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Okay....f just dort want peaple falling through the cracks. TorwwL LaRocco Ms, RN Director of Nursing Services Genesee County Healih Depariment 810.237 4544 [email protected] Se o. werk BO GaaBe, RES sOee, £8 tases dew’ ate ra fF oe. é a & rat . . z geonstance, chaos te eetes, conpasine & obenig, f wend ale a feast a ease whe a howe, a Sh ee a frvord, Grade Wake saber sense af our past, dolege coats. fos tala, get cmeates a ase fom Gemcnnsis~ 8 intended for ihe excuse . you are 4 of the content use of the addressee and may contain ded recipient, any d ute, u nsfribation, ted. HP you he scehved this &- Stroy alloomles Thank you, fidential or pros ney Of any sothon iy Ing f HF a website al hitec/Awwwy For & copy o' he Health Department's Notice of information Practices, contect the Health Denartrnent ar visit the Heallh ond uss Department's

xxxEND_PAGE:dhhs02_b1194_4563_4568_1 004564 Where are we with this issue? Bath the case rnanagement and how itis being sent to the state data base? Toni L LaRocco MS, RN Director of Nursing Services Genesee County Health Department 610.237 4544 [email protected] femny lensak pele i a . e os elf thee fellhes OP 8 if ihe, fb Laees wheal we have ote é g : : oot fear U8 683 ty, 10 ean taser a meal its RUS & howe, & Suranger Fesed va if Ea baa, dad eeaates & aisir See Comores, f f HS SENS OE Par £48, heise Posie soe 2 ive use of the ad ended recipier aoe For a copy Deparment h Deparmeni’s Notice of information Practices, contact the al Rip Awa sohd us! jeaglin Decariment or visi

Given that this is a research study, the Hurley lab may not be handling the results in the same way as they handle other lead tests. Can the lab be contacted and asked about that, by someone on Dr. Hanna-Attisha's team? If the results are handled under a research protocol, would the results be required to be reported under the Public Health Code, or would they be considered confidential under the terms of the consent form signed by the research participants? In other words, what does the research protocol and the consent form say? | assume/hope the family would would welcome a home intervention, but need to be sure the research protocol re confidentiality isn't being violated. If it appears that way, then someone on the research team should get consent from the family for public health followup, | would think.