Correspondence between

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

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

Jim Redford said legal tearn also needs to review the relaase and supporting docurnents.

i don’t think this should happen today at all. Governor is at an important event in Southeast Michigan this morning, and | think we need some direction from him and ethers on this issue.

Brown, Jessica (GOV) <i : i ov>; Kennedy, Jordan (GOV) <*. : 4 LOWS Heaton, Anna (GOV) < Biehl, Laura (GOV) <High! Jarrod (GOV) <4 <Tomirnas (DHHS)

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

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#

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

: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

Press Releases Jennifer Eisner Public Information Officer Michigan Department of Health nd Human Services Office: 517-241. 2112 or £:: fi xxxEND_PAGE:executiveofficeemails21_b0170_0315_0315_1

Other than it being Thursday and nearly already the end of the week? Afraid that may do more harm than goad. Also, aren't there updates on both water testing and blood lead level results corning out today?

mise >; Murray, David (GOV) rad (DEQ) <WurfeiBe | Brown, Jessica ; Tommasulo, Karen (DEQ) T chigan.goy> ,

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

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

We also just got off the phone with the head of communications for NSF and they are also putting a statement out affirming that the filters purchased by MDHHS5 are certified for lead reduction, | will pass that statement along as soon as we get it.

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

Greatiob, Thanks for being there to handle all the on the ground,

Sheryl and Dan both talked on camera with ABC 12 Sent from my iPhone

Dan is being interviewed now. They've talked to a few residents Sent from my iPhone

Very heloful. Thx much. What is anticipated cost of filter cartridge replacement? Also, we’re needing to send the Governor daily updates for his briefing on this issue. Would be great to have recap of today’s first distribution by 4 p.m. — how went, how many given out/clents served, averall reax/reception, etc. And anything else of note that’s important or key.

xxxEND_PAGE:executiveofficeemails21_b0513_1024_1026_1 FYI Sent from my iPhone Begin forwarded message:

Importance: High What's the story and full details on this?

State tearns have been working throughout the weekend with the local community and partners to get this finalized and his action step mobilized a3 soon as possible fram state's cornprehensive plan announced Friday, Ron. ooping in Angeta and Jen from the Mi Dent of Health and Human Services here who can walk you through the details, but essentially filters will be available starting tomorrow morning at both the two MDBHHS offices in Flint a5 well as the wo Genesee Co. Community Action Resource Dept offices in Flint. Great example of the collaboration underway and that’s so key to addressing this issue together, know you'll be hearing from the soori. Tharks and bast, Sw

Importance: High Guys — please share an update on this asa. Also, have heard from CBS Evening News. They'll be in Flint today and tomorrow. Need to chat with you about that. Piease call as soar as can, Thanks much, Sar

Please see the section on water filters -- updated to reflect most current information. Thank you, Jennifer xxxEND_PAGE:executiveofficeemails21_b0116_0203_0203_1