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Updated Flint Blood Lead Report

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

Washington Post

Jen and Brad, There is a story posted in the Washington Post this morning regarding Flint water that appears to not include any information about the state governments role in helping the city with its struggles. I've been in contact with the reporter to express our displeasure and she is open to adding to the story. I'm handling the response from our office about the task force and action plan. Brad, | want to stay looking forward. Can you tell her about the school testing and results so far, that show the challenges seem to be limited to fixtures? Jen, can you direct her to the page where you are posting the results and explain the testing and filter distribution? I'll send the reporter's contact information. Dave Sent from my iPad xxxEND_PAGE:deq14_b0905_3230_3230_1

Flint water question

Dave & Brad, Congressman Kildee was on Off The Record today and in the ¢¥ Snyder to commit to establishing a fund to pay for the health care needs of some 7,000 Flint children who may have been exposed to lead in the water. The congressman said he wants to see it include tracking these children’s health and nutrition to ensure they’re getting the right care to help mitigate the long-term effect of lead in their bloodstream. Is this something DEQ or the governor are considering? Also, something directly for Brad: Kildee said he wants to see DEQ let Flint use a federally-funded revolving loan fund to replace private service lines in the city through forgivable loans. Is that being considered? I’m writing about this today. Really need a response by 4 p.m., if possible. -Chad Chad Livengood Capitol Reporter The Detroit News Lansing bureau: (517) 371-3660 xxxEND_PAGE:deq15_b352_1514_1516_3

FW: Eisenhower

Here's the final version of the Eisenhower report. With litte deviation, the pattern we're seeing emerge now that we've tested 8 schools ig that old faucets and drinking fountain oubblers (which should have been replaced in the 60s) are the source of any lead we are fincing in the schools testing. This is worth noting because it’s entirely likely that may of the old homes in Flint ~ and, for that matter, elsewhere in the state — are probably in similar situation to the schools. The conversation thus far has been focused on lead service lines, out another considerable transmission source is old faucets, or copper plumbing with the 30-50 lead solder thal was once common. We're inclined to post ihe most recent report on the heels of the DHHS data announcement, as it seems a natural follow fo that news. If the DHHS data is planned for jater than Wednesday, we could put it out by liself. Like I said, we're testing a couple schools every weekend these days, so we'll have more after this announcement and the findings are all following the same pattern.

RE: request for comment on congressman's letter

giBynichd yOi@michigan gov> 1. The Governor's 10-pcint plan for Flint recognizes the need to address iaad service lines. We agree with Congressman Kildee and intend to work with the City of Flint, utilizing Mis Revolving Loan Fund program. We appreciate Congressman Kildee getting clarification from EPA that this money can be used for lead service ling replacement. in fact, we've been working with Sen. Anarich and other legislative leaders to get these funds available to perform lead service line rendlacement. Po . The Governor's action plan addresses lead education and lead exposure. We will continue worlung with the cily to educate its citizens and we will be making our lead exposure data available and take actlons necessary to minimize risk to Flint residents from lead. 3. We appreciate the parinership between the state and local government to addrass the awitchover to Detroit water. The State of Michigan, with support from the Legislature, provided $6 million in an agreed-upon pian with the City te contribute half of the necessary funding. Of the $6 million local half, it is important to remember the Mott Foundation provided $4 million. We want io recognize anc sustain the parinership. 4. We look forward to the congressman’s continued leacersnip to deliver federal resources te this ISSUE.

DRAFT DELIBERATIVE RE: Need comment ASAP

These questions all make the presupposition that the state actually runs municipal drinking water systems. Every municipal drinking water system is required by law ta have a certified operator on staff. In Fint’s case, they added outside expertise an contract as well as having a certified operator. The nuance in your question is the idea that they don’t co anything locally without being icid to do so by the State. Not the case at all. Plenty of systems around the state make adjustmenis to their drinking water sysiem within guidelines. The DEQ siaff offer counsel and guidance, bul State's formal role is to serve as reguiator, not operator. Flint commissioned the report you mentioned. Wf they ignored the recommendations in appendix of the report they cormmissioned, ask them why. Our take was that Flint was to run two consecutive fests of the system to determine optimization needs. The US. EPA finally came out with its finishec guidance on that and cistribuled it nationally this week. I've enclosed I. We were pleased thal they acknowledged the Lead and Copper rule is worded ambiguously on continued corrosion control. The clarification will help Michigan and every other state going forward. Your second questions also is more appropriately directed to Flint. The city made the decision to use the river, the historic backup, as their primary. DEQ's role was to oversee necessary changes to the drinking water plant to ensure the water mei Safe Drinking Water siandards. To your final question, | believe it was reintroduced when the Flint City Council voted 7- 1 fo join Karegnondi, and DWSD responded by sending Flint a one-year contract 1 xxxEND_PAGE:executiveofficeemails20_b1710_4168_4169_1 termination notice. Vvhile that notice was not a shutoff notice, i did signal that the contract rates for water would be terminated and thus open for renegotiation. But again, this is a question best addressed by the city. Hey Brad, Just want to make sure you got my voice mail. | have some follow up questions based on the FOIA’d material | received yesterday. Specifically: - By 2013, MDEQ had a 2011 Flint report about the prospect of using Flint River water as a drinking water source. That report includes an appendix that lists phosphates, which we all now know are used for corrosion control, in the list of chemicals that would be required to treat the water. With a report in hand stating phosphates should be used, why were they not required? - Based on the materials | received, the 2011 report comes up briefly in 2013, when the KWA switch was contemplated, then seems to drop out of the picture. Why was a report about the viability of the Flint River water as a drinking water source not part of the 2014 conversations about whether to switch to the river or to stay connected to DWSD? - Areport included in the material | FOIA’d said that by the end of 2012, Flint officials did not want to pursue the option of using the Flint River as a drinking water source. Why was it reintroduced? Need a response ASAP. This is for Sunday. Nancy Nancy Kaffer Columnist Detroit Free Press -6585 @nancykaffer, @abettermi xxxEND_PAGE:executiveofficeemails20_b1710_4168_4169_2

DRAFT DELIBERATIVE RE: Need comment ASAP

These questions all make the presupposition that the stete actually runs municipal drinking water systems. Every municipal drinking water system is required by law to have a certified operator on staff. In Flint’s case, they added outside expertise on contract as well as having a certified operator. The nuance in your question is the idea that they don’t do anything locally without being told to do so by the State. Not the case at all. Plenty of systems around the state make adjustments to their drinking water system within guidelines. The DEO staff offer counsel and guidance, bul State's formal role is to serve as regulator, not operator. Flint cornmissioned the report you mentioned. if they ignored the recommendations in appendix of the report they cornmissioned, ask them why. Our take was that Flint was to run two consecutive tests of the system to determine optimization needs. The U.S. EPA finally came out with Hs finished guidance on that and distributed if nationally this week. I've 1 xxxEND_PAGE:executiveofficeemails20_b1712_4172_4174_1 enclosed i. We were oleased that they acknowledged the Lead and Copper rule is worded ambiguously on continued corrosion control. The clarification will helo Michigan and every other state going forward. Your second questions aisa is more appropriately directed to Flint. The city made the decision ta use the river, ihe historic backup, as their primary. DEQ’s role was to oversee necessary changes to the drinking water plant to ensure the water met Sate Drinking Water standards. To your final question, | believe it was reintroduced when the Flint City Council voled 7-1 to join Karegnondi, and DWSD responded by sending Flint a one-year contract termination notice. While that notice was not a shutoff notice, it did signal that the contract rates for water would be terminated and thus open for renegotiation. But again, this is a question best addressed by the city. Hey Brad, Just want to make sure you got my voice mail. | have some follow up questions based on the FOIA’d material | received yesterday. Specifically: - By 2013, MDEQ had a 2011 Flint report about the prospect of using Flint River water as a drinking water source. That report includes an appendix that lists phosphates, which we all now know are used for corrosion control, in the list of chemicals that would be required to treat the water. With a report in hand stating phosphates should be used, why were they not required? - Based on the materials | received, the 2011 report comes up briefly in 2013, when the KWA switch was contemplated, then seems to drop out of the picture. Why was a report about the viability of the Flint River water as a drinking water source not part of the 2014 conversations about whether to switch to the river or to stay connected to DWSD? - Areport included in the material | FOIA’d said that by the end of 2012, Flint officials did not want to pursue the option of using the Flint River as a drinking water source. Why was it reintroduced? Need a response ASAP. This is for Sunday. Nancy Nancy Kaffer Columnist Detroit Free Press 313-222-6585” @nancykaffer, @abettermi xxxEND_PAGE:executiveofficeemails20_b1712_4172_4174_2 xxxEND_PAGE:executiveofficeemails20_b1712_4172_4174_3

DRAFT DELIBERATIVE Freeman Elementary

Heads up, here’s the report fram the Elernentary school we sampled last weekend, Working with DHHS to coordinate release of bload lead level data with recent water sarnpling data, including this report. | think this is the format we're going to use for all 13 Flint Schools. H gives the achools folks specific, easy to read info about our findings and whai they suggest the school should consider doing. Call me # you have questions. Thanks, b

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