Correspondence between

Pye highlighted additional comments. Please review and let rne know if | should change any of fi, Thanks!

I’ve updated this “grid” based on the meetings we had on Tuesday. I’m sure all three of you have more to add. Send any edits to MIKELLE by 2 PM, as this has to be to Nancy G. by 3 PM. Thax Mark xxxEND_PAGE:dhhs03_b0499_1776_1776_1

Department All, Attached is the revised fact sheet and the Infographic | mentioned at yesterday's briefing. Please note that the Genesee County loge was pulled from the internet: GCHD may have a different ane they would like to use. We'll send these materials to them for final review once we're good to go internally. Linda

Department Just a few edits that we have in the attached, Amy has put aur edits an “sticky nates” in the attached pdf sa please refer to those for aur comments and eclits. Please make sure we get the final version so we can alsa provide to partners, etc. Thank you. xxxEND_PAGE:dhhs02_b0767_2685_2694_09 002694

Importance: High Attached is the final draft of the fact sheet requested by Genesee County to address questions/concerns they are receiving from the community. We'll share this with the county after is been approved here. Linda D. Dykema, PAD. Environmental Public Health Director Division of Environmental Health Michigan Department of Health & Hurnan Services 517.335.8566 dykemal @michigan.gov <2015-10-14 - Lead - Flint Water Fact Sheet 02.pdf> xxxEND_PAGE:dhhs02_b0767_2685_2694_10

Importance: High And Genesee County and the Genssee County Health Department, have just issumd the attached public health advisary and on the final paragraph it says: Michigan Department of Health aia i Ore CORN: sive and Funt addresses which would : je addresses in water from the Weter Author ty is prepared to take her 4 outs erefore, walt lunderstand that we are still reviewing the data—-but the county has basically issued a ransom date that they want this information by tomorrow. Ecden-—please coordinate an answer so Nick can walk inte the 1:00 p.m. meeting prepared on this.

shows twice as m any flin-AtrolBincart email xxxEND_PAGE:dhhs02_b1262_4738_4739_1 004739 I belteve Beh Secitt ts reveewing these findiags and ean report Back to us-:. xxxEND_PAGE:dhhs02_b1262_4738_4739_2

AH, lam participating in the Straights exercise all day today. If something needs imrmeciate attention please let me know, otherwise Mil be back in the office mid-day on Friday. Linda

Hi Corinne and Linda, Geralyn and Elizabeth requested a call with DEQ today in order to brief Nick and respond to some legislative inquiries. Below are my notes from the call that | sent to brief Sue and Mark as well asaQ & A document that DEQ developed and is currently being vetted by the Gov’s office. Just wanted to be sure to keep you in the loop on this. The DEQ PIO (Brad Wurfel) gave a long summary about the Flint water issue. He said bottom line is that the water itself is safe but they have an old water treatment plant and old cast iron pipes that haven’t been upgraded in more than 40 years. 15,000 homes have old connections with varying levels of lead. Flint is not in violation of the lead standards however they could optimize the water supply by adding phosphate. Flint is also working on a meaningful optimization plan that will be completed sometime next year. He said that DEQ briefed the Mayor and some legislators on Monday on the situation. He said Flint’s water supply is not an imminent public health problem but a public confidence problem due to the many groups getting involved and controversial reports/media coverage on it. Some data from a local group of Peds is showing an uptick in blood lead levels which seems to contradict the data that CLPP collects. I’ve asked Rashmi to follow-up with Nancy P on a) the issue of the lead testing that a group of pediatricians did in Flint? b) messaging about lead, where it is found in the environment c) a brief explanation in writing that explains the results from the blood lead tests that Nancy’s program has access to. | found the charts a bit hard to read/interpret. d) availability of any local programs that might be relevant, and e)anything else that might be useful for us to share with Genesee CHD. |’Il also check with Linda D. on this. (Linda, any thoughts on what might be useful?) DEQ developed a Q & A document that is being reviewed by the Gov’s office and they will share with us. They will post this on their website after it is approved. DEQ would like the local health department to get involved in the messaging about what can be done such as running the water before using or get xxxEND_PAGE:dhhs03_b0896_3163_3164_1 003164 a filtration system. Mark or | will need to follow-up with H.O. Valacak once we have some suggested talking points and information that can be provided to the public. The city owns only the first couple of feet of pipes in connections with homes, the rest is privately owned by the homeowner therefore it would be their expense to replace. The longer water sits in lead pipes, the higher the lead readings. DEQ’s testing protocol produces consistent results across the state and matches the EPA’s protocol. There are other areas of the state with the same problem. He estimated it would take $60 M to replace the city’s infrastructure. The city has request $30 M from the state to help with the situation. The state told them to check with Congress. But we are calling on EPA to assist along with our Congressional delegation. Brad said they are hoping to have their director submit an op ed to the Flint paper (and perhaps have Nick co-sign) with a message such as lead is a serious issue and there are actions that can be taken to minimize exposure. He wants to coordinate our messaging to align. He will circle back with Geralyn on this. Also, they will be reviewing the various water test results and will look at Flint’s water treatment protocols. He cautioned that they are receiving FOIA requests every day. Let me know if you have questions. Mikella: xxxEND_PAGE:dhhs03_b0896_3163_3164_2