Correspondence among

Pro ok. with this.

case management resources continue for families I think it’s a great idea. I would like to do a joint announcement once we have an agreement with the significant parties involved. I think this is the type of collaborative effort that can really make a difference for the children in Flint going forward, especially on the preventive side.

Attached is updated Flint Action plan for week ending 11-13-15. Highlights this week: e GCHD completed nurse case management training e Community awareness event held at Brownell School e Congressional Call re: Ready to Feed Formula e = Call with the Agency for Toxic Substances and Disease Registry (ATSDR) xxxEND_PAGE:dhhs02_b0308_1215_1215_1

Importance: High This is the school-based modelling report of the TSG, the Toxic Subgroup comittee---and lists themembers

Eden V. Wells, MD, MPH, FACPM Clinical Associate Professor, Epidemiology Director, Preventive Medicine Residency University of Michigan School of Public Health 1415 Washington Heights, Ann Arbor, MI 48109 Tel: 734-647-5306 Fax: 734-936-2084 ewells@umich edu weeenenee= Forwarded message ----------

102515.docx; ATTO0002.htm; Provider letter_.DRAFT5 102515.docx; ATTO0003.htm I know Rep Neeley will want, from his request Friday, to see these versions, and I met with him at 10---- share or no? Sent from my iPhone Begin forwarded message:

| drafted a letter and sent up yesterday but had not heard back if | could send to him??? Sent from my iPhone Begin forwarded message:

Just got off phone with Jen Gray, our toxicologist who works with Linda. e She concurs with me that DEQ does NOT KNOW WHICH ZIPCODE these tests came from! e 15 ppb is the EPA actionable level e 4PPBis the residential limit DEQ uses to state that drinking water is safe AFTER an abatement or clean- up. e MDHHS Tox has NOT endorsed this 4 ppb level, and has been working with DEQ regarding this issue. This has implications for the exposure assessment protocol that they will be working on over the next two days with DEQ. e Right now, we cannot determine any other PH action other than turning of the water to all schools, however ,| will have a confirmation of this by Linda this evening--- e ?? and it is unknown on the MDHHS side if we can turn water back on if the school screens as nondetectable, because Linda needs to review the sampling method by DEQ. xxxEND_PAGE:dhhs02_b1031_3658_3661_3 003661 xxxEND_PAGE:dhhs02_b1031_3658_3661_4

"Note". Not nite . My apologies. E Sent from my iPhone

Follow Up Flag: Flag for follow up Flag Status: Flagged I'll let them know. Thanks!

“Experts are still working the data to determine exactly what it means, but the state takes lead seriously.” Should be revised, AHthough continued analysis is being conducted, the MDHHS analysis is consistent with the focal finding. (777)

All -- Attached are Nick's updated talking points, as well as updated general Flint talking points. These include the most current info about filters. Thank you, Jennifer xxxEND_PAGE:dhhs02_b1002_3577_3577_1

Please review

Sent from my iPhone Begin forwarded message: