Correspondence among

Template.doc; DCH-1277 IRB Initial Review Application.doc Angela or Jennifer, Please see Dr. Edwards email below, and my draft response to him. I’m not very happy with him right now, but tried to respond appropriately. Given the sensitive nature of the situation, I’m checking with you first. Nancy is on annual leave, but I’ve CC’d her here. Is it OK to send this? Please feel free to make changes as appropriate. |’m also asking if it's OK now to share the attached PDF with Dr. Edwards and Dr. Hanna-Attisha. Thanks, Bob Marc, As you well know, the data you and Dr. Hanna-Attisha are requesting are derived from personal health data, which of course is confidential. There are state and federal laws governing what can be shared, and how, with researchers or the public, In addition, my Department has policies on how to determine what can be shared. | worked with you earlier this month to get data to you relatively quickly, but did not manage to complete the process before | went on annual leave for several days. | neglected to inform you that i'd be away, and | apologize for not informing you. Unfortunately we are a very smail program, and there’s no one else here to process your request—or Dr. _Hanna-Attisha’s. Since | returned on Wednesday, my time has been largely taken up with my Department's response to the current situation in Flint. | did manage to correspond to Dr. Hanna-Attisha, and provided her with the forms she’ll need for her request. | hope to submit her request to our Legal office and to our IRB contact today. Sorry | haven’t responded to your email from Monday—as | mentioned above, | was away, and then have been juggling many tasks since | returned. | think you'll be able to get approval for data with zip code identified. Ml edit your data use agreement accordingly, and will adjust it to say “limited data set” instead of “de-identified.” I'll re-submit your DUA to Legal today, You will need to submit an MDHHS IRB review application (attached) because this is considered research. You should also submit a “HIPAA Waiver Request” (attached). (1 wasn’t aware of that when we talked earlier this month.) | don’t know whether you’ll need to go through an IRB review with your institution. I've also attached a PDF that includes the numbers behind the graphs you referred to, and ’m CC’ing Dr. Hanna-Attisha so that she has it as well. Bob xxxEND_PAGE:dhhs02_b0940_3256_3344_64 003320 Robert L. Scott Childhood Lead Poisoning Prevention Program Michigan Department of Health & Human Services (S17) 335-8178 fax (517) 335-8509

The Next Stens slide no longer recornmends that the city declare a health advisory. it now says ‘support city’s health advisory’. Hf Flint will be issuing a health advisory, will Genesee County support this? Angela