Correspondence between

> > Thanks Jessica. We will review the report, when it's available, and get back to you. > > Be in touch soon, > > Jennifer Eisner > Public Information Officer > Michigan Department of Health and Human Services > Office: 517-241-2112 or [email protected] > Cell: : : > Vv Salat Original Message-----

| appreciate the reply. | have one further question. In this statement - "the increase appeared to be consistent with the routine seasonal fluctuation seen in the summer months." BUT according to the data collected and notes provided by Cristin Larder on July 28, 2015 it specifically says: "Based on the results depicted in Figure 3 positives tests for EBLL were higher than usual for children under age 16 in the City of Flint during the months of July, August and September, 2014." While | understand a sample size in July can't reflect a direct correlation to the water switch - comparing summer 2014 to previous years AND accounting for seasonal variance - Larder wrote "there does appear to be a high proportion of EBLL last summer than usual" | guess | am just confused how this report in July is consistent with what the department is saying now?

Thanks for your patience on this. The Michigan Department of Health and Human Services has consistently provided information regarding the city of Flint and blood lead levels. When initially looking at the citywide and county elevated blood lead level numbers, the increase appeared to be consistent with the routine seasonal fluctuation seen in the summer months. It wasn't until the Hurley report came out that our epidemiologists took a more in-depth look at the data by zip code, controlling for seasonal variation, and confirmed an increase outside of normal trends. As a result of this process, we have determined that the way we analyze data collected needs to be thoroughly reviewed. Additionally, Gov. Rick Snyder has created a Flint Water Task Force to review all city, state and federal responses and actions and is expected to make recommendations moving forward. The Michigan Department of Health and Human Services is focused on ensuring appropriate case management and follow up in Flint. Summary reports outlining blood lead level testing are posted online on a bi-weekly basis, and we work closely with local partners to fulfill data requests as we receive them. Regarding the FOIA, Mr. Edwards received all of the requested documents, with personal information redacted, on Friday, December 18. xxxEND_PAGE:executiveofficeemails20_b1263_3190_3193_2 Jennifer Eisner Public Information Officer Michigan Department of Health and Human Services Office: 517-241-2112 or Eisner) @michigan.gov oono Original Message-----

We are shooting to do the story at 5/6 this evening. Just wanted to give you a heads up. Thanks.

Thanks Jessica I'll get back to you soon Sent from my iPhone

> > Thanks Jessica. We will review the report, when it's available, and get back to you. > > Be in touch soon, > > Jennifer Eisner > Public Information Officer > Michigan Department of Health and Human Services > Office: xxxEND_PAGE:executiveofficeemails20_b1263_3190_3193_3

I'm sorry! I was in a meeting. Michigan Health Department Hid Evidence of Health Harm Due to Lead Contaminated water This is the title of their preliminary report about the documents that were FOIA'd from MDHHS VVVVVV VV Vv -----| Original Message-----

te > | think there was a typo in your email below re: the headline of the report.. can you tell me again what the headline is? > > Jennifer Eisner > Public Information Officer > Michigan Department of Health and Human Services > Office: 517-241-2112 or Eisner) @michigan.gov

| was given the preliminary report. Once they post it publicly online | can send you a link. | think that will happen this afternoon. Thanks! Jessica Dupnack

> > Hello! | received some information from Marc Edwards this morning regarding some FOIA information that he received. I'm wondering if you are aware of the documentation he's received? And if the department has any comment. > > The "headline" of their report is "Michigan Health department his evidence of health had due to lead contaminated water"...so clearly some strong statements with the FOIA documents as source citing. Let me know if you have any comment! Thanks again. > > Thanks! > Jessica Dupnack xxxEND_PAGE:executiveofficeemails20_b1263_3190_3193_4

I'm sorry! I was in a meeting. Michigan Health Department Hid Evidence of Health Harm Due to Lead Contaminated Water vvvvV VV VV This is the title of their preliminary report about the documents that were FOIA'd from MDHHS > cnen- Original Message-----