Correspondence between

I'm ina meeting. | will run it by zip later so we can compare. Again | doubt that | can finish it tonight. If we extracted by different variables that may be the reason, but | won't know until we can look at it. Sent from my iPhone

Bob and Patti ~ Can you explain why Bob’s total for 2014 (143,123 ~ see attached) is bigger than Patti’s (141,355) . is this because bob uses report date and Patti used specimen date? xxxEND_PAGE:dhhs03_b0758_2644_2650_3 002647

Until Junaicl has access to the warehouse, Pattl with Yan's additional support would be updating the blood leed test counts. Once Junaid has acress to the warehouse data he should be able to take this function an. {My understanding was that Patti has already demonstrated to you [Martha, Linda, Junaid] haw she pulis the data from the warehouse and then can provide SAS code for the analysis to Junaid.)

The other reporter was given counts by county. But only for verious, as | understand it. So this needs to be rerun and then suppression applied. And we probably should give the same information to the other reporter. Patti — are you OK with this?

But it seems to me that we should not release counts less than 6 — those cells should be suppressed. Your thoughts?

Attached is the draft renort as requested by the Governor’s office. Please do not share with anyone as it is not yet final. The time for these discussions, at least for this version of the report, was last week and we do not have any additional time to make changes. Maybe on the next version or when the epi analysis has transitioned to DEH.

"rn not sure | see the relevance of Genesee county coverage, if the question is “context” for Flint, by which | would interpret that a5 meaning comparison with something else (could be all MI, another dernographically similar city, or - people ir, Genesee County who aren't drinking the water}. So | guess the question, once again, is: whatis the question? If you exclude flint from Genesee county, the Yo=25 for Genesee county outside Flint goes way down, of course,

| was asked to report Michigan, Genesee and Flint. Flint is in Genesee county If you exclude Flint you are not reporting Genesee County, You are reporting out county. If you want out county Genesee you can subtract. | discussed this earlier with Corinne and Sarah-that the county adds more to the denominator. Also if you look at the number positive you will find most are in Flint. The out county approach works better for Detroit/Wayne because of numbers, but this approach also feeds the Us Vs. them mentality, by excluding the major urban center from the county. In Genesee's case | see little reason to exclude Flint from the county total. The health department serves the county, unlike Wayne and Detroit. Sent from my iPhone