Correspondence between

Wondering how the Directar’s report is different or similar to this weekly report Bob is preparing? | don't recall the details about the Director’s report.

Hi Marcy, fagree that it makes sense for Bob to provide the weekly Flint updates to department leadership given that Fintisa very active situation. | would at sore point Hike to see epi re-run the Poisson analysis for Flint with confirmed (venous only} cases. And yes we need to set up another meeting. Rashmi had asked me last week if f was going to do that and EF will. [believe we will need to meet periodically, particularly in light of the Free Press request related to Detroit and other high burden communities. Bob -- thanks for sharing the weekly update. Corinne

VH just add that it may make sense for Bob to compile a weekly update, but for Patti to run any analysis on the data file? Not sure - wa haven’t delved inta that territory yet... do we need to sat up another meeting/conversation?

Good morning Patti, looping you in FYI. Wanted you to be aware of this as Cristins supervisor. Sent from my iPhone Begin forwarded message:

Okay, thanks, Bob. Hf incorporate the previous years and put the new results into a publisher document with some description of what’s going on in the chart. We'll find out ff this changes the results!

Cristin, toan safely say | don’t understand it without same explanation. However, late yesterday Nancy and | decided to take a look two years farther back to see how they fit with the recent years. Please see attached, which i just finished this marning. Sorry / didn’t have this for you yesterday before you did the analysis. Would this new information change the analysis? 2 xxxEND_PAGE:dhhs03_b0833_3004_3007_2 003006 Thariks, Bob

Nancy and Bob, Is the control chart clear enough, do you think? | could whip up a fact sheet with a description of what it shows, if you think it would help make it more digestible for our audience. Cristin

Nancy and Bob, is the corrtral chart clear enough, do you think? | could whip up a fact sheet with a description of what it shows, if you think it would help make it more digestible for our audience, Cristin

Hi Nancy, imiade a p-chart, which Shewhart’s version of a control chart for nronortions, for the data you sent. Basically, | used the monthly data from 2015-14 to create upper and lower control limits, then plotted the 2014-15 data in arun chart. it shows that the three months in question are the only onas that lie outside the control lirnit: in fect, they are the only points that fle well above the meari at all. This doesn’t say anything about causality, but it does warrant further investigation. There are several next steps we can ernploy if the folks upstairs ask us to look deener inte the data. Alsa, Yr not sure if you talked at all with the Environmanial Health folks, but their tanicologists could probably heto give us sarne context to the issue. Cristin

xxxEND_PAGE:dhhs02_b0237_0797_0885_16 000813 Okay, thanks, Bob. I'll incorporate the previous years and put the new results into a publisher document with some description of what's going on in the chart. We'll find out if this changes the results!

Thanks, Patti. I'm looking forward to hearing about your ColIN meeting, I'm sure you will be bringing great information back. Sent from my iPhone