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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. MDHHIS 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 | 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 progress in testing and 1 xxxEND_PAGE:deq14_b0866_2868_2870_1 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. ne alto have frail multiple tests are counted only : ater 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 www michiuas cov/fimtwater, 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 ©{ 1. For additional updates on Flint water including updates on blood lead levels and testing reste, visit www michican gow fintwater. HHH

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#

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

Letters

Good morning, Attached are the parent and provider letters that we have been working on. These are on the fast track and we need comments back to us as soon as possible. Thank you, Angela Minicuci Office of External Relations and Communications Michigan Department of Health and Human Services Office: { 243-2412 Mobile: {PPL minicucia@ michigan.gov www michigan gov/mdhhs E-mail Confidentiality Notice: This message, including any attachments is intended solely for the use of the named recipient(s) and may contain confidential and/or privileged information. Any unauthorized review, use, disclosure, or distribution of any confidential and/or privileged information contained in this e-mail is expressly prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and destroy any and all copies of the original message. xxxEND_PAGE:executiveofficeemails21_b0301_0627_0627_1

Advisory Task Force media Q&A

This is the media Q&A we put together for the task force members. Let me know what changes you’d like to see. Karen Tommasulo Public Information Officer Michigan Department of Environmental Quality 517-284-6716 | 517-599-5733 tommasuick@raichigan. gov xxxEND_PAGE:executiveofficeemails21_b0157_0284_0284_1

Latest on Flint water

Here’s what Fonger published yesterday. While the reporter declined to use the full page statement | sent him, he apparently read it to the Virginia tech researcher, who didn’t like my statement to the Journal and has sent a FOIA to the department for any and all communications. hilo /Awww orilive com/newsAlintindex ssffed1S/oo/new festing shows flint water. himbfincart m-rpt- Brad Wurfel Communications Director Michigan Department of Environmental Quality 517-284-6713 517-230-8006 cell Lead leaches into 'very corrosive’ Flint drinking water, researchers say xxxEND_PAGE:deq24_b648_1678_1685_1 xxxEND_PAGE:deq24_b648_1678_1685_2 xxxEND_PAGE:deq24_b648_1678_1685_3 HY Jgke May | fmayegrniive.cam Pyhet Eyal Reddit Ernaitl FLINT WATER AGl Stories xxxEND_PAGE:deq24_b648_1678_1685_4 FLINT, Mi -- Flint drinking water is “very corrosive” and “causing lead contamination in homes," La 5 o ped 2 researchers from Virginia Tech University reported online Wednesday, Sept. 2. "On a scientific basis, Flint River water leaches more lead from plumbing than does Detroit water," the report concludes. "This is creating a public health threat in some Flint homes that have lead pipe or lead solder.” The Virginia Tech report comes as students there, overseen by Professor Mare Edwards, are in the final days of testing water collected from 300 sample kits distributed to Flint residents. xxxEND_PAGE:deq24_b648_1678_1685_5 On Monday, Aug. 31, the researchers reported 42 percent of 120 initial samples from Flint had lead levels that were more than 5 parts per billion, “which suggests a serious lead-in-water problem, according to our experience and criteria.” Virginia Tech was initially contacted by a Flint resident who had concerns about lead in Flint water. it has been working with citizen groups in Flt such as Water You Fighting For. Twenty percent of the first samples also exceeded the U.S. Environmental Protection Agency lead action Hmit of 15 ppb, the report said. The EPA requires water systems like Flint's to collect tap samples from sites that are more likely to 1ave plumbing materials containing lead. Ifmore than 10 percent of samples exceed 15 pph, then water systems are required to take action, inchiding steps to optimize corrosion control treatment. Lead is a toxic metal that was used for many years in products found in and around homes, according o EPA. "Even at low levels, lead may cause a range of health effects, including behavioral problems and earning disabilities,” EPA's website says. “Children 6 years old and under are most at risk because this is when the brain is developing." The Virginia Tech report on Flint River water comes two days alter representatives of three organizations delivered more than 26,000 online petition signatures to Mayor Dayne Walling, demanding the city end its use of the Flint River and reconnect the city to the Detroit water syetem. The petition language says high lead levels are one reason the city should no longer use the river as a drinking water source. Walling and Department of Public Works Director Howard Croft issued statements in response to questions about lead in Flint water Wednesday after Croft declined to discuss the issue in a news conference Tuesday. Flint spokesman Jason Lorenz said the two would not comment further Wednesday. "The city of Flint is currently in compliance with the safety mandates of the Michigan Department of Environmental Quality and continues to work with them to stay in compliance with all safety and quality standards,” Croft's statement said. "We have also been in constant contact with Virginia Tech, sharing information as it becomes available.” xxxEND_PAGE:deq24_b648_1678_1685_6 Walling, who has supported Flint's continued use of the Flint River as a drinking water source, said, “Lead can be a concern in communities with older public and private infrastructure. "The city of Flint has offered free and independent testing to residents since spring, and I encourage people to use this service if they have questions," Walling's statement said. Edwards, a professor of civil and environmental engineering, said the elevated lead levels he has seen in Flint tap water are tied to a corrasive water source that contains about eight times more chloride than Detroit water does. "Chloride is generally considered to be very corrosive to iron. For instance, chloride present in road salts applied in the winter causes iron in cars and bridges to rust,” the Virginia Tech team's website says. "This could be a huge public health problem. ... The Flint water fust ate the pipe up,” Edwards said of the testing he has overseen so far. In the testing, researchers took copper pipe pieces icined with lead solder inside them, according to the report, which says lead solder is probably present in plumbing systems of many Flint homes built before 1986. Lead solder-copper pipe test pieces were placed in containers filled with water from Detroit and Flint in the experiment, according to the report. "Tf it were me, I would not be using (Flint River water) for cooking or drinking unless I had it tested for lead," said Edwards, who previously mounted a six-year campaign that succeeded in forcing the U.S. Centers for Disease Control and Prevention to admit it had misled the public about the risk of lead in the Washington, D.C., area's drinking water, according to The Washington Post. "Bottled or filtered water (is what I would use for) children under 6 years old or if l was pregnani,” he Brad Wurfel, communications director for the state Department of Environmental Quality, said the preliminary water testing results from Virginia Tech don't jibe with two separate rounds of testing during the past vear by the city. That testing indicated "Flint drinking water meets state and federal safe drinking water standards,” Wurfel said. Wurtel said lead levels detected in testing are not the result of water containing lead when it leaves Fiint's treatment plant. But he said the state "has requested Flint optimize its water treatment to further limit exposure to lead from plumbing in homes.” xxxEND_PAGE:deq24_b648_1678_1685_7 The concerns about lead are the latest challenge for the Flint water system since the city started using the Flint River te replace Lake Huron water sold by the city of Detroit in April 2014. Since the switch, the city has been plagued by issues such as water main breaks and boil water advisories because of bacteria and has been in violation of the Safe Drinking Water Act because of high levels of total trihalomethanes (TTHM), a byproduct of chlorinating river water. The Rev. Alien Overton, who hand-delivered petitions to Walling on Monday, asking that city officials reconnect the Flint water system to Detroit, said Wednesday that the Virginia Tech experiment is more evidence Flint is not using the best quality of water available. "We have a major health issue here, (and) they are not being honest with the citizens of Flint," Overion said. City Council President Josh Freeman said the city has been willing to provide customers with free water testing and has taken action — such as installing a new $1.6 million filtration system — to address problems such as TTHM. Councilman Eric Mays said, as more water testing is done, it becomes clearer that Flint should be negotiating with Detroit for a new, short-term water contract as work continues on the Karegnondi Water Authority pipeline. The pipeline, a partnership between the city and Genesee County, is expected to bring untreated Lake Huron water to Flint at some point in 2016. "They are trying to make the water safe by trial and error,” said Mays, who called Flint’s water situation "a disgrace.” xxxEND_PAGE:deq24_b648_1678_1685_8

FW: Flint Drinking Water TTHM Standard Violation - 2nd quarter 2015

Heads up, Flint is about to get another one of those letters fram us. This is once again about the Total Trinaio Methanes. They remain in violation of the standard. The water is fine, but because the standard is based on the average of four quarterly tests, it takes awhile for the ‘viclation’ slalus to work iis way out of the numbers. Seo it may get press, but i's not indicative of actual waier quality viclation in the present sense. b

RE: Flint SRF Letter

You probably don't wani us running Treasury, Chie. Heads up that EPA Region V Administrator Hedman (author of the letier to Kildee} is in Flint today, talking about brownfields (and getting a lot of questions about water). Kildes appears to have been too busy to annourice he got thet formal reply from EPA. However, apparently @ few reporters had obtained a copy of it and inquired about it when the pair were in Flint.

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