Correspondence between

case management resources continue for families Dr. Wells, xxxEND_PAGE:dhhs02_b1244_4694_4698_1 004695 What is the goal of releasing this data? Especially as it comes on the heels of Dr. Edwards finding that the water is not safe, yet. In my humble opinion, it continues to show the state is telling a story that is not reflective of the reality that residents are living with. Throughout this process, we have discussed repairing the trust relationship between the government and the residents of the City of Flint needs and | believe this only further erodes that trust. | also believe that the community very much needs high-level data. They have responded with remarkable understanding to both Drs. Edwards and Hana- Attisha so | hope you follow their pattern and share the most meaningful data. To start that means not lumping 17-7- year-olds with infants and recognizing lead has a half-life. What is bound to happen is the media will ask experts about this and the experts will highlight discrepancies in the rationale and data and the community is back to square one knowing that the people charged with getting this right still can't quite do it. Thanks, Andy

g xxxEND_PAGE:dhhs03_b0303_1121_1126_2 001123 Reynolds, Lawrence; Laura Carravallah; Marc Edwards; Valacak, Mark; Andy Leavitt; Base Camp Email; Lasher, Geralyn (DHHS); Eisner, Jennifer (DHHS); Dykema, Linda D. (DHHS)

case management resources continue for families Hi Dr. Reynolds, | just got done with an email with Mona--- This is a general public report that is high level--not a technical report, and was not meant to represent a technical report. This is general information--of course our surveillance program is tracking by zip, Medicaid, locality, etc. We can discuss further what type of reporting may be useful to a technical audience---as long as not identifiable (some zips have to be suppressed) | don't see why this can't be done (probably not every two weeks like this public one would be) Warm Regards, Eden Michig. 201 Towns: lreys2@email. com> Sent: Thursday, December 3, 2015 3:25 PM

case management resources continue for families This is a good start but maybe lacking context . Would GIS software identify clusters ? |! am disappointed to see, at this moment , thatDr. Edward's study and Dr. Mona's study which have more granular reporting are given no credence. Is there a reason ? wonsenae == Forwarded message ----------

These materials and his input on their use would be very useful.