August 6, 2012

Christopher Perkins, DO, Medical Director/Health Authority

DCHHS
2377 N. Stemmons Freeway
Dallas, TX 75207

Re: DCMS recommends immediate aerial spraying for West Nile Virus

Dear Dr. Perkins:

The Dallas County Medical Society supports the immediate implementation of an aerial spraying plan to combat the
historic outbreak of West Nile Virus in Dallas County.

Because of the efforts of the Dallas County Health Department staff, the physicians and leadership of the Dallas County
Medical Society have been monitoring the outbreak of West Nile Virus in our region. We applaud your efforts and
appreciate your communications with physicians across the county.

As we have watched this season’s outbreak reach historic levels, our concerns have risen. This concern led to a
conference call last night (Sunday, Aug. 5, 2012) of the DCMS Community Emergency Response Committee. This
emergency conference call focused on providing the medical community’s support in this difficult time to you, other
leaders of the Dallas County Health Department, and Dallas County elected leaders.

After thoroughly reviewing the data, the committee voted 13-0 to recommend immediate aerial spraying. The Dallas
County Medical Society board of directors agrees, and we offer you our assistance in communicating the need for
immediate aerial spraying to Health Department leadership and area elected officials. We also stand ready to assist you
in communicating with the public through the media in the region.

Attached is a letter from a group of infectious disease physicians that articulates the opinions of our Committee. We
support the opinions in this letter and urge you to act quickly to reduce the risks of additional infection among the area’s
residents.

We will make ourselves available at any time, including Tuesday’s Commissioners Court meeting, to support you and
Mr. Thompson.

We look forward to hearing from you. Please contact Lauren Cowling, DCMS director of communications at
214.413.1447 or 214.215.0060 to discuss this matter further.

Sincerely,

Richard Snyder II, MD John Carlo, MD

President Chair, DCMS Community Emergency Response Committee

140 E 12th St., Dallas TX 75203 P.O. Box 4680, Dallas, TX 75208-0680 P: 2149483622 F: 2149465805 www.dallas-cms.org