F Flint Water Crisis Public Archive

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Eden Wells Rashmi Travis Toni Larocco

Provider letter_DRAFT3_edited

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Towel LaRoccoMS, RN Olractor of Nursing Services Genesee County Health Department 810.237 4844 [email protected] xxxEND_PAGE:dhhs02_b1093_3794_3795_1 003795 Me ko ccae tibet Bick. eve ‘ fs HE Yases weal we shee iste exsogh, aad mere, Be Ma P sity ee, fE eater Lave @ medi” ate a feast, A Reta REE & ¢ fe o f Aawe, @ 8 eager Hee 8 fre se, yo ‘ieee HOLE? SERS OF Oa” LOSE, vi Ape pease foe idlage, CSE comain proprietary, cor Hiseigsiiis use, Bebe at @ xxxEND_PAGE:dhhs02_b1093_3794_3795_2

RE: SCHOOL TESTING_ ALERT

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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

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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.

RE: CDC response about BLLs for adults

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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

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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.