Correspondence among

Here is the updated report with Eden’s edits incorporated...Let me know if you need anything else, © ><{{{'> www michigan gov/ eatsafefish <'}}}>< Michelle Bruneau, MA Michigan Department of Health & Human Services Project Manager & Health Educator (517) 335-8984 bruneaum @michigan gov

fagree —a rate caloulation of some type would seem good for surveillance of progress.

ve heard through Tracking that CLPPP and CDC are sometimes at odds about how the data are reported. It’s not just Mi, other states have the sanie issue. We can see if CLPPP disagrees with any of these definitions.

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

Will need ta share that with Bob.

CDC definitions here:

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

><{{{'> 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

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

Well..no pressure here.

Message from Director Dan Wyant THd you all see this? ><{{{'> <'}}}>< Michelle Bruneau, MA Michigan Department of Health & Human Services Project Manager & Health Educator (517) 335-8984

z xxxEND_PAGE:dhhs02_b0767_2685_2694_07 002692 { won’t be in the office on Friday, but send it up to the distribution list if it’s ready. Since we have the GCHD logo on the top, perhaps we should provide their phone # in the box on the bottom.

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.

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.

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

Date: Tuesday, October 13, 2015 2:23:00 PM 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:deq03_b270_0429_0429_1

Advisory Team Update; Filter.pdf Sarry, | was looking at this on ry phone and didn’t realize you weren't also co’d, Here are the attachments he forwarded, ><{{{'> www michigan cay/ satsafefish <'}}}>< Michelle Bruneau, MA Michigan Department of Health & Human Services Project Manager & Health Educator (517) 335-8984 bruneaum @michigan.gov

Hi everyone: Attached please find the very draft outreach and communications plan that Kory referred to — the scope will depend on what role we take on and availability of funding. The last page includes links I’ve compiled to the recent media, community groups, and the Virginia Tech group, as well as some potential talking points we might want to address. | have reserved our conference line for 2pm. The call in number is 877-873-8018; Access Code: 8282547. Thank you! - Michelle ><{{{'> <'}}}>< Michelle Bruneau, MA Michigan Department of Health & Human Services Project Manager & Health Educator (517) 335-8984 [email protected]