Andy Leavitt

Mare, Let me know if you think my email timed at 2:33 today was helpful? li regards genesis and from where it arose. a

| apologize for saying “a lot to hide” and “not trustworthy.” | was angry at waiting two months for documents, and finding within 12 hours that key documents were not produced. However, that does not excuse me from making such statements. Marc

There are also e-mails missing from Karen Lishinski. She notes Mona and Dr. Reynolds requested blood lead data in one e-mail, and Mona says she requested the data by e-mail on September 8th. Yes that e-mail was not produced. Obviously, she has a lot to hide. You are going to have to do an electronic records request from backup and servers. She is not trustworthy. Don’t waste your time asking for voluntary compliance. Marc

Found the source--back to you in a bit-

Hi Marc, xxxEND_PAGE:dhhs02_b1245_4699_4700_1 004700 | don't think | evn- have it, as | sent you everything in my emails...do you know whose email this was from? | can address asap- E

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.

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

(DHHS); Marc Edwards; jmikewright; Gerald (Jed) Natzke; James Henry; James Gaskin; John O'Brien; JoAnne Herman; Kirk Smith; Kevin Keane; Lawrence Reynolds; Wright, Michael; jarry.koehieretmec.edu; Prysby, Mike (DEQ); Lawrence Reynolds; Schock, Michael; Mike Lane; Natasha Henderson; Norb Birchmeier; Robert Bincsik; Pete Levine; MYALACAK Giachd.us; Russell Hudson; Busch, Stephen (DEQ); reseiogimsu.ecu; Thompson, Sheryl D. (DHHS); Samir [email protected] 7 /

cole; Dykema, Linda D. (DHHS); Wells, Eden (DHHS); edwardsm; Krisztian, George (DEQ); jmikewright; Gerald (Jed) Natzke; James Henry; Jamie Gaskin; John O'Brien; JoAnne Herman; Kirk Smith; Kevin J. Keane; Lawrence Reynolds; Laura Sullivan; Wright, Michael; [email protected]; Prysby, Mike (DEQ); Lawrence Reynolds; Mike Lane; Natasha Henderson; Norb Birchmeier; Robert Bincsik; Pete Levine; [email protected]; Sean Kammer; Russell Hudson; Busch, Stephen (DEQ); [email protected]; Thompson, Sheryl D. (DHHS); Samir Matta; Warren Green; [email protected]; Karen Weaver; Prof. Susan Masten

| echo Mr. Schock's sentiment. Seems like a great time to let the technical folks like he and others with a similar skill-set get past politics and focus on building public trust.

Higgins; donna. cole; Dykema, Linda D. (DHHS); Wells, Eden (DHHS); edwardsm; Krisztian, George (DEQ); jmikewright; Gerald (Jed) Natzke; James Henry; Jamie Gaskin; John O'Brien; JoAnne Herman; Kirk Smith; Kevin J. Keane; Lawrence Reynolds; Laura Sullivan; Wright, Michael; [email protected]; Prysby, Mike (DEQ); Lawrence Reynolds; Mike Lane; Natasha Henderson; Norb Birchmeier; Robert Bincsik; Pete Levine; [email protected]; Sean Kammer; Russell Hudson; Busch, Stephen (DEQ); [email protected]; Thompson, Sheryl D. (DHHS); Samir Matta; Shawn Patrick McElmurry; Warren Green; [email protected]; Karen Weaver

Dayne Walling; Deborah Higgins; donna. cole; Dykema, Linda D. (DHHS); Wells, Eden (DHHS); edwardsm; Krisztian, George (DEQ); Gerald ied) Natzke; James Henry; Jamie Gaskin; Jason Lorenz; jmikewright; JoAnne Herman; John O'Brien; Kevin J. Keane; Kirk Smith; [email protected]; Laura Sullivan; Lawrence Reynolds; Lawrence Reynolds; Michael Glasgow; Schock, Michael; Mike Lane; Prysby, Mike (DEQ); [email protected]; Natasha Henderson; Norb Birchmeier; Pete Levine; Robert Bincsik; [email protected]; Russell Hudson; Samir Matta; Sean Kammer; Shawn Patrick McElmurry; Busch, Stephen (DEQ); [email protected]; Thompson, Sheryl D. (DHHS); Warren Green

Chubb;Brent Wright;Lytle, Darren;Dayne Walling;Deborah Higgins;donna. cole;Dykema, Linda D. (DHHS);Krisztian, George (DEQ);Gerald Ved) Natzke;James HenryJamie Gaskin;Jason Herman;John O'Brien;Kevin J. Keane;Kirk Sullivan;Lawrence Reynolds;Lawrence Reynolds;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

Wright; Lytle, Darren; Dayne Walling; Higgins, Deborah; donna. cole; Dykema, Linda D. (DHHS); Krisztian, George (DEQ); Gerald (Jed) Natzke; James Henry; Jamie Gaskin; Jason Lorenz; jmikewright; JoAnne Herman; John O'Brien; Kevin J. Keane; Kirk Smith; [email protected]; Laura Sullivan; Michael Glasgow; Schock, Michael; Mike Lane; Prysby, Mike (DEQ); [email protected]; Natasha Henderson; Norb Birchmeier; Robert Bincsik; [email protected]; Russell Hudson; Samir Matta; Sean Kammer; Shawn Patrick McElmurry; Busch, Stephen (DEQ); swalser@senatedems,org; Thompson, Sheryl D, (DHHS); Warren Green

Dr. Wells, Once you engage in a home inspection there is no doubt we should be doing full abatement but speaking about paint and soil in the same breath as the water that clearly doubled EBL seems disingenuous. No doubt Flint had lead previously and will continue to have lead in the built environment, but looking at Flint's EBL pre-switch compared to other communities of similar age and make-up seems to indicate that Flint was doing fairly well at lowering levels before the water. We cannot rest on the fact that DWSD fixes the lead problem, but we also cannot conflate the catastrophe of the water with general lead risks. Anyone who does that will not be taken seriously by Flint residents.

Chubb <achubb@cityoffiint. com>; Brent Wright <bwright@cityofflint com>; Lytle, Darren <iytle Darren@epa gov>; Dayne Walling Deborah Higgins <DeborahC @mottche.org>; donna. cole dykemal <[email protected]>; Eden Wells (DHHS) <welise3 @michizan.gov>; edwardsm <[email protected]>; George Krisztian (DEQ) <krisztiang @michigan.gov>; Gerald (Jed) Natzke <[email protected]>; Howard Croft James Henry <[email protected]>; Jamie Gaskin are>; Jason Lorenz <Jorenz@cityofflint com>; jmikewright <jmikewright @yahao.cam>; JoAnne Herman <[email protected]>; John O'Brien <ffobrien @gcdewws.com>; Kevin J. Keane <KEVIN KEANE @emsenergy.cam>; Kirk Smith <[email protected]>; larry [email protected]; Laura Sullivan <dr Jaura2 @emait. com>; Lawrence Reynolds Lawrence Reynolds <[email protected]>; Michael Glasgow <mphissow @ cityofflint com>; Schock, Michael <Schock. [email protected]>; Wright, Michael <Wright. Michael @epa.gov>; Mike Lane <[email protected]>; Mike Prysby (DEQ) <prysbym@michigan cove; MVALACAK @eche.us; Natasha Henderson <nhenderson@cityatfint com>; Norb Birchmeier <[email protected]>; Pete Levine <[email protected]>; Robert Bincsik <rbincsik@citvofflint. com>; [email protected]; Russell Hudson <Russeli. Hudson @mctaren.cre>; Samir Matta <[email protected]>; Sean Kammer Shawn Patrick McElmurry <[email protected]>; Stephen Busch (DEQ) <8USCHS@michigan gov>; swalser@senatedams ors: thompsons2 @michigan.gov; Warren Green <[email protected]>

| Darren; Dayne Walling; Higgins, Deborah; donna. cole; Dykema, Linda D. (DHHS); Wells, Eden (DHHS); Krisztian, George (DEQ); Gerald ied) Natzke; James Henry; Jamie Gaskin; Jason Lorenz; jmikewright; JoAnne Herman; John O'Brien; Kevin J. Keane; Kirk Smith; [email protected]; Laura Sullivan; Michael Glasgow; Schock, Michael; Mike Lane; Prysby, Mike (DEQ); [email protected]; Natasha Henderson; Norb Birchmeier; Pete Levine; Robert Bincsik; [email protected]; Russell Hudson; Samir Matta; Sean Kammer; Shawn Patrick McElmurry; Busch, Stephen (DEQ); [email protected]; Thompson, Sheryl D. (DHHS); Warren Green

Walling; Higgins, Deborah; donna. cole; dykemal; Eden Wells (DHHS); George Krisztian (DEQ); Gerald (Jed) Natzke; James Henry; Jamie Gaskin; Jason Lorenz; jmikewright; JoAnne Herman; John O'Brien; Kevin J. Keane; Kirk Smith; Jarry. koehler @mec.edu; Laura Sullivan; Michael Glasgow; Schock, Michael; Mike Lane; Mike Prysby (DEQ); MVALACAK @gchd.us; Natasha Henderson; Norb Birchmeier; Pete Levine; Robert Bincsik; ras¢io @risu.edis; Russell Hudson; Samir Matta; Sean Kammer; Shawn Patrick McElmurry; Stephen Busch (DEQ); [email protected]; thompsons? @michigan.gov; Warren Green

Howard, For clarity, of those hundreds of samples how many are with the flawed sampling method and how many are done with the appropriate sampling method? Thanks, Andy

Walling’; Deborah Higgins';'donna. cole’;Dykema, Linda D. (DHHS);Wells, Eden (DHHS);Krisztian, George (DEQ);'Gerald led) Natzke’;'James Henry’;Jamie Gaskin';Jason Lorenz’;jmikewright’; JoAnne Herman’;John O'Brien’;'‘Kevin J. Keane’;'Kirk Sullivan’; Lawrence Reynolds’;'Lawrence Reynolds';'Michael Glasgow’;’Schock, Michael’;'Mike Lane’;Prysby, Mike (DEQ);MVALACAK @gchd.us;' Natasha Henderson’;'Norb Birchmeier’; Pete Levine’;'Robert Hudson’;'Samir Matta';'Sean Kammer';'Shawn Patrick McElmurry’;Busch, Stephen Sheryl D. (DHHS);'Warren Green’

Higgins; donna. cole; dykemal; Eden Wells (DHHS); edwardsm; George Krisztian (DEQ); Gerald (Jed) Natzke; James Henry; Jamie Gaskin; Jason Lorenz; jmikewright; JoAnne Herman; John O'Brien; Kevin J. Keane; Kirk Smith; [email protected]; Laura Sullivan; Lawrence Reynolds; Lawrence Reynolds; Michael Glasgow; Schock, Michael; Mike Lane; Mike Prysby (DEQ); [email protected]; Natasha Henderson; Norb Birchmeier; Pete Levine; Robert Bincsik; [email protected]; Russell Hudson; Samir Matta; Sean Kammer; Shawn Patrick McElmurry; Stephen Busch (DEQ); swalser@senatedems. org; [email protected]; Warren Green

Higgins; donna. cole; Dykema, Linda D. (DHHS); Wells, Eden (DHHS); edwardsm; Krisztian, George (DEQ); Gerald (Jed) Natzke; James Henry; Jamie Gaskin; Jason Lorenz; jmikewright; JoAnne Herman; John O'Brien; Kevin J. Keane; Kirk Smith; [email protected]; Laura Sullivan; Lawrence Reynolds; Lawrence Reynolds; Michael Glasgow; Schock, Michael; Mike Lane; Prysby, Mike (DEQ); [email protected]; Natasha Henderson; Norb Birchmeier; Pete Levine; Robert Bincsik; [email protected]; Russell Hudson; Samir Matta; Sean Kammer; Shawn Patrick McElmurry; Busch, Stephen (DEQ); [email protected]; Thompson, Sheryl D. (DHHS); Warren Green

Hi Howard, | ' Can you confirm when Flint will move away from the testing mode that includes flushing? Thanks, xxxEND_PAGE:deq03_b286_0445_0867_232 Andy

Hi Howard, Can you confirm when Flint will move away from the testing mode that includes flushing? Thanks, Howard: Thanks for arranging the maating today. i didn’t catch all of what Natasha (and others} said on the fine bub was intrigued when | heard her rnention @ fact sheet or some information on Lead that was taken from a city in MA. Can you/she forward that URL for our review and consideration? During the fast call, | alse noted my concern regarding boll advisories during a lead ernergency and wanted to provide a fink that documented what i said about Lead (and nitrates for that matter) being concerttrated upon heating. ‘py Lastly, | couldn’t hear who made the comment, but i agree that infants are likely the most vulnerable of concern. So, i was wondering if the clinicians/health practitioners in the room might consider partnering or spearheading an outreach effort te target axnectant mothers with the Filters that are being provided. Not sure if this is best done via prenatal clinics, delivery hospitals, OB-GYN departments, or lactation management specialists, etc. The public health practitioners might also be able to use this emergency as another reason to advocate breastfeeding (vs infant formula). Thanks, Mike com>; Lytle, Darren <iytle Darren @ena.gov>; Dayne Walling Deborah Higgins <DeborahC @mottche.org>; donna. cole dykemal <dykamai@rnich gay>; Eden Wells (DHHS) <welise3@michigan. gov>; edwardsm <[email protected]>; George Krisztian (DEQ) <krisztiang@ michigan.gov>; Gerald (Jed) Natzke <[email protected]>; Howard Croft <heroft@citvotflint. com>; James Henry <[email protected]>; Jamie Gaskin i) Jason Lorenz <forenz@cityoffiint. com>; jmikewright 4 xxxEND_PAGE:deq18_b501_3625_3630_4 <imikewright @yahoo.com>; JoAnne Herman <[email protected]>; John O'Brien <[email protected]>; Kevin J. Keane <KEVIN. KEANE @omsenergy.cam>; Kirk Smith <kamith@ tint. ore>; larry [email protected]; Laura Sullivan <drfaura? @gmail.com>; Lawrence Reynolds <LawrenceR @mottche. org>; Lawrence Reynolds <[email protected]>; Michael Glasgow <mglasgow @citvofflint.com>; Schock, Michael Wright, Michael <Wright. Michael @epa.gov>; Mike Lane <[email protected]>; Mike Prysby (DEQ) <grysbym @ michigan. gov>; MVALACAK @echd.us; Natasha Henderson <nhenderson@cityotflint. com>; Norb Birchmeier <nbirctirn? @hurleviric. com>; Pete Levine <[email protected]>; Robert Bincsik <rbinesik@cityotfint. com>; [email protected]; Russell Hudson <Russell. [email protected]>; Samir Matta <[email protected]>; Sean Kammer Shawn Patrick McElmurry <s.mcelmurry@ wayne.edu>; Stephen Busch (DEQ) <[email protected]>; swabser@senatedams org; thompsons27 [email protected], Warren Green <jwareen @lar-ine.com> Subject: Technical Advisory Team Information All, Enclosed please find the weekly update along with the agenda for next weeks Technical Advisory Committee meeting. The time and location remain at City Hall on the 3rd floor at 2:00 pm. There is a conference call in number available and we have modified the speaker system to accommodate all those who call in. If there are any questions, please do not hesitate to contact me. Thank you, Howard Croft Public Works Director City of Flint 1101 S. Saginaw Street Flint, MI 48502 PH# 810.766 i] Howard Croft Public Works Director City of Flint 1101 S. Saginaw Street Flint, MI 48502 PH# 810.766.7135 Ext.2043 xxxEND_PAGE:deq18_b501_3625_3630_5 | Howard Croft : Public Works Director : City of Flint : 1101 S. Saginaw Street : Flint, MI 48502 | PH# 810.766.7135 Ext.2043 [email protected] Howard Croft Public Works Director City of Flint 1101 S. Saginaw Street Flint, MI 48502 PH# 810.766.7135 Ext.2043 xxxEND_PAGE:deq18_b501_3625_3630_6

Higgins; donna. cole; Dykema, Linda D. (DHHS); Wells, Eden (DHHS); edwardsm; Krisztian, George (DEQ); Gerald (Jed) Natzke; James Henry; Jamie Gaskin; Jason Lorenz; jmikewright; JoAnne Herman; John O'Brien; Kevin J. Keane; Kirk Smith; larry. [email protected]; Laura Sullivan; Lawrence Reynolds; Lawrence Reynolds; Michael Glasgow; Schock, Bincsik; roseiechmsu.ediz, Russell Hudson; Samir Matta; Sean Kammer; Shawn Patrick McElmurry; Busch, Stephen (DEQ); [email protected]; Thompson, Sheryl D. (DHHS); Warren Green