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RE: Attached -- Task Force Comments on Residential Sampling Protocol

Attached for your review is EBL water protocol with revisions made in response to EPA comments 2 through 8. Regarding comment #1: some of the issues raised by EPA will be addressed by the GCHD nurse case managers (e.g., filter maintenance). Other issues are difficult to address in the context of the protocol. For example, the timing of exposure relative to an elevated blood test and subsequent EBL investigation will vary between children and will be difficult to identify in most cases. In addition, it’s unlikely that most Flint homes would have been using a water filter prior to Oct 1, 2015. Given the limitations and the need to identify and abate relevant exposures as quickly as possible, the best we can do is measure current lead levels in unfiltered tap water as a proxy for past exposures. | need to share this with our contractors and oversight staff so the changes can be implemented. Please let me know ASAP if you have concerns. Linda

RE: Attached -- Task Force Comments on Residential Sampling Protocol

Date: Monday, December 07, 2015 10:11:16 AM Thanks Jim. | think we can make the recommended changes to the sampling steps, provided DEQ is willing to and can provide wide-mouth bottles. The response to comment #1 is somewhat complex and will vary depending on when an EBLL was reported. Does DEQ plan to respond or should HHS take the lead? Linda

lead sampling instructions

Date: Tuesday, September 22, 2015 3:26:27 PM Importance: High I’m seeing a discrepancy in the instructions for DW sampling for lead between the back of form EQB 2300 (36ME) and those at 3313 3675 _3691-9677--,00.htm|. The word or pdf instruction under helpful tools on the later page reads as Liane indicated in the call, flush the tap, let it sit 6 hours then take a first run sample. But the back of the request form says: “Select a clean faucet and remove such attachments as aerators, dishwasher connectors, etc. Allow water to run for about ten minutes at full flow from the sampling tap. Reduce flow to avoid splashing, and collect the sample directly into the bottle. Do not use an intermediate container. Do not allow water

RE: Lead

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]