Lawrence Reynolds

President, CEO Mott Children's Health Center at Mott Children's Health Center / Medical

64

Emails

Sep 2015–Feb 2016

Archive range

64 emails found.

Re: FWICC Policy Subcommittee

I would defer to Miguel DelToral for background on the initial LCR, revisions, and implementation. Interagency protocols; Start with a commitment to protect the health and safety of people and the environment being primary when developing programs and policies . Then allowing meaningful opportunities for participation (voice ) to be heard in a neutral forum where people are treated with dignity and respect That benefits and liabilities from decisions will be shared equitably by all parties concerned . That the authorities are trustworthy (seeTyler 2000:121) Recognition that adherence to procedure is only one aspect of fairness. Where there is overlap in responsibility or management of potential outcomes - good or bad , those agencies must submit written opinions for evaluation by the governor's cabinet and published online in a format accessible to the public before a final decision is made.Additionally , there must be a monitoring plan that will published in the same manner. That an independent ombudsman be appointed to assure that these policies are followed.

RE: Meeting with Dr. Mona Hanna-Attisha and Flint Water

Or. Mora: itwas a real pleasure meeting you and thank you for the incredible work you are doing on behalf of the children in my native clty, We are committed to working with you on afl fronts te rake the way forward the best it could be. Also, f want to let you know that | did follow up on whether the former DEQ department leader was still working on water related issues. To my surprise you were correct. When additional schools needed to be tested she was added to help with the workload. J arn told she dic not supervise, conclude on testing, or anything of that nature but they needed help and the director of DEQ did approve a lirnited role for her. He is going to be meeting with the TF tomorrow to discuss actions underway. | apologize for asserting otherwise a3 Ehad not been aware. Pease call me if can assist in ary way. Rich Mf Sent: Monday, December 14, 2015 7:02 PM

Confirming: Dr. Mona and Flint Water Mtg 12/14 11am

Good Afternoon, Just double checking that you are attending Rich’s meeting with Dr. Mona and Flint Water on Monday, December 14" at 11:00am in the Governor’s Conference Room, 2" Floor Romney Building. We will see you on Monday! Thanks! Virginia Manolakoudis Executive Assistant to Richard Baird Executive Office of Governor Rick Snyder Maruilak (517) 241-5621 nehigan gov xxxEND_PAGE:executiveofficeemails21_b1145_2894_2894_1

Requested Emails

Dr. Lawrence, | have attached to this correspondence all emails and replies exchanged between Mike Glasgow and Flint Water Department/Staff with Michigan DEQ staff between the dates of April 13 and April 30, 2014, as requested. | apologize for the length of time it has taken to get these to you. Please let me know if we can provide any other information. xxxEND_PAGE:executiveofficeemails21_b1141_2888_2888_1

504857 _7.odf

www. 504857 7 pdf | thought we agreed - no unfiltered tap water for washing food or cooking. Where did this one minute flush before using tap water recommendations come from. See attached document linked to the Genesee county website- simple steps you can take ,bullet point 7. We cannot use this in Flint without editing. My plan was to use this ina Community Ed talk since the pictures and layout were so eye appealing .We will have to review all handouts. Believe me, | am not interested in playing gotcha. We need a consistent ,accurate message for Flint residents on all water materials, not general advice. xxxEND_PAGE:dhhs02_b0428_1621_1622_2

Re: FOR IMMEDIATE RELEASE: MDHHS releases latest data outlining blood lead levels

in Flint; Follow-up care, case management resources continue for families Good afternoon, Andy , This is a public health surveillance report to show the tracking of blood lead testing in Flint. This reflects increased screening and testing that is occurring in the face of increased public health and healthcare provider and researcher responses, including Dr. Mona Hanna-Attisha, Dr Edwards, Reynolds, etc. As in many public health surveillance systems, surveillance reports may serve different functions. This one is to simply track the progress of testing and proportions of EBLs over the coming year (as you know, with seasonality, | am quite interested in Q3's each year to assess impact of lead programs, and will not be falsely reassured by Q4 and Q1 data points). | would hope that you realize that surveillance reports, as this one will be, are regularly developed and this will be updated on a weekly to bi-weekly basis through the coming months (years?). T The issues of spatial clustering and associations with lead lines, etc have already begun to be ascertained by our colleagues at Hurely and WSU, and | hope that those can continue.

Re: FOR IMMEDIATE RELEASE: MDHHS releases latest data outlining blood lead levels in Flint; Follow-up care,

case management resources continue for families Dr. Wells, xxxEND_PAGE:dhhs02_b1244_4694_4698_1 004695 What is the goal of releasing this data? Especially as it comes on the heels of Dr. Edwards finding that the water is not safe, yet. In my humble opinion, it continues to show the state is telling a story that is not reflective of the reality that residents are living with. Throughout this process, we have discussed repairing the trust relationship between the government and the residents of the City of Flint needs and | believe this only further erodes that trust. | also believe that the community very much needs high-level data. They have responded with remarkable understanding to both Drs. Edwards and Hana- Attisha so | hope you follow their pattern and share the most meaningful data. To start that means not lumping 17-7- year-olds with infants and recognizing lead has a half-life. What is bound to happen is the media will ask experts about this and the experts will highlight discrepancies in the rationale and data and the community is back to square one knowing that the people charged with getting this right still can't quite do it. Thanks, Andy

RE: FOR IMMEDIATE RELEASE: MDHHS releases latest data outlining blood lead levels in Flint; Follow-up care,

g xxxEND_PAGE:dhhs03_b0303_1121_1126_2 001123 Reynolds, Lawrence; Laura Carravallah; Marc Edwards; Valacak, Mark; Andy Leavitt; Base Camp Email; Lasher, Geralyn (DHHS); Eisner, Jennifer (DHHS); Dykema, Linda D. (DHHS)

RE: FOR IMMEDIATE RELEASE: MDHHS releases latest data outlining blood lead levels in Flint; Follow-up care,

g xxxEND_PAGE:dhhs03_b0303_1121_1126_2 001123 Reynolds, Lawrence; Laura Carravallah; Marc Edwards; Valacak, Mark; Andy Leavitt; Base Camp Email; Lasher, Geralyn (DHHS); Eisner, Jennifer (DHHS); Dykema, Linda D. (DHHS)

RE: FOR IMMEDIATE RELEASE: MDHHS releases latest data outlining blood lead levels in Flint; Follow-up care,

case management resources continue for families Eden, i support frequent updates. Mona and her tearm can continue to de the GIS work and track progress {or lack thereof} in the blood leads. i think that overall, the latest data implies we are on the right track. We can use the upclates to reinforce the importance of using the Hiters and bottled water that are being provided... Kast Regards,

Re: FOR IMMEDIATE RELEASE: MDHHS releases latest data outlining blood lead levels in Flint; Follow-up care,

case management resources continue for families Hi Dr. Reynolds, | just got done with an email with Mona--- This is a general public report that is high level--not a technical report, and was not meant to represent a technical report. This is general information--of course our surveillance program is tracking by zip, Medicaid, locality, etc. We can discuss further what type of reporting may be useful to a technical audience---as long as not identifiable (some zips have to be suppressed) | don't see why this can't be done (probably not every two weeks like this public one would be) Warm Regards, Eden Michig. 201 Towns: lreys2@email. com> Sent: Thursday, December 3, 2015 3:25 PM

RE: Summary Data

This afternoon af 2:30 p.m. the Michigan Department of Health and Hurnan Services will issue the attached press release and summary report detailing the latest data on blood lead levels in Flint. Director Lyon wanted to ensure that members of the Governar’s Task Force received this information in advance of the press release being issued. The sumrnary report provides annual historical information on children younger than six years, children between the ages of six and saventeen years and adults tested for Jead. ft alse provides detail an the number of test results for these category groups that have tested above five micrograms per deciliter. The surnmary renoart alse provides inforrnation on he numbers tested and with elevated blood lead levels since the MDHHS Action Plan began in October. The preliminary data indicates that 30 of 1,361 adults and children: tested in Flint since October 1 had elevated blood lead levels, Piaase iat us know if there are any additional questions or if you would lke to arrange for a conversation with Director yon, Dr. Wells or any member of the MDKHS team for additional information, Thank you, Geralyn Geralyn Anne Lasher Senior Deputy Director for External Relations and Communications Michigan Department of Health and Human Services 201 Townsend Street, Capital View Butlting Lansing Michigan 48623 P: (517) 241.2112 xxxEND_PAGE:executiveofficeemails20_b1813_4385_4386_1 xxxEND_PAGE:executiveofficeemails20_b1813_4385_4386_2

RE: Summary Data

This is a good start but maybe lacking context . Would GIS software identify clusters ? | am disappointed to see, at this moment , that Dr. Edward's study and Dr. Mona's study which have more granular reporting are given no credence. Is there a reason ? You must understand that the areas with the most problems in blood and water are where | have spent the last 24 years in service.

Fwd: FOR IMMEDIATE RELEASE: MDHHS releases latest data outlining blood lead levels in Flint; Follow-up care,

case management resources continue for families This is a good start but maybe lacking context . Would GIS software identify clusters ? |! am disappointed to see, at this moment , thatDr. Edward's study and Dr. Mona's study which have more granular reporting are given no credence. Is there a reason ? wonsenae == Forwarded message ----------

(No subject)

(DHHS);showard @co.genesee.mi.us;Sean Kammer;Andy Leavitt;Mose, Sandi Kay (DHHS);neeleyrep34 Kris (DHHS);Thelen, Richard (DHHS);Valacak, Mark;Jamie-Lee Venable;Cupal, Suzanne;Hallwood, Dawn;Swartout, April;LaRocco, Toni;Brickey, Tamara;Eisner, Jennifer (DHHS);Wells, Eden (DHHS);Miller, Mark (DHHS);Roach, Billie Jo (MSP);Thompson, Sheryl D. (DHHS)Johnson, M.D., Gary;Sitko, Anthony M;[email protected];Kirk Smith;mhannal @hurleymc.com;Gonzalez, Jonathan (DHHS);Moran, Susan (DHHS);Robinson, Mikelle @yahoo.com;Dayne Walling;Krisztian, George @michigan.gov;Tommasulo, Karen (DEQ);Stickler,

(No subject)

Kammer; Andy Leavitt; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; Valacak, Mark; Jamie-Lee Venable; Cupal, Suzanne; Henry, James; Hallwood, Dawn; Swartout, April; LaRocco, Toni; Brickey, Tamara; Eisner, Jennifer (DHHS); Wells, Eden (DHHS); [email protected]; [email protected]; Thompson, Sheryl D. (DHHS); Johnson, M.D., Gary; Sitko, Anthony M; [email protected]; Kirk Smith; [email protected]; [email protected]; [email protected]; [email protected]; [email protected]; Dayne Walling; [email protected]; [email protected]; [email protected]; Stickler, Lisa; [email protected]

(No subject)

Wright;Lytle, Darren;Dayne Walling;Higgins, Deborah;donna. cole;Dykema, Linda D. (DHHS);Wells, Eden (DHHS);Krisztian, George (DEQ);Gerald Jed) NatzkeJames HenryJamie Gaskin;Jason Herman;Kevin J. Keane;Kirk Sullivan;Michael Glasgow;Schock, Michael;Mike Lane;Prysby, Mike (DEQ);MVALACAK @gchd.us;Natasha Henderson;Norb Birchmeier;Robert Hudson;Samir Matta;Sean Kammer;Shawn Patrick McElmurry;Busch, Stephen Sheryl D. (DHHS);Warren Green

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