Correspondence between

| met with Michelle Johnson, Director of Operations. On 10/16 United Way delivered filters to Whaley. Whaley recently replaced filter cartridges, because red indicator light. Children drink only bottled water from many donated sources. Whaley maintenance crew sampled water, but mistakenly only filled the liter bottles 1/2 way to top. The 2.516ppm is the employee restroom @ admin building. It's a newer hand sink fixture, but old plumbing. | couldn't remove aerator to check for lead particulate, because of the fixture design. No valve, so posted "Do Not Use." At the extreme level, | want to check with MDHHS toxicology regarding potential risks from lead residual from hands to mouth (not skin absorption) e 213 is off site at Rotary and no children are there. It will be posted or made inaccessible until demonstrated to be safe. e 029 is a classroom and concerning. Michelle will check in morning to see if it is drinking water and follow up with me. e Tomorrow appropriate resampling is scheduled by Whaley staff. | recommended sampling drinking fountains also and make them inaccessible until demonstrated safe. e Michelle estimated 27 children at Whaley, A. None age 0-5, B. One age 6, Cc. Oneage8 D. Twenty-five age 11-16. e Michelle indicated most children have same Hurley doctor, but not sure who physician's name. e She referred me to Michelle Shamel, Whaley's Director of Clinical for information regarding blood testing and physician. I'll follow up with her in morning. Jim Sent from my phone. woeeee Original message------

Thanks, I'm stopping by Whaley tonight to make sure that no one is drinking the water and the concerns below are addressed. traceived the attached water results this afternoon and t will bring a copy to help me identify the fixture locations at Whaley. Lintend to have the manager shut off the valve at Z.5lGppm, 0.39 of the attachment. Results orp. 19, 29, 32, 39, 48 are all elevated at Whaley and others are concerning, 2 xxxEND_PAGE:dhhs03_b0233_0876_0879_2 000878 itis not common for us to receive the MDEQ daily report with this many lead results or the number of elevated in one location. We commonty receive between 1-15 general water results, which most are usually bacteria, partial chemistry and arsenic, mixed in with a few lead and copper. Fil report back what | find at Whaley. Jin Henry RS, MBA Environmental Health Supervisor 630 S. Saginaw St. Suite 4 Flint. Mi 48502-1540 Phone (810} 257-3618 Fax (810) 257-3125 E-mail |[email protected] Genuses Codrily

Jim, | just got a call from Eden Wells and DEQ just told her Whaley CC was given sample results of 213ppm and 2516ppm from two fixtures. As this is a center for foster kids it would be a good idea if we verify they are not using those fixtures. Find out if they have filters or are using bottled water. Are the kids there seen by a physician and tested for lead? Have they notified their physician(s) of the problem? Thanks Mark Valacak, MPH, Health Officer Genesee County Health Department, 630 S. Saginaw St. Suite 4 Flint, Ml 48502-1540 Phone 810-257-3588 Fax 810 257-3147 xxxEND_PAGE:dhhs03_b0233_0876_0879_3 000879 Please consider the environment before printing this e-mail. "There are two lasting bequests we can hope to give our children: one is roots; the other is wings.” Hodding Carter *NOTICE: This e-mail, including attachments, is intended for the exclusive use of the addressee and may contain proprietary, confidential or privileged information. If you are not the intended recipient, any disclosure, use, distribution, copying, or taking of any action in reliance of the contents of this e-mail is strictly prohibited. If you have received this e-mail in error, please notify me via e-mail and permanently delete the original and destroy all copies. Thank you. For a copy of the Health Departuent’s Notice of Information Practices, contact the Health Department or visit the Health Department's website at i chd.us/ xxxEND_PAGE:dhhs03_b0233_0876_0879_4

Toni l LaRocco MS, RN Director of Nursing Services Genesee County Health Department 810.237 4544 flarocco@achd us 28 Bags bat sae 2g AE tans ahal we Base ees Bre 2, oe " gle, ff Exeere é& nee 4 stn bape & mead MLS Ronegatee, GhaEs ke oedee, confewon Ue ebine lo & feast, & house stl & f . foe ra é ie bone, « stranger inte a fled Goatitude makes cease of van past, doings peace fox lodag, and é £8 2 me: 2? Ltalee 8 eneor per forcreis Mledidy oats ad for the exc if you are : # afin error, sflzane notty me vig amall and permanently delete the cradle an x! deduce al copies. Thank you. visit the Health Department's wepsiie a f informant: a ies. contact the Health Cepartment or nit anene GONE US,

Sent from my iPad xxxEND_PAGE:dhhs02_b0430_1626_1628_2 001628 Begin forwarded message: Healthy Diet 504857 7. pdf www. Water-FightLead-Healthy Diet 504857 7.pdf attp/Avww mm 504857 7 pdf I thought we agreed - no unfiltered tap water for washing food or cooking. Where did this one minute flush before using tap water recommendations come from. See attached document linked to the Genesee county website- simple steps you can take ,bullet point 7. We cannot use this in Flint without editing. My plan was to use this in a Community Ed talk since the pictures and layout were so eye appealing .We will have to review all handouts. Believe me, I am not interested in playing gotcha. We need a consistent ,accurate message for Flint residents on all water materials, not general advice. xxxEND_PAGE:dhhs02_b0430_1626_1628_3

Hi, Pwanted to give you 2 aurnriary of the lead screering and case management activilies. i will not be on the call ihis aferrioon. Getting things set for Thursday. Overall, things went very well last week wilh @ much smaiier turnoul than hoped. Bul nol necessarily surpriging. Tori L LaRocco MS, RN Director of Nursing Services Genesee County Health Deparirnent 810.237 4544 [email protected] és S the fellhe £8 af £E basus what we have kee anougl, aad move, £8 axes oxen’ ibe 7 . EGA ‘ Bi i Pe ¢ ronpasin te be Séaey ia FE 2nx tava weak ile x frost, a: sone. E8 a howe, & &beaeger ie 2 4 e Ez HOR for domes, = cory) 9g, of faking of any ¢ foal in airar, ploase notty irs via ema and p seni Ge late ine engined and destroy gi Copies. “rise He you, For a copy Deparim Health Depenment’s Notice of Information Practices, contact the Healin Deparment or visi ihe Hea Swaleie at hitouAwww.cohd us! xxxEND_PAGE:dhhs03_b0571_1977_1978_2

When: Thursday, October 01, 2015 7:30 PM-9:00 PM America/New_York. Where: GCHD Burton Health Clinic G-3373 S. Saginaw St, Burton, Michigan 48529 v Hi all, At this meeting. GCHD will give information on locations for water filters to be distributed, a draft time line, what our staff are already doing, and needs from partners. | hope you can join us. Thanks, Tamara Brickey Dayne Walling “Mayor, City of Flint City Hall, 1101 S. Saginaw St. Flint, MI 48502 810-766-7346 | [email protected] ‘“www.cityofflint.com follow me on twitter at xxxEND_PAGE:deq26_b092_0827_0831_5

Dear Tamara, Dawn and Mark- i have drafted an Ad Hoc cata request for an Excel file that your agancy can use to map current Pregnant woman and all past and current enrolless age 0-60 months for identification of high risk Fead exposure. WIC does not allow cient listings to be shared cutside of authorized WIC Programs, so this data rust be mapped by GCHD. MDHHSAVIC does not currently have access to mapping software, tut we can assist in sorting data if just specific zip codes would be more helpful. iwill sudornit the recuest or modify as neecied Hf you get back to me by tomorrow. This request must then be approved by a WIC supervisor, but i have discussed with the staff who work with the data on the need for quick turn-around. xxxEND_PAGE:dhhs02_b0022_0140_0141_1 000141 Let re know if you have any suggestions, Thank you, Terr

All, | briefly spoke with Toni yesterday about this, but would it be possible to give bottled water or nursery water (vouchers or actual bottles) to our families with formula fed babies through WIC. The babies who 2 xxxEND_PAGE:dhhs02_b0936_3233_3249_08 003241 are drinking formula mixed with tap water (especiaily warm tap water) are at greatest risk for lead exposure. Water is such a huge proportion of their diet and their brains are still developing. Until we have definitive information about lead exposure, we should err on additional prevention, especially for our most vulnerable kids. Let me know what you think or if there is someone else | should contact about this. Thanks! Mona Mona Hanna-Attisha MD MPH FAAP Program Director Pediatric Residency Hurley Children’s Hospital at Hurley Medical Center Michigan State University College of Human Medicine Department of Pediatrics and Human Development Mhannai @hurleymc.com <image001.jpg> xxxEND_PAGE:dhhs02_b0936_3233_3249_09 003242 Lishinski, Karen (DHHS)