Correspondence between

Forwarding- Sent from my iPhone Begin forwarded message:

Sent from my iPhone Begin forwarded message:

You are correct that lead level results in the file you received are rounded (i.2., no decirnal places}. The data set we are using in epidemiology (which is the sare type of file Mr. Scott would have xxxEND_PAGE:dhhs02_b1012_3602_3604_1 003603 pulled from the data warehouse for you) contains values from 4 to 49. Ara you seeing the 10 and above levels? ido not know the rounding rules for the lead result data and am still working on getting you that information.

Follow Up Flag: Flag for follow up Flag Status: Completed Dr. Hanna-Attisha, | got your email and am working on an answer for you. Sarah Sarah Lyon-Callo, MA, MS Director, Lifecourse Epidemiology and Genomics Division Bureau of Disease Control, Prevention and Epidemiology Population Health and Commmunity Services Administration Michigan Department of Health and Human Services 201 Townsend St., 4" Floor Capitol View Building PO Box 30195 Lansing, MI 48909 PH: 517-335-9315 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. Please note: Michigan has a public records law. Mast written cornmunicatians to or from state officials regarding state business are public records available ta the public and media upon request. Your e-mail communications and any attachments to therm may be subject te public disclosure.

That sounds about right. May bash, is ii CLPP’s usual process to collect the lead data on an ongoing basis.if so, at what level is the data usually analyzed (by Epi?} iS it daily nmonthly? Quarterly? Annually? How would we normally detect/know if there is an issue in a particular iocality---do you look at it at county ievel ar smaller when you peruse your data? This question may arise. E

Hi all-- E talked to Sob to confirm the information | had shared about the Hurley lab results. itis a little more nuanced than | had explained, forwarding Bol‘s explanation, FY.

Thanks, everyone, I understand that Bob and Cristin connected and the work is moving forward.

Nancy Cristin has been working all day on this. We are working together right now and expect to be doing so for a while this evening. We are committed to getting monthly proportion of tested positive graphic for each region (high risk, other flint, other Genesee) for 0-6 year olds for tomorrow am review by Corinne — we will forward when comfortable it is correct. To do this, we are having to identify tests on a monthly basis for the denominator, up until (and including) the first incidence of high EBLL in the year. Then remove subsequent tests for that child in the rest of the calendar year. The whole thing starts over the next calendar year. We are in a maze of do-loops right now. Sarah

I am interviewing job candidate during this time. Cristin and Bob have talked and he is working on the file we need. Bob, Cristin is following up with one question. Sent from my iPad

ispoke with Cristin. [have extracted a file frorn the Warehouse with all tests for Genesee County, age We talked about which test to use-—-| had been using the first elevated test (>= 5, whether venous, capillary or unknown) and Cristin will probably de the same}. Once Cristin has geocoded all records to identify which are in City of Flint and which are out-county, she can then slice and dice them as appropriate. Mii be happy to help in any way | can.

Bob is assembling a list of questions, info he needs to share with/obtain from Epi to do a data pull. Can we get in the same room, perhaps around 11:30 or 12? Sent from my iPhone

nancy - i will be in touch with you and bob via email shortly. please work with me until patti gets back, ccing patti. Sent from my iPad