Correspondence between

Please see three attached files. xxxEND_PAGE:dhhs03_b0758_2644_2650_6 002650 Rebert L. Seett Ehikdinedd Lead Poisoning Preventtén Pragram Miétiigan Department of Health & Hurtin Services 677) 335°8178 fax BIT) 3B5°8S09 xxxEND_PAGE:dhhs03_b0758_2644_2650_7

You bet, please see attached.

Great! Thank you! Can you send it my way? Sent from my iPhone

Thanks Bob. I'll reach out to the reporter and let her know I'll get back to her. Is this data we can get from you or should I reach out to Linda? Thank you, Jennifer Sent from my iPhone

Hi Kristi: ve talked with our epis and we cannot provice the aggregate by year starting with q2 annually due to the DNS calls then being compromised and privacy concerns with identifiable information. if you would still like to pursue the IRB route, please let us know and Bob and assist you through that process. Best, Jennifer (Smith) Eisner Public information Officer Michigan Department of Health and Human Services 517-241-2112

Bob, Thank you fer the count data by quarter. is it possible for you te aggregate it by year starting with q2 annually? So the data are comparable? xxxEND_PAGE:dhhs03_b0332_1226_1233_1 001227 Thanks! Kristi

100715.docx dust triple checking that we're all on the sare page here —in the meantime, i'm good to send the attached te Kristi, correct? Jennifer (Smith) Eisner Public information Cfficer Michigan Department of Health and Human Services SL?-241-2412

| talked with lan Horste, who says that it does mot sound like research and therefore does not need an IRB review fat quarter or annual aggrepation}. | talked to Colin Boes at Legal, and he’s reviewing it now,

Jennifer, Thanks, Phadr’t seen that document yet. tassume Sarah or Patty will provide the data on that--/ think it's the same as a table thay provided for the Director yesterday. Passume Ves's section will provide data on investigations, etc. if possible. Bob

Yes, tarn looking for the quarterly numbers behind the percentages on the chart Jennifer shared. | was told i need to signa release — does this come from you Jen? To get the quarterly counts, in the meantime if you can aggregate the counts annually beginning with q2 that will help. Summary numbers are fine for the second request, just looking to see what the investigation and remediation/clearance participation rates look like for thase children identified with lead poisoning for communities receiving funding. if that makes sense, if it doesn’t maybe we need to chat over the phone. Thanks Kristi P.S. Jen can you forward me the contact info for the lead on toxicology team and special task force for Flint?

Hi Bob: xxxEND_PAGE:dhhs03_b0332_1226_1233_5 001231 Attached is the info we provided to Kristi on Monday. She wauld like the raw data behind the percentages listed. She would also like the annual data aggregated if that’s a simpler, quicker request to fulfill. Kristi — please jump in if you want to clarify further. Thank you, Jennifer (Smith) Eisner Public information Officer Michigan Department of Health and Human Services 517-241-2112

Template.doc; DCH-1277 IRB Initial Review Application.doc Angela or Jennifer, Please see Dr. Edwards email below, and my draft response to him. I’m not very happy with him right now, but tried to respond appropriately. Given the sensitive nature of the situation, I’m checking with you first. Nancy is on annual leave, but I’ve CC’d her here. Is it OK to send this? Please feel free to make changes as appropriate. |’m also asking if it's OK now to share the attached PDF with Dr. Edwards and Dr. Hanna-Attisha. Thanks, Bob Marc, As you well know, the data you and Dr. Hanna-Attisha are requesting are derived from personal health data, which of course is confidential. There are state and federal laws governing what can be shared, and how, with researchers or the public, In addition, my Department has policies on how to determine what can be shared. | worked with you earlier this month to get data to you relatively quickly, but did not manage to complete the process before | went on annual leave for several days. | neglected to inform you that i'd be away, and | apologize for not informing you. Unfortunately we are a very smail program, and there’s no one else here to process your request—or Dr. _Hanna-Attisha’s. Since | returned on Wednesday, my time has been largely taken up with my Department's response to the current situation in Flint. | did manage to correspond to Dr. Hanna-Attisha, and provided her with the forms she’ll need for her request. | hope to submit her request to our Legal office and to our IRB contact today. Sorry | haven’t responded to your email from Monday—as | mentioned above, | was away, and then have been juggling many tasks since | returned. | think you'll be able to get approval for data with zip code identified. Ml edit your data use agreement accordingly, and will adjust it to say “limited data set” instead of “de-identified.” I'll re-submit your DUA to Legal today, You will need to submit an MDHHS IRB review application (attached) because this is considered research. You should also submit a “HIPAA Waiver Request” (attached). (1 wasn’t aware of that when we talked earlier this month.) | don’t know whether you’ll need to go through an IRB review with your institution. I've also attached a PDF that includes the numbers behind the graphs you referred to, and ’m CC’ing Dr. Hanna-Attisha so that she has it as well. Bob xxxEND_PAGE:dhhs02_b0940_3256_3344_64 003320 Robert L. Scott Childhood Lead Poisoning Prevention Program Michigan Department of Health & Human Services (S17) 335-8178 fax (517) 335-8509

“>; Peeler, Nancy (DCH) <«: OK with me if it's OK with Nancy.

¥s>; Peeler, Nancy (DCH) <# Great, thanks Bob - can we make this available to the public?

Jennifer, Here is the 2013 data report on Lead in Michigan, the most recent we have with data by zip code,

The Next Stens slide no longer recornmends that the city declare a health advisory. it now says ‘support city’s health advisory’. Hf Flint will be issuing a health advisory, will Genesee County support this? Angela

Importance: High Hi Bob: Can you please assist with this request for more recent blood lead levels for children by ZIP {or statewide — whatever we have) after 2012? Thank you, Jennifer Jennifer Eisner (Formerly Jennifer Smith} Public information Officer Michigan Department of Health and Human Services 517-241-2112

xxxEND_PAGE:dhhs02_b0925_3121_3122_1 003122