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For Review - Flint Report PR

December 11.pdf Good morning: Attached for your review please find a draft press release to accompany the December 4 report. Please let me know if you have any edits or concerns before 11:30 a.m. Thank you, Jennifer Eisner Public Information Officer Michigan Department of Health and Human Services 5 k@rnichigan gov xxxEND_PAGE:dhhs02_b0124_0405_0405_1

FW: 2014 lead data

All- A reporter with Bridge Magazine is requesting the statewide 2014 (and if possible, 2015} CLPPP data. Bob sent me the attached county-level info for 2014 which | have net shared yet, as it’s not the final report. We would like to touch base to make sure the data has been finalized and reviewed by epi before it's posted online. Eden ~ we'll reach out to you in the morning to discuss the media request. Beyond the data, the reporter is also interested in discussing home lead investigations. Jennifer Eisner Public information Officer Michigan Department of Health and Human Services Office: 517-241-2112 or [email protected] : Cell

FW: 2014 lead data

Ail- A reporter with Bridge Magazine is requesting the statewide 2014 (and if possible, 2015) CLPPP data. Bob sent me the attached county-levei info for 2014 which | have not shared yet, as it’s not the final report. We would like to touch base to make sure the data has been finalized and reviewed by epi before it’s posted online. Eden — we'll reach out to you in the morning t6 discuss the media request. Beyond the data, the reporter is also interested in discussing home lead investigations. Jennifer Eisner Public information Officer Michigan Department of Heaith and Human Services Office: 517-241-2112 or Eisner|@michigan.gov

Re: Hospital tests

lashers @rnichi What is the question? We only get reporting lab and ?provider... Sent from my iPhone On Nov 30, 2015, at 12:04 PM, Eisner, Jennifer (DHHS) <£is: Amichigar: Dr. Wells: The governor's team has some follow up questions about the testing that’s been completed by the hospitals. Are these numbers we can pull? Thank you, Jennifer Eisner Public Information Officer Michigan Department of Health and Human Services Of 517-241-2112 ¢ xxxEND_PAGE:dhhs02_b0057_0226_0230_3 000229

FW: Follow up items

Attached you will find the items | mentioned this morning that were forwarded to the Task Force yesterday. --A detailed MDHHS Action Plan on Flint Water Public Health --An overview provided by our Bureau of EMS, Trauma and Preparedness giving further detail on considerations for use of the Incident Command System or Community Health Emergency Coordination Center (CHECC) --Answers to the lead abatement questions posed to the department from the Task Force. Thanks--g xxxEND_PAGE:dhhs03_b0725_2535_2535_1

Re: October EBL data - previous years

They're requesting the last 5 years only. 2 xxxEND_PAGE:executiveofficeemails19_b169_405_407_2 Sent from my iPad On Nov 23, 2015, at 6:29 PM, "Eisner, Jennifer The gov's office is requesting the total number of tests and EBLs for Flint for the month of October in 2014, 2013, 2012, etc.. Going back as far as we can (10 years?). Can we get those figures tomorrow morning? I've seen some figures but not sure if they were final/ approved or pulled in the same method as our report for this October. Thank you, Jennifer Sent from my iPad xxxEND_PAGE:executiveofficeemails19_b169_405_407_3

response to Nick's questions

1. EBLinvestigations: the investigation report, including the water information, should be provided to the MDHHS Healthy Homes Section within two weeks on average after the investigation is completed. This includes time for receipt of specimen test results (water, dust wipes, soil). 2. Elevated EBLs: there were 18 children with elevated EBLs shown in the summary report as of October 30, 2015. | have the more detailed age breakdown for the updated report which would show data from 10/1/2015 to 11/13/2015. There are 22 children with elevated EBLs. Of children < 6, 14 have levels 5 — 14, 2 have levels 15 —44. Among children 6 to 17 years, 5 have levels 5— 14 and 1 has a level 15-44. In summary, 19 children fall into the 5 — 14 category and 3 in the 15 -44 category. So most kids are in the 5 — 14 mcg/dL category if they have elevated EBLs. The table is attached. Epidemiology is not planning on sending these more detailed tables up to you routinely, but this table gives you a feel for the testing by age group and whether or not the test, if known, is venous or capillary. Corinne xxxEND_PAGE:dhhs02_b0600_2199_2199_1

Fwd: Notes from Lead Testing Protocol V 7

Hi all, Notes from our call this AM. Thanks, Rashmi Rastini Fravis, MPH, CHES Bureau Director of Family, Maternal, and Child Health Michigan Department of Health & Human Services Population Health and Community Services Capitol View Building, 6 Floor Lansing, MI 48913 Phone: 517-335-8922 Fax: 517-335-9032 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:dhhs03_b0024_0055_0055_1

RE: Draft Response

As part of our surveillance, we are always monitoring for an increase in reportable conditions and working with our local health departments to identify potential public health issues. Regarding Genesee county, in the last year we supported the Local Health Department in an investigation of a legionnaires cluster. Jim Collins MPH, RS Directer, CD Division MDHHS Desk: 517-335-8586 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 email is.expressly prohibited. ff you are not the intended recipient, please contact the sender by reply e-mail and destroy any and all copies of the criginal message

RE: Draft Response

xxxEND_PAGE:dhhs02_b0116_0387_0389_2 000389 Sorry ~ UPDATED! For your review — Jim, can you provide the date or timeframe below? As part of our surveillance, we are always monitoring for an increase in reportable conditions and working with our local health departments to identify potential public health issues. Regarding Genesee county, in the last year we supported the Local Health Department in an investigation of a legionnaires cluster. The investigation showed a number of cases that were related to one healthcare facility — and there have not been any additional cases associated with the cluster since Jennifer (Smith) Eisner Public Information Officer Michigan Department of Health and Human Services 517-241-2112 xxxEND_PAGE:dhhs02_b0116_0387_0389_3

Draft Response

For your review — Jim, can you provide the date or timeframe below? There is always the potential for As part of our surveillance, we are always monitoring for an increase in reportable conditions and working with our local health departments to identify potential public health issues. Regarding Genesee county, in the last year we supported the Local Health Department in an investigation of a legionnaires cluster. The investigation showed a number of cases that were related to one healthcare facility — and there have not been any additional cases associated with the cluster since bee Jennifer (Smith) Eisner Public Information Officer Michigan Department of Health and Human Services 517-241-2112 xxxEND_PAGE:dhhs02_b0113_0382_0382_1

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