Correspondence between

lagres, we talked through. | have nothing additional to add. Thanks.

Importance: High Linds, fon & Kory: Eelow, ease see a note received fram im Henry with comunenis they recelyed from the EPA wih regards to the fact sheet and my response that Geralyn may be Interested in secing. Alaa, (Hease Gee my rasmonses to Brad’s carnnedia nine of his email in green; Jen & Kory feel free to chime in with any adits or suggestions, Linda ~ feel free to srmooth h out as you see fit Note received this aNernoaan fram Jim Henry, GOHD: We have not posted the fact sheet as a courtesy to this MDHHS team, exclusively. We greatly appreciate the assistance relative to the toxicological assessments. However; the delays in communication to the community, due to the state’s bureaucracy is unacceptable. This process is compromising our relationship and needs to be expedited. Below are some recommendations for the factsheet from our partners at EPA. A few thoughts: 1. Under “Learn About Phosohate”, wordering if the term “salt” will concern people on low-sodium or salt-restricted diets? We agree it's a proper terrn. 2. Secand bullet uncer “Why is there...”, this kind of misses the solder issue, which is probably widespread. [would suggest something like: “Homes built befora 1987 are more likely to have lead service lines, lead pipes, anc 50% or more fearied solder. Brass valves and faucets may have lead, and older faucets are Ikely to have higher lead contents. 2 xxxEND_PAGE:deq20_b02_058_173_113 3. Last bullet same section might say “Pipes, brass fixtures and fittings, and solder...” Darren and Mike Darren A. Lytle, PD, PEL Branch Chief (Acting} LS, Environmental Protection Agency 26 West Martin Luther King Dr. Cincinnati, Ghio 45268 Phone: (513) 569-7432 Fax: (513) 487-2543 email: lyWe.darrand frustration wil “FR OME ¢ aman be fnect ferst Dass. ny diesin LTE: Funder which mpanes are tef fo ><{{{'> <'}}}>< Michelle Bruneau, MA Michigan Department of Health & Human Services Project Manager & Health Educator (517) 335-8984 bruneaum@michigan gov

Perfect! Pil text Kory ard Jen and let chem know... They're already over there meeting with someone else currently... dust fyi, here is the updated version. Corrected “na lead” to “lead free” per Section 1447 of the Safe Drinking Water Act, “get rid of lead” to “reduce lead” and “on pipes” te “inside pipes.” See you sear! ><{{{'> win michigan cov/eatsafefish <'}}}>< Michelle Bruneau, MA Michigan Department of Health & Human Services Project Manager & Health Educator (517) 335-8984 bruneaunmi@ michigan gov

im inthe southeast corner af 4S, Pillar O& if that helos,

Date: Wednesday, December 02, 2015 1:07:00 PM I’m in the southeast corner of 4S. Pillar Q8 if that helps.

Importance: High Sorry Liane - | have a few last minute changes to the phosphate fact sheet that I’m incorporating now. |’ll bring copies of the current version to our meeting at 2pm. Can you please let us know where your office is, actually? © ><{{{'> www unichigan cov /estsafefish <'}}}>< Michelle Bruneau, MA Project Manager & Health Educator Michigan Department of Health & Human Services 201 Townsend, 4th FI Lansing, MI 48913 Direct: (517) 335-8984 Toll free: 1-800-648-6942 Fax: (517) 335-8800 xxxEND_PAGE:deq21_b020_0026_0027_2

Fixed version attached. Can someone please pass it along to DEQ to be posted ta replace: hito://www michigan. _ho_background 504324 7 pdf?20451029082033 ><{{{'> www michigan. gov/ iefish <"}}}>< Michelle Bruneau, MA Michigan Department of Health & Human Services Project Manager & Health Educator (517) 335-8984 bruneaum @michigan.gov

I found a typo on the flyer. Go figure. After all those eyes looking at it. a kids' should be a kid's I'll fix it ASAP in the morning and get a corrected copy out to everyone.

Cool.Glad they liked it... ><{{{'> www.michigan.gow/ eatsafefish <'}}}>< Michelle Bruneau, MA Michigan Department of Health & Human Services Project Manager & Health Educator (517) 335-8984 bruneaum @michigan.gov

| got it from Wes,

Here is the updated report with Eden’s edits incorporated...Let me know if you need anything else, © ><{{{'> www michigan gov/ eatsafefish <'}}}>< Michelle Bruneau, MA Michigan Department of Health & Human Services Project Manager & Health Educator (517) 335-8984 bruneaum @michigan gov

fagree —a rate caloulation of some type would seem good for surveillance of progress.

ve heard through Tracking that CLPPP and CDC are sometimes at odds about how the data are reported. It’s not just Mi, other states have the sanie issue. We can see if CLPPP disagrees with any of these definitions.

e Percent of children with confirmed elevated BLLs: The number of children less than 72 months of age with a confirmed elevated blood lead level 25 g/dL divided by the number of children less than 72 months of age tested for blood lead, multiplied by 100. Also referenced as “Case Rate.” That could be a valuable reporting number. Give some perspective to the scope of the issue... ><{{{'> www michiqan.cow/ eatsafefish <"}}}>< Michelle Bruneau, MA Michigan Department of Health & Human Services Project Manager & Health Educator (517) 335-8984 bruneaum @michigan.gov

Will need ta share that with Bob.

CDC definitions here:

Reports saved ta: SADOCSHARE\Flint Water Lead Campaign\ DIRECTOR REPORT\GENERATED REPORTS For Discussion Tomorrow - the notion of having a more technical data printout: Attached are Table shells and a couple ideas for surveillance of progress. Saved to: S:\DOCSHARE\Flint Water Lead Carnpaign\ DIRECTOR REPORT\WEEKLY DATA REPORTS 1 xxxEND_PAGE:dhhs02_b0751_2613_2614_1 002614

><{{{'> sovw michigan.cov/ eatsatefish <'}}}>< 2 xxxEND_PAGE:dhhs02_b0755_2619_2621_2 002621 Michelle Bruneau, MA Project Manager & Health Educator Michigan Department of Health & Human Services 201 Townsend, 4th Fl Lansing, MI 48913 Direct: (517) 335-8984 Toll free: 1-800-648-6942 Fax: (517) 335-8800 brunesum@michigan gov <2015-10-28 - Flint Lead Report DRAFT .pdf> xxxEND_PAGE:dhhs02_b0755_2619_2621_3

Please find the document attached. Still debating if the map is a good idea because it’s really too small to do what | was imagining on it. My thought it was could color code it to reflect changes in blood level tests, but Kory brought up the good point that the colors would then be changing from week to week depending on testing rather than trends. Could replace it with a table of zip codes and tests by zip code if they decide that’s important or something else... Executive Summary topics are placeholders. Can update to capture what they want... ><{{{'> www michigan.gow/ eatsafafish <'}}}>< Michelle Bruneau, MA Project Manager & Health Educator Michigan Department of Health & Human Services 201 Townsend, 4th FI Lansing, MI 48913 Direct: (517) 335-8984 Toll free: 1-800-648-6942 Fax: (517) 335-8800 bruneaum@michigan gov xxxEND_PAGE:dhhs02_b0739_2594_2594_1

Wait! It's there..sarry..it’s at the top instead of the bottam... - Lead and your Bod no background 504124 7. pdf?20751028086902 Also set. i wish they would have renamed it before posting, but oh weil. ><{{{'> www michigan cay/ satsafefish <'}}}>< Michelle Bruneau, MA Michigan Department of Health & Human Services Project Manager & Health Educator (517) 335-8984 bruneaum @michizan.gov

Wait! I's there..sorry...it’s at the top instead of the bottom... http://www michigan - Lead and your Body - Flint - no background 504124 7 odf?291510280809G2 Also set. i wish they would have renamed it before posting, but oh weil. ><{{{'> www michigan. gow! eatsafefish <'}}}>< xxxEND_PAGE:dhhs02_b0767_2685_2694_01 002686 Michelle Bruneau, MA Michigan Department of Health & Human Services Project Manager & Health Educator (517) 335-8984 bruneaum @michigan gov

Yes, you can. I’ve requested for if ta be put on the Flint Water website twice naw. i can follow up with them again. Angela

Well..no pressure here.

We might be able to get this out tomorrow. Just final review on our end. Angela

Updated and attached. Per Eden’s OX, I’ve alsa shared this with Toni & Genesee County's partners for comment with instructions to nat share externally until you've approved of it. Thanks! ><{{{'> mww.michiaan.gov/ eateatelish <'}}}>< Michelle Bruneau, MA Michigan Department of Health & Human Services Project Manager & Health Educator (517) 335-8984 bruneaum @michigan.gov