Correspondence between

data confirms higher blood-lead levels in Flint kids Dear Brenda, After seeing Gongwer on Friday AM, I contacted Corinne to understand what was going on, Linda Dykema and Angela later pulled in Epidemiology. I come 3 xxxEND_PAGE:dhhs02_b0241_0907_0974_28 000935 out of environmental health (cut my teeth on superfund site in a politically complex area) and can appreciate sensitivity on multiple fronts, as well as appreciating the analyses of data at the local level (well done). It would benefit all of us for epidemiology staff to be pulled in as quickly as possible in the future, so that Patti and I can assist Cristin, that we can. weigh in on design. issues, and we can make sure that we are not at cross purposes when Angela requests a response. Cristin's response will take some time. Cristin and | discussed an approach on Friday before we received the report from Angela with the updated counts. We will take a look this AM and revise our approach. . Sarah Sent from my iPad On Sep 28, 2015, at 8:45 AM, Fink, Brenda (DCH) <[email protected] v> wrote: Obviou sly this is uber high 4 xxxEND_PAGE:dhhs02_b0241_0907_0974_29 000936 profile- --sO We just need to be sure we're about the data, which as you and Sarah likely know, is under a lot of scrutiny becaus e some of the local folks have differen t data (done differen tly, lots of issues-- --just this involve s people who care deeply about the commu nity, Larry Reynol ds who is now on our iM Exec Team, etc) m just 5 xxxEND_PAGE:dhhs02_b0241_0907_0974_30 000937 saying sensitiv ity to the local people who are so concern ed about the babies there based on what they have for data is a context that is importa nt, beyond the high profile and other issues . My comme nt has nothing ta do with the data itself. J ust the context of very concern ed people. Doesn "t impact our xxxEND_PAGE:dhhs02_b0241_0907_0974_31 000938 data... obvious ly. It’s just there’s a people side to this issue that someti mes gets lost when someth ing become sso politiciz ed. jus t for us, | guess. Brenda Fink, ACSW, Director, Division of Family and Communi ty Health Michigan Departme nt of Heaith and Human Services 109 W. Michigan Ave. Lansing, MI 48933 517-335- 8863 Fax: 517 -335- 8697 fi mi

Dear Brenda, After seeing Gongwer on Friday AM, I contacted Corinne to understand what was going on, Linda Dykema and Angela later pulled in Epidemiology. I come out of environmental health (cut my teeth on superfund site in a politically complex area) and can appreciate sensitivity on multiple fronts, as well as appreciating the analyses of data at the local level (well done). It would benefit all of us for epidemiology staff to be pulled in as quickly as possible in the future, so that Patti and I can assist Cristin, that we can weigh in on design issues, and we can make sure that we are not at cross purposes when Angela requests a response. Cristin's response will take some time. Cristin and I discussed an approach on Friday before we received the report from Angela with the updated counts. We will take a look this AM and revise our approach. Sarah xxxEND_PAGE:dhhs03_b0772_2818_2821_2 002820 Sent from my iPad Obviously this is uber high profile---so we just need to be sure we’re about the data, which as you and Sarah likely know, is under a lot of scrutiny because some of the local folks have different data (done differently, lots of issues----just this involves people who care deeply about the community, Larry Reynolds who is now on our iM Exec Team, etc) I’m just saying sensitivity to the local people who are so concerned about the babies there based on what they have for data is a context that is important, beyond the high profile and other issues . My comment has nothing to do with the data itself. Just the context of very concerned people. Doesn’t impact our data... obviously. It’s just there’s a people side to this issue that sometimes gets lost when something becomes so politicized. Just for us, I guess. Brenda Fink, A.C.S.W. Director, Division of Family and Community Health Michigan Department of Health and Human Services 109 W. Michigan Ave. Lansing, MI 48933 517-335-8863 Fax: 517-335-8697 finkb@michigan gov