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Will you check the below and help me make accurate statements? This is from that ultimatum from the press release issued by the County this morning (9-29). | suspect somebody on 7 will be asking for a response at some point on Wednesday. The County Health Officer has requested that the MDHHS provide to the County specific data to support its claim that state data is more comprehensive and does not show a significant increase. The state data was from a larger data set for ages xxxxxxxxxxxx, and for time periods xxxxxxxxxxxx. It showed no significant EBL levels in the cohorts tested. (Do we have specific data to support this?) To date, MDHHS has failed to confirm the geographic area included in their findings. The sample included all addresses identifying FLINT as the mailing address. While we realize this might include samples from areas outside Flint City (Flint Township and Mundy Township) we do not expect that to impact our findings (based on what?) We are however, conducting another determination, which will further stratify the data to represent Flint City and High Risk areas only. We will provide that analysis when it is completed, probably by Oct. 5""? We want to assure the state data is specific to the boundaries of the City of Flint, and not Flint addresses which would include addresses in areas outside of the City of Flint. See above. xxxEND_PAGE:dhhs02_b0993_3554_3555_1 003555 Maik Milter Director, Leeal Health Services Michigan Department of Health & HuPfainh Servees 201 Townsend, 6" Floor Lansing MIl 48983 65117) 33528032 millerm | Ghrichivan sve xxxEND_PAGE:dhhs02_b0993_3554_3555_2

fish@inich! Any results yet? if not can you give me a timeline when you will have results? Mark Valacak, MPH, Health Officer Genesee County Health Department, 630 S, Saginaw St. Suite 4 Flint, Mi 48502-1540 Phone 810-257-3588 Fax 810 257-3147 xxxEND_PAGE:dhhs02_b0824_2861_2863_2 002863 Fiease consider the enviranment before printing this e-mail. "There are two lasting bequests we can hope to give our children: one is roots; the other is wings." Hodding Carter *NOTICE: This e-mail, including attachments, is intended for the exclusive use of the addvessee and may contain proprietary, contidential or privileged niformation. If you are not the intended recipient, any disclosure, use, distribution, ving, or faking of any action in reliance of the conferts of this e-mail is strictly prohibited. If you have received this e-mail in error, please notify me via e-mail and permanently delete the original and destroy all copies. Thank you. y of the Health Department’s Notice of Information Practices, contact the Health Department or visit the Health Department’s website at

Mark, We snoke with Naney Peeler this morning, who was going ta get some info from cur Opi staff on breaking cut the data on the outlying areas. | have not heard back yet. Rashmi

Mark & Rashrni, {want to know whether you have confirmed with the lead program staff at MDHHS that the state results that purport that lead levels have not shown a significant increase since the changeover of the water supply for the city of Flint indeed represent Flint city zip codes only and not Flint mailing addresses. As | mentioned to you both this morning, Flint mailing addresses would include outlying areas like Flint and Mundy Townships which obtain their water from the Detroit Water Authority. Mark Valacak, MPH, Health Officer Genesee County Health Department, 630 S. Saginaw St. Suite 4 Flint, Mi 48502-1540 Phone 810-257-3588 Fax 810 257-3147 re two lasting bequests we can hope to give our children: one is roots; the other is wings." Hodding Carter This e-mail, including attachments, is intended for the exclusive use of the addyessee and may contain proprietary, confidential or zed information. if you aye not the interided recipient, any disclosure, use, distributio: pying, or taking of any action in reliance of the contents of this e-mail is strictly prohibited. H you have received this e- “mail i in error, please notify me via e-mail and permanently delete the original and destroy all copies. Thank you. For ac OPy. of the Health Department’s Notice of Information Practices, contact the Health Department or visit the Health Department’s website at

Viark & Rashmi, wart to know whether you have confirmed with the lead program staff at MDHHS that the state results that purport hat lead levels have not shown a significant increase since the changeover of the water supply for the city of Flint indeed represent Flint city zip codes only and not Flint mailing addresses, As i mentioned to you both this morning, Flint mailing addresses would inchide outlying areas ke Flint and Mundy Townships which obtain their water from the Detroit Water Authority. fark Valacak, MPH, Health Officer Genesee County Health Department, 630 S. Saginaw St. Suite 4 Flint, Mi 48502-1540 Phone 810-257-3588 Fax 810 257-3147 ak@ec Piegse consider the enviranment before printing this e-mail. "There are two lasting bequests we can hope to give our children: one is roots; the other is wings." Hedding Carter *NOTICE: This e-mail, including attachments, is intended for the exclusive use of the addressee and may contain proprietary, confidential or privileged information. If you are not the intended recipient, any disclosure, use, distribution, copying, or taking of any action in reliance of the contents of this ¢-mail is strictly prohibited. If you have received this e-mail in error, please notify me via e-mail and permanently delete the original and desiroy all copies. Thank you. For a copy of the Health Department’s Notice of Information Practices, contact the Health Department or visit the Health Department’s website at : Miller, Mark (DCH) [rat Gimich: Sent: Monday, September 28, 2015 11: 28 AM

FYL, issued today after the press conference today. mark

Importance: High ithe PPT from Hurley.