Case 3:17-cv-02162-EMC Document 329 Filed 12/14/22 Page 1 of 27

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C. ANDREW WATERS, ESQ., CA Bar No. 147259
MICHAEL CONNETT, ESQ., CA Bar No. 300314
KAY REEVES, ESQ., Pro Hac Vice
WATERS, KRAUS & PAUL
222 N. Pacific Coast Hwy, Suite 1900
El Segundo, CA 90245
310-414-8146 Telephone
310-414-8156 Facsimile
Attorneys for Plaintiffs
UNITED STATES DISTRICT COURTFOR THE NORTHERN DISTRICT OF CALIFORNIAAT SAN FRANCISCO

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_________________________________________
FOOD & WATER WATCH, et al.,vs.

Plaintiffs,

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U.S. ENVIRONMENTAL PROTECTIONAGENCY, et al.

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Defendants.

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Civ. No. 17-CV-02162-EMC
PLAINTIFFS’ REDACTED NOTICEREGARDING THE NATIONALTOXICOLOGY PROGRAM’SASSESSMENT OF FLUORIDE
NEUROTOXICITY

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INTRODUCTIONOn October 26, 2022, the Court granted Plaintiffs’ Motion to Lift the Stay, and in so doing,authorized Plaintiffs to use available discovery tools to obtain a copy of the May 2022 version of the
National Toxicology Program’s (NTP) monograph on fluoride’s neurodevelopmental and cognitive health

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effects. ECF Nos. 319 & 327. Subsequent to the Court’s order, the Plaintiffs obtained the NTP’s May 2022
monograph, as well as draft versions of the NTP’s meta-analysis. In addition to these materials, Plaintiffs

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have obtained additional documents through the Freedom of Information Act that provide further

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information about the NTP’s May 2022 monograph.

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The NTP’s May 2022 Monograph

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The most recent monograph that NTP published was “NTP Monograph 07.” See
https://ntp.niehs.nih.gov/ntp/ohat/trap/mgraph/trap final 508.pdf, published in December 2019.
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See https://apastyle.apa.org/learn/faqs/what-is-doi (“A digital object identifier (DOI) is a uniquealphanumeric string assigned by a registration agency (the International DOI Foundation) to identify
content and provide a persistent link to its location on the internet. The publisher assigns a DOI when yourarticle is published and made available electronically.”).
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PLAINTIFFS’ NOTICE REGARDING THE NATIONAL TOXICOLOGY PROGRAM’S ASSESSMENT OFFLUORIDE NEUROTOXICITY

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FOIA Materials
Through the Freedom of Information Act (“FOIA”), Plaintiffs recently obtained emailcommunications between the NTP and the Centers for Disease Control and Prevention (“CDC”)
regarding the NTP monograph. These emails confirm that the NTP considered the May 2022 monographto be the NTP’s final report. They also confirm that the CDC was opposed to the NTP releasing the report,

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and that leadership at the top levels of the Department of Health & Human Services intervened to stop11

the report from being released.

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Exhibit 4
Exhibit 4 is an April 28, 2022 email from Dr. Mary Wolfe, the Director of NTP’s Office of Policy,
Review and Outreach, to Casey Hannan, the Director of CDC’s Division of Oral Health. In the email, Dr.
Wolfe attaches NTP’s prepublication monograph and informs CDC that NTP’s “analysis and conclusions
are set”:
Attached is the prepublication draft of the NTP Monograph on the State of the Science on
Fluoride. We are sharing this document for your awareness. At this time the analysis andthe conclusions are set. We are not requesting comment; however, please let us know if
you identify any error in the text.
In October 2021 we sent you the draft state of the science monograph and CDC provided
comments. We appreciated CDC’s review, and I have attached a document with our
response to those comments. For your awareness, in addition to interagency input, the NTP
state of the science monograph has received external peer review by letter from five experts.
All comments have been carefully considered in finalizing the monograph.
Currently, we are preparing our communications plan for when the monograph is released.
We are working toward its release in mid/late May and will share the date when it’sset. (emphases added).

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PLAINTIFFS’ NOTICE REGARDING THE NATIONAL TOXICOLOGY PROGRAM’S ASSESSMENT OFFLUORIDE NEUROTOXICITY

Case 3:17-cv-02162-EMC Document 329 Filed 12/14/22 Page 5 of 27

Exhibit 5

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Exhibit 5 is a May 11, 2022 email from Dr. Wolfe of the NTP to Mr. Hannan of the CDC. The

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subject of the email is “Communications Plan for NTP SoS monograph.” In the non-redacted portion of4

the email, Dr. Wolfe states:

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On April 28, I shared the prepublication draft of the NTP monograph on the State of the
Science on Fluoride. We have set May 18, 2022 for publication of the monograph. The
monograph will be posted to the NTP website, and we will email a notice of the posting to
NTP listserv subscribers. (emphasis added)

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Exhibit 6

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Exhibit 6 is an email exchange from May 11 & 12, 2022 between Dr. Wolfe and various officials
at the CDC, including Dr. Karen Hacker, the Director of CDC’s National Center for Chronic Disease
Prevention and Health Promotion (NCCDPHP).3 In the emails, the CDC expresses concern about NTP
publishing the monograph without further review by “NIH leadership” and asks about the potential for an“HHS interagency review.” In response, Dr. Wolfe states:18

We have sent you the latest version of the prepublication monograph which considers thebreadth of input that we’ve received from all stakeholders. I responded on May 9 to the May
4 email from Casey Hannan regarding CDC’s suggested revision to text in the abstract andsummary of the prepublication monograph. My reply noted that we believe the current
findings, as stated in the monograph, reflect the scope of our evaluation and theavailable scientific literature and no revision is needed. (emphasis added)

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Exhibit 7

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Exhibit 7 is a May 12, 2022 internal email communication among officials at CDC’s Division of
Oral Health. In the email, Mr. Hannan, the Director of CDC’s Oral Health Division, states: “The May 18th
release date for [the monograph] is almost certainly not going to happen. OASH and NIH OD are

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pretty clearly going to get more involved.” (emphasis added). OASH is an acronym for the Office of the

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The NCCDPHP is the center at CDC which houses the oral health division.
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Assistant Secretary of Health, the second highest office in the Department of Health and Human Services.
NIH OD is an acronym for NIH’s Office of Director, the highest office within the NIH.
Exhibit 8

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Exhibit 8 is a June 3, 2022 email from Nicole Johnson, Associate Director for Policy, Partnerships

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and Strategic Communication in CDC’s Oral Health Division to Jennifer Greaser, a Senior Public Health

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Policy Analyst in CDC’s Washington office. Ms. Johnson states: “The latest we heard (yesterday) is that
ASH Levine has put the report on hold until further notice.” (emphasis added). ASH Levine is areference to the U.S. Assistant Secretary of Health, Rachel Levine.

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December 14, 2022

Respectfully submitted,/s/ Michael Connett
MICHAEL CONNETT
Attorney for Plaintiffs

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PLAINTIFFS’ NOTICE REGARDING THE NATIONAL TOXICOLOGY PROGRAM’S ASSESSMENT OFFLUORIDE NEUROTOXICITY

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CERTIFICATE OF SERVICE

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I hereby certify that a true and correct copy of the foregoing was served by Notice of Electronic
Filing this 14th day of December, 2022, upon all ECF registered counsel of record using the Court’s
CM/ECF system.

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6/s/ Michael Connett
MICHAEL CONNETT

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PLAINTIFFS’ NOTICE REGARDING THE NATIONAL TOXICOLOGY PROGRAM’S ASSESSMENT OFFLUORIDE NEUROTOXICITY

Case 3:17-cv-02162-EMC Document 329 Filed 12/14/22 Page 8 of 27

Exhibit 1(FILED UNDER SEAL)

Case 3:17-cv-02162-EMC Document 329 Filed 12/14/22 Page 9 of 27

Exhibit 2(FILED UNDER SEAL)

Case 3:17-cv-02162-EMC Document 329 Filed 12/14/22 Page 10 of 27

Exhibit 3(FILED UNDER SEAL)

Case 3:17-cv-02162-EMC Document 329 Filed 12/14/22 Page 11 of 27

Exhibit 4

Case 3:17-cv-02162-EMC Document 329 Filed 12/14/22 Page 12 of 27
From: Wolfe, Mary (NIH/NIEHS) [El <wolfe@niehs.nih.gov>
Sent: Thursday, April 28, 2022 12:31 PM
To: Hannan, CaseyJ.(CDC/DDNID/NCCDPHP/DOH)<clh8@cdc.gov>
Cc: Hacker, Karen (CDC/DDNID/NCCDPHP/OD)<pju3@cdc.gov>; Berridge, Brian (NIH/NIEHS) [El<brian.berridge@nih.gov>; Woychik, Rick (NIH/NIEHS) [El <rick.woychik@nih.gov>
Subject: Prepublication SoS Monograph -- Internal Deliberative Communication

Casey,
Attached is the prepublication draft of the NTP Monograph on the State of the Science on Fluoride. We
are sharing this document for your awareness. At this time the analysis and the conclusions are set. We
are not requesting comment; however, please let us know if you identify any error in the text. Please
note that this document is not public and should be kept confidential.
In October 2021 we sent you the draft state of the science monograph and CDCprovided comments. We
appreciated CDC'sreview, and I have attached a document with our response to those comments. For
your awareness, in addition to interagency input, the NTP state ofthe science monograph has received
external peer review by letter from five experts. All comments have been carefully considered in
finalizing the monograph.
Currently, we are preparing our communications plan for when the monograph is released. We areworking toward its release in mid/late May and will share the date when it's set. In the meantime, toassist with preparation of our communications plan, please send me the name and contact information
to whom we should refer any media inquiries, if received, that would be best addressed by CDC.
Do not hesitate to contact us if questions.
Best regards,
Mary

Case 3:17-cv-02162-EMC Document 329 Filed 12/14/22 Page 13 of 27

Exhibit 5

From: Hannan, Casey J. (CDC/DDNID/NCCDPHP/DOH) <clh8@cdc.gov>
Case 3:17-cv-02162-EMC
Document 329 Filed 12/14/22 Page 14 of 27
Sent: Wednesday,
May 11, 2022 11:25 AM
To: Espinoza, Lorena (CDC/DDNID/NCCDPHP/DOH) <lee6@cdc.gov>; Johnson, Nicole(CDC/DDNID/NCCDPHP/DOH) <nbg5@cdc.gov>; Holder, Gregory (CDC/DDNID/NCCDPHP/DOH)<LHN5@cdc.gov>
Subject: FW: Communications plan for NTP Sos monograph -- internal deliberative communication

FYI, here's their comms plan, which is a close hold.
From: Wolfe, Mary (NIH/NIEHS) [El <wolfe@niehs.nih.gov>
Sent: Wednesday, May 11, 2022 11:12 AM
To: Hannan, Casey J.(CDC/DDNID/NCCDPHP/DOH)<clh8@cdc.gov>
Cc: Hacker, Karen (CDC/DDNID/NCCDPHP/OD) <pju3@cdc.gov>; Berridge, Brian (NIH/NIEHS) [El<brian.berridge@nih.gov>; Woychik, Rick (NIH/NIEHS) [El <rick.woychik@nih.gov>; Mackar, Robin(NIH/NIEHS) [El <robin.mackar@nih.gov>; Flowers, Christine B (NIH/NIEHS) [El <bruskec@niehs.nih.gov>
Subject: Communications plan for NTP Sos monograph -- internal deliberative communication

Good morning,
On April 28, I shared the prepublication draft of the NTP Monograph on the State of the Science on
Fluoride. We have set May 18, 2022, for publication of the monograph. The monograph will be posted
to the NTP website, and we will email a notice of the posting to NTP listserv subscribers.

(b)(5)

Case 3:17-cv-02162-EMC Document 329 Filed 12/14/22 Page 15 of 27(b)(S)

Please let us know if you have any questions,
Mary

Mary S. Wolfe, Ph.D.
Acting Deputy Division Director for Policy and Communication
Director, Office of Policy, Review, and Outreach
Division of the National Toxicology Program
National Institute of Environmental Health Sciences
1I 1 T.W. Alexander Drive
Research Triangle Park, NC 27709
Phone: 984-287-3209
Email: wolfe@nichs.nih.gov

Case 3:17-cv-02162-EMC Document 329 Filed 12/14/22 Page 16 of 27

Exhibit 6

Case 3:17-cv-02162-EMC Document 329 Filed 12/14/22 Page 17 of 27

Hacker, Karen (CDC/DDNID/NCCDPHP/OD)
Thu, 12 May 2022 13:00:22 +0000
Wolfe, Mary {NIH/NIEHS) [El; Hannan, Casey J. (CDC/DDNID/NCCDPHP/DOH)
Mackar, Robin {NIH/NIEHS) [El; Flowers, Christine B {NIH/NIEHS) [El; Cucchi,
Sean (CDC/DDNID/NCCDPHP/OD);Promoff, Gabbi (CDC/DDNID/NCCDPHP/OD);Woychik, Rick
(NIH/NIEHS) [El; Berridge, Brian (NIH/NIEHS) [ElSubject:
RE:Communications plan for NTP Sos monograph -- internal deliberative
communication

From:
Sent:
To:
Cc:

Thank you for the clarification. Has this gone through NIH clearance? We understand another NIH
institute had similar concerns to ours and I would like to make sure that NIH leadership is aware of thismonograph.
Best,
Karen
From: Wolfe, Mary (NIH/NIEHS) [E) <wolfe@niehs.nih.gov>
Sent: Thursday, May 12, 2022 8:14 AM
To: Hacker, Karen (CDC/DDNID/NCCDPHP/OD)<pju3@cdc.gov>; Hannan, Casey J.

(CDC/DDNID/NCCDPHP/DOH)<clh8@cdc.gov>
Cc: Mackar, Robin {NIH/NIEHS) [El <robin.mackar@nih.gov>; Flowers, Christine B (NIH/NIEHS) [El<bruskec@niehs.nih.gov>; Cucchi, Sean (CDC/DDNID/NCCDPHP/OD)<axz7@cdc.gov>; Promoff, Gabbi(CDC/DDNID/NCCDPHP/OD)<era6@cdc.gov>; Woychik, Rick (NIH/NIEHS) [E] <rick.woychik@nih.gov>;
Berridge, Brian (NIH/NIEHS) [E] <brian.berridge@nih.gov>
Subject: Re: Communications plan for NTP Sos monograph -- internal deliberative communication
Dear Karen,Thank you for your email. We have sent you the latest version of the prepublication monograph which
considers the breadth of input that we've received from all stakeholders.
I responded on May 9 to the May 4 email from Casey Hannan regarding CDC'ssuggested revision to text
in the abstract and summary of the prepublication monograph. My reply noted that we believe thecurrent findings, as stated in the monograph, reflect the scope of our evaluation and the available
scientific literature and no revision is needed.
Regards
Mary

Mary S. Wolfe, Ph.D.
Acting Deputy Division Director for Policy and Communication
Director, Office of Policy, Review, and Outreach
Division of the National Toxicology Program

Case 3:17-cv-02162-EMC Document 329 Filed 12/14/22 Page 18 of 27

National Institute of Environmental Health Sciences
111 T.W. Alexander Drive
Research Triangle Park, NC 27709
Phone: 984-287-3209
Email: wolfe@nichs.nih.gov

From: Hacker, Karen (CDC/DDNID/NCCDPHP/00) <pju3@cdc.gov>
Sent: Wednesday, May 11, 2022 4:57 PM
To: Wolfe, Mary (NIH/NIEHS) [E] <wolfe@niehs.nih.gov>; Hannan, Casey J. (CDC/DDNID/NCCDPHP/DOH)<clh8@cdc.gov>
Cc: Mackar, Robin (NIH/NIEHS) [E] <robin.mackar@nih.gov>; Flowers, Christine B (NIH/NIEHS) [E]<bruskec@niehs.nih.gov>; Cucchi, Sean (CDC/DDNID/NCCDPHP/OD)<axz7@cdc.gov>; Promoff, Gabbi(CDC/DDNID/NCCDPHP/OD)<era6@cdc.gov>; Woychik, Rick (NIH/NIEHS) [E] <rick.woychik@nih.gov>
Subject: RE:Communications plan for NTP SoS monograph -- internal deliberative communication

Mary,
I don't believe we have seen the latest version that addressed our comments. Has this gone through NIH
clearance yet and will it also be going through HHS interagency review?

Karen Hacker, MD MPH
Director, National Center for Chronic Disease Prevention and Health Promotion (NCCDPHP)
Centers for Disease Control and Prevention
Phone: 770.488.5401
E-Mail: khacker@cdc.gov
Executive Assistant: Shantelle Graham
E-Mail: sln3@cdc.gov
On the web @ www.cdc.gov/chronicdisease/index.htm
Follow NCCDPHPon Twitter

Join the conversation!
NATIONALCENTERFOR CHRONICDISEASE~EVENTION ANO HEALTH~OMOTION
www.cdc..gov

This e-mail message is intended for the exclusive use of the recipient(s) named above. It may contain
information that is deliberative or confidential, and it should not be disseminated, distributed, or copied
to persons not authorized to receive such information. If you are not the intended recipient, any
dissemination, distribution, or copying is strictly prohibited. If you think you have received this e-mailmessage in error, please notify the sender immediately.

Case 3:17-cv-02162-EMC Document 329 Filed 12/14/22 Page 19 of 27

From: Wolfe, Mary (NIH/NIEHS) [El <wolfe@niehs.nih.gov>
Sent: Wednesday, May 11, 2022 11:34 AM
To: Hannan, Casey J.(CDC/DDNID/NCCDPHP/DOH)<clh8@cdc.gov>; Hacker, Karen(CDC/DDNID/NCCDPHP/OD)<pju3@cdc.gov>
Cc: Mackar, Robin (NIH/NIEHS) [E] <robin.mackar@nih.gov>; Flowers, Christine B (NIH/NIEHS) [El<bruskec@niehs.nih.gov>; Cucchi, Sean (CDC/DDNID/NCCDPHP/OD) <axz7@cdc.gov>; Promoff, Gabbi(CDC/DDNID/NCCDPHP/OD)<era6@cdc.gov>
Subject: Re: Communications plan for NTP Sos monograph -- internal deliberative communication

here is our availability:• Thurs, May 12, 11-noon and 3:30-4:30• Fri, May 13, 9-noon
please let us know would work and we'll send zoom info.
Mary

Mary S. Wolfe, Ph.D.
Acting Deputy Division Director for Policy and Communication
Director, Office of Policy, Review, and Outreacb
Division of the National Toxicology Program
National Institute of Environmental Health Sciences
111 T.W. Alexander Drive
Research Triangle Park, NC 27709
Phone: 984-287-3209
Email: wolfe@niehs.nih.gov

From: Hannan, Casey J. (CDC/DDNID/NCCDPHP/DOH) <clh8@cdc.gov>
Sent: Wednesday, May 11, 2022 11:27 AM
To: Hacker, Karen (CDC/DDNID/NCCDPHP/OD) <pju3@cdc.gov>; Wolfe, Mary (NIH/NIEHS) [El<wolfe@niehs.nih.gov>
Cc: Mackar, Robin (NIH/NIEHS) [El <robin.mackar@nih.gov>; Flowers, Christine B (NIH/NIEHS) [El<bruskec@niehs.nih.gov>; Cucchi, Sean (CDC/DDNID/NCCDPHP/OD) <axz7@cdc.gov>; Promoff, Gabbi(CDC/DDNID/NCCDPHP/OD)<era6@cdc.gov>
Subject: RE: Communications plan for NTP Sos monograph -- internal deliberative communication

Having an additional day or two to better prepare ourselves for a meeting with NTP Comms staff would
be preferred.

Case 3:17-cv-02162-EMC Document 329 Filed 12/14/22 Page 20 of 27

Mary, would it be possible to check with your Com ms staff re: availability on Thursday and Friday?
Thanks for considering,
Casey
From: Hacker, Karen (CDC/DDNID/NCCDPHP/OD) <pju3@cdc.gov>
Sent: Wednesday, May 11, 2022 11:24 AM
To: Wolfe, Mary (NIH/NIEHS) [E] <wolfe@niehs.nih.gov>; Hannan, Casey J. (CDC/DDNID/NCCDPHP/DOH)<clh8@cdc.gov>
Cc: Mackar, Robin (NIH/NIEHS) [E] <robin.mackar@nih.gov>; Flowers, Christine B (NIH/NIEHS) [El<bruskec@niehs.nih.gov>; Cucchi, Sean (CDC/DDNID/NCCDPHP/OD)<axz7@cdc.gov>; Promoff, Gabbi(CDC/DDNID/NCCDPHP/OD)<era6@cdc.gov>
Subject: RE: Communications plan for NTP SoS monograph -- internal deliberative communication

Unfortunately, those don't work for me and we need to see if others are available. Casey, can you weighin? I think we need perhaps another few days
From: Wolfe, Mary (NIH/NIEHS) [El <wolfe@niehs.nih.gov>
Sent: Wednesday, May 11, 2022 11:23 AM
To: Hacker, Karen (CDC/DDNID/NCCDPHP/OD) <pju3@cdc.gov>; Hannan, Casey J.
(CDC/DDNID/NCCDPHP/DOH) <clh8@cdc.gov>
Cc: Mackar, Robin (NIH/NIEHS) [E] <robin.mackar@nih.gov>; Flowers, Christine B (NIH/NIEHS) [El<bruskec@niehs.nih.gov>; Cucchi, Sean (CDC/DDNID/NCCDPHP/OD) <axz7@cdc.gov>; Promoff, Gabbi(CDC/DDNID/NCCDPHP/OD)<era6@cdc.gov>
Subject: Re: Communications plan for NTP SoS monograph -- internal deliberative communication

Karen,
Our Comms staff are available today
1-2 pm and 3:30-4 pm
please let me know if either time would work and i'II send a zoom link.
Mary

Mary S. Wolfe, Ph.D.
Acting Deputy Division Director for Policy and Communication
Director, Office of Policy, Review, and Outreach
Division of the National Toxicology Program
National Institute of Environmental Health Sciences
111 T.W. Alexander Drive

Case 3:17-cv-02162-EMC Document 329 Filed 12/14/22 Page 21 of 27

Research Triangle Park, NC 27709
Phone: 984-287-3209
Email: wolfe@niehs.nih.gov

From: Hacker, Karen (CDC/DDNID/NCCDPHP/OD) <pju3@cdc.gov>
Sent: Wednesday, May 11, 2022 11:16 AM
To: Wolfe, Mary (NIH/NIEHS) [El <wolfe@niehs.nih.gov>; Hannan, Casey J. (CDC/DDNID/NCCDPHP/DOH)<clh8@cdc.gov>
Cc: Berridge, Brian (NIH/NIEHS) [El <brian.berridge@nih.gov>; Woychik, Rick (NIH/NIEHS) [El<rick.woychik@nih.gov>; Mackar, Robin (NIH/NIEHS) (El <robin.mackar@nih.gov>; Flowers, Christine B(NIH/NIEHS) (El <bruskec@niehs.nih.gov>; Cucchi, Sean (CDC/DDNID/NCCDPHP/OD) <axz7@cdc.gov>;
Promoff, Gabbi (CDC/DDNID/NCCDPHP/OD) <era6@cdc.gov>
Subject: RE: Communications plan for NTP Sos monograph -- internal deliberative communication

Thank you
From: Wolfe, Mary (NIH/NIEHS) [El <wolfe@niehs.nih.gov>
Sent: Wednesday, May 11, 2022 11:16 AM
To: Hacker, Karen (CDC/DDNID/NCCDPHP/OD) <pju3@cdc.gov>; Hannan, Casey J.
(CDC/DDNID/NCCDPHP/DOH) <clh8@cdc.gov>
Cc: Berridge, Brian (NIH/NIEHS) [El <brian.berridge@nih.gov>; Woychik, Rick (NIH/NIEHS) [El<rick.woychik@nih.gov>; Mackar, Robin (NIH/NIEHS) (El <robin.mackar@nih.gov>; Flowers, Christine B(NIH/NIEHS) (El <bruskec@niehs.nih.gov>; Cucchi, Sean (CDC/DDNID/NCCDPHP/OD) <axz7@cdc.gov>;

Promoff, Gabbi (CDC/DDNID/NCCDPHP/OD) <era6@cdc.gov>
Subject: Re: Communications plan for NTP Sos monograph -- internal deliberative communication
yes. i will find when our comms staff are available.

Mary S. Wolfe, Ph.D.
Acting Deputy Division Director for Policy and Communication
Director, Office of Policy, Review, and Outreach
Division of the National Toxicology Program
National Institute of Environmental Health Sciencesl l l T.W. Alexander Drive
Research Triangle Park, NC 27709
Phone: 984-287-3209

Case 3:17-cv-02162-EMC Document 329 Filed 12/14/22 Page 22 of 27

Email: wolfe@niehs.nih.gov

From: Hacker, Karen (CDC/DDNID/NCCDPHP/OD)<pju3@cdc.gov>
Sent: Wednesday, May 11, 2022 11:14 AM
To: Wolfe, Mary (NIH/NIEHS) [E] <wolfe@niehs.nih.gov>; Hannan, Casey J. (CDC/DDNID/NCCDPHP/DOH)<clh8@cdc.gov>
Cc: Berridge, Brian (NIH/NIEHS) [E] <brian.berridge@nih.gov>; Woychik, Rick (NIH/NIEHS) [E]<rick.woychik@nih.gov>; Mackar, Robin (NIH/NIEHS) [El <robin.mackar@nih.gov>; Flowers, Christine B(NIH/NIEHS) [E] <bruskec@niehs.nih.gov>; Cucchi, Sean (CDC/DDNID/NCCDPHP/OD)<axz7@cdc.gov>;
Promoff, Gabbi (CDC/DDNID/NCCDPHP/OD)<era6@cdc.gov>
Subject: RE:Communications plan for NTP Sos monograph -- internal deliberative communication
Hi Mary,
As we discussed we need to meet with you to discuss the rollout and messaging. Can we set that up as
soon as possible?
From: Wolfe, Mary (NIH/NIEHS) [E] <wolfe@niehs.nih.gov>
Sent: Wednesday, May 11, 2022 11:12 AM
To: Hannan, Casey J. (CDC/DDNID/NCCDPHP/DOH)<clh8@cdc.gov>
Cc: Hacker, Karen (CDC/DDNID/NCCDPHP/OD)<pju3@cdc.gov>; Berridge, Brian (NIH/NIEHS) [E]<brian.berridge@nih.gov>; Woychik, Rick (NIH/NIEHS) [E] <rick.woychik@nih.gov>; Mackar, Robin(NIH/NIEHS) [E] <robin.mackar@nih.gov>; Flowers, Christine B (NIH/NIEHS) [E] <bruskec@niehs.nih.gov>
Subject: Communications plan for NTP SoS monograph -- internal deliberative communication
Good morning,
On April 28, I shared the prepublication draft of the NTP Monograph on the State of the Science on
Fluoride. We have set May 18, 2022, for publication of the monograph. The monograph will be posted
to the NTP website, and we will email a notice of the posting to NTP listserv subscribers.

(b)(5)

Please let us know if you have any questions,
Mary

Mary S. Wolfe, Ph.D.
Acting Deputy Division Director for Policy and Communication

Case 3:17-cv-02162-EMC Document 329 Filed 12/14/22 Page 23 of 27

Director, Office of Policy, Review, and Outreach
Division of the National Toxicology Program
National lnstitute of Environmental Health Sciences

111 T.W. Alexander Drive
Research Triangle Park, NC 27709
Phone: 984-287-3209
Email: wolfe@niehs.nih.gov

Case 3:17-cv-02162-EMC Document 329 Filed 12/14/22 Page 24 of 27

Exhibit 7

Case 3:17-cv-02162-EMC Document 329 Filed 12/14/22 Page 25 of 27

From:
Johnson, Nicole (CDC/DDNID/NCCDPHP/DOH)
Sent:
Thu, 12 May 2022 15:57:42 +0000
To:
Promoff, Gabbi (CDC/DDNID/NCCDPHP/OD); London, Joel
(CDC/DDNID/NCCDPHP/OD); Smalls, Donnica (CDC/DDNID/NCCDPHP/OD)
Subject:
FW: update from NTP BSC10am meeting

Plz see update below. Greg sent me a first draft of talking points/Q&A just a bit ago, I am about to start
reviewing them now
From: Hannan, Casey J. (CDC/DDNID/NCCDPHP/DOH) <clh8@cdc.gov>
Sent: Thursday, May 12, 2022 11:55 AM
To: Espinoza, Lorena (CDC/DDNID/NCCDPHP/DOH) <lee6@cdc.gov>; Johnson, Nicole{CDC/DDNID/NCCDPHP/DOH) <nbgS@cdc.gov>; Holder, Gregory {CDC/DDNID/NCCDPHP/DOH)<LHNS@cdc.gov>
Subject: update from NTP BSC10am meeting

Here are my takeaways:
The May 18th release date for SoS report is almost certainly not going to happen
OASH and NIH OD are pretty clearly going to get more involved
Found out from Renee after this call there's a meeting on Monday morning with ADM Levine, leadershipfrom NIEHS, NIDCR, NIH OD, and OASH senior staff
Not yet confirmed for 9am call tomorrow with NTP comms staff. Will keep you posted.
Even though the 5/18 release is not likely, we still need to provide a first draft of talking points today for
NCCDPHPOD, policy & comms.

Casey J. Hannan, MPH
Director, Division of Oral HealthCenters for Disease Control and Prevention
channan@cdc.gov
770.488.6054 (office)(b)(6)(mobile)htt : www.cdc. ov oral ea

Case 3:17-cv-02162-EMC Document 329 Filed 12/14/22 Page 26 of 27

Exhibit 8

Case 3:17-cv-02162-EMC Document 329 Filed 12/14/22 Page 27 of 27

From:
Sent:
To:
Subject:

Johnson, Nicole (CDC/DDNID/NCCDPHP/DOH)
Fri, 3 Jun 2022 18:33:42 +0000
Greaser, Jennifer (CDC/OD/CDCWO); Cucchi, Sean (CDC/DDNID/NCCDPHP/OD)
RE: monographHi - thanks so much for reaching out. The latest we heard (yesterday) is that ASH Levine has put thereport on hold until further notice. Happy to chat and tell you more about it.
From: Greaser, Jennifer (CDC/OD/CDCWO) <cbx5@cdc.gov>
Sent: Friday, June 3, 2022 2:32 PM
To: Cucchi, Sean {CDC/DDNID/NCCDPHP/OD) <axz7@cdc.gov>; Johnson, Nicole(CDC/DDNID/NCCDPHP/DOH) <nbgS@cdc.gov>
Subject: monograph

We got a heads up from NIH leg affairs about National Toxicology Program monograph coming out soonon fluoride and IQ. Assume you are aware. Do we need to chat?
Jennifer Greaser
CDCWashington Officewww.cdc.gov/washington
202-245-0600