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Phosphate Factsheet - NEW draft

Hi Liane, Please see attached - updated version of the factsheet.. Jen and | are still planning to walk over at 2 pm. | left in the background about sources of lead - but moved it outside the section of how the phosphate addition section. See what you think - we will try again if needed. Thanks Kory xxxEND_PAGE:deq14_b0887_3201_3201_1

RE: Report

e Percent of children with confirmed elevated BLLs: The number of children less than 72 months of age with a confirmed elevated blood lead level 25 g/dL divided by the number of children less than 72 months of age tested for blood lead, multiplied by 100. Also referenced as “Case Rate.” That could be a valuable reporting number. Give some perspective to the scope of the issue... ><{{{'> www michiqan.cow/ eatsafefish <"}}}>< Michelle Bruneau, MA Michigan Department of Health & Human Services Project Manager & Health Educator (517) 335-8984 bruneaum @michigan.gov

RE: Report

Reports saved ta: SADOCSHARE\Flint Water Lead Campaign\ DIRECTOR REPORT\GENERATED REPORTS For Discussion Tomorrow - the notion of having a more technical data printout: Attached are Table shells and a couple ideas for surveillance of progress. Saved to: S:\DOCSHARE\Flint Water Lead Carnpaign\ DIRECTOR REPORT\WEEKLY DATA REPORTS 1 xxxEND_PAGE:dhhs02_b0751_2613_2614_1 002614

Report

><{{{'> sovw michigan.cov/ eatsatefish <'}}}>< 2 xxxEND_PAGE:dhhs02_b0755_2619_2621_2 002621 Michelle Bruneau, MA Project Manager & Health Educator Michigan Department of Health & Human Services 201 Townsend, 4th Fl Lansing, MI 48913 Direct: (517) 335-8984 Toll free: 1-800-648-6942 Fax: (517) 335-8800 brunesum@michigan gov <2015-10-28 - Flint Lead Report DRAFT .pdf> xxxEND_PAGE:dhhs02_b0755_2619_2621_3

Flint Results One Sheet

Please find the document attached. Still debating if the map is a good idea because it’s really too small to do what | was imagining on it. My thought it was could color code it to reflect changes in blood level tests, but Kory brought up the good point that the colors would then be changing from week to week depending on testing rather than trends. Could replace it with a table of zip codes and tests by zip code if they decide that’s important or something else... Executive Summary topics are placeholders. Can update to capture what they want... ><{{{'> www michigan.gow/ eatsafafish <'}}}>< Michelle Bruneau, MA Project Manager & Health Educator Michigan Department of Health & Human Services 201 Townsend, 4th FI Lansing, MI 48913 Direct: (517) 335-8984 Toll free: 1-800-648-6942 Fax: (517) 335-8800 bruneaum@michigan gov xxxEND_PAGE:dhhs02_b0739_2594_2594_1

lead weekly report

Linda and Kory, Please see attached. Can you forward to Michelle? | can’t find an email address for her. Does this look like what you wanted? Do you want me to break these out by zip code? Follow-up testing is to come later, is that correct? Bob Robert L. Scott Childhood Lead Poisoning Prevention Program Michigan Department of Health & Human Services (517) 335-8178 fax (517) 335-8509 xxxEND_PAGE:dhhs02_b0741_2596_2596_1

RE: DRAFT DELIBERATIVE. NOT SUBJECT TO FOIA - Draft recommendations for restaurants from MDARD

Thanks Linda — So everyone is or the same page - Businesses thet wish to he tested can go through the lab and rust pay for the testing. They are not being offered free testing as is being done for residents. Since the docurnent MDARD prepared is specific to restaurants, atc. net sure that we have enough basis to suggest that rid-day flushing is necessary. But flushing is never a badidea. We'll keer this in mind as we proceed with developing recommendations for schoois. i believe as long as the Genesee County cio not use the water order is stillin place, we should be confident that bagged ice isn’t oraduced locally, Kevin — you ray want to place a caveat in the document just in case,

FW: Flint PoCu data DRAFT DELIBERATIVE. NOT SUBJECT TO FOIA.

Attached are the pdf/scanned forms that were submitted by the city jwe do have the individual lab sheets, but didn’t think thase would be helofull for the 2 six month rounds of monitoring conducted (uly — December 20:14 and January - dune 2015). Also, Adarn has provided the excel spreadsheet that he used to calculate the ag" percentile numbers for both rounds. Ask if you have questions. liane

RE: DRAFT DELIBERATIVE. NOT SUBJECT TO FOIA - Draft recommendations for restaurants from MDARD

Importance: High We've seen a rare finished version. | agree with the recornmendations with sore caveats: ® Can businesses get the free water testing offered to citizens? @ Some of the lHerature we've reviewed suggests that lines might need to be flushed if not used for less than 6 hours. Schoo! drinking fountains for example might need flushing at mid-day even if flushed in the morning. ® Can we be sure “bagged ice” was not produced locally? xxxEND_PAGE:deq19_b04_0306_0721_403 ® The sentence “Other equipment that may use city water:” could be read as permissive. Suggest changing may to “might be connected to.”

RE: DRAFT DELIBERATIVE. NOT SUBJECT TO FOIA - Draft recommendations for restaurants from MDARD

Date: Wednesday, October 14, 2015 10:18:49 AM Importance: High We’ve seen a more finished version. | agree with the recommendations with some caveats: e Can businesses get the free water testing offered to citizens? e Some of the literature we’ve reviewed suggests that lines might need to be flushed if not used for less than 6 hours. School drinking fountains for example might need flushing at mid-day even if flushed in the morning. e Can we be sure “bagged ice” was not produced locally? e The sentence “Other equipment that may use city water:” could be read as permissive. Suggest changing may to “might be connected to.”

RE: Lead Education for Schools

Date: Tuesday, October 13, 2015 4:08:38 PM Michelle completed a final draft of a fact sheet for Genesee County that | sent up our review chain earlier today. It’s focused on answering questions that the county is getting about using the city water for bathing, washing clothes, etc. All of our outreach efforts are supposed to go through Eden Wells and then to our communications office (Geralyn Lasher). | think DEQ and HHS should really work together on this, not have separate materials. Let’s brainstorm tomorrow morning when my brain is less dead.

RE: Lead Education for Schools

Michelle completed a final draft of a fact sheet for Genesee County that | sent up our review chain earlier today. it's focused on answering questions that the county is setting about using the city water for bathing, washing clothes, etc. All of cur outreach efforts are supposed to go through Eden Wells and then to our communications office (Geralyn Lasher}. 1 think DEQ and HHS should really work together on this, not have separate materials. Let’s brainstorm tomorrow morning when my brain is less dead.

Lead Education for Schools

DRAFT DELIBERATIVE — NOT SUBJECT TO FOIA One of the action steps identified by DEQ is to brush off past lead education documents and refresh/update them for distribution to schools. I’m wondering how this dovetails with the lead outreach campaign that we/you began working on last month? Do we see this as a separate assignment? Does DHHS wish to be the lead on it? Is it a subset of work already underway? I’m not sure where we left off after the last call and Michelle was gathering information. Do we need to re-group to discuss? xxxEND_PAGE:deq19_b04_0306_0721_402

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