Correspondence between

Good afternoon, Attached again is the provider message regarding enhanced testing, and the need for providers to ask their Flint resident cHents about whether they have had lead tasting (particularly targeted to children 0-6 } a5 well as whether thay have filters. [have heard a few reports {anecdotal} that some clients are having to ask providers far tasting, ar that they are not being asked if they have filters. Pete, is it possible to blast this message attached to ynur GCMS colleagues? Larry and Mona, | know the pediatrics folks may be alraady saturated. but if you think of other connections... Eden xxxEND_PAGE:dhhs02_b0171_0514_0519_1 000515

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 ----------

Chubb;Brent Wright;Lytle, Darren;Dayne Walling;Deborah Higgins;donna. cole;Dykema, Linda D. (DHHS);Krisztian, George (DEQ);Gerald Ved) Natzke;James HenryJamie Gaskin;Jason Herman;John O'Brien;Kevin J. Keane;Kirk Sullivan;Lawrence Reynolds;Lawrence Reynolds;Michael Glasgow;Schock, Michael;Mike Lane;Prysby, Mike (DEQ);MVALACAK @gchd.us;Natasha Henderson;Norb Birchmeier;Robert Hudson;Samir Matta;sean Kammer;Shawn Patrick McElmurry;Busch, Stephen Sheryl D. (DHHS);Warren Green

Darren; Dayne Walling; Deborah Higgins; donna. cole; Dykema, Linda D. (DHHS); Krisztian, George (DEQ); Gerald (Jed) Natzke; James Henry; Jamie Gaskin; Jason Lorenz; jmikewright; JoAnne Herman; John O'Brien; Kevin J. Keane; Kirk Smith; [email protected]; Laura Sullivan; Lawrence Reynolds; Lawrence Reynolds; Michael Glasgow; Schock, Michael; Mike Lane; Prysby, Mike (DEQ); [email protected]; Natasha Henderson; Norb Birchmeier; Robert Bincsik; [email protected]; Russell Hudson; Samir Matta; Sean Kammer; Shawn Patrick McElmurry; Busch, Stephen (DEQ); [email protected]; Thompson, Sheryl D. (DHHS); Warren Green

Wright; Lytle, Darren; Dayne Walling; Higgins, Deborah; donna. cole; Dykema, Linda D. (DHHS); Krisztian, George (DEQ); Gerald (Jed) Natzke; James Henry; Jamie Gaskin; Jason Lorenz; jmikewright; JoAnne Herman; John O'Brien; Kevin J. Keane; Kirk Smith; [email protected]; Laura Sullivan; Michael Glasgow; Schock, Michael; Mike Lane; Prysby, Mike (DEQ); [email protected]; Natasha Henderson; Norb Birchmeier; Robert Bincsik; [email protected]; Russell Hudson; Samir Matta; Sean Kammer; Shawn Patrick McElmurry; Busch, Stephen (DEQ); swalser@senatedems,org; Thompson, Sheryl D, (DHHS); Warren Green