Information and News: Lead in Flint Michigan Water System

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Lead in the Flint, Michigan Water System
January 21, 2016

Resources compiled by:
National Library of Medicine, Specialized Information Services Division https://sis.nlm.nih.gov/index.html
National Network of Libraries of Medicine Greater Midwest Region http://nnlm.gov/gmr

Several Michigan, local, and federal agencies are responding to the presence of lead in the drinking water in Flint, Michigan.  The National Library of Medicine Specialized Information Services Division (NLM SIS) provides information on the medical and public health aspects of chemical incidents for health professionals, policy makers, and volunteers who may be responding to an incident and for people living in or concerned about the affected region.The information below about health effects of lead and safe drinking water is from the National Library of Medicine resources including the Hazardous Substances Data Bank (HSDB); ChemIDPlus, Tox Town, and MedlinePlus as well as from other federal agencies, local agencies, and other authoritative sources.

Michigan Government Agencies

Taking Action on Flint Water: Flint Water Response Team http://www.michigan.gov/flintwater

Michigan Emergency Management Association http://www.memaonline.org/
•Facebook: https://www.facebook.com/memaonline/

City of Flint https://www.cityofflint.com/

Genesee County
•City of Flint Emergency Declaration/Public Health Emergency Declaration http://www.gc4me.com/alert_detail.php
•Water Resource Sites http://www.gc4me.com/departments/emg_mgt_homeland_sec/city_of_flint_water_emergency.php

•Genesee County Health Department and Michigan Department of Health and Human Services
Facts About Lead in Flint Water (PDF, 600 KB) http://www.childrensdmc.org/upload/docs/ClinicalServices/pccleadinflintwater.pdf 

Twitter feeds
•Michigan State Police, Emergency Management and Homeland Security Division https://twitter.com/michemhs
•Michigan Department of Environmental Quality (DEQ) https://twitter.com/MichiganDEQ

U.S. Federal Organizations


U.S. Department of Health and Human Services
•On the Ground This Week: HHS to Lead Federal Response in Flint http://www.hhs.gov/blog/2016/01/19/ground-week-hhs-lead-federal-response-flint.html

Centers for Disease Control and Prevention
•Sources of Lead – Water  http://www.cdc.gov/nceh/lead/tips/water.htm
•CDC's Childhood Lead Poisoning Prevention Program http://www.cdc.gov/nceh/lead/about/program.htm
•Blood Lead Levels in Children (PDF, 300 KB) http://www.cdc.gov/nceh/lead/acclpp/lead_levels_in_children_fact_sheet.pdf
•What Do Parents Need to Know to Protect Their Children?  Update on Blood Lead Levels in Children http://www.cdc.gov/nceh/lead/ACCLPP/blood_lead_levels.htm
•Information for Parents: http://www.cdc.gov/nceh/lead/parents.htm 
•Water in Hemodialysis http://www.cdc.gov/healthywater/other/medical/hemodialysis.html

Agency for Toxic Substances and Disease Registry
•Toxic Substances Portal – ToxFAQs for Lead http://www.atsdr.cdc.gov/toxfaqs/tf.asp?id=93&tid=22
•Medical Management Guidelines for Lead (Pb) http://www.atsdr.cdc.gov/MMG/MMG.asp?id=1203&tid=22

U.S. Environmental Protection Agency
•Advice to Flint Residents http://www.epa.gov/mi/advice-flint-residents
•Flint Safe Drinking Water Task Force http://www.epa.gov/mi/flint-safe-drinking-water-task-force
•Lead http://www.epa.gov/lead
•Lead in Drinking Water http://www.epa.gov/lead/protect-your-family#water

Federal Emergency Management Agency (FEMA), U.S. Department of Homeland Security
•Michigan Contaminated Water (EM-3375) http://www.fema.gov/disaster/3375

Health Resources for the Public from the National Library of Medicine

Tox Town - Interactive guide to toxic substances and environmental health issues in everyday places
•Lead http://toxtown.nlm.nih.gov/text_version/chemicals.php?id=16
•Drinking Water http://toxtown.nlm.nih.gov/text_version/locations.php?id=18

Tox Town en español
•Plomo http://toxtown.nlm.nih.gov/espanol/chemicals.php?id=59
•Agua potable http://toxtown.nlm.nih.gov/espanol/locations.php?id=81 

MedlinePlus - Health information for patients, families and health care providers
•Lead Poisoning https://www.nlm.nih.gov/medlineplus/leadpoisoning.html
•Chemical Emergencies https://www.nlm.nih.gov/medlineplus/chemicalemergencies.html
•Coping with Disasters https://www.nlm.nih.gov/medlineplus/copingwithdisasters.html
•Drinking Water: https://www.nlm.nih.gov/medlineplus/drinkingwater.html


MedlinePlus en español
•Envenenamiento con plomo  https://www.nlm.nih.gov/medlineplus/spanish/leadpoisoning.html
•Emergencias químicas https://www.nlm.nih.gov/medlineplus/spanish/chemicalemergencies.html
•Enfrentarse con desastres https://www.nlm.nih.gov/medlineplus/spanish/copingwithdisasters.html
•Agua Potable: https://www.nlm.nih.gov/medlineplus/spanish/drinkingwater.html

Health Information on Chemical Components of Lead

Lead Compounds (This record contains general information for lead ions and compounds.)
•Hazardous Substances Data Bank (HSDB) http://toxnet.nlm.nih.gov/cgi-bin/sis/search2/r?dbs+hsdb:@term+@DOCNO+6923
•ChemIDplus http://chem.sis.nlm.nih.gov/chemidplus/name/lead%20compounds

Lead, Elemental (RN: 7439-92-1) (This record contains information for lead in its zero valence state only)
•HSDB http://toxnet.nlm.nih.gov/cgi-bin/sis/search2/r?dbs+hsdb:@term+@DOCNO+231
•ChemIDplus http://chem.sis.nlm.nih.gov/chemidplus/name/lead

Other Information from the National Library of Medicine

Lead and Human Health - Web guide with background information, laws and regulations, and pre-formulated searches of relevant National Library of Medicine databases.
https://sis.nlm.nih.gov/enviro/lead.html
HealthReach – Health Information in Many Languages
Lead Poisoning https://healthreach.nlm.nih.gov/Search.aspx?source=homepage&SearchAllText=lead+poisoning
Disaster LitSM: The Resource Guide for Disaster Medicine and Public Health
Water Security http://disasterlit.nlm.nih.gov/search/?searchTerms=%22water+emergency%22+OR+%22water+security%22+&search.x=0&search.y=0&search=Search

Lead Exposure and Pregnant Women
Guidelines for the Identification and Management of Lead Exposure in Pregnant and Lactating Women (PDF, 4,24 MB)
Centers for Disease Control and Prevention
http://www.cdc.gov/nceh/lead/publications/leadandpregnancy2010.pdf 
•:Lead - Tips - At risk Populations - Pregnant Women
Centers for Disease Control and Prevention
http://www.cdc.gov/nceh/lead/tips/pregnant.htm
Lead and Pregnancy
MotherToBaby.org, Organization of Teratology Information Specialists
http://mothertobaby.org/fact-sheets/lead-pregnancy/pdf/
Lead Screening During Pregnancy and Lactation
American College of Obstetricians and Gynecologists
http://www.acog.org/Resources-And-Publications/Committee-Opinions/Committee-on-Obstetric-Practice/Lead-Screening-During-Pregnancy-and-Lactation
•Blood Lead Screening Guidelines For Pregnant & Breastfeeding Women in Minnesota
Minnesota Department of Health
http://www.health.state.mn.us/divs/eh/lead/reports/pregnancy/pregnancyguidelines.pdf  

Lead Exposure and Children

Elevated Blood Lead Levels in Children Associated with the Flint Drinking Water Crisis: A Spatial Analysis of Risk and Public Health Response
Am J Public Health. 2015 Dec 21:e1-e8. [Epub ahead of print]
http://ajph.aphapublications.org/doi/pdf/10.2105/AJPH.2015.303003
•Leadfreekids.org http://www.leadfreekids.org/
Why children are at risk
http://www.leadfreekids.org/my_kids/index.php#!/why_children_are_at_risk
Educational Interventions for Children Affected by Lead (PDF)
Centers for Disease Control and Prevention
http://www.cdc.gov/nceh/lead/publications/Educational_Interventions_Children_Affected_by_Lead.pdf
Childhood Lead Poisoning Publications
Centers for Disease Control and Prevention
http://www.cdc.gov/nceh/lead/publications/default.htm 
State and Local Healthy Homes and Childhood Lead Poisoning Prevention Programs (CLPPPs)
Centers for Disease Control and Prevention
http://www.cdc.gov/nceh/lead/programs/default.htm
CDC's Childhood Lead Poisoning Prevention Program http://www.cdc.gov/nceh/lead/about/program.htm
Blood Lead Levels in Children (PDF, 300 KB) http://www.cdc.gov/nceh/lead/acclpp/lead_levels_in_children_fact_sheet.pdf
What Do Parents Need to Know to Protect Their Children?  Update on Blood Lead Levels in Children http://www.cdc.gov/nceh/lead/ACCLPP/blood_lead_levels.htm

Lead in Soil
Lead Toxicity: What are the U.S. Standards for Lead Levels?
Agency for Toxic Substance & Disease Registry
http://www.atsdr.cdc.gov/csem/csem.asp?csem=7&po=8 
Children, gardens, and lead by Linda M. Ameroso and Charles P. Mazza
Cornell University
http://www.gardening.cornell.edu/factsheets/misc/cgandlead.html 
Lead in the home garden and urban soil environment
University of Minnesota Extension
http://www.extension.umn.edu/garden/yard-garden/soils/lead-in-home-garden/
Lead in Residential Soils: Sources, Testing, and Reducing Exposure
Penn State Extension
http://extension.psu.edu/plants/crops/esi/lead-in-soil 
Soil Lead: Testing, Interpretation, & Recommendations
University of Massachusetts, Amherst
https://soiltest.umass.edu/fact-sheets/soil-lead-testing-interpretation-recommendations

Social Media
News, announcements, personal opinions and commentary

Twitter hashtags:
#Flint
#FlintWaterCrisis
#FlintWater

Twitter feeds
•Michigan State Police, Emergency Management and Homeland Security Division https://twitter.com/michemhs
•Michigan Department of Environmental Quality (DEQ) https://twitter.com/MichiganDEQ

Facebook
•Michigan Emergency Management Association https://www.facebook.com/memaonline/