Correspondence among

Sent from my iPhone Begin forwarded message:

Attached you will find the items | mentioned this morning that were forwarded to the Task Force yesterday. --A detailed MDHHS Action Plan on Flint Water Public Health --An overview provided by our Bureau of EMS, Trauma and Preparedness giving further detail on considerations for use of the Incident Command System or Community Health Emergency Coordination Center (CHECC) --Answers to the lead abatement questions posed to the department from the Task Force. Thanks--g xxxEND_PAGE:dhhs03_b0725_2535_2535_1

Attached is updated Flint Action plan for week ending 11-13-15. Highlights this week: e GCHD completed nurse case management training e Community awareness event held at Brownell School e Congressional Call re: Ready to Feed Formula e = Call with the Agency for Toxic Substances and Disease Registry (ATSDR) xxxEND_PAGE:dhhs02_b0308_1215_1215_1

shows lead exposure limited to fixtures sticking to water

shows lead exposure limited to fixtures Sent from my iPhone Begin forwarded message:

Mikelle And | just discussed and she is going to find out what exactly has robe done to get the results completed and what the real timeframe is. We discussed how unfortunate it was that this information was not shared internally first so we could have the appropriate information BEFORE it was shared externally so we could have these questions answered. Sent from my iPhone

10.26.15 Didn't see you both in this? Sent fro m my iPhone Begin forwarded message:

Importance: High This is the school-based modelling report of the TSG, the Toxic Subgroup comittee---and lists themembers

Eden V. Wells, MD, MPH, FACPM Clinical Associate Professor, Epidemiology Director, Preventive Medicine Residency University of Michigan School of Public Health 1415 Washington Heights, Ann Arbor, MI 48109 Tel: 734-647-5306 Fax: 734-936-2084 ewells@umich edu weeenenee= Forwarded message ----------

102515.docx; ATTO0002.htm; Provider letter_.DRAFT5 102515.docx; ATTO0003.htm I know Rep Neeley will want, from his request Friday, to see these versions, and I met with him at 10---- share or no? Sent from my iPhone Begin forwarded message:

Hi all, Notes from our call this AM. Thanks, Rashmi Rastini Fravis, MPH, CHES Bureau Director of Family, Maternal, and Child Health Michigan Department of Health & Human Services Population Health and Community Services Capitol View Building, 6 Floor Lansing, MI 48913 Phone: 517-335-8922 Fax: 517-335-9032 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:dhhs03_b0024_0055_0055_1

| 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

See below--- Mona visiting with Stabenow Friday---if nothing to provide her OK, but her past email had asked what resources CLPP needed to do its work....again ,not her job to represent us, but looping you in for thoughts so I can follow-up with her , E Eden V. Wells, MD, MPH, FACPM Clinical Associate Professor, Epidemiology Director, Preventive Medicine Residency University of Michigan School of Public Health 1415 Washington Heights, Ann Arbor, MI 48109 Tel: 734-647-5306 Fax: 734-936-2084 Date: Mon, Oct 12, 2015 at 7:44 PM

| did.

Hi there , Are you able to respond to Kyle, or do you want me or SUe to? E

Fyi.

Attached---Sue, | will call you, E xxxEND_PAGE:dhhs02_b1320_4878_4878_1

Just got off phone with Jen Gray, our toxicologist who works with Linda. e She concurs with me that DEQ does NOT KNOW WHICH ZIPCODE these tests came from! e 15 ppb is the EPA actionable level e 4PPBis the residential limit DEQ uses to state that drinking water is safe AFTER an abatement or clean- up. e MDHHS Tox has NOT endorsed this 4 ppb level, and has been working with DEQ regarding this issue. This has implications for the exposure assessment protocol that they will be working on over the next two days with DEQ. e Right now, we cannot determine any other PH action other than turning of the water to all schools, however ,| will have a confirmation of this by Linda this evening--- e ?? and it is unknown on the MDHHS side if we can turn water back on if the school screens as nondetectable, because Linda needs to review the sampling method by DEQ. xxxEND_PAGE:dhhs02_b1031_3658_3661_3 003661 xxxEND_PAGE:dhhs02_b1031_3658_3661_4

Eden, Elzabeth, Geralyn, and Sue, Below is the draft response we would like to the send te the U5 Senate inquiry on how are we assisting WIC clients. Please review and send me any cormmerts. Thanks, Rashmi

fam confused, can you say this in plain English for me because when i read that there is not a statistical significance to the change in the nurmbers Lam wondering if everything we were saying yesterday is wrong.

Fromula Contract Representative - Mead Johnson Nutrition Elizabeth, Eden, and Geralyn, Attached is the request we received from the Genessee County Health Dept for data from WIC. The purpose of this data is to find where the WIC clients are so they can get filters out through the United Way donation. We are still working on getting this data for the Health Dept. Attached are the following: Health Dept Data request, our WIC comments revised 10.1.15, and the contact for Mead Johnson. The donation on bottled water was done earlier through United Way and some to their Diaper Bank. Let me know if you have any questions. Thanks, Rashmi Rashini Travis, MPH, CHES Bureau Director of Family, Maternal, and Child Health Michigan Department of Health & Human Services Population Health and Community Services Capitol View Building, 6 Floor Lansing, MI 48913 Phone: 517-335-8922 Fax: 517-335-9032 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:dhhs02_b0021_0139_0139_1

Note below, please. Will talk further with Tox EHS in am - Sent from my iPhone Begin forwarded message:

FYI only on latest exchange with Mona. E

OK, will send-