CITY OF FLINT INCIDENT ACTION PLAN ‘STATE OF EMERGENCYObjectives: To provide short term relief and long term solutions in addressing the man-made emergency of increased lead levels in the City of Flint (the “City”) water system resulting from the switch to Flint River as the City’s water source as well as the threat to public health related to elevated blood lead levels in Flint residents, without interruption of the provision of public safety and other essential public services. Due to the fluidic nature of emergencies and the complexity of the City of Fiint’s declared emergency, this plan serves as a framework and may be altered as the emergency develops. ‘The Response Framework The purpose of this plan is to organize efforts on behalf of the city to assess the extent of the City's infrastructure needs and risks to public health, provide immediate relief to those who are at risk, and ‘establish long term solutions. in addition, the city must ascertain what immediate relief and long term solutions the City is capable of implementing based on what resources are available. For any activities that are beyond the resource capacity ofthe City, external sources of funding, supplies, and manpower must be sought. ‘There are a number of steps that must be taken in accordance with the Flint Emergency Support Operations Plan (SEP), in order for the City to be compliant with the Genesee County Emergency ‘ction Guidelines. These include the activation of the incident Management Team, the Emergency Operation Center, and the sharing of essential documents with the County, including this plan. Information must also be shared by the City’s Public Information Officer on a regular basis, as required by the SEOP. ‘This plan calls for the provision of immediate relief to those at risk in our community. Special consideration must be given to residents who belong to underserved groups, such as those who are homebound, undocumented, in poverty, etc, Additional consideration must also be given to the equitable provision of services throughout our community in order to equally protect the health and safety of every member of our community. Implementation of this plan is to be conducted by the Incident Management Team, which will monitor the effective delivery of goods and services in order to address the conditions of the emergency. Understanding the Issue: ‘October 1, 2015, the Genesee County Health Department issued a Public Health Emergency after elevated blood-lead levels were found among children in the City of Flint. This incident correlates with elevated levels of lead found in the City's drinking water after the City switched water sources in April of 2[Pagehey olmal 2014 to the Flint River, The scope of this problem appears to be limited to Flint City Water Customers and their dependents. Public agencies from several levels of government, as well as charitable, nonprofit mediate relief to Flint residents including the organizations have partnered with the City to provide expansion of health services, the provision of bottled water and NSF rated water filters. The city is also seeking long term infrastructure improvements to eliminate lead and other contaminants from the water system. Gov. Rick Snyder appointed a task force to review "actions regarding water use and testing in Flint" and to make recommendations for future guidelines: Members of the state task force are Ken Sikkema of Public Sector Consultants, Chris Kolb of the Michigan Environmental Council, Dr. Matthew Davis of the University of Michigan Health System, Eric Rothstein of the Galardi Rothstein Group and Dr. Lawrence Reynolds of Mott Children’s Health Center. In an effort to halt the further escalation of this crisis, the City returned to receiving its water from the Detroit Water and Sewerage Department (DWSD) on October 16, 2015. Since that time, additional corrosion control program has started, estimating a reduction of lead levels over the next six months. In light of these efforts, concerns surrounding the quality of water and health of the residents persist to the point that Mayor Karen Weaver declared a State of Emergency on December 14, 2015 so as to resolve this crisis once and for all. ‘The current challenge facing the City is providing immediate relief and long term solutions of the quality of the water and health of residents while the City remains in a financially critical condition. It is hoped and expected that higher levels of government recognize this emergency as it pertains to the condition of the City’s infrastructure and health of its residents, and do all things necessary to assist the City in the 1 of capital improvement projects that will eliminate the causes of provision of relief and the execu this emergency. Enhancing Understanding: Information Collection Essential Elements of Information (EEIs) can be qualified as the City’s water tests containing lead results, the verification of lead water lines (both public and private), and health information. Water testing is performed by the City’s water plant in cooperation with the MDEQ, The verification of lead water lines is being handled by University of Michigan Flint, who is currently digitizing the City's water line information and PSI Engineering, who is initiating the effort to verify lead lines by excavating an intial 150 residential lines. This information allows the Incident Management Team to assess the current condition of the emergency by way of determining the water quality and the condition of the water distribution infrastructure, 3[PageMoots cppeein abi a Information Analysis ‘The City has sought partners to assist in the analysis and attenuation of complex data. Wayne State University’s center for Urban Studies has agreed to assist the City in its efforts to document and track lead water lines, water test results, and filter distribution with geographic information system (GIS) technology. Ths allows for easily updateable, digestible information to be presented to officials Assessment of Impacts The City wil need assistance in determining the total cost of damage done to the public health and infrastructure. As of now, only portions of this damage are visible. Pts providing some assistance by excavating 150 residential water lines to verify that they are comprised of lead. This isan initial step, but not enough. More resources will be needed to co process. Continuous Situational Awareness itis important that the Emergency Management Team receive continuous information regarding water testing results, lead water line numbers, and filter distribution information in order to gain realistic and current perspective. Much of his information is currently available on the City’s website (cityoffint.com) and more is added each week by the PIO team. Actions taken in Response to the Emergency Activation of the Incident Management Team Upon the declaration of Emergency by Mayor Weaver, the Support Emergency Operations Plan (SEOP) was activated, The SEOP calls upon the Incident Management Team to generate the Incident Action Plan (VAP. Each member of this team serves a specific function as it relates to addressing the causes and ‘effects of the emergency. The Emergency Management Team roster can be found in the SEOP on page 3, with a list of alternates on page 4 in case the need for succession arises. Emergency Operations Center ‘The Emergency Operations Center (EOC) must be activated upon the declaration ofa State of Emergency by the Mayor. This center is required by the SCOP and serves as a nerve center for the incident Management Team. Here, emergency relief efforts are coordinated by key members of the Incident Management Team. n this case, these relief efforts consist of the distribution of water fiers at 4|Pageyeasty ey enw eels City Hall and community events, the distribution of bottled water throughout the city in conjunction with the efforts of community partners, and assisting with the circulation of water testing kits throughout the community. The EOC will also be monitoring and managing the inventory of relief supplies, such as water filters and bottled water. ‘According to the SEOP, the EOC must establish an incident tracking system. This system wil serve as @ work plan for the management of the emergency. In addition, itis essential that the IMT record water testing results, lead water line location information, and information about the distribution of water filters and bottled water all in one place so that information is readily available for the Incident Management Team. This information will also be sent out to the public and media in the form of daily regular updates by the City’s PIO. Communication “The EOC maintains a telephone system that exists to intake questions about relief efforts and to organize relief logistics. itis open from Bam to Spm, Monday through Friday. A voicemail system and eventual email system will exist to handle requests and inquiries that occur outside of the normal operating hours. This system will be constructed by the City’s S department. Public Awareness and Education 1. Emergency Alerts and Updates: The City’s Public Information Officer will make available information as it relates to the ‘emergency in the form of press releases, emails, and physical documents. Daily updates containing information on the distribution of water filters, bottled water, water testing, blood lead testing, and other relief efforts will be available on the City’s website for the public to view, Information will be available at City Hall for residents. 2. Joint Information Center: The City’s PIO will establish a joint Information Center that is organized to coordinate the efforts of multiple agencies to communicate with the public. This includes the circulation of joint press releases, public health information, educational materials, and updates relating to the State of Emergency, This committee is comprised of public information officers and public relations personnel to coordinate efforts to keep the public updated and informed. Regular updates to the media regarding events and progress will be made as news develops. “The US EPA has offered assistance in the form of Public information support. Additional support in this area has been provided by the Michigan State Police. S\PageShoe Ae ERIN 3, Education: Many government agencies and philanthroy regarding the effects of lead on public health. Its important that the City assist in these efforts so vital information and knowledge is presented to all members of the community. The goal is to continue to eliminate misunderstandings and incorrect information as it relates to reducing lead in drinking water, pursuing medical help, and maintaining a healthy diet to reduce lead absorption in the body. Lead education is currently being performed by the Genesee County Health Department, the Michigan Department of Health and Human Services and Medical organizations are already distributing information community at-large. Assessment of Social Needs. In order to effectively and equitably provide immediate relief to Flint water customers, the City must take into account many of the socio-economic needs and limitations of the community. Some residents cannot get to City Hall for a water filter. Some residents do not have internet access. Literacy or @ language barrier may also pose significant obstacles to the effective distribution of educational information and relief to those in need. These will be continuing challenges facing the community. At present these are the resources the City has available to mitigate some of those challenges. Logistics Logistics are being coordinated by the City Emergency Management Team's City’s Chief Logistics Officer, who is the City Administrator. The CLO is responsible for the coordination, procurement, and transportation of goods and services, which is essential for effective implementation of the response plan. Fixed Distribution Points ‘There are several locations throughout the city where residents may acquire a water filter. These locations are: Flint City Hall 1101 South Soginaw, Flint MI 48502 Genesee County Community Action Resource Department (GCCARD) 601 North Saginaw, Flint Mi 48502 and 2727 Lippencott Blvd, Flint Mi 48507 6|PageMichigan Department of Health and Human Services 14809 Clio Road, Flint Mi 48504 and 4125. Union Street, Flint, MI 48502 Activation of Ward Distribution Centers Each of the nine wards will have activated distribution centers that are primarily managed by City Council Members or their designees. Flint City Council - Water Distribution Sites WARD ‘COUNCILPERSON LOCATION ‘ADDRESS 1__| rie Mays Hasseibring Senior Center 1002 W. Home Avenue 2__ [Jackie Poplar Joy Tabernacle Church 2505 N. Chevrolet Avenue 3__| KerryNelson ‘Antioch Baptist Church 11083. Stewart Avenue @__ [Joshua Freeman [ Flint Fire Station No. 5 ‘3402 Western Road | 5 | Wantwaz Davis Doyle/Riyder ElementarySchool | 1040 N. Saginaw Street © | Herbert Winfrey New Community Baptist Church | 1375 Lavender Avenue | 7 | Monica Galloway Brennan Community Center 11301 Pingree Avenue @_| Vicki VanBuren Flint Southwestern Academy 1420 W. 12° Street 9 _| Scott Kincaid Dort Mall Police Service Station 3600S. Dort Highway Mobile Distribution Centers With the help of transportation agencies, like the Metro Transit Authority (MTA), meals on wheels, and GCCARD, the city can help establish mobile distribution centers and delivery systems that can provide water filters, bottled water, and nutritious foods, among other types of relief accompanied by educational materials to neighborhoods and to homes of people who experience limited mobility. ¢ Mass Transportation Authority-MTA bus passes: Assisting residents with bus passes to improve their mobility will increase their chances of receiving help. Transportation services will also improve residents’ access to medical care. © MTA-Your Ride mobile distribution: (© Estimated Costs: $25 per hour to deliver water and filters to homes throughout the City, Problem 1. Public Health Emergency The first objective in addressing this emergency is reducing, and eventually eliminating, the danger to public health. As City water coming out of faucets continue to contain lead, and copper and other 7|PageGlin Ob EL iNFE harmful contaminants exceeding government guidelines and regulations, it poses a risk to the people of ‘our community. Preventative measures must be taken to avoid the effects of toxicosis that are difficult if not impossible to completely reverse. 'As far as preventative measures are concerned, education, water filters, and bottled water must be provided to every household in the City in order to reduce the chances of lead exposure, especially to our most vulnerable members of the community. Iflead exposure has occurred, resulting in elevated blood lead levels, immediate and sustained medical attention must be available to those affected. Health services must be expanded in the area to accommodate increased numbers of case loads and specialized care regarding lead poisoning and its effects. Immediate Relief for Public Health: 1. Prevention: Education, water filters and replacement cartridges, free water testing, and bottled water must be available to everyone. 2. Access to nutritious food that reduces the risks of lead absorption by the body. The City can coordinate activities with the County Health Department Long Term Solutions: Maintaining Public Health and Coping with Lead Exposure 1. Work closely with the Genesee County Health Department and Michigan Department of Health ‘and Human Services in order to provide sustainable care and monitoring of children exposed to lead, This care must be available for them for several years-preferably several decades. 2. Support and education for primary care providers regarding aggressive long-term neurodevelopmental screening and testing. 3, Improved access to developmental and behavioral (DBP) speci pediatric psychiatrists. a. Pre-emptive referral to mental health/ toxic stress screenings. b. Support capacity building and or incentivize recruitment to allow Genesee health system (CMH) to build this capacity which is currently needed and lacking. 4. Increase recognition and education regarding trauma informed care, social determinants of health (SOK). 5. Expand State funded Genesee Health System (CMH) services. a. Infant mental health (30 day capacity) b. Child case management c. Home based services d. Trauma informed care- trauma focused CBT lists, pediatric psychologists, Problem 2. Lead Contamination in the Water Immediate Relief: 8|Page41. Education, water filters and replacement cartridges, free water testing for water customers, and bottled water must be available to everyone. Water filters can be obtained at any of the fixed distribution points throughout the City. 2. Identification and verification of lead water service lines throughout the city- both public and private, 3, Assistance to identify lead pipes within buildings and homes. Distribution of Bottled Water: [At this point, we are directing all offers for donations to the Food Bank of Eastern Michigan. Itis imperative that water be accessible to all members of the community through a variety of distribution channels. These channels are explained in the Logistics Section of this plan. Distribution of Test Bottles: Water testing kits can be picked up at City Hall with instructions. Test results are posted on the City’s website to raise public awareness and encourage more participation. Long term Solutions: Capital Improvements Needs ‘The distribution of filters, water, and food to counter the effects of lead are essential response efforts to keep people safe. However, long term solutions are required to keep people healthy, to eliminate lead from the public and private water distribution system distribution, and to provide affordable clean water, Our public infrastructure and utilities must be reliable, sustainable, and equitable in order for this ‘community to rebound after this emergency. The following long term solutions must be implemented in order to set the City of Flint on a course for recovery. These solutions come at a heavy cost for a City that is currently in receivership. The City has experienced financial distress due to this Emergency, in addition to a two million dollar loss from switching back to DWSD. The City has diligently applied for Fiscally Distressed Cities, Villages, and Townships, Grant in order to supplement funding for capital order to achieve long term improvement projects. It is essential that these grants be awarde' solutions, 1. COMPLETE Transition to a Temporary Safe Water Source until the Completion of KWA: This has already occurred. On October 16, 2015, Flint returned to receiving its water from DWSD ona9 month agreement. This agreement will expire in June 2016, when the KWA is projected to be complete. The City had to pay $2 million out of its general fund to make this switch. IN PROGRESS Additional Corrosion Control added to the Water Syste g|Page© GIy OF FLINT ‘This is already occurring, In early December, 2015, Flint began to add additional corrosion control to the water coming in from DWSD in attempts to rebuild the protective scale inside its pipes. This is estimated to reduce lead levels in two to six months, Faucet Replacement: Replacement of Water faucets, and drinking fountains in the school system. It has been determined after state inspections that many sources of lead contamination in the School ‘System's water were the faucets themselves. These faucets need to be replaced. Water Line Replacement: Water Line Replacement to reduce antiquated infrastructure and lead service lines. These lines must be identified, verified, and replaced. Residents who are facing financial hardships must have access to assistance to cover the costs of these replacements through access to grants and (forgivable) loans made available through State and Federal agencies. The corrosion damage to public and private lines that Flint River water caused isstill being determined ‘@ Replacement of an estimated fifteen thousand (15,000) lead service lines at an estimated cost of three thousand dollars ($3,000) per line. Total costs forty —five million dollars ($45,000,000). This project is estimated to be one of the most costintensive endeavors related to ameliorating water contaminants. Reimbursement of Critical Expenditures: Seeking reimbursement of two million dollar cost of returning to DWSD and forgiveness of Water Revolving Loan Debt from the State of Michigan. KWA Capital Improvements: The City has reconnected to Detroit temporarily until a water line from Port Huron Is developed. The new water line known as the KWA pipeline or Karegnondi Water Authority is expected to bring water to the City from Lake Huron by July. The current cost agreement between Flint and DWSD is for nine months, therefore itis imperative that KWA be completed as soon as possible. Assistance relating to capital improvements to expedite this process will help to achieve long term goals KWA Capital improvemen Estimated Costs: a. Transfer Station to Dort Reservoir $4,500,000 b, Raw water line to pump station #4 $636,000 Phosphoric acid feed system $186,000 d. Alum Feed system $40,000 e. Post filtration system $387,289 10|Page& yar ost TN Pee f. SCADA Upgrades $424,000 g. Sewer Relining $100,000 Total $6,273,289 Ancillary Considerations: Public Safety during an Emergency During. time of emergency public safety agencies need to be prepared to respond to threats to public safety and critical infrastructure. The City is acing a man-made emergency that i threatening the public health, Resentment and hostility toward local institutions and municipal government is at a significant level Critical infrastructure should be safeguarded ifthe need arises. This includes increasing security at City Hall to reduce potential for public safety risks. n the case of credible threats to public infrastructure, it may be required to hire private security company for first line of defense, Private Security i lower cost, thereby making it the first option. The minimum response is acted upon first, elevating only if the need arises. Credible or imminent threats of damage or destruction to critical infrastructure requires an tlevated response. Such needs may require over-time police officers to address critical situations. Mutual aid from surrounding communities can be requested if Flint public safety is overextended. Implementation: Community Partners yey. Many cor nmunity partners, Financial limitations of the city persist white it confronts this emerge have offered their assistance to perform various needed functions. The city is heavily reliant on the assistance that government agencies and nonprofit organizations have provided. ‘The Mott Foundation ‘The Mott Foundation has provided financial assistance, especially in their generous contribution of $4 milion. in addition, the Mott Foundation has recently pledged an additional United Way “The Genesee County United Way has provided significant financial assistance in the way of purchasing and helping to distribute water filters since the public health emergency began on October 1", 2015. Genesee County Community Action Resources Department (GCCARD) 11|PageGCCARD is organized to fight poverty and has been a primary partner inthe cistribution of water fiers. It has also regularly supported the city with the logistics and avalablty of water filters at City Hall Genesee County Health Department Has provided educational information to Flint Water customers Genesee County Board of Commissioners The Board of Commissioners have pledged their support to help Flint seek solutions to this crisis. The Board has already assisted in making health and nutrition information available to the public. Assistance from Wayne State University Wayne State University’s Center for Urban Studies will be providing technical GIS support to assist n the documentation of emergency relief efforts. ‘The US Environmental Protection Agency Region 5 EPA has offered assistance with Public Information distribution during the emergency: Outside Help is still needed... “The City of Flint s forever thankful to our community partners who have given so much to help so many people. However the magnitude of this emergency calls for more resources that are beyond the capacity of the combined local organizations and government agencies. Long term solutions will require a heavy javestment in health care and capital improvement projects to upgrade the city’s antiquated water distribution system. ¢Help with immediate Relief in terms of assuring allocative efficiency. Distribution should be equitable- assistance from other governments required to assure this, © Reaching communities for the distribution of water filters, water, and educational materials. Help with Water Testing to increase participation and lead education ‘© Increasing the rate of water testing @ Assistance is required to fund essential capital improvement projects to guarantee clean and safe water. 12|PageOffice of Genesee County Sheriff Emergency Management/Homeland Security SHERIFF ROBERT J. PICKELL Undersheriff Christopher Swanson Chris DeVriendt 41002 S. Saginaw, Flint, MI 48502 Interim Emergency Management Manager (810) 257-3407 (810) 257-3064 (810) 257-3077 (fax) (810) 237-8169 (fax) January 4, 2016 Honorable Rick Snyder Governor Office of Governor State of Michigan P.O. Box 30013 Lansing, MI 48909 SUBJECT: REQUEST FOR GOVERNOR'S EMERGENCY/DISASTER DECLARATION Dear Governor Snyder: On January 4, 2016 pursuant to Section 10 of Act $90, P.A. 1976, as amended, | Geclared that a "State of Emergency” exists in Genesee County due to the introduction $f iad into the public water system and subsequently elevated blood lead levels Sxceeding governmental standards, The response and recovery aspects of the Genesee County emergency operations plan have been activated, and local resources are being utilized to the fullest extent practicable. Despite these efforts, local resources ate not Sufficient to cope with the situation ‘Therefore, in accordan ce with Section 12 of Act 390, P.A. 1976, as amended, | deem this incident to be beyond the control of Genesee County, and | respecttully request. for aN ‘on behalf of the cizens of Genesee County that the Governor declare a "State of EmergeneyiDisaster" exists therein and that consideration be given, if conditions Warrant, to petitioning the President of the United States for assistance provided by Public Law 93-288, as amended. In support of this request, we will submit speotfic Gamage assessment data through official channels and in accordance, with the aidagee in EMD PUB.901 (Damage Assessment Handbook) within three (3) days of Sie isaster, unless circumstances dictate an earlier submittal as requested by the Emergency "Management Division, Department of State Police. Furthermore, | Understand that this request will not be acted upon without sufficient damage assessment data to substantiate the need for assistance Specifically, | request the following assistance: ESF #3 / Infrastructure Systems Recovery Support Function support to include but not limited to: « Post-incident assessments of public works and infrastructure < Executing emergency contract support for life-sustaining servicesHonorable Rick Snyder January 4, 2016 Page 2 of 2 + Providing technical assistance to include engineering expertise, construction management, contracting, and real estate services = Pauling. emergency repair of damaged public infrastructure and critical infrastructure ESF #8 support to include but not limited to: ‘e Assessment of public health/medical needs Health surveillance Medical care personnel Patient care Behavioral health care Public health and medical information Potable water ESF #11 support to include but not limited to ‘* Provision of nutritional assistance ‘Accordingly, be advised that Christopher DeVriendt, Interim Genesee County Emorgency. Management Manager will provide liaison and coordination with State and Emergency ihorliee for assistance related to this disaster, and in accordance with ecetal 4 oF Act 390, PA, 1976, as amended, he is directed to transmit this request to the gppropriate ‘State Police Emergency Management Division (EMD) District Coordinator by the most expeditious means. ‘Authorized By: Jamie Curtis = Chairperson Genesee County Board of CommissionersOffice of Genesee County Sheriff Emergency Management/Homeland Security == SHERIFF ROBERT J. PICKELL Undersheriff Christopher Swanson Chris DeVriendt. 1002 S. Saginaw, Flint, MI 48502 Interim Emergency Management Manager (610) 257-3407 (810) 257-3064 (810) 257-3077 (fax) (810) 237-6169 (fax) January 4, 2016 TO: Commanding Officer - Emergency Management Division Department of State Police; District #3 Emergency Management Division District Coordinator Post #35 State Police Post Commander On October 1, 2015 residents within the City of Flint, located within Genesee County, were exposed to toxic levels of lead resulting in an imminent danger to public health and safety caused by elevated lead levels in the public water distribution system due to utilizing the Flint River as a primary source of water without proper corrosion, control treatment. As a result of this situation, the following conditions exist: lead toxicosis in City of Flint residents and accelerated deterioration of the City of Flint water distribution system, ‘Therefore, as Board of Commissioners Chairperson of Genesee County, in accordance with Section 10 of 1976 PA 390, as amended, | hereby declare that a "State of emergency" exists therein, that the response and recovery aspects of the emergency operations plan have been activated, and that local resources are being utilized to the fullest possible extent. Authorized by. Jamie Curtis, Board Chairperson