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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.

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

One more update with newer numbers and addition to notes. Do you want it sent to Karen before call? She had requested it prior to call. | think Toni wants a copy too if you think it is alright. Kim Noble RN, BSN Public Health Nurse Genesee County Health Department G-3373 S. Saginaw Street Flint, MI 48529 Telephone: 810- 237-4574 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 1 xxxEND_PAGE:dhhs03_b0592_2011_2012_1 002012 action in relate of the contents of this e-rriil is strictly prolibéted. If you NR¥Pe reweived this e-mail in error, please notify mre YA e- mill afd permanently dekte the original anid destroy ali copies. Tik you. Fer a copy of the Hevlth Depattment’s Nvtice of Informution Practices, contact the Hetlth Department or visit the Hreaith Department's website at htteWwongeherisc ys! xxxEND_PAGE:dhhs03_b0592_2011_2012_2