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MDHHS Flint Water Action Plan- week ending 11/30/15

Updated/new items in BOLD. Highlights: e Draft press release and BLL report (for period 10/1/15-10/30/15) completed @ Water sampling protocol no longer includes pre flushing of lines e Developing enhanced strategies to accelerate BLL testing of children 0-6 xxxEND_PAGE:dhhs03_b0253_0968_0968_1

Weekly Flint Action Plan Summary

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

Follow-up for 3:30 call---regulatory versus approved EPA/DEQ levels

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

FW: Hurley Hospital's bulletin regarding Flint water

Mikelle has been told the Genesee Health Department will also be at the press conference today in Flint with the below groups. They have put together a fact sheet on lead and water that they will be sending us this afternoon. xxxEND_PAGE:dhhs02_b1261_4735_4737_1 004736 Angela and | have just gotten off the phone with Nancy Peeler and Bob Scott anc are putting together talking points about this “study” that the physicians will be discussing that claims an increase in EBL in children since the change to the water system source. DEQ will be answering the questions as to why the city cannot just switch back to the Detroit system and how that won't solve the problem. We will answer the health questicns. The City of Flint is also issuing a water advisory today to educate residents and has also asked the Governor for $30 million. issue lead