Correspondence between

Hello everyone, This afternoon we will be issuing the attached press release about the updated Flint blood lead level report, as well as the report itself. Of note, this report has changed slightly. Under past reports, people with an age of 5 % or 17 % were rounded up to be in the 6- 17 and 18 and older columns because of the way the data was pulled. They are now under the proper categories so while they may have switched which age bracket they fell into, the total numbers remain the same. Thank you, Angela Minicuci Office of External Relations and Communications Michigan Department of Health and Human Services 0 roinicucia@michigan. gov www. michigan gov/mebhis E-mail Confidentiality Notice: 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. xxxEND_PAGE:executiveofficeemails20_b1277_3289_3289_1

Hi Brad - for your review: Hi Paul, On the first question, fd recommend reaching out to the Governors office, We know that the report is ongoing but as it’s independent of MDHHS or DEG, we wouldn't be able to give you an update on its status. aE: Environmental Protection Agency on their investigation as well as the Centers for istase Contral and Prevention for their support. if the US. Justice Department ar FBI were interested in investizating this issue, we would cooperate and assist as we can, Already the State has been providing elevated blood lead level investigations in Flint and doing case management for families when an elevated blood lead level is detected. We've also been working closely with our in terms of your other two questions, as you know we're working already with the federal gavernment at the community partners at the local health department and health plans to conduct testing. The instance you referenced below and the current issues in Hint involve two very different sets of circumstances, As there can be exnesure to lead ina variety of ways, not just water, we belleve that the current effort through follow up with nurses is the best approach for identifying and rechicing exposures to lead in the community as a whole. Thank yoru, Angela Frat Fear, ‘Paul Te i 3 Sent: Thursday, December 10, 2015 123 Aa PM xxxEND_PAGE:deq15_b359_1540_1542_1

Just tried to call y'all. Pm in all afternoon. Say wher. b Brad Wurfel Communications tHrector, Michigan Department of Environmertal Quality

Providers Hi all, Just a note. We finalized the language in the Genesee County Health Department release and were going to wait to send it until the letters went out but then the county misunderstood and sent it out today anyway. See attached. Seen as this release said the letters went out today, but they haven’t even been printed yet, they are working ona retraction to correct this. Thank you, Angela Minicuci Office of External Relations and Communications Michigan Department of Health and Human Services Office: {547} 241-2212 [email protected] win michigan cov /mechhs E-mail Confidentiality Notice: 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. xxxEND_PAGE:executiveofficeemails20_b1169_2951_2951_1

Angela ~ there are two things that cio need to get addressed before these go out. {left a message earlier. Plaase call at your earliest convenience, Mobile will be best, | PPI Glad and good to see this kind of and outreach. Thanks much, Sw

Importance: High Hi everyone, Following up on this. Do you have any concerns or edits? Additionally, we are working with GCHD to issue a joint release when these letters are sent. That’s attachad far your reference as well. xxxEND_PAGE:executiveofficeemails21_b0163_0296_0297_1 Thank you, Angels

Good morning, Attached are the parent and provider letters that we have been working on. These are on the fast track and we need comments back to us as soon as possible. Thank you, Angela Minicuci Office of External Relations and Communications Michigan Department of Health and Human Services Office: { 243-2412 Mobile: {PPL minicucia@ michigan.gov www michigan gov/mdhhs E-mail Confidentiality Notice: 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. xxxEND_PAGE:executiveofficeemails21_b0301_0627_0627_1

Team, Here’s the planned release about Flint Water Task Force that is expected to be issued this afternoon. Please consider stakeholders you might want to notify. Dave Gov. Rick Snyder announces Flint Water Task Force to review state, federal and municipal actions, offer recommendations Experts in public health, water management, environmental protection to focus on steps to protect residents LANSING, Mich. — Gov. Rick Snyder today announced the creation of an independent advisory task force charged with reviewing actions regarding water use and testing in Flint and offer recommendations for future guidelines to protect the health and safety of all state residents. Task force members include experts in public health and medicine, water management, and environmental protection from both sides of the aisle, and will be co-chaired by Ken Sikkema of Public Sector Consultants and Chris Kolb, of the Michigan Environmental Council. Also serving will be Dr. Matthew Davis of the University of Michigan Health System, Eric Rothstein, of the Galardi Rothstein Group and Dr. Lawrence Reynolds of Mott Children’s Health Center in Flint. “Transitioning back to the Detroit Water and Sewerage Department-Great Lakes Water Authority is a good first step to protecting public health in Flint, but it’s not the last step,” Snyder said. “Bringing in outside experts to evaluate our actions and help monitor and advise on potential changes to law, procedures and practices will be key to continuing work on the comprehensive action plan and ensuring safe drinking water for all the residents in Flint and all of Michigan.” Snyder said the administration will fully cooperate with task force members, saying he wants an unbiased report focusing on steps taken in the past and recommendations that could improve practices to ensure all residents have access to safe, clean water. Ken Sikkema is a senior policy fellow at Public Sector Consultants, where he specializes in public finance, environment, and energy policy. Prior to joining the firm, Sikkema served in both the Michigan House and Senate, culminating with four years as Senate majority leader. He has also served as both an adjunct and visiting professor at Grand Valley State University. Chris Kolb is president of the Michigan Environmental Council, a statewide coalition of 70 environmental, public health and faith-based nonprofit groups. Before joining the MEC, Kolb represented Ann Arbor in the 1 xxxEND_PAGE:executiveofficeemails21_b0290_0607_0608_1 state House for six years and served six years on the Ann Arbor City Council. He has been president of the MEC for six years. Matthew Davis, M.D., M.A.P.P., is professor of pediatrics and internal medicine at the University of Michigan Health System and professor of public policy at the Gerald R. Ford School at the University of Michigan, having joined the faculty in 2000. Davis also is a professor of health management and policy at the School of Public Health. He previously served as the chief medical executive of the Michigan Department of Community Health/Department of Health and Human Services. Eric Rothstein is a national water issues consultant and principal at the Galardi Rothstein Group. He served as an independent advisor on the creation of the Great Lakes Water Authority. Rothstein also has served as Jefferson County, Alabama’s rate consultant and municipal adviser for litigation related to the county’s bankruptcy and issuance of $1.7 billion in sewer warrants and led strategic financial planning for the City of Atlanta’s Department of Watershed Management. He has more than 30 years of experience in water, wastewater and stormwater utility finance and rate-making assessments. Lawrence Reynolds, M.D., is a pediatrician in Flint who serves as president of the Mott Children’s Health Center. He received his medical degree from Howard University College of Medicine and has been in practice for 36 years. He has served as president of the Genesee County Medical Society and the Michigan Chapter of the American Academy of Pediatrics. He has been honored for his humanitarian and advocacy efforts on behalf of children from the Community Foundation of Greater Flint. Snyder has said reconnecting with the authority is a critical step to resolving water quality issues and addressing related health concerns. It will not immediately resolve the city’s problem with lead service lines or aging infrastructure. It will take time for pipes in Flint to become coated with the phosphate corrosion control. To best protect public health, state and local authorities will continue to carry out steps outlined on Oct. 2 ina comprehensive action plan, including continued testing, the use of faucet filters and providing residents with accurate information about steps to eliminate lead exposure. The Michigan Departments of Environmental Quality and Health and Human Services are continuing to provide free water filters, free lead testing through the state laboratory for Flint water customers, and hiring additional staff to conduct health exposure monitoring for lead in drinking water. FH Dave Murray Deputy P Twitter:@michigandmurray xxxEND_PAGE:executiveofficeemails21_b0290_0607_0608_2

For the 4" bullet, can we change it to “3850,000 will aid in follow up services for children, including testing, investigations, and case management for those with elevated blood lead levals.” Jennifer (Smith) Eisner Public information Officer Michigan Degartrnent of Health and Human Services SE?-24 1-24.12

Let me know if you have changes. Thanks, Anta Heaton Public Relations Advisor | Gow. Rick Snyder en SEY-241-6049 fo: @Regublicanna xxxEND_PAGE:executiveofficeemails20_b1096_2818_2818_1

gouencentar MDHHS purchased total water filter distribution 10/6-10/9 = 473% Tuesday ape filters were distributed through MDHHS offices, GCCARD the local Community Action Agency, Flint Housing Commission, Early Head Start, Mott Park Neighborhood Association and Commissioners. Wednesday 1 Age filters were distributed through MDHHS offices and GCCARD. GCCARD is coordinating filter installations for seniors and home bound individuals. The UAW pipe fitters are donating in kind services of $20,000 for this installation. United Way has given filters to homeless shelters and any undocumented immigrants that have come to the Center. Filters were delivered to several senior housing complexes for maintenance to install. Thursday 1046 filters were distributed through MDHHS offices and GCCARD. MDHHS is also working to inform licensed non-school based daycares on where to get water filters. Friday 635 Filters were distributed through MDHHS offices and GCCARD. 24 water pitchers were distributed as well xxxEND_PAGE:executiveofficeemails20_b0500_1721_1721_1

Team, this draft of the Free Press guest column builds on Brad’s good work with slight changes. This one has a different audience that the MLive column and a different approach. Let us know if you require any changes. Thank you for all you do. Dave By Nick Lyon and Dan Wyant The health and safety of Michigan residents is always the state government’s top priority. That's why state regulatory leaders were disappointed by recent Free Press editorials mischaracterizing Lansing’s oversight of the City of Flint’s drinking water system. The paper’s portrayal of the state as uncaring about drinking water quality and the community’s exposure to lead are simply off the mark. State and federal regulators run programs to monitor lead in drinking water and in kids’ blood levels specifically to track lead impacts on our communities. Lead is a real concern, particularly in children, and we take our responsibility seriously. But it is important to remember that lead is all around us. It is in soils, deposited for decades by leaded fuel and industrial processes. It is paint, in homes built in the mid-1970s or earlier. And it is unfortunately common in the plumbing and service connections of older homes, which is why the DEQ requires community water sources around the state to track and record it and take steps when levels surpass federal action thresholds. Let’s be clear: The Flint River is not contributing lead. The water leaving the drinking water plant is clean and safe. The water traveling through the distribution system also is free of lead. The lead issues are the result of water in homes that have lead service lines or lead plumbing. And because the contamination factor is at the homeowner level, it is difficult to track or assess with the kind of specificity customers would like to think regulators have. Two homes on the same block might have very different results from lead testing, based on what kind of plumbing they have and how homeowners use their water. Emerging data from local doctors, however, added to our knowledge enough to spark some unusual precautionary actions. They reported to the media that blood lead levels in Flint kids at their offices are up this year. It’s still early to know exactly what that means, but because lead is a serious threat 1 xxxEND_PAGE:executiveofficeemails20_b0384_1449_1450_1 to children’s development, we have decided to take some aggressive short-term precautionary measures and do more to learn exactly what is happening in the city. The state today joined with local and federal authorities to present a comprehensive action plan designed to produce a clearer picture of lead in the community’s water, offer immediate protection for its kids and families with corrosion control and free lead water filters, review and audit testing protocols, and immediately assess the schools to reassure parents their kids are not exposed to lead at the drinking fountains. We're bringing help to people who need it. And we’re also giving people accurate information so they can be confident that the water the drink and bathe their children with is safe. Critics in the community and at the Free Press have said we have been slow to respond to Flint’s drinking water concerns. The truth is that local, state and federal authorities have been paying very close attention to Flint’s drinking water all along, but we have the responsibility to check facts and use the knowledge we have to develop responsible, meaningful strategies that will help everyone clearly understand the real risk level and take appropriate actions. We will be transparent with all we are doing and everything we determine. But Flint residents should also recognize our ultimate success depends on their help. Residents with lead concerns can have their home water tested -- for free. Parents of younger kids should have their children get free blood lead level testing at the local community health department. And state leaders are using emergency funds and working closely with community groups and donors to provide faucet water filters to all Flint homes. We are committed to doing all we can to protect drinking water and public health, in Flint and the rest of Michigan. The plan set forth should send the strong signal that residents can be assured the city, state and federal regulators are accountable, forthright and working hard to protect them. It is the community's responsibility to take the steps available to them as well. Ensuring public health is a public service, but the public can play a key role. Learn more at Nick Lyon is the director of the Michigan Department of Health and Human Services. Dan Wyant is the director of the Michigan Department of Environmental Quality. Dave Murray Deputy Press Secretary | Executive Office of Governor Rick Snyder xxxEND_PAGE:executiveofficeemails20_b0384_1449_1450_2

This version includes the additional information about the filters. By Nick Lyon and Dan Wyant People in Flint — and all of Michigan — need to know that that then they turn on the faucet, the water they drink and bathe their children with, is safe and clean. Flint residents have been hearing concerning news about the municipal water supply for more than a year. We're working to help Flint leaders address and fix short- and long-term problems with the city’s water infrastructure. A recent announcement by local doctors that blood lead levels are rising in children residing in Flint’s most at-risk ZIP codes added to the state’s knowledge and sparked some additional precautionary measures. Experts are still working the data to determine exactly what it means, but the state takes lead seriously. State agencies also are working in collaboration with the federal and Flint leaders to get residents accurate information to ease their fears. Gov. Rick Snyder directed the Michigan Department of Environmental Quality and the Department of Health and Human Services to work with the U.S. Environmental Protection Agency to create a comprehensive action plan to build our knowledge about lead in Flint, better protect the community and restore public confidence in the regulatory framework. We're testing the water in all of our schools so we know that our children are safe. We're testing residences at no charge and expanding health exposure testing so families can be confident about the water coming into their homes. We're providing faucet filters to Flint homes. The state is investing $1 million on this effort, building on the generosity and support of community groups and donors. We're accelerating corrosion controls in the Flint drinking water system. xxxEND_PAGE:executiveofficeemails20_b0934_2534_2537_1 We're increasing the pace of water system improvements to address replacing lead service lines. We're expediting the completion of the Karegnondi Water Authority pipeline. We're expanding the Safe Drinking Water Technical Advisory Committee to ensure the best technology, practices and science are being followed by adding an expert from the U.S. EPA’s Office of Research and Development. The DHHS’s chief medical executive, Dr. Eden Wells, has been designated Flint’s drinking water public health adviser. We're also boosting a comprehensive lead education program to make sure residents have detailed information about how to protect themselves and their homes. That's key, because the lead in question does not come from the Flint River. The water leaving the drinking water plant is clean and safe. The water traveling through the distribution system also is free of lead. The lead issues happen when the water reaches homes that have lead service lines or lead plumbing. This is important to know for two reasons: Contamination happens at the homeowner level, it is very difficult to track precisely. And, the longer water sits in lead pipes, the more lead it takes on, so homes on the same block might have very different results from lead testing, based on what kind of plumbing they have and how homeowners use their water. All of the measures in the action plan build on efforts that have been underway for the last year. State agencies have been working with the city on a variety of issues and approaches to correct Flint’s water infrastructure challenges. That's because the health and safety of Flint residents — and people across our state — is our first priority. More information about the action plan and lead is available at People interested in getting their homes tested for free should call (810) 787-653, then press 1. Nick Lyon is the director of the Michigan Department of Health and Human Services and Dan Wyant is the director of the Michigan Department of Environmental Quality.

This isn’t formatted yet, but wanted to get a version out there as | continue to work on this. | tried to focus on the human element, and where people can get information. Tried to be light on the jargon. Please give a quick read. Dave Oct. 2, 2015 For More Information: Sara Wurfel or Dave Murray Brad Waurfel, 517-284-6713, Angela Minicuci Gov. Rick Snyder: Comprehensive action plan will help Flint residents address water concerns Collaborative effort with state, federal and city leaders focuses on testing, assistance FLINT, Mich. — Flint residents need to have access to safe, clean, water now and long into the future, Gov. Rick Snyder said, announcing a comprehensive action plan created with state, federal and city leaders to address concerns about drinking water. The water leaving Flint’s drinking water system is safe to drink, but some families with lead plumbing in their homes might experience higher levels of lead in the water that comes out of their faucets. The action plan focuses on increasing water testing, offering additional precautions for families with lead plumbing in their homes, and providing long-term solutions to address the city’s water infrastructure 1 xxxEND_PAGE:deq14_b0588_1955_1957_1 challenges. The plan was created at Snyder's direction by the Michigan Department of Environmental Quality, and the Department of Health and Human Services, the U.S. Environmental Protection Agency, and the City of Flint. “We are deeply concerned by the lead results we are seeing in parts of Flint,” Snyder said. “People are worried about their health and their families, and they need to have accurate information. Today’s action plan builds upon ongoing work with state and federal agencies and our partnership with city and community leaders. Together, we are working to ensure that all Flint residents can feel safe and address potential problems.” The city and the state also are working together to gather more data to ensure the water that leaves the treatment plant as well as the water that arrives in Flint homes is safe for all residents. The plan includes: e Testing in Flint public schools immediately to ensure that drinking water is safe, with testing also available at no cost to any other school in Flint. e Expanding health exposure testing of individual homes. e Offering free water testing to Flint residents to assure their drinking water is safe. e Beginning an optimization of corrosion controls in the Flint drinking water system. e Convening a Safe Drinking Water Technical Advisory Committee to ensure the best technology, practices and science are being followed, and adding an expert from the Environmental Protection Agency's Office of Research and Development to the group. e Accelerating water system improvements to address replacement of lead service lines. e Naming Dr. Eden Wells, chief medical executive for the Michigan Department of Health and Human Services, as the Flint drinking water public health adviser. e Providing Flint residents with water filters for their faucets. e Expanding a comprehensive lead education initiative to make sure residents have detailed information about to protect themselves and their homes. e Expediting the completion of the Karegnondi Water Authority pipeline. Residents can have their water tested by calling 810-787-6537 and pressing 1, or emailing # rt. Additional information is available at State health experts said there has been an increase in elevated childhood blood lead levels in some specific communities. Initial analysis of MDHHS data found that blood lead levels of children in Flint have followed an expected seasonal trend. While this analysis for Flint as a whole remains true, a comprehensive and detailed review breaking down data by ZIP codes with the city revealed that MDHHS data is consistent with a study presented recently by Hurley Children’s Hospital. xxxEND_PAGE:deq14_b0588_1955_1957_2 “While we cannot conclusively say that the water source change is the sole cause of the increase, this analysis supports our efforts as we take active steps to reduce all potential lead exposures in Flint,” MDHHS Director Nick Lyon said. “As part of this, we are working closely with our public and private partners to provide Flint residents on MDHHS assistance programs with water filters and educate families about the steps they can take to reduce all lead exposures in their home.” As a part of the action plan, MDHHS is making National Sanitation Foundation certified water filters available to clients who are active Family Independence Program, Food Assistance Program, Child Development and Care or Social Security Insurance recipients. “This action plan offers concrete steps we will take in a local, state and federal partnership to ensure all Flint residents have safe water to drink,” DEQ Director Dan Wyant said. “The DEQ will work closely with the city to gather further data to ensure the water that leaves Flint’s system as well as the water that arrives in Flint homes is safe to drink.” HHH Dave Murray Deputy Press Secretary | Executive Office of Governor Rick Snyder OY 517-449-8343, mobile Twitter:@michigandmurray xxxEND_PAGE:deq14_b0588_1955_1957_3

Here’s the news release. Please send me any changes. We’re hoping to get a quote from Nick, as well as contact info on how people can get a water filter. Karen Tommasulo Public Information Officer Michigan Department of Environmental Quality 517-284-6716 | 517-599-5733 xxxEND_PAGE:executiveofficeemails21_b0208_0438_0438_1

FYI Dave - please followup and see if we can get more on content, unless someone knows already. Sent from my iPhone Begin forwarded message: iyoffint. com> Date: September 25, 2015 at 8:15:46 AM EDT

Gis driving to fvetroit and Dave Murray told Ed to contact me. You're welcarne to send him my way if Geralyn is busy. Angela

Team, Here’s the media bulletin issued by Hurley Hospital in Flint about the lead blood levels press conference this afternoon. I’ve reached out to Hurley’s communications team, which has promised to send me whatever it has shared with the media on an embargoed basis. |’ll forward that as soon as | receive it. Dave Contact: Rebecca Jensen 810-262-61-2(ofice) {cel MEDICAL CENTE setemoer2 25 Media Alert FOR IMMEDIATE RELEASE WHO: Genesee County Medical Community, including Hurley Medical Center, Greater Flint Health Coalition, Mott Children’s Health Center, Hamilton Community Health Network & Genesee County Medical Society WHAT: Press conference to address medical community’s concerns regarding lead levels in the city of Flint’s water supply and appropriate precautionary measures. WHEN: 3pm, Today, September 24", 2015 1 xxxEND_PAGE:executiveofficeemails20_b1581_3908_3909_1 WHERE: Hurley Medical Center, Charles White Conference Center Media Note: Please enter on the Sixth Avenue entrance and check in with front desk upon arrival to be escorted to the Charles White Conference Center. Dave Murray Deputy Press Secretary | Executive Office of Governor Rick Snyder yoLG@michican gow office A mobile Twitter:@michigandmurray xxxEND_PAGE:executiveofficeemails20_b1581_3908_3909_2

We should talk, friends. Who is in today? Sent from my iPhone Begin forwarded message:

Yeo checking with Linda Dykema.

Have you ladies got anyane in your sham who can addrass the relative health risk of short term exposure to HTTM? It’s a Flint thing, Thanks.