The FlintWaterStudy Team Undergraduate Students: Madeleine Brouse, Margaret Carolan, Sara Chergaoui, Matthew Dowdle, Kim Hughes, Rebecca Jones, Alison Vick Graduate Students: Christina Devine, Emily Garner, Catherine Grey, Pan Ji, Anurag Mantha, Rebekah Martin, Jake Metch, Victoria Nystrom, Colin Richards, William Rhoads, Siddhartha Roy, Laurel Strom, Owen Strom, Min Tang, Ni “Joyce” Zhu Post-docs/Research Scientists:Drs. Brandi Clark, Dongjuan Dai, Sheldon Masters, Jeffrey Parks, Kelsey Pieper, David “Otto” Schwake, Fei Wang Principal Investigators: Dr. Marc Edwards, Dr. Amy Pruden, Dr. Joseph Falkinham III NSF grant #1135328 Bridging the Gap Between Engineers and Society: Learning to Listen Dr. Yanna Lambrinidou and Dr. Marc Edwards

B.F. = Before FlintWaterStudy Where it all began

William Rhoads 1950s-1960s 1980s-present

The Flint Journal, from http://www.teardownbook.com/photos/ http://www.plan59.com/photos/buickcity.htm No In Brass Lead Lead Solder Lead Pipe

Graphic Adapted from: http://www.clevelandwater.com/customer-service/protect-your-home/home-tips Michigan Department of Environmental Quality (MDEQ) Responsibility

Due to Flint River water chemistry

For Lead Release Abayomi Azikiwe Regina H. Boone—Detroit Free Press/ZumaPress

Sephia8 – mlive.com Sam Owens/AP

RYAN GARZA/AP Worst case, 867X more

On average, 133X more “A major concern from a public health standpoint is the absence of corrosion control treatment in the City of Flint” The Daily Mail/AP

Christina Devine Maggie Carolan Anurag Mantha Lead, lead everywhere! We are in this together! Citizen Science et al. FlintWaterStudy Launch

• Website launched late August • Purpose: • Inform Flint residents about water quality issues • Bring public awareness

August 13, 2015

Romain Blanquart / Detroit Free Press

Getty Images

For 271 samples: 90th Percentile for First Draw: 26.8 ppb (EPA Action Level = 15 ppb) Highest First Draw: 158 ppb Highest overall: 1051 ppb

Lead Corrosion Experiment

Flint Detroit Lead Corrosion Experiment

Ms. Weiss’ class at City School, Grand Blanc, MI Flint water was always MORE corrosive than Detroit water Observations “Flint looks like a snow globe and Detroit looks like nothing barely happened” -Caroline

Drew: “…Flint water is DISGUSTING!”

Sophia: “…the Flint water looks bad and unhealthy to drink…”

Ridley: “Flint = SNOW GLOBE” Iron Corrosion Experiment

Set up: Iron Corrosion Experiment 1.4

1.2 1 0.8 0.6 0.4

0.2 Free Chlorine (mg/L) 0 0 2 4 6 8 10 12 Time (Hr.) Iron Corrosion Experiment Continued Town Hall Meeting Response from Michigan Department of Environmental Quality (MDEQ)

“This group specializes in looking for high lead problems. They pull the rabbit out of that hat everywhere they go. Nobody should be surprised when the rabbit comes out of the hat, even if they can’t figure out how it is done” -Brad Wurfel MDEQ’s Communications Director http://www.crainsdetroit.com/article/20150928/NEWS01/150929872/doctors-urge-flint-to-stop-using-water-from-flint-river Public Health Emergency in Genesee County

@HealthCritics, Detroit Free Press

September 24 Timeline Recap Dr. Mona Hanna- Attisha and her team release January 16 results of their study October 16 Pres. Obama signs August 13 on elevated blood City of Flint emergency 300 Kits lead levels in switches back to declaration – sent to Flint children Detroit Water Federal aid for Flint

August 31 September 25 September 26-29 January 5, 2016 VT Results from Filter Fundraising Public health Gov. Snyder 120 kits indicate a started by United emergency declares “serious lead in Way declared in emergency in Flint water problem” Genesee County

2015 2016 Rebekah Martin Min Tang All Roads Lead To Flint The Trips We Made – For Science, For Humanity

Photo: Matt Gentry/AP 2015 Trips to the City of Flint

Trip 1. Sampling Aug. 17 – 19th

Trip 2. Public Health Advisory Sep. 14 – 16th

Trip 3. Legionella Sampling Oct. 14 – 17th

Trip 4. Sentinel Home Sampling Dec. 1 – 3rd Physical/Chemical Technology Biological Parameters Measured Used Parameters Measured Legionella pneumophila qPCR Legionella spp. Total Bacteria (16S) Mycobacterium avium ICP - MS Mycobacterium spp. Acanthamoeba polyphaga Pseudomonas aeruginosa pH Heterotrophic Bacteria Temperature BART Acid Producing Bacteria Dissolved Oxygen Probes Iron Reducing Bacteria Chlorine residual Chlorimeter Sulfate Reducing Bacteria THM’s Slime Forming Bacteria (Disinfection THMFP Denitrifying Bacteria by-products) Culture Staphylococcus Trip 1 : Sampling and Learning Sampling supplies preparation team

Filter after filtering Flint water

Claire McClinton Sampling Sites Nayyirah Shariff

LeeAnne Walters Laura Sullivan Mobile lab in Mrs. Edwards’ Melissa Mays van Dr. Jeff Parks Trip 2: Public Health measuring lead using Advisory ICP-MS

Sid Roy Speaking in Saints of God Church

City Council Meeting

Trip 3: Legionella Sampling Culturing was one method used to detect bacteria in drinking water from Flint

What tap water looked like one hour before the switch! Trip 4: Sentinel home sampling

City School primary school students doing corrosion coupon tests

Marc communicating science with students

Certificate of Appreciation from Mayor Weaver Personal Impact Emily Garner Dr. Otto Schwake Legionella in Flint’s waters An unfortunate prediction that came true Bacteria monitoring Testing for E. coli and other Fecal Indicator Bacteria fecal indicator bacteria E. Coli Total Coliforms Enterococcus spp. Opportunistic Pathogens Legionella pneumophila Mycobacterium avium Staphylococcus spp. Acanthamoeba spp. Pseudomonas aeruginosa Corrosion-causing bacteria Heterotrophic aerobic bacteria Acid-producing bacteria Iron-reducing bacteria Sulfate-reducing bacteria Slime-producing bacteria Legionella bacteria

cdc.gov Lack of corrosion control = Increased Legionella 1. More bacteria “food” in river Lack of corrosion control = Increased Legionella 1. More bacteria “food” in river 2. Iron corrosion = more iron entering buildings’ pipes

Pure Water Pure High levels of

corrosion-causing

bacteria Flint Water Flint Lack of corrosion control = Increased Legionella 1. More bacteria “food” in river 2. Iron corrosion = more iron entering buildings’ pipes 3. High iron corrosion removed chlorine disinfectant GENESEE COUNTY LEGIONNAIRES’ OUTBREAKS

Flint Water Switch OUTBREAK SEVERITY

Legionnaires' Disease

Incidence Rates

Major U.S. Legionnaires’ Disease Outbreaks 10.9 LOCATION DATE CASES DEATHS 8.9 WASHINGTON, DC 1965 81 14 PHILADELPHIA, PA 1976 221 34 BURLINGTON, VA 1980 85 16

CHICAGO, IL 2012 114 3 Cases per 100,000 People 100,000 per Cases BRONX, NY 2015 124 12 1.3 0.4 1.9 GENESEE COUNTY 2014/2015 87 9 NATIONAL CALIFORNIA BRONX GENESEE GENESEE SUMMER 2015 COUNTY COUNTY OUTBREAK 2014-2015 2013 GOVERNMENT RESPONSE

“We remain diligent in our efforts to proactively and appropriately address the potential for future cases” POSSIBLE LINKS TO FLINT RIVER WATER Where do we go from here? Making sense (?) of this tragedy

Siddhartha Roy

Photo: Matt Gentry/AP 100,000 residents 18 months 9000 kids 200 confirmed

Jake May/AP Agency MI Dept. of Environmental Quality Environmental Protection Agency MI Dept. of Health and Human Services Emergency Managers MI Governor City of Flint The is a story of government failure, intransigence, unpreparedness, delay, inaction, and environmental injustice. City of Flint/MDEQ Cheated on Monitoring

ACTUALLY FAILED NOW PASSED!

Ongoing Congressional Hearings and State/Federal Investigations https://twitter.com/thedailyshow/status/688131499615363074 Dec 14, 2015 City – Mayor Weaver

Jan 05, 2016 State – Gov. Snyder $200+Jan 12 Nationalmillion Guard activated Jan 16, 2015 Federal – Pres. Obama

Jake May/AP Life-long: Education/Nutrition/Health Services

Interim: Meet the

Long term: Replacing water infrastructure

Overarching: Regain the trust of citizens you failed

Trip 5: 2016 Spring Break Sampling – Before/After Comparison of Lead + Legionella

Carolyn Kaster/AP “I KNOW IF I WAS A PARENT UP THERE [IN FLINT], I WOULD BE BESIDE MYSELF IF MY KIDS’ HEALTH COULD BE AT RISK.” - President Barack Obama A Matter of Perspective The Big Picture: Of Infrastructure and Laws makesafety sureand health public is preserved. we providetowepeople, our and together provide governmentas a to [Flint] reminderis a of why youcan'tthatshortchange services basic http://www.infrastructurereportcard.org/drinking –

Pres.Obama

- water/

Closing Comments for the Technical Community • Flint was a “miracle” – It was exposed by residents, outsiders and journalists – a complete failure of government agencies!! • Are there more Flints? • Inadequate Policies (e.g. Lead and Copper Rule) – Often, NOT completely science-based. Stay apolitical, true to your science, but also understand the politics. • A Culture of Compliance – Obsession with meeting regulations and targets than protecting public health and the environment • Water Infrastructure Challenges • Science Communication and Listening to the Public before preaching • The Public as Equal Partners and our Ultimate Client

Why You and I should care

Grateful acknowledgement

• National Science Foundation, RAPID Grant #1556258 • Citizens of Flint • Michigan State Health Department // Genesee County Health • WaterYouFightingFor? (Melissa Mays and Department LeeAnne Walters) • Democracy Defense League • Hurley Medical Center (Dr. Mona Hanna- (Nayyirah Shariff, Claire McClinton, Dr. Laura Sullivan) Attisha and others) • Northeast-Midwest Institute (Elin Betanzo) • US EPA Region 5 (Miguel Del Toral) • Concerned Pastors for Social Action (Pastors Alfred Harris, Allen Overton) • ACLU of Michigan (Curt Guyette, Kate • Parents for Non-toxic Alternatives (Dr. Yanna Lambrinidou) Levy) • City of Flint (Mayor Karen Weaver, Dayne Walling, Howard Croft, • Sen. Jim Ananich, Congressman Dan Mike Glasgow) Kildee (and their extraordinary staff) • Members of the media • 1400+ donors supporting our work • (staff and students)