Other actors played a role in this debacle, including MDHHS, the City of Flint, GCHD
, and the Federal Environmental Protection Agency (EPA), which exercises ultimate control over Michigan environmental standards enforcement.
An investigation of the patient's home by GCHD
revealed a bat colony in the attic of the house.
To control the increase in syphilis cases in Guilford County, the North Carolina HIV/STD Prevention and Care Section and GCHD
, in collaboration with local community organizations, conducted a community intervention effort from July through September 1997.
On April 26, 1994, GCHD was notified by an emergency department physician of a 32-year-old man with a BLL of 111 [micro]g/dL.
Follow-up investigation by GCHD revealed that when one of the other workers--a 39-year-old man--had developed similar symptoms and was hospitalized on March 28, his BLL was 245 [micro]g/dL.
GCHD notified TDH and the Occupational Safety and Health Administration (OSHA) about these exposures.