Correspondence among

Emails where every selected person appears as a sender, recipient, or copied participant.

Comms Plan

Sara and Dave: Attached please find a proposed comms plan for your review — we will update the document with dates as the timeline comes together. Please feel free to give me a call with any questions, edits or suggestions. Thank you, Jennifer Eisner Public Information Officer Michigan Department of Health and Human S Office: LT gee ervices v xxxEND_PAGE:executiveofficeemails21_b0197_0418_0418_1

MDHHS Weekly Update

Press Releases: e ~=TBD - Flint EBL Data e Monday, November 23 — Family Health History e Tuesday, November 24 — Lung Cancer Awareness Month e Monday, December 30- Michigan 4x4 Grants Awarded Speaking Engagements: e Monday, November 23 — Chief Deputy Director Becker is speaking at the Bureau of Community Services staff meeting e Tuesday, November 24 — Director Lyon is speaking at the National Adoption Day event at the Hall of Justice e Tuesday, December 1 — Director Lyon is Speaking at a symposium on maternal health and mortality at the Henry Center Jennifer Eisner Public Information Officer Michigan Department of Health and Human Services Office: 517-241-2112 or Fisnerh@rnichigan. gov Cell i xxxEND_PAGE:executiveofficeemails21_b0195_0415_0415_1

Flint blood level data

Good evening, MDHHS friends, Here are suggested changes to the press release. | think it’s vitally important to have our “people first” approach, and be very up front about the results. | also think it’s important to show up high what we will do with this data. Please consider the changes. | also think it’s worth a conversation about whether we want to release this on a Friday morning. This is a challenging situation to be sure, but | think these results are fairly encouraging considering some of the heated rhetoric on this issue. Thank you, Dave FOR IMMEDIATE RELEASE CONTACT: Jennifer Eisner DRAFT (517) 241-2112 MDHHS releases October data outlining blood lead levels in Flint Results show 24 of 963 people tested had elevated levels LANSING, Mich. - Blood lead level testing results released today revealed that 24 of 963 adults and children tested in Flint in October had elevated levels, according to the Michigan Department of Health and Human Services. MDHHS is working closely with the Genesee County Health Department to reach out to families testing with higher levels and help them reduce their exposure to lead sources. Information was gathered from tests administered citywide to 963 children and adults between October 1 and October 30. Eighteen people age 17 or younger had elevated blood lead levels. Six adults over the age 18 were identified with elevated blood lead levels. The report is intended to inform residents about blood lead level testing efforts in Flint and provide cumulative total numbers. “Our goal is to help families reduce their exposure to lead sources,” said Dr. Eden Wells, chief medical executive with the MDHHS. “We have made 2 xxxEND_PAGE:executiveofficeemails21_b0610_1441_1444_2 progress in testing and identifying those with elevated blood lead levels, and the department will continue to work closely with county health department to reach these families. We will update these numbers on a regular basis and remain diligent in our ongoing outreach and education.” The data in the report include the total number of tests conducted and the total number of elevated blood lead levels greater than 5 micrograms per deciliter, and captures both capillary and venous blood tests. People who have had multiple tests are counted only once. The full report is posted online at www mich untwater and will be updated as more data becomes available. The testing is part of the state’s action plan to address health concerns related to Flint’s water infrastructure. Last month, MDHHS collaborated with the county health department and local partners to distribute educational resources and informational letter to Flint parents regarding lead testing. GCHD nursing staff are conducting direct outreach to families when an elevated blood lead level has been detected, serving as an important resources by addressing questions and concerns, providing information, and meeting them in their home environment. MDHHS continues to provide free water filters and replacement cartridges to Flint residents at four locations including the MDHHS Flint offices and the Genesee County Community Action Resource Department. For a full list of locations and hours of distribution, visit To help residents properly install water filters, and to demonstrate how to replace the original when it expires, MDHHS has created an instructional on the MOHHS Youfube chesnel, For additional updates on Flint water including updates on blood lead levels and testing results, visit #HH#

Flint EBL Data

Good afternoon: Attached, please find the blood lead level test results for Flint zip codes 48501-48507, as well as a corresponding press release and talking points. With your approval and edits, we are planning to notify 3 xxxEND_PAGE:executiveofficeemails21_b0610_1441_1444_3 external partners tomorrow at 9:30 a.m. then post the report on www. ic! finbwater and issue the press release at 10 a.m. Please let us know if you have any questions or concerns. Thanks and best, Jennifer Eisner Public Information Officer Michigan Department of Health and Human Services Office: 517-241-2112 or Eig cell __ PPI xxxEND_PAGE:executiveofficeemails21_b0610_1441_1444_4

Flint EBL Data

:2a¢>; Brown, Jessica Good afternoon: Attached, please find the blood lead level test results for Flint zip codes 48501-48507, as well as a corresponding press release and talking points. With your approval and edits, we are planning to notify external partners tomorrow at 9:30 a.m. then post the report on wiv ‘ter and issue the press release at 10 a.m. Please let us know if you have any questions or concerns. Thanks and best, Jennifer Eisner Public Information Officer Michigan Department of Health and Human Services or =: Dy xxxEND_PAGE:deq14_b0864_2866_2866_1

Robin Erb Interview - Dr. Wells

Hello — Today Dr. Wells had a phone interview with Robin Erb regarding blood lead levels in Flint. Robin said she’s hearing concern from parents who feel like they don’t know what to do. Robin heard about the parent letter and wanted to know what it contains, when it will be going out, and what other steps we’re taking to provide clear direction to residents. Dr. Wells confirmed that yes, we are working with the local health department to finalize a letter that will be distributed to parents in the next couple of days. Dr. Wells reminded her of the wv an.goy/Hintwater website that has been up since the first week of October, and said that many of those documents are being distributed through various channels by our partner and provider networks. She also acknowledged that in some areas this can be a difficult to reach population, and so it’s important that we think creatively about how to reach them — that we cannot rely solely on the news or internet. Dr. Wells emphasized that our priority population is children 0 — 6 years old, which is why the parent letters will be so beneficial. SAR IT Once the letter is ready to go, | told Robin we would share it with her. This is for a Sunday story. Jennifer (Smith) Eisner Public Information Officer Michigan Department of Health and Human Services 517-241-2112 xxxEND_PAGE:executiveofficeemails21_b0305_0637_0637_1

Updated MDHHS Talking Points

Attached talking points updated to include info re: extended hours for water filter distribution, school testing results, NSF filter certification. Thank you, Jennifer (Smith) Eisner Public Information Officer Michigan Department of Health and Human Services 517-241-2112 xxxEND_PAGE:executiveofficeemails20_b1642_4024_4024_1

Filter Update PR

Importance: High All — Attached for your review is an update about filter distribution to announce extended hours and reaffirm that these filters are certified to reduce lead in drinking water. Please let me know as soon as possible if you have edits. We’re aiming to get this out within the hour. Thank you, Jennifer (Smith) Eisner Public Information Officer Michigan Department of Health and Human Services 517-241-2112 xxxEND_PAGE:executiveofficeemails20_b1635_4015_4015_1

RE: DRAFT Action plan press release

This isn’t formatted yet, but wanted to get a version out there as | continue to work on this. | tried to focus on the human element, and where people can get information. Tried to be light on the jargon. Please give a quick read. Dave Oct. 2, 2015 For More Information: Sara Wurfel or Dave Murray ‘st, 517-284-6713, Angela Minicuci Gov. Rick Snyder: Comprehensive action plan will help Flint residents address water concerns Collaborative effort with state, federal and city leaders focuses on testing, assistance FLINT, Mich. — Flint residents need to have access to safe, clean, water now and long into the future, Gov. Rick Snyder said, announcing a comprehensive action plan created with state, federal and city leaders to address concerns about drinking water. The water leaving Flint’s drinking water system is safe to drink, but some families with lead plumbing in their homes might experience higher levels of lead in the water that comes out of their faucets. The action plan focuses on increasing water testing, offering additional precautions for families with lead plumbing in their homes, and providing long-term solutions to address the city’s water infrastructure challenges. The plan was xxxEND_PAGE:executiveofficeemails20_b0909_2476_2478_1 created at Snyder’s direction by the Michigan Department of Environmental Quality, and the Department of Health and Human Services, the U.S. Environmental Protection Agency, and the City of Flint. “We are deeply concerned by the lead results we are seeing in parts of Flint,” Snyder said. “People are worried about their health and their families, and they need to have accurate information. Today’s action plan builds upon ongoing work with state and federal agencies and our partnership with city and community leaders. Together, we are working to ensure that all Flint residents can feel safe and address potential problems.” The city and the state also are working together to gather more data to ensure the water that leaves the treatment plant as well as the water that arrives in Flint homes is safe for all residents. The plan includes: e Testing in Flint public schools immediately to ensure that drinking water is safe, with testing also available at no cost to any other school in Flint. e Expanding health exposure testing of individual homes. e Offering free water testing to Flint residents to assure their drinking water is safe. e Beginning an optimization of corrosion controls in the Flint drinking water system. e Convening a Safe Drinking Water Technical Advisory Committee to ensure the best technology, practices and science are being followed, and adding an expert from the Environmental Protection Agency’s Office of Research and Development to the group. e Accelerating water system improvements to address replacement of lead service lines. e Naming Dr. Eden Wells, chief medical executive for the Michigan Department of Health and Human Services, as the Flint drinking water public health adviser. e Providing Flint residents with water filters for their faucets. e Expanding a comprehensive lead education initiative to make sure residents have detailed information about to protect themselves and their homes. Expediting the completion of the Karegnondi Water Authority pipeline. Residents can have their water tested by calling 810-787-6537 and pressing 1, or emailing Sitiwates@ictyotinicom. Additional information is available at ywwyw.in State health experts said there has been an increase in elevated childhood blood lead levels in some specific communities. Initial analysis of MDHHS data found that blood lead levels of children in Flint have followed an expected seasonal trend. While this analysis for Flint as a whole remains true, a comprehensive and detailed review breaking down data by ZIP codes with the city revealed that MDHHS data is consistent with a study presented recently by Hurley Children’s Hospital. xxxEND_PAGE:executiveofficeemails20_b0909_2476_2478_2 “While we cannot conclusively say that the water source change is the sole cause of the increase, this analysis supports our efforts as we take active steps to reduce all potential lead exposures in Flint,” MDHHS Director Nick Lyon said. “As part of this, we are working closely with our public and private partners to provide Flint residents on MDHHS assistance programs with water filters and educate families about the steps they can take to reduce all lead exposures in their home.” As a part of the action plan, MDHHS is making National Sanitation Foundation certified water filters available to clients who are active Family Independence Program, Food Assistance Program, Child Development and Care or Social Security Insurance recipients. “This action plan offers concrete steps we will take in a local, state and federal partnership to ensure all Flint residents have safe water to drink,” DEQ Director Dan Wyant said. “The DEQ will work closely with the city to gather further data to ensure the water that leaves Flint’s system as well as the water that arrives in Flint homes is safe to drink.” HE Dave Murray Deputy Press Secretary | Executive Office of Governor Rick Snyder MurrayDl @ michiga: “Twitter: @michiga ndmurray xxxEND_PAGE:executiveofficeemails20_b0909_2476_2478_3

DRAFT Action plan press release

This isn’t formatted yet, but wanted to get a version out there as | continue to work on this. | tried to focus on the human element, and where people can get information. Tried to be light on the jargon. Please give a quick read. Dave Oct. 2, 2015 For More Information: Sara Wurfel or Dave Murray Brad Waurfel, 517-284-6713, Angela Minicuci Gov. Rick Snyder: Comprehensive action plan will help Flint residents address water concerns Collaborative effort with state, federal and city leaders focuses on testing, assistance FLINT, Mich. — Flint residents need to have access to safe, clean, water now and long into the future, Gov. Rick Snyder said, announcing a comprehensive action plan created with state, federal and city leaders to address concerns about drinking water. The water leaving Flint’s drinking water system is safe to drink, but some families with lead plumbing in their homes might experience higher levels of lead in the water that comes out of their faucets. The action plan focuses on increasing water testing, offering additional precautions for families with lead plumbing in their homes, and providing long-term solutions to address the city’s water infrastructure 1 xxxEND_PAGE:deq14_b0588_1955_1957_1 challenges. The plan was created at Snyder's direction by the Michigan Department of Environmental Quality, and the Department of Health and Human Services, the U.S. Environmental Protection Agency, and the City of Flint. “We are deeply concerned by the lead results we are seeing in parts of Flint,” Snyder said. “People are worried about their health and their families, and they need to have accurate information. Today’s action plan builds upon ongoing work with state and federal agencies and our partnership with city and community leaders. Together, we are working to ensure that all Flint residents can feel safe and address potential problems.” The city and the state also are working together to gather more data to ensure the water that leaves the treatment plant as well as the water that arrives in Flint homes is safe for all residents. The plan includes: e Testing in Flint public schools immediately to ensure that drinking water is safe, with testing also available at no cost to any other school in Flint. e Expanding health exposure testing of individual homes. e Offering free water testing to Flint residents to assure their drinking water is safe. e Beginning an optimization of corrosion controls in the Flint drinking water system. e Convening a Safe Drinking Water Technical Advisory Committee to ensure the best technology, practices and science are being followed, and adding an expert from the Environmental Protection Agency's Office of Research and Development to the group. e Accelerating water system improvements to address replacement of lead service lines. e Naming Dr. Eden Wells, chief medical executive for the Michigan Department of Health and Human Services, as the Flint drinking water public health adviser. e Providing Flint residents with water filters for their faucets. e Expanding a comprehensive lead education initiative to make sure residents have detailed information about to protect themselves and their homes. e Expediting the completion of the Karegnondi Water Authority pipeline. Residents can have their water tested by calling 810-787-6537 and pressing 1, or emailing # rt. Additional information is available at State health experts said there has been an increase in elevated childhood blood lead levels in some specific communities. Initial analysis of MDHHS data found that blood lead levels of children in Flint have followed an expected seasonal trend. While this analysis for Flint as a whole remains true, a comprehensive and detailed review breaking down data by ZIP codes with the city revealed that MDHHS data is consistent with a study presented recently by Hurley Children’s Hospital. xxxEND_PAGE:deq14_b0588_1955_1957_2 “While we cannot conclusively say that the water source change is the sole cause of the increase, this analysis supports our efforts as we take active steps to reduce all potential lead exposures in Flint,” MDHHS Director Nick Lyon said. “As part of this, we are working closely with our public and private partners to provide Flint residents on MDHHS assistance programs with water filters and educate families about the steps they can take to reduce all lead exposures in their home.” As a part of the action plan, MDHHS is making National Sanitation Foundation certified water filters available to clients who are active Family Independence Program, Food Assistance Program, Child Development and Care or Social Security Insurance recipients. “This action plan offers concrete steps we will take in a local, state and federal partnership to ensure all Flint residents have safe water to drink,” DEQ Director Dan Wyant said. “The DEQ will work closely with the city to gather further data to ensure the water that leaves Flint’s system as well as the water that arrives in Flint homes is safe to drink.” HHH Dave Murray Deputy Press Secretary | Executive Office of Governor Rick Snyder OY 517-449-8343, mobile Twitter:@michigandmurray xxxEND_PAGE:deq14_b0588_1955_1957_3