Correspondence between

Zbc5f5b-Miller Corinne] ce: Dykema, Linda D. (DHHS) Administrative Group Linda D.]; Stanbury, Martha (DHHS) Administrative Group Martha]; Scott, Robert L. (DHHS) Administrative Group Robert L.]; McKane, Patricia (DHHS) Administrative Group Patricia}; LyonCallo, Sarah (DHHS) Administrative Group 1b6a0c8fbbO-LyonCallo Sarah]

December 11.pdf Good morning: Attached for your review please find a draft press release to accompany the December 4 report. Please let me know if you have any edits or concerns before 11:30 a.m. Thank you, Jennifer Eisner Public Information Officer Michigan Department of Health and Human Services 5 k@rnichigan gov xxxEND_PAGE:dhhs02_b0124_0405_0405_1

All- A reporter with Bridge Magazine is requesting the statewide 2014 (and if possible, 2015} CLPPP data. Bob sent me the attached county-level info for 2014 which | have net shared yet, as it’s not the final report. We would like to touch base to make sure the data has been finalized and reviewed by epi before it's posted online. Eden ~ we'll reach out to you in the morning to discuss the media request. Beyond the data, the reporter is also interested in discussing home lead investigations. Jennifer Eisner Public information Officer Michigan Department of Health and Human Services Office: 517-241-2112 or [email protected] : Cell

Ail- A reporter with Bridge Magazine is requesting the statewide 2014 (and if possible, 2015) CLPPP data. Bob sent me the attached county-levei info for 2014 which | have not shared yet, as it’s not the final report. We would like to touch base to make sure the data has been finalized and reviewed by epi before it’s posted online. Eden — we'll reach out to you in the morning t6 discuss the media request. Beyond the data, the reporter is also interested in discussing home lead investigations. Jennifer Eisner Public information Officer Michigan Department of Heaith and Human Services Office: 517-241-2112 or Eisner|@michigan.gov

1. EBLinvestigations: the investigation report, including the water information, should be provided to the MDHHS Healthy Homes Section within two weeks on average after the investigation is completed. This includes time for receipt of specimen test results (water, dust wipes, soil). 2. Elevated EBLs: there were 18 children with elevated EBLs shown in the summary report as of October 30, 2015. | have the more detailed age breakdown for the updated report which would show data from 10/1/2015 to 11/13/2015. There are 22 children with elevated EBLs. Of children < 6, 14 have levels 5 — 14, 2 have levels 15 —44. Among children 6 to 17 years, 5 have levels 5— 14 and 1 has a level 15-44. In summary, 19 children fall into the 5 — 14 category and 3 in the 15 -44 category. So most kids are in the 5 — 14 mcg/dL category if they have elevated EBLs. The table is attached. Epidemiology is not planning on sending these more detailed tables up to you routinely, but this table gives you a feel for the testing by age group and whether or not the test, if known, is venous or capillary. Corinne xxxEND_PAGE:dhhs02_b0600_2199_2199_1

Epi is running data for # of tests and # of tests >= 5 micrograms per deciliter between January 1, 2013 through April 14, 2014 for Flint residents in these age groups: Children < 6 years old Children 6 through 17 Adults who are 18 and older. | spoke with Michelle Bruneau and she will make changes to the one-page summary once we have the numbers (hopefully by 5 PM or shortly thereafter today). Michelle thought it would be better to have context for the three age groups that are already shown on the one-page summary rather than focusing on children < 6 only. (As mentioned, Eden was fine with the proposal when | spoke with her this afternoon.) Michelle will make the changes and you can see if they are helpful. In terms of the two Zips that are in the summary but not in the trends, the numbers were too small to be included in the trend line. It makes sense to include them in the summary though because they do show some testing activity. Corinne xxxEND_PAGE:dhhs02_b0598_2192_2192_1

Follow-up to your request in our discussion fast Friday.

Thank youl! Jennifer (Smith) Eisner Public information Officer Michigan Department of Health and Hurnan Services SEY-241-2242

100715.docx Here are the tables for resnanse to the FREEP.

Jennifer, The MCH epiderniology statf has provided the SAS code for the Poisson regression which is attached. For your information, Linde Dykerna js the lead toxicologist, The orediction modeling for Flint ts stl being worked on internally between the MDHHS and MBEOQ. Therefore it has not been finalized. With regard to data on other cornmmunities, childhood lead poisoning program and epiderniology staffs will be meeting ASAP to discuss next steps on data requests and analyses. We need to work out childhood EBL monitoring for Flint and then discuss next steps in terms of ather communities. t don’t think either Nancy or f can give a timeline for other communities at this point lexpect we would look at Detroit after Flint. Wes Priern reports to Linda Oykerna, who reports ta me. ican coordinate contact with Wes as Linda ts Hhely to be busy on Flint water for some time. For federal funds smecific to lead hazard control, Exetrait, Muskegon County, Wayne County ard MDBHHS currently receive funding from HUD. Wayne County is operating on what staff beliave is a one-year extension. MDHHS steff indicate that Wayne County's HUD lead hazard control grant originally had an end date of this past June. Counties or cities receive other HUD funds and they right use some of those to address lead hazards but it is impossible for us to track those tyoes of expenditures as they would be wragped into other nrojects. Corinne

Corinne and Mikelle: Attached please find the most recent Flint talking points which include edits from Dr. Wells. A 12:30 meeting with the gov’s comms team was just called, so we need to have them finalized and ready to share asap. Can you please send me the bullet points explaining the data — or what is ready of them — by noon? Thank you, Jennifer (Smith) Eisner Public Information Officer Michigan Department of Health and Human Services 517-241-2112 xxxEND_PAGE:dhhs02_b0919_3112_3112_1