People Conversations • Flint Water Crisis Public Archive

RE: SCHOOL TESTING_ ALERT

From: Toni Larocco
To: Eden Wells , Mona Hanna-Attisha , Nancy Peeler , Rashmi Travis

Oct 21, 2015 5:41 PM

{think that we are being responsive and we need to work hard to educate ail concerned. There are clinics that are an option as well as the medical horne. This is a knee jerk reaction.

RE: SCHOOL TESTING_ ALERT

From: Mona Hanna-Attisha
To: Eden Wells , Toni Larocco , Nancy Peeler , Rashmi Travis

Oct 21, 2015 5:40 PM

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Ro you have his direct nurber?

RE: SCHOOL TESTING_ ALERT

From: Eden Wells
To: Mona Hanna-Attisha , Toni Larocco , Nancy Peeler , Rashmi Travis

Oct 21, 2015 5:38 PM

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Yes, and Nick doesn't disagree, but getting out there and testing may be the need to deal with high levels of compaunity strass----did you ever get to talk to Tawwab? He didi not respond te mry cail--—-

RE: SCHOOL TESTING_ ALERT

From: Mona Hanna-Attisha
To: Eden Wells , Toni Larocco , Nancy Peeler , Rashmi Travis

Oct 21, 2015 5:21 PM

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interesting. Go these people understand that the half-life of lead in blood is only 1-2 months? What is the purpose of having these kids testing ~ normal levels may be falsely reassuring and it’s highly unlikely that we will pick ug many ESLLS in this school age population. There are aise issinss of consents, release of info to PMDs, follow-up, ete. But peaole want something done, and they want something done fast. People are understandably mad. fini just not sure if this is the best option, but there may be no choice.

SCHOOL TESTING_ ALERT

From: Eden Wells
To: Toni Larocco , Nancy Peeler , Rashmi Travis , Mona Hanna-Attisha

Oct 21, 2015 4:53 PM

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Importance: High Folks, Got off the phone with our Director. He is pushing to have on-site lead testing at schools, particularly the 3, in addition to getting primary care providers involved. Pushing to have that done SOUN, Imagine sending horne permission slips on a Monday and attesting on a Thursday. Could get mass volunteers to help. His words! fwill need to get on the phone with a few politicians early this afternoon bout this as well. | will get back to you all.

FW: Logo with name

From: Toni Larocco
To: Nancy Peeler , Rashmi Travis , Eden Wells , Mona Hanna-Attisha

Oct 21, 2015 3:48 PM

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xxxEND_PAGE:dhhs03_b0027_0069_0070_2

Re: CDC response about BLLs for adults

From: Eden Wells
To: Mona Hanna-Attisha , Rashmi Travis , Toni Larocco , Nancy Peeler

Oct 20, 2015 6:53 PM

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| agree--- with caveat's CDC jsut provided---we can't do much but to ensure that they are not drinking the water (and ingesting any other sources of lead). FYI, that was the FASTEST response | have ever gotten out of CDC!!!

RE: CDC response about BLLs for adults

From: Mona Hanna-Attisha
To: Eden Wells , Rashmi Travis , Toni Larocco , Nancy Peeler

Oct 20, 2015 6:50 PM

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Great article, In box 1, lead in water is a risk factor and “blood lead testing should be performed Ifa single risk factor is identified at the earliest contact.” So | would take this at first contact with OB, blood lead should be done and education on nutrition and vitamins, ete. Gur QB's don't know this, This need to be shared.

Re: CDC response about BLLs for adults

From: Eden Wells
To: Mona Hanna-Attisha , Rashmi Travis , Toni Larocco , Nancy Peeler

Oct 20, 2015 6:06 PM

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Let me check with our ATSDR doc, Mark Johnson (Boy there are a lot of Marks...)---because | wonder if the concerns for Flint beg the question. However, | have no idea what the medical removal for lead is for a pregnant women, is that chelation, and is it the same as a child? Anyway, | will follow up with him now.

RE: CDC response about BLLs for adults

From: Mona Hanna-Attisha
To: Eden Wells , Rashmi Travis , Toni Larocco , Nancy Peeler

Oct 20, 2015 5:58 PM

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| dort think anyone knows to test pregnant women. Should we develop a separate communication to O8’s? As @ secondary research project, we will be tested maternal lead at delivery and cord blood lead. But the above sounds fike tt should be a recomraended screening???

Re: CDC response about BLLs for adults

From: Eden Wells
To: Mona Hanna-Attisha , Rashmi Travis , Toni Larocco , Nancy Peeler

Oct 20, 2015 5:55 PM

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Any lead test and level gets sent into the CLPP, from my understanding. Nancy, have you seen any uptick in pregnant women being tested out of Flint? Eden

RE: CDC response about BLLs for adults

From: Mona Hanna-Attisha
To: Eden Wells , Rashmi Travis , Toni Larocco , Nancy Peeler

Oct 20, 2015 5:50 PM

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2 xxxEND_PAGE:dhhs03_b0017_0032_0034_2 000034 Should recommend lead screening at prenatal visits? How will we know @ pregnant woman's lead level? With pregnancy causing an iron deticiency state, they are more likely to absorb fead.

Fw: CDC response about BLLs for adults

From: Eden Wells
To: Rashmi Travis , Toni Larocco , Mona Hanna-Attisha , Nancy Peeler

Oct 20, 2015 4:46 PM

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Per below, for our next iteration of the protocol for adult BLL follow-up- OSHA (using Biologic Exposure indices- level is 30 for NIOSH)--

RE: version with Hurley info

From: Mona Hanna-Attisha
To: Eden Wells , Johnson, M. D., Gary , Rashmi Travis , Nancy Peeler , Toni Larocco

Oct 14, 2015 3:33 PM

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My revisions attached. We will sort our unfollowed EBLL’s by PMD and get that info to Toni (anyone else? ~ it could aiso be a CHAP intiative — Toni, we car bring that up termorrow}.