F Flint Water Crisis Public Archive

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Eden Wells Linda Dykema

Flint Timeline

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All, l’ll be updating the attached HHS timeline as we go forward with our activities in the city of Flint. | can glean some items to include from the daily SitReps and I’m also asking that you provide any additional noteworthy items to me at the end of each week. Please forward to anyone that I’ve not included here. Thanks for your cooperation. Linda B. Dyhena, PAD. Environmental Public Health Director Giision of Environrnental Health Michigan Department of Health & Human Services S17,335.8566 dykermal@ michigan gov xxxEND_PAGE:dhhs02_b0492_1910_1910_1

Updated Timeline

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Linda—this is the MDHHS Flint Water timeline, compiled from information discussed during our internal team meeting. The timeline is current through 12-30-15. The most recent update references the provider letter distributed by Medicaid on 12-30-15 -- Blood Lead Guidelines to Address the City of Flint Residents’ Potential Exposure to Lead. At this point, | think it makes sense for your area to be the “keeper of the timeline” and ensure that it is kept up to date, and maintain version control. Let me know if you have any questions. Sue xxxEND_PAGE:dhhs03_b0891_3143_3143_1

Re: Pb in Flint-TIME SENSITIVE

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Just talked with Corinne. Note that the email Matt sent was a heads-up, and he feels that the recommendations going to the Governor's office this week (today, tomorrow?) will make recommendations as he outlined- most of which Sue and Geralyn and | ave addressed with him and/or the GTF. The main one he was concerned about is the issue of going to weekly reports. With Medicaid going to weekly, this will synergies well. The GTF is NOT interested in the EPID or going into the weeds of what our denominators are, or the intricacies of data collection. They just want consistent valid and reliable reporting, in my opinion. | will be replyng to Matt this AM with a CC to Sue, Corinne and Geralyn on the fact that weekly will be the goal for the blood lead reporting. d Human Services

Re: Pb in Flint-TIME SENSITIVE

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Agree! All good- I do not think he will be getting into methodology, just recommending increased frequency--- Sent from my iPhone I absolutely agree that we have to define the task with full knowledge of what's feasible. No more chasing our tails on these reports. It's unproductive. Sent from my iPhone Wellsk J@michiean gov> wrote: lL agree- and also think he will go with whatever the EPIds feel is best for the denominator-- E Sent from my iPhone On Dec 20, 2015, at 2:28 PM, Stanbury, Martha (DHHS)

Fwd: In Flint and beyond, lead remains irreversible scourge among Michigan's

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children FYI E Eden V. Wells, MD, MPH, FACPM Clinical Associate Professor, Epidemiology Director, Preventive Medicine Residency University of Michigan School of Public Health 1415 Washington Heights, Ann Arbor, MI 48109 Tel: 734-647-5306 Fax: 734-936-2084 weeenene n= Forwarded message ----------

For Review - Flint Report PR

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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

draft responses

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Importance: High lam 10 minutes late because | took a call from EPA re the thallium poisoning case...Eden I'll fill you in later. Attached is a compilation of everything | received re response to the Task Force letter with 3 introductory paragraphs. Thanks to everyone who provided verbiage! Linda D. Dyfema, PAD. Environmental Public Health Director Division of Environmental Health Michigan Department of Health & Human Services 517.335.8566 dykemal@imichigen gov xxxEND_PAGE:dhhs03_b0208_0798_0798_1

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