Correspondence between

Good by me

Hi everyone - Eden, | think we're good with your suggested verbage, just wanted to confirm that we had used that phrase you had suggested. With all the emails, it's hard to track the status of this, so let's check in: 1. Eden, are you OK with the edits we made to version 5? (see attached). If no, other areas for edits/suggested edits? 2. If yes, then Communications, are you OK with version 5?

Jennifer, The MCH epiderniology statf has provided the SAS code for the Poisson regression which is attached. For your information, Linde Dykerna js the lead toxicologist, The orediction modeling for Flint ts stl being worked on internally between the MDHHS and MBEOQ. Therefore it has not been finalized. With regard to data on other cornmmunities, childhood lead poisoning program and epiderniology staffs will be meeting ASAP to discuss next steps on data requests and analyses. We need to work out childhood EBL monitoring for Flint and then discuss next steps in terms of ather communities. t don’t think either Nancy or f can give a timeline for other communities at this point lexpect we would look at Detroit after Flint. Wes Priern reports to Linda Oykerna, who reports ta me. ican coordinate contact with Wes as Linda ts Hhely to be busy on Flint water for some time. For federal funds smecific to lead hazard control, Exetrait, Muskegon County, Wayne County ard MDBHHS currently receive funding from HUD. Wayne County is operating on what staff beliave is a one-year extension. MDHHS steff indicate that Wayne County's HUD lead hazard control grant originally had an end date of this past June. Counties or cities receive other HUD funds and they right use some of those to address lead hazards but it is impossible for us to track those tyoes of expenditures as they would be wragped into other nrojects. Corinne

v>; Wells, Eden (DHHS) <¥¥#tis zan.gov>; Miller, Corinne xxxEND_PAGE:dhhs02_b1022_3622_3624_1 003623 Good morning ~ see my comments/questions inserted inte the Free Press request, in green. Specific to Flint: re call review bw! . Depenc fooking for before we start down this road. ® Contact informetion for the lead toxicologists working on the prediction modeling in Flint. @ Contact information for the lead contact for the Special Workgroup EPA/DEC/MDHHS to addrags lead in Flint. = = Communities that receive funding for ee rene oo (Flint Detroit, Grand Rapids, Hamtrarnck, Highland Park, Jackson, Lansing, Muskegon/Muskegon Heights and Saginaw): e Any data that the state collects on investigation, risk assessment, abatement and/or clearance. Pwo points come from CLEPP, and do rest sed on ggots on th rund SUBOOLt ing the used of ot quest. Eisner, Jennifer (DHHS) Sent: Wednesday, October 07, 2015 8:44 AM

Just to confirm my verbage, this is from CDC: Lead can be found in many sources. Lead-based paint and the dust produced as it deteriorates, found mostly in older homes built before 1978, are major contributors of lead exposure in U.S. children. Lead can also be found in some water pipes inside the home or pipes that connect homes to the main water supply pipe. Lead found in tap water usually comes from the decay of old lead-based pipes, fixtures or from leaded solder that connects drinking water pipes.

Next version, edits on page 1: -'What causes lead poisoning?’ paragraph 1 is shortened to make space for other content -Same section, paragraph 2 uses Eden's text "drinking water if supplied by lead pipes' -Same section, paragraph 3 talks about where your child spends time and lead hazards 1 xxxEND_PAGE:dhhs02_b1313_4859_4862_1 004860 Regarding follow up after a test showing an elevated level, we have a great document from another source that we will borrow from to go along with the rest of our toolkit. Our staff is working on that now, may take a few days. Will wait to hear back on approval for this edited version before we do anything with it.

Yes, fine if you all are ok with it. Nancy Sent from my iPhone On Sep 24, 2015, at 3:36 PM, Eisner, Jennifer (DCH) <E; Geralyn and Elizabeth -- waiting on final OK from Nancy before sharing publicly.

The Next Stens slide no longer recornmends that the city declare a health advisory. it now says ‘support city’s health advisory’. Hf Flint will be issuing a health advisory, will Genesee County support this? Angela