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Importance: High Hi Eden, This is the up to date version of the spread sheet. Please lat re know if there is other information that you want collected Tonk Toni L Lakocoe MS, RN Director of Nursing Services Genesee County Health Department 810.237 4544 [email protected] a és the é fallhegs af fife. ME teens whak ve face ile one aoteptante, Shas? bi oedkse, aangasien fo foes tgs, A nan bao a wad ike x F ta haute ube & bees, a Siewger # g ase Pee beings POREG AGF Ee bug, aed ereates a eves fie igscapegee, if you are tenis of this e-miall is strictly o ranently delete ine original and de Hed. H you have received t copies. Thank you. migi in error, please notly me via ernall and p yy al For 3 copy of the Health Depariment’s Notice of Informetion Practices, contact the Health Denariment aor visi the Helin Depariment’s website at h

(DHHS);Miller, Corinne (DHHS);Dykema, Linda D. (DHHS);Peeler, Nancy (DHHS);Priem, Wesley F. (DHHS);Fink, Brenda (DHHS);Travis, Rashmi (DHHS);Gonzalez, Jonathan (DHHS);Lixey-Terrill, Jennifer (DHHS);Thelen, Richard (DHHS);Scott, Robert L. (DHHS);Schoenow, Kris (DHHS);Lasher, Geralyn (DHHS);Hertel, Elizabeth (DHHS);Scott, Linda (DHHS);Scott, Robert L. (DHHS);Stanbury, Martha (DHHS)

I’ve updated this “grid” based on the meetings we had on Tuesday. I’m sure all three of you have more to add. Send any edits to MIKELLE by 2 PM, as this has to be to Nancy G. by 3 PM. Thax Mark xxxEND_PAGE:dhhs03_b0499_1776_1776_1

Good Afternoon, Attached is the summary of the 12:30 pm call from 10/27/15. Thank you, Cheryl xxxEND_PAGE:dhhs02_b0347_1294_1294_1

Hi Eden, Attached are the updated letters and press release with the Governor's office edits. Can you please circulate with those on the 3pm call to make sure that these are final? Thanks! xxxEND_PAGE:dhhs03_b0556_1935_1940_3 001938 Angela

Nice job, Eden! xxxEND_PAGE:deq04_b534_4938_4940_1 If DEQ wants, they can send $25 k ? or so, out of their $1 million to us, via interdepartmental transfer, and we can piggy back it on our contract with GCHD. DEQ probably already has a contract with GCHD for pool inspections, so they could piggy-back it on that vehicle as well.

Importance: High Good afternoon ~ we have received test results frorn the lab for the farnily whose situation we discussed at 2:30am. Both parents and ali 4 children have levels < 3 based on venous testing (basically, < 2 mears below the detectible limit}. Good news for all! Nancy

| just talked to the health officer, Mark Valacak; our colleagues in DEQ should directly call or email Jim Henry, 810 257- 3618 or [email protected]. Jim was involved in the original school testing two weeks ago and will be point. Thanks Mark

Sent from my iPhone Begin forwarded message:

Ht should be Linda Dykema. Both EPA and DEQ would want her involvernent.

Hi there, xxxEND_PAGE:deq20_b10_223_431_017 | just got off the phone with Dan Wyant, as he needed UMSPH contact for the Mayor's TA panel. He was wondering who will be the contacts with DEQ and EPA as water testing proceeds (such as t schools, etc) at either MDHHS and LHD. | am assuming that Linda Dykema would be the one for us (and she was on their organizing call)- Corinne agree? Mark, are you planning on talking to Mark Valacek tomorrow---I heard you were out, so wondered if you wanted myself or Sue to do so. Actually, i think there will be a number of issues to coordinate with him tomorrow, so forgive me if | am getting in the middle, just wanted to relay the questions Dan had. Eden xxxEND_PAGE:deq20_b10_223_431_018

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

Attached are three emails from yesterday. The 2™ one is the Public Health Advisory, issued on Tuesday, Sept. 29", from the Genesee County Commissioners. This was sent out as general press release. Besides information on lead, it also has this last paragraph, which makes some specific data related requests of the MDHHS. as sate hence by Hurley Hospital researbers has Indiated that a aeaificant increase in bleed ead | chidnan since the switch ta Flint River water The county Health Officer has renuedse that: Department of Health and Hunan Services (MDMNS) provide to the County speclic date te aunco 8 DONE a8 nee nee ow 8 —- InoTP Ree. a date, the MOHHE lata is gperific ich wou ie hide 4 adaresses| if sic OUTSe ¢ ciy off Z These AiOeS, RE would thereiore, nother further action 4 the State f inCluue # fetes! for oulside independent evaluation of the data - alee oe @ Public death “sented The health department first asked for the above information on Monday PM, and asked for a timeline (on Tuesday Morning) on when the information might be available (see 1* email). | told them we had an Epi meeting on Tuesday PM and might have a better idea after that. | was a bit surprised when the County Commissioners issued the above a couple hours later. The 3" email is what | sent to Corrine after the EP] meeting on Tuesday PM. _| think we should respond to the data questions, but not provide any comment on their ultimatum. xxxEND_PAGE:dhhs02_b0988_3546_3546_1