Correspondence between

Hi Rashmi, j looked at it. We should talk more in-depth at some point. Naney

Stan, Nancy, and Leslie, Third times a charm. Here’s the power point on Flint water. Apologies in advance if you are getting this multiple times. Rashmi xxxEND_PAGE:dhhs02_b0219_0699_0699_1

Nancy and Stan Please review dr Mona Hanna-attisha's PowerPoint attaches. We may be asked to provide cost estimates to some of these activities. Thanks Rashmi Sent from my iPhone Begin forwarded message: Exont: "Moran, Susan (DHHS)" “MoranSdomichig gal. gov> nan

Hi Rashmi | can be the point of contact and Kristen as a backup. Thanks. Stan think that would work, but if things should comme up, do you want me to provide your name or Kristin’s? Thanks, Rashmi

Hi Rashmi in looking at the chart, and the role of WIC, | prefer not te be included, but can be available only if/as needed. We are not seeing an increase the RTE or any new issues. Qurrole is now minimal, The WiC Clinic is handling the education and info very well, and seerns like things with USDA are calm. if we need to discuss, fet me know. Thanks

3] Star, The Flint Lead Water event has mover into a Project Management phase at this point and it willbe managed uncer the Bureau of Epidemiology. At this point, we will still have weekly calls with the team. But, there was various parts of the project that have been organized in the attached flow chart. | indicated that WIC needs to be involved with the Communications side of things, particularly with the educational materials for WIC cHents and anymore potential questions in regards to Ready to Feed. Who cdo vou want to include as part of this activity? Thanks, Rashrni

Importance: High Hi Rashmi Piease see the attached and checking with you if these nead further {internal} review hefore we share with Genesee WIL as atool and resource to assist with RTF. Comments? Thanks

Hi Rashmi Please see the inquiry from Senator Stabenow's office and advise if Ok to reply, and send the info we had previously provided to parents and providers on lead. Or is there are other materials we should share. Comments? Thanks Stan Bien, Director Michigan WIC Program - BFMCH Michigan Department of Health & Human Services 320 South Walnut Street - 6th Floor Lansing, MI 48913 517.335.8448 onan Original Message-----

Importance: High xxxEND_PAGE:dhhs02_b1173_4499_4500_1 004500 See below and more questions from USDA, and will respond on Monday. Thanks

{t's for CLEPP. and for WIC, please. Thanks, Rashmi

Importance: High HiRashmi - Good morning. After further review of the Talking Points for WIC, the first bullet needs to be undated in the next version, It should read: e There are 1,427 infants participating in WIC in Flint that are receiving some type of infant formula. The info provided previously was preliminary data. Plus this nurnber is for infants who are also getting a partial formula package, as they may be partially breastfeeding or special formulas, ete.. ff you have any questions, please let me know. Thanks

Importance: High Hi Rashrni ~ Per your phone call, here’s a draft reply to review : 1 xxxEND_PAGE:dhhs03_b0243_0953_0955_1 000954 Jaeqlyn Thank you for your 10/2/15 email to Michigan WIC regarding the water situation in Flint. Our Michigan Dept. of Health & Human Services has been in regular contact with the local health department and working on the issues. Here are some key updates: Genesee County reports their WIC nutritionists are currently assessing whether or not clients have access to safe water. They first screen to determine which clients live in city (apparently this about 50- 60% total caseload), and then ask if they have access to bottled water. They indicated that the majority of clients who are reconstituting infant formula with water are already using bottled water. Filter Distribution: United Way is giving the County Health Dept. 4,000 filters. The Health Dept. is targeting this distribution to WIC clients They are planning to have a distribution even on Fri and Sat— possibly at U of M Flint. Lead Testing: Blood Lead testing for kids is currently done adjunct with WIC clinics. Also, Hurley does a good job of already testing their kids. Additionally, they are working on a plan to have McLaren Health Plan do additional testing. We will continue to monitor the overall situation and work with the local health department on this situation. Thank you.

bam checking with Eden. It seems like we can anky say what we think the GCHE is doing for WIC cents or we refer her te the GCHD. Rashmi

Importance: High Hi Rashmi - Please review and advise who will/ean reply. Thanks xxxEND_PAGE:dhhs03_b0243_0953_0955_2 000955

Info as discussed. Stan Begin forwarded message:

Stan, Branda, Nancy, and Kristin, See attached. More info on the Genesee County Health Bept website. For WIC, we are follawing Health Officar Mark Valachek’s lead on this. tt looks Hike the testing is baing covered for water, if kids want to get lead tested, they can do that and work through WIC clinics if further steps needed. Thanks, Rashinl

Good morning. Thanks to Kevin who saw this editorial in Free Press on Flint water and infant feeding, etc. Please share accordingly. Thanks Stan xxxEND_PAGE:dhhs02_b0186_0574_0574_1