F Flint Water Crisis Public Archive

Mark Valacak

Lecturer II in Public Health and Health Sciences, College of Health Sciences at UM Flint / Flint Higher Ed

Also known as Aladale, Mark le

56

Emails

Oct 2014–Jan 2016

Archive range

56 emails found.

Re: Whaley Childrens Center 1201 N. Grand Traverse

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| met with Michelle Johnson, Director of Operations. On 10/16 United Way delivered filters to Whaley. Whaley recently replaced filter cartridges, because red indicator light. Children drink only bottled water from many donated sources. Whaley maintenance crew sampled water, but mistakenly only filled the liter bottles 1/2 way to top. The 2.516ppm is the employee restroom @ admin building. It's a newer hand sink fixture, but old plumbing. | couldn't remove aerator to check for lead particulate, because of the fixture design. No valve, so posted "Do Not Use." At the extreme level, | want to check with MDHHS toxicology regarding potential risks from lead residual from hands to mouth (not skin absorption) e 213 is off site at Rotary and no children are there. It will be posted or made inaccessible until demonstrated to be safe. e 029 is a classroom and concerning. Michelle will check in morning to see if it is drinking water and follow up with me. e Tomorrow appropriate resampling is scheduled by Whaley staff. | recommended sampling drinking fountains also and make them inaccessible until demonstrated safe. e Michelle estimated 27 children at Whaley, A. None age 0-5, B. One age 6, Cc. Oneage8 D. Twenty-five age 11-16. e Michelle indicated most children have same Hurley doctor, but not sure who physician's name. e She referred me to Michelle Shamel, Whaley's Director of Clinical for information regarding blood testing and physician. I'll follow up with her in morning. Jim Sent from my phone. woeeee Original message------

RE: Enhanced Lead testing

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5 2echd >, "Cupal, Suzanne" <5 : Enhanced Lead testing ican send whatever you need to my VFC Providers and Non-VFC Provider email lists. f also have an OB/Gyn email list. My program secretary should be able to change the news screen on MCHA... Lat me know what ineed te do. Jori Jori July MSN RN ANP-BC PHN Supervisor Genesee County Health Department [email protected] (810) 237-4543

FW: Whaley Childrens Center 1201 N. Grand Traverse

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Linda & Eden, Jim Henry our EH supervisor went out to Whaley last night after we got your call. Here is what he found and the actions taker. Mark Valacak, MPH, Health Officer Genesee County Health Department, 630 S. Saginaw St. Suite 4 Flint, Ml 48502-1540 Phone 810-257-3588 Fax 810 257-3147 Please corsider the environment before printing this e-mail. 1 xxxEND_PAGE:dhhs03_b0233_0876_0879_1 000877 “There are two lasting bequests we can hope to give our children: one is roots; the other is wings." Hodding Carter *NOTICE: This e-mail, inchiding attachments, is intended for the exclusive use of the addressee and may contain proprietary, confidential or privileged information. [f you are not the intended recipient, any disclosure, use, distribution, copying, or taking of any action iti reliance of the contents of this e-mail is strictly prohibited. If you hav: ved this e-mail in error, please notify me via e-mail and permanently delete the original and destroy all copies. Thank you. For a copy of the Health Department's Notice of Information Practices, contact the Health Department or visit the Health Departnient’s website at hity/Avww ge

RE: Whaley Childrens Center 1201 N. Grand Traverse

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Thanks, I'm stopping by Whaley tonight to make sure that no one is drinking the water and the concerns below are addressed. traceived the attached water results this afternoon and t will bring a copy to help me identify the fixture locations at Whaley. Lintend to have the manager shut off the valve at Z.5lGppm, 0.39 of the attachment. Results orp. 19, 29, 32, 39, 48 are all elevated at Whaley and others are concerning, 2 xxxEND_PAGE:dhhs03_b0233_0876_0879_2 000878 itis not common for us to receive the MDEQ daily report with this many lead results or the number of elevated in one location. We commonty receive between 1-15 general water results, which most are usually bacteria, partial chemistry and arsenic, mixed in with a few lead and copper. Fil report back what | find at Whaley. Jin Henry RS, MBA Environmental Health Supervisor 630 S. Saginaw St. Suite 4 Flint. Mi 48502-1540 Phone (810} 257-3618 Fax (810) 257-3125 E-mail |[email protected] Genuses Codrily

Whaley Childrens Center 1201 N. Grand Traverse

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Jim, | just got a call from Eden Wells and DEQ just told her Whaley CC was given sample results of 213ppm and 2516ppm from two fixtures. As this is a center for foster kids it would be a good idea if we verify they are not using those fixtures. Find out if they have filters or are using bottled water. Are the kids there seen by a physician and tested for lead? Have they notified their physician(s) of the problem? Thanks Mark Valacak, MPH, Health Officer Genesee County Health Department, 630 S. Saginaw St. Suite 4 Flint, Ml 48502-1540 Phone 810-257-3588 Fax 810 257-3147 xxxEND_PAGE:dhhs03_b0233_0876_0879_3 000879 Please consider the environment before printing this e-mail. "There are two lasting bequests we can hope to give our children: one is roots; the other is wings.” Hodding Carter *NOTICE: This e-mail, including attachments, is intended for the exclusive use of the addressee and may contain proprietary, confidential or privileged information. If you are not the intended recipient, any disclosure, use, distribution, copying, or taking of any action in reliance of the contents of this e-mail is strictly prohibited. If you have received this e-mail in error, please notify me via e-mail and permanently delete the original and destroy all copies. Thank you. For a copy of the Health Departuent’s Notice of Information Practices, contact the Health Department or visit the Health Department's website at i chd.us/ xxxEND_PAGE:dhhs03_b0233_0876_0879_4

FW: 12112015 FLINT BLOOD LEAD CM - weekly status tracking form v4 11.24.15.xIsx

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Toni l LaRocco MS, RN Director of Nursing Services Genesee County Health Department 810.237 4544 flarocco@achd us 28 Bags bat sae 2g AE tans ahal we Base ees Bre 2, oe " gle, ff Exeere é& nee 4 stn bape & mead MLS Ronegatee, GhaEs ke oedee, confewon Ue ebine lo & feast, & house stl & f . foe ra é ie bone, « stranger inte a fled Goatitude makes cease of van past, doings peace fox lodag, and é £8 2 me: 2? Ltalee 8 eneor per forcreis Mledidy oats ad for the exc if you are : # afin error, sflzane notty me vig amall and permanently delete the cradle an x! deduce al copies. Thank you. visit the Health Department's wepsiie a f informant: a ies. contact the Health Cepartment or nit anene GONE US,

Provider Message- Enhanced Blood Lead Screening- December 10, 2015

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Good morning, Please see the attached message that has been cleared for dissemination to Flint providers. Genesee County will blast fax and use their professional networks (GCMS, etc.) to disseminate to all providers. | have CC'd Dr. Mona Hanna-Attisha and Dr. Reynolds here, and they can distribute through their networks as well. Our Medicaid program will be working with the local health plans about lead screening recommendations based upon this message. This will also go out as a low-alert from our Health Alert Netowrk to appropriate Flint sites/providers, so | have CC'd Craig Henry. If there are any questions, please do not hesitate to contact me. Warm Regards, Eden xxxEND_PAGE:dhhs02_b1249_4708_4711_1 004709 Eden V. Wells, MD, MPH, FACPM Chief Medical Executive Michigan Department of Health and Human Services 201 Townsend Street, 5th Floor CVB Lansing, MI 48913 Phone: 517-335-8011 [email protected]

Re: request review of language for provider HAN on enhanced EBL testing

From
Mark Valacak
To
Unknown recipient
Dr. Carravallah of our Board of Health suggested adding a line. All people with Flint water should be advised to eat regular meals with a diet high in calcium, iron and Vitamin C to decrease lead absorption, mitigate the effects of lead exposure and to enhance the excretion of lead. Mark Valacak, MPH, Health Officer Genesee County Health Department, 630 S. Saginaw St. Suite 4 Flint, MI 48502-1540 Phone 810-257-3588 Fax 810 257-3147 E-mail [email protected] Please consider the environment before printing this e-mail. "There are two lasting bequests we can hope to give our children: one is roots; the other is wings." Hodding Carter *NOTICE: This e-mail, including attachments, is intended for the exclusive use of the addressee and may contain proprietary, confidential or privileged information. If you are not the intended recipient, any disclosure, use, distribution, copying, or taking of any action in reliance of the contents of this e-mail is strictly prohibited. If you have received this e- mail in error, please notify me via e-mail and permanently delete the original and destroy all copies. Thank you. 2 xxxEND_PAGE:dhhs02_b1249_4708_4711_2 004710 For a copy of the Health Department’s Notice of Information Practices, contact the Health Department or visit the Health Department’s website at http://www.gchd.us/

Re: request review of language for provider HAN on enhanced EBL testing

From
Mark Valacak
To
Unknown recipient
Maybe add a point “ Additional information and updates on Flint water is available at http://www. and www.gchd.us Mark Valacak, MPH, Health Officer Genesee County Health Department, 630 S. Saginaw St. Suite 4 Flint, MI 48502-1540 Phone 810-257-3588 Fax 810 257-3147 E-mail [email protected] Please consider the environment before printing this e-mail. “There are two lasting bequests we can hope to give our children: one is roots; the other is wings." Hodding Carter *NOTICE: This e-mail, including attachments, is intended for the exclusive use of the addressee and may contain proprietary, confidential or privileged information. If you are not the intended recipient, any disclosure, use, distribution, copying, or taking of any action in reliance of the contents of this e-mail is strictly prohibited. If you have received this e- mail in error, please notify me via e-mail and permanently delete the original and destroy all copies. Thank you. For a copy of the Health Department’s Notice of Information Practices, contact the Health Department or visit the Health Department’s website at http://www.gchd.us/

Fwd: 04857 7 pdf

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Sent from my iPad xxxEND_PAGE:dhhs02_b0430_1626_1628_2 001628 Begin forwarded message: Healthy Diet 504857 7. pdf www. Water-FightLead-Healthy Diet 504857 7.pdf attp/Avww mm 504857 7 pdf I 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 in a Community Ed talk since the pictures and layout were so eye appealing .We will have to review all handouts. Believe me, I 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_b0430_1626_1628_3

FW: McLaren Summary Report

From
Mark Valacak
To
Eden Wells , Susan Moran
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Eden & Sue, i don’t know how much infarmation your staff has shared with you about the legionella situation here. MBHHS staff has been informed that we have received a FOIA frorn an attorney reprasenting one of the positive cases who died, Lam sending some info which was already shared with your staff as some background material FYI Mark Valacak, MPH, Health Officer Genesee County Health Department, 630 S. Saginaw St. Suite 4 Flint, Mi 48502-1540 Phone 810-257-3588 Fax 810 257-3147 E-mail mvalacak@gchd us ses aase consider the environment before printing this e-mail. “Ther two lasting bequests we can hope to give our children: one is roots; the other is wings." Hodding Carter "NOTICE: This e-mail, including attachments, is intended for the exclusive use of the addressee and may contain proprietary, confidential or privileged information. If you are not the intended recipient, any disclosure, use, distribution, copying, or taking of any action in reliance of the contents of this e-mail is strictly prohibited, Hf you have received this e-mail im error, please notify me via e-mail and permanently delete the original and destroy all copies. Thank you. For a copy of the Health Deparhnent’s Notice of Information Practices, contact the Health Department or visit the Health Department’s website at hited /wenw. ech. us/

Summary of GCHD Lead Program Activities as of 11 (3)

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Hi, Pwanted to give you 2 aurnriary of the lead screering and case management activilies. i will not be on the call ihis aferrioon. Getting things set for Thursday. Overall, things went very well last week wilh @ much smaiier turnoul than hoped. Bul nol necessarily surpriging. Tori L LaRocco MS, RN Director of Nursing Services Genesee County Health Deparirnent 810.237 4544 [email protected] és S the fellhe £8 af £E basus what we have kee anougl, aad move, £8 axes oxen’ ibe 7 . EGA ‘ Bi i Pe ¢ ronpasin te be Séaey ia FE 2nx tava weak ile x frost, a: sone. E8 a howe, & &beaeger ie 2 4 e Ez HOR for domes, = cory) 9g, of faking of any ¢ foal in airar, ploase notty irs via ema and p seni Ge late ine engined and destroy gi Copies. “rise He you, For a copy Deparim Health Depenment’s Notice of Information Practices, contact the Healin Deparment or visi ihe Hea Swaleie at hitouAwww.cohd us! xxxEND_PAGE:dhhs03_b0571_1977_1978_2

Parent Letter and Attachments

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Good afternoon, Attached are the electronic files for the parent letter and the attachments. Thank you, Angela Minicuci Office of External Relations and Communications Michigan Department of Health and Human Services i. [email protected] www. michigan.gov/mdhhs 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:dhhs03_b0148_0369_0369_1

Provider Letter and Attachments

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Good afternoon, xxxEND_PAGE:dhhs03_b0165_0702_0703_1 000703 Attached is the final letter and attachments for the providers for distribution. Thank you, Angela Minicuci Office of External Relations and Communications Michigan Department of Health and Human Services www.michigan.gov/mdhhs 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:dhhs03_b0165_0702_0703_2

RE: Breast feeding and maternal lead exposure

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in adults when we see high levels it is generally an cecupational exposure and inhalation of lead furnes in industrial exposure settings like battery manufacturing, lead smelting, and stained fead glass. A courle of factors are irnportant to remernber when we are talking about lead exposure in achuilts versus children. Absorptians rates from gastrointestinal exposure are lower in adults versus children. So where a toddler might absorb about 50%, absorption rates decline in adults to 3-10%. About 90% of lead will end up in the bone where it mimics calcium, iicauses fess harm there than if it went to soft tosues ke the Hver or Rdneys. The problem is that under cireurnstances that cause calcium mabilzation, lead stured in the bane may remohilize and circulate in the blood, elevating blood lead levels. The mobilization af stored lead with pregnancy, menopause, and aging is a cause for concern, Sa to help mitigate that there should be an emphasis an good nutrition and a calcium rich diet. Pragnant and breastfeeding woman should be sure to take their vitamins te minimize calchirn rnobilization from the bones. Reinforcing these messages would help minimize exposure. 1 xxxEND_PAGE:dhhs03_b0161_0693_0696_1 000694 Mark Valacak, MPH, Health Officer Genesee County Health Department, 630 S. Saginaw St. Suite 4 Flint, Mi 48502-1540 Phone 810-257-3588 Fax 810 257-3147 Please consider the environment before printing this e-mail. "There are two lasting bequests we can hope to give our children: one is roots; the other is wings." Hodding Carter *NOTICE: This e-mail, including attachments, is intended for the exclusive use of the addressee and may contain proprietary, confidential or privileged information. If you are not the intended recipient, any disclosure, use, distribution, copying, or taking of any action in reliance of the contents of this e-mail is strictly prohibited, If you have received this e-mail in error, please notify me via e~mail and permanently delete the original and destroy all copies. Thank you. For a copy of the Health Department’ visit the Health Departinent’s website at iittn/Aweay. geh Notice of Information Practices, contact the Health Department or pus!

RE: Breast feeding and maternal lead exposure

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in achilts when we see high levels Nis generally an occupational exposure and inhalation of lead fumes in industrial exmasure settings like battery manufacturing, lead srnelting, arid stained lead glass. A couple of factors are irnportant to remernber when we are talking about lead exposure in achilts versus children. Absorptions rates frorn gastrointestinal exposure are lower in adults versus childre where a toddler might absorb about 50%, absarption rates deciine in adults to 3-102. About 90% of lead will and up in the bone where it mimics caicium. tt causes lass harm thers then if it went to soft tissues lke the liver or kidneys. The problem is that under circunistarices that cause calcium mobilization, lead stored in the bone rnay rernobilize and circulate in the blood, elevating blond lead levels. The mobilization of stored lead with pregnancy, menopause, and aging is a cause for concern. So to help mitigate that there should he an emphasis on good nutrition and a caicilurn rich diet. Pregnant and breastfeeding woman should be sure to take their vitarmins to minimize calcium mobilization from the bones. Reinforcing these messages would help minirnize exposure. Mark Valacak, MPH, Health Officer Genesee County Health Department, 630 S. Saginaw St. Suite 4 Flint, Ml 48502-1540 xxxEND_PAGE:dhhs02_b1141_3996_3999_1 003997 Phone 810-257-3588 Fax 810 257-3147 E-mail [email protected] Please consider the environment before printing this e-rnall. “There are two lasting bequests we can hope to give our children: one is roots: the other is wings.” Hoddig Carter "NOTICE: This e~ m including attac! hrenits, s intended for the Si e use of the addressee and may contain proprietary, contfidentis vient, any disclosure, use, distribution, copying, or taking of any action in reliance of the Sactents sak thi wed this e-mail inerror, please notify mie via e-mail and permanently delete the « ‘ginal and destroy all copies. Thank y For a copy of the Heaifli Department’s Notice of Information Practices, confact the Health Department or visit the Health Department’s website at bitp /Avww gchdas/

Fwd: FINAL Documents

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Hi folks, Here are the final materials from NDHHS on joint letterheads. The press release needs a comment from you all. Please send your final draft of press release to Angela and |. Based on when letters are printed and ready to be sent and ready to send out- this will be ready- will discuss timing for now. Eden Sent from my iPhone Begin forwarded message:

Fwd: FINAL Documents

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Hi folks, Here are the final materials from NDHHS on joint letterheads. The press release needs a comment from you all. Please send your final draft of press release to Angela and |. Based on when letters are printed and ready to be sent and ready to send out- this will be ready- will discuss timing for now. Eden Sent from my iPhone Begin forwarded message:

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