Correspondence between

| 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------

Okay....f just dort want peaple falling through the cracks. TorwwL LaRocco Ms, RN Director of Nursing Services Genesee County Healih Depariment 810.237 4544 [email protected] Se o. werk BO GaaBe, RES sOee, £8 tases dew’ ate ra fF oe. é a & rat . . z geonstance, chaos te eetes, conpasine & obenig, f wend ale a feast a ease whe a howe, a Sh ee a frvord, Grade Wake saber sense af our past, dolege coats. fos tala, get cmeates a ase fom Gemcnnsis~ 8 intended for ihe excuse . you are 4 of the content use of the addressee and may contain ded recipient, any d ute, u nsfribation, ted. HP you he scehved this &- Stroy alloomles Thank you, fidential or pros ney Of any sothon iy Ing f HF a website al hitec/Awwwy For & copy o' he Health Department's Notice of information Practices, contect the Health Denartrnent ar visit the Heallh ond uss Department's

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

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

xxxEND_PAGE:dhhs02_b1194_4563_4568_1 004564 Where are we with this issue? Bath the case rnanagement and how itis being sent to the state data base? Toni L LaRocco MS, RN Director of Nursing Services Genesee County Health Department 610.237 4544 [email protected] femny lensak pele i a . e os elf thee fellhes OP 8 if ihe, fb Laees wheal we have ote é g : : oot fear U8 683 ty, 10 ean taser a meal its RUS & howe, & Suranger Fesed va if Ea baa, dad eeaates & aisir See Comores, f f HS SENS OE Par £48, heise Posie soe 2 ive use of the ad ended recipier aoe For a copy Deparment h Deparmeni’s Notice of information Practices, contact the al Rip Awa sohd us! jeaglin Decariment or visi

Given that this is a research study, the Hurley lab may not be handling the results in the same way as they handle other lead tests. Can the lab be contacted and asked about that, by someone on Dr. Hanna-Attisha's team? If the results are handled under a research protocol, would the results be required to be reported under the Public Health Code, or would they be considered confidential under the terms of the consent form signed by the research participants? In other words, what does the research protocol and the consent form say? | assume/hope the family would would welcome a home intervention, but need to be sure the research protocol re confidentiality isn't being violated. If it appears that way, then someone on the research team should get consent from the family for public health followup, | would think.

Right, of interest is that this is cord blood from a newly born baby....!!! There should be NO lead...

Jori and Eden, Please see below. Please note that this is a result below 5. We are happy in this extended circumstance to follow this family. | am off next week and will need you Eden, to advocate with state for the follow up by case managers as it does not fit the specified criteria. Merry Christmas! Toni Toni LaRocco MS, RN Director of Nursing Services Genesee County Health Department Begin forwarded message: xxxEND_PAGE:dhhs03_b0219_0833_0835_1 000834 Date: December 20, 2015 at 11:46:15 AM EST

Hello Here is the weekly report for the week ending 12/11/15. Thank you Kim Noble RN, BSN Public Health Nurse Genesee County Health Department G-3373 S. Saginaw Street Burton, Mi 48529 Telephone: 810- 237-4571 Fax: 810- 237-4612 **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 hits s/ xxxEND_PAGE:dhhs02_b0447_1804_1805_2

Good morning Here is our weekly status report for the week ending 12/4/15. Thank you Kim Kim Noble RN, BSN Public Health Nurse Genesee County Health Department G-3373 S. Saginaw Street Burton, Mi 48529 Telephone: 810- 237-4571 Fax: 810- 237-4612 **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 bitp.//www.echd us! xxxEND_PAGE:dhhs03_b0469_1709_1710_2