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Cden, A few questians/camments ag | begin to process this infa: OF course, because the half life of blood lead is only 20-20 days, blacd lead testing done from october on does not accurately reflect the exposure that occurrad fram the onset of water switch. Very few people based an the mediafheaith advisories were drinking the water and many many more peaple were being tested as in the past - thus a smalier percentage. 50 Flint children were determined by their zip code? Was this data geococed? Neither zip code, ner city of Flint in the addrass, correlates with flint water. Any chance you also looked more in depth at the two higher risk zip codes (48503 and 48504}? xxxEND_PAGE:dhhs03_b0198_0769_0771_1 000770 in terras of the first bullet, “peopie only counted once whe had multiple lead levels" - did you use “first tirne lead" level of 3 child or “highest” lead" done an a child? As before, just because a child may have a nan-elevated first lead does not mean that subsecuent lead levels will be non-elevated 5. Lastly, 20 nd 2015 (3 is concerning and it's unfortunate thet the press release statement regarding seasanal variation did not mention the seasonality of fead in water which is well documented and which mest likely led to those higher peaks. "Seasonal variation is the result of a number of factors including increased exposure to lead in dust and soil in the summer months.” fii sure (H have more questions later. thanks! Mona Hanna-Attisha MD MPH Directar, Padiatric Residency Program Hurkey Chifdren's Hospital at Hurley Medical Canter Assistant Professor, Department of Pediatrics and Human Development Michigan State University College of Human Medicine rohan rieyin if TRESDAY, DECEMBER 2, 2035 https. //sccure hurieyfoundation ores

This afternoon at 2:30 p.m., the Michigan Department of Health and Human Services will issue the attached press release and summary report detailing the latest data on blood lead levels in Flint. We wanted to ensure that you also received this information in advance of the press release being issued. The summary report provides annual histerical information an children younger than six years, children between the ages of six and seventeen years and acuults tested for lead. It also provides detail on the number of test results for these category groups that have tasted above five micrograms per deciliter. The surnmary report aiso provides information on the numbers tested and with elevated blood lead levats since the MDHHS Action Plan began in October, The preliminary data indicates that 36 of 1,361 adults and children tested in Flint since October 1 had elavated blood lead levels. Thank you, Geralyn Geralyn Anne Lasher Senior Deputy Director for External Relations and Communications Michigan Department of Health and Human Services 201 Townsend Street, Capitol View Building Lansing Michigan 489123 Pr (517) 24 xxxEND_PAGE:dhhs03_b0198_0769_0771_2 000771 xxxEND_PAGE:dhhs03_b0198_0769_0771_3