Correspondence between

investigations/composite with a couple bullets from Wes Regarding the nurnber of children with EBL. There has been some question about what the true figure is, Did that get sorted out?

investigations/composite with a couple bullets from Wes isay this is good to send to Eden and Geralyn. The two experts, Wes and Nancy, provided the material that we summarized, Thoughts? I think these would be some brief talking points for Eden and/or Geralyn: The governor signed the legislation for funding on Oct. 15". Contracts for Case Management were negotiated and in place by Oct. 23: a contact for environmental investigations was executed on 10/29/15. GCHD hired 2.5 staff and trained them by Nov. 10"; staff have begun to contact families and offer/conduct case management services. The Nurse Case Managers have met with, and developed plans to coordinate efforts with, the Environmental Investigators, and will be making joint home visits whenever possible. There are 163 children with elevated blood lead levels reported since April 2014. Staff just started, but have reached 5 families to offer case management, and have conducted case management on one of those cases (as of 11/13/15). Outreach to additional families is already underway. 2 £8t xxxEND_PAGE:dhhs03_b0600_2025_2028_3 002028 nvesibablons have been eendcieted as of 1LAPASLS: erwipnrnegatal invesigeronrs ake: de: water Hr, We expect trese numbbers to grow in the coming Weete. xxxEND_PAGE:dhhs03_b0600_2025_2028_4

Nancy, ff we give the below talking points to Eden, are they accurate? ithink these would be some talking points for Eden: th fase management servires, There are 163 children with elevated blood lead levels reported since April 2074. Staff just started, but have We axpect these numbers to grow In the coming weeks.

Updates in bold. Genesee hasn’t been reporting total numbers of filters distributed this week so | took that out of the plan for now. Highlights this week: Genesee CHD Nurse training Suggested language for health threshold Testing event held at Brownell School held Follow-up with Molina regarding testing Congressional Call re: Ready to Feed Formula Please let me know if you have any changes or additions before | send to Nick and all. xxxEND_PAGE:dhhs03_b0292_1098_1098_1

(DHHS);Miller, Corinne (DHHS);Dykema, Linda D. (DHHS);Peeler, Nancy (DHHS);Priem, Wesley F. (DHHS);Fink, Brenda (DHHS);Travis, Rashmi (DHHS);Gonzalez, Jonathan (DHHS);Lixey-Terrill, Jennifer (DHHS);Thelen, Richard (DHHS);Scott, Robert L. (DHHS);Schoenow, Kris (DHHS);Lasher, Geralyn (DHHS);Hertel, Elizabeth (DHHS);Scott, Linda (DHHS);Scott, Robert L. (DHHS);Stanbury, Martha (DHHS)

I’ve updated this “grid” based on the meetings we had on Tuesday. I’m sure all three of you have more to add. Send any edits to MIKELLE by 2 PM, as this has to be to Nancy G. by 3 PM. Thax Mark xxxEND_PAGE:dhhs03_b0499_1776_1776_1

Notes from 3 PM call. xxxEND_PAGE:dhhs03_b0508_1798_1798_1

Good Afternoon, Attached is the summary of the 12:30 pm call from 10/27/15. Thank you, Cheryl xxxEND_PAGE:dhhs02_b0347_1294_1294_1

Hi Eden, Attached are the updated letters and press release with the Governor's office edits. Can you please circulate with those on the 3pm call to make sure that these are final? Thanks! xxxEND_PAGE:dhhs03_b0556_1935_1940_3 001938 Angela

This is the short version that she wants input into the attached chart. Over the last week, DHHS (PHCSA) actions focused on supporting Genesee County Health Department and other state departments in coordinating: Filter/Water Distribution: -changes to the cloud-based database to compile all records of filters distributed and type of filter (in preparation for replacement filter distribution) Binod testing and Case Management Follow-up: -protocol finalized for blood testing and follow-up -protocol development for case management of confirmed children with EBL 5 and over (will be finalized by Friday} -contract (project)via e-grams to GCHD for nurse case management Elevated Blood Level investigations: -bids taken and contract development underway for contractor to conduct investigations in homes with elevated blood lead (EBL) Communications: -completion of FAQ and Infographic for posting on the Governor's website -assisted MDARD on development of communication to food service establishment re: City of Flint water -development of a letter and resources for schools to send to parents (education and encouraging testing) and a letter to providers, daycares, and Head Start Programs -outreach to area laboratories regarding reminder of lead reporting requirements -daily internal calls and daily calls with GCHD -response to public phone calls about the Flint water issue Miscelianesus: -support to DEQ for water testing in the schools developing protocol for water testing and screening levels for evaluation of water data of schools -participate (Linda and Eden) in the Mayor's Technical Advisory Committee and in weekly subcommittee meetings to address water sampling efforts in Flint schools -began discussions on evaluation metrics and reporting for investigations and case management <MDHHS Action Plan Flint EBL_Oct20.docx> xxxEND_PAGE:dhhs03_b0497_1773_1774_2

| just talked to the health officer, Mark Valacak; our colleagues in DEQ should directly call or email Jim Henry, 810 257- 3618 or [email protected]. Jim was involved in the original school testing two weeks ago and will be point. Thanks Mark

FYI.

PRIVILEGED FYI Sent from my iPhone Begin forwarded message:

FY,