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case management resources continue for families You are correct, Larry, that the MDHHS data is pulled out of the Data Warehouse by Flint zip. Eden

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 Eden, i support frequent updates. Mona and her tearm can continue to de the GIS work and track progress {or lack thereof} in the blood leads. i think that overall, the latest data implies we are on the right track. We can use the upclates to reinforce the importance of using the Hiters and bottled water that are being provided... Kast Regards,

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 ----------

to fixtures Mona, that has to be our message Avast | Download Free Antivirus for PC, Mac & Android cf your al the wrioad Ayast antivirus and Read more... This email has been sent from a virus-free computer protected by Avast. Peter A. Levine, MPH Executive Director Genesee County Medical Society 4438 Oak Bridge Dr. Suite B Flint, Mi 48532 Phone:810-7339925 Fax 610-2303737 [email protected] This is ridiculous. The way water lead testing is done by the state and city purposefully limits lead in water. And as recommended yesterday, the preflushing for home testing should be stopped. 1 xxxEND_PAGE:dhhs03_b0173_0726_0730_1 000727 In addition, we did not screen blood lead for school age kids nor infants at greatest risk. This is an attempt to minimize the problem. Mona Hanna-Attisha MD MPH FAAP Director, Pediatric Residency Program Hurley Children's Hospital Michigan State University If EBLLs are due to sources other than water,why did the frequency double only in Flint and not other areas in Genesee County.Why in wards where they were already high before the change in water source? Or did paint chips become more tasty on the inside of Flint only but not across the street on the fringes ? Is the DEQ working with MDHHS and local epidemiologists or just their chemists ? Why are BLLs not higher in the catchment areas for the schools with the higher WLLs? Are there mitigating factors in the tested schools's student population ? Check out BLLs in children under 2 or three before BLLs decline and they start school Does this mean lead in city water is ok ? We have repeatedly stated that the powder formula fed children under 6-12 months of age are at the greatest risk and the least tested. Add pregnant and breast feeding women with adults with decreased renal function or failure. This appears to be an attempt to divert scrutiny or , at best , an answer to another question .The decision to not monitor schools until recently is in itself problematic .There has always been the school problem ,which is a separate issue,perhaps exacerbated by water quality. : Flint Water Eric Rothstein posted a new message: Pn [DEG] Freeman Elementary water testing shows lead exposure limited to fixtures FYI - provided by Madhu Anderson, MDEQ