water including updates on blood lead levels and testing reste, visit www michican gow fintwater. HHH

Good evening, MDHHS friends, Here are suggested changes to the press release. | think it’s vitally important to have our “people first” approach, and be very up front about the results. | also think it’s important to show up high what we will do with this data. Please consider the changes. | also think it’s worth a conversation about whether we want to release this on a Friday morning. This is a challenging situation to be sure, but | think these results are fairly encouraging considering some of the heated rhetoric on this issue. Thank you, Dave FOR IMMEDIATE RELEASE CONTACT: Jennifer Eisner DRAFT (517) 241-2112 MDHHS releases October data outlining blood lead levels in Flint Results show 24 of 963 people tested had elevated levels LANSING, Mich. - Blood lead level testing results released today revealed that 24 of 963 adults and children tested in Flint in October had elevated levels, according to the Michigan Department of Health and Human Services. MDHHS is working closely with the Genesee County Health Department to reach out to families testing with higher levels and help them reduce their exposure to lead sources. Information was gathered from tests administered citywide to 963 children and adults between October 1 and October 30. Eighteen people age 17 or younger had elevated blood lead levels. Six adults over the age 18 were identified with elevated blood lead levels. The report is intended to inform residents about blood lead level testing efforts in Flint and provide cumulative total numbers. “Our goal is to help families reduce their exposure to lead sources,” said Dr. Eden Wells, chief medical executive with the MDHHS. “We have made 2 xxxEND_PAGE:executiveofficeemails21_b0610_1441_1444_2 progress in testing and identifying those with elevated blood lead levels, and the department will continue to work closely with county health department to reach these families. We will update these numbers on a regular basis and remain diligent in our ongoing outreach and education.” The data in the report include the total number of tests conducted and the total number of elevated blood lead levels greater than 5 micrograms per deciliter, and captures both capillary and venous blood tests. People who have had multiple tests are counted only once. The full report is posted online at www mich untwater and will be updated as more data becomes available. The testing is part of the state’s action plan to address health concerns related to Flint’s water infrastructure. Last month, MDHHS collaborated with the county health department and local partners to distribute educational resources and informational letter to Flint parents regarding lead testing. GCHD nursing staff are conducting direct outreach to families when an elevated blood lead level has been detected, serving as an important resources by addressing questions and concerns, providing information, and meeting them in their home environment. MDHHS continues to provide free water filters and replacement cartridges to Flint residents at four locations including the MDHHS Flint offices and the Genesee County Community Action Resource Department. For a full list of locations and hours of distribution, visit To help residents properly install water filters, and to demonstrate how to replace the original when it expires, MDHHS has created an instructional on the MOHHS Youfube chesnel, For additional updates on Flint water including updates on blood lead levels and testing results, visit #HH#

We have this on our list of requests and will get back with Steve as soon as we have an available time.

ey>; Emmitt, Beth Hi Jordan, Steve Hood called again this morning. It’s been 3 weeks since he made his request and he has not heard from anyone with a response. Will you please assist with someone in communications responding to him? Thank you, Stacie

Force 11-3-15.pdf Importance: High FY] here is the letter that we talked about yesterday for your review, Copying Jess as well, Thanks, Jordan Kennedy Communications Representative Executive Office of Governor Rick Snyder Phone: 517.335.6397

Press Releases Jennifer Eisner Public Information Officer Michigan Department of Health nd Human Services Office: 517-241. 2112 or £:: fi xxxEND_PAGE:executiveofficeemails21_b0170_0315_0315_1

Hello — Today Dr. Wells had a phone interview with Robin Erb regarding blood lead levels in Flint. Robin said she’s hearing concern from parents who feel like they don’t know what to do. Robin heard about the parent letter and wanted to know what it contains, when it will be going out, and what other steps we’re taking to provide clear direction to residents. Dr. Wells confirmed that yes, we are working with the local health department to finalize a letter that will be distributed to parents in the next couple of days. Dr. Wells reminded her of the wv an.goy/Hintwater website that has been up since the first week of October, and said that many of those documents are being distributed through various channels by our partner and provider networks. She also acknowledged that in some areas this can be a difficult to reach population, and so it’s important that we think creatively about how to reach them — that we cannot rely solely on the news or internet. Dr. Wells emphasized that our priority population is children 0 — 6 years old, which is why the parent letters will be so beneficial. SAR IT Once the letter is ready to go, | told Robin we would share it with her. This is for a Sunday story. Jennifer (Smith) Eisner Public Information Officer Michigan Department of Health and Human Services 517-241-2112 xxxEND_PAGE:executiveofficeemails21_b0305_0637_0637_1

Importance: High Sara Wurfel, APR Press Secretary | Executive Office of Governor Rick Snyder xxxEND_PAGE:executiveofficeemails20_b1052_2743_2743_1

Dave Murray Deputy Press Secretary | Executive Office of Governor Rick Snyder MurrayDd@imichigan gov 517-335-6397, office } mobile ‘witter:@michigandmurray xxxEND_PAGE:executiveofficeemails20_b1650_4052_4052_1

Importance: High

Wednesday, Oct. 7, 2015 Office: 517-335-6397 Editor’s note: Media must present valid press credentials on site. Thursday, Oct. 8 at 10 a.m. Gov. Rick Snyder will make an announcement regarding Flint water. He will be joined by Flint Mayor Dayne Walling, Michigan Environmental Quality Director Dan Wyant, Michigan Department of Health and Human Services Director Nick Lyon, Dr. Eden Wells, the state’s Chief Medical Executive, and Ridgway White, president of the Charles Stewart Mott Foundation. A livestream option is also available at ww ve. If you wish to embed the event 519 S. Saginaw St. Flint, MI xxxEND_PAGE:executiveofficeemails21_b0526_1052_1053_1 Thursday, Oct. 8 at 7 p.m. Snyder will offer remarks at the Celebration of Life Gala supporting Magen David Adom (Israel’s national 911 and emergency services). Location: Adet Shalom Synacocuue 29901 Middlebelt Rd. Farmington Hills, MI xxxEND_PAGE:executiveofficeemails21_b0526_1052_1053_2

l updated the address below. SSATESTIENA, Oct. a le Office: 547. 335- 6397 Editor’s note: Media must present valid press credentials on site. Thursday, Oct. 8 at 10 a.m. Gov. Rick Snyder will make an announcement regarding the Flint water system. He will be joined by Flint Mayor Dayne Walling, Director of Environmental Quality, Dan Wyant, Director of the Department of Health and Human Services, Nick Lyon, Dr. Eden Wells, Chief Medical Executive at DHHS, and Ridgway White of the Charles Stewart Mott Foundation. A livestream option is also available at www michicen govisnyderive. If you wish to embed the event please visit hilo. new jvesirean com/srivcerive for more information. Location: Corsmerce Canter/Mott Foun 503 S. Saginaw St. Flint, MI - Conference Center, Ground Finor dation Buricine xxxEND_PAGE:executiveofficeemails21_b0522_1043_1046_1 Thursday, Oct. 8 at 7 p.m. Snyder will offer remarks at the Celebration of Life Gala supporting Magen David Adom (Israel’s national 911 and emergency services). Location: Adaet Shainmn Synecncue 29901 Middlebelt Rd. Farmington Hills, MI lerdan Kennedy Communications Representative Executive Office of Governor Rick Snyder

You need to add in the credentialing information yet. thy

{hope so, though the exact tiring will depend on the caonclusian of technical advisory meeting in Flint and outcorne, which we have been told ta count on around 4:30 p.m, We'll have to play this by ear.

dehigan. >; Agen, Jarrod (GOV) Sigh of rehef and good news on stream. Also, Mott comms apparently said their building tearm recommended the name that appears on the outside of the building to help avaid confusion, which has a slightly revised address toa. Commerce Center/Mott Foundation Building - Conference Center, Ground Floor gpa eee eiteceamans cy paras i Cs. We should add note about credentialed media as weil.

Importance: High Below is the media advisory for tornorraw,. The Livestream portion is highlighted because we are stil checking to make sure the venue has livestrearming capabilities. Wednesday, Oct. 7, 2015 Contact: Sara Vvurte! or fave Murray Office: 517-335-6397 Editor’s note: Media must present valid press credentials on site. Thursday, Oct. 8 at 10 a.m. Gov. Rick Snyder will make an announcement regarding the Flint water system. He will be joined by Flint Mayor Dayne Walling, Director of Environmental Quality, Dan Wyant, Director of the Department of Health and Human Services, Nick Lyon, Dr. Eden Wells, Chief Medical Executive at DHHS, and Ridgway White of the Charles Stewart Mott Foundation. ; cee sistatistio : santo q seuseousiey ee sey a ambe aauereo era please vig. BRM SOOM ORO OO RRO OHS ROR OEE ROE RTL OCTET REL LETTE Location: Mot Foundation Building ~ Grourg! Floor 503 S. Saginaw St. Flint, MI Thursday, Oct. 8 at 7 p.m. Snyder will offer remarks at the Celebration of Life Gala supporting Magen David Adom (Israel’s national 911 and emergency services). Location: Adat Shalom Synaqcoque 29901 Middlebelt Rd. Farmington Hills, MI Jordan Kennedy Communications Representative Executive Office of Governor Rick Snyder Phone: 527.335.6397 xxxEND_PAGE:executiveofficeemails21_b0522_1043_1046_3 xxxEND_PAGE:executiveofficeemails21_b0522_1043_1046_4

Importance: High One cortent piece that Director Lyon just indicated he heard frorn Director Wyant is that even after a switch to Detroit water, there is a 3-6 month period of time where they need to do extensive testing to ensure the water is safe froma lead perspective. Therefore we will stil need to be providing fliters and replacernent filters far pecple in Flint so we will incorporate the fact that we will also be purchasing the replacement fitters for citizens to use while the systern is tested, refined. Just wanted to make sure you had this from a message development perspective.

When: Tuesday, October 06, 2015 4:30 PM-5:00 PM (UTC-05:00) Eastern Time (US & Canada). Where: Communications Conference Room, 1st floor, Romney Conference Call Info. PPI xxxEND_PAGE:executiveofficeemails20_b0390_1460_1460_1