What can I expect when I seek medical help?
You can expect detailed questions about your symptoms and specific foods eaten in the last few days. You’ll likely be asked:
You will be given a physical exam and checked for signs of dehydration, severity of abdominal pain, and neurological status.
Most importantly, you should expect that your doctor will order diagnostic tests to identify the etiology, or cause of your illness. Today’s standard of care dictates that if any of the following signs and symptoms occur in patients, laboratory testing should be done to provide important diagnostic clues, particularly for very young, elderly, or immunocompromised patients, all of whom are more vulnerable:
When I awoke, I was in intensive care at St. Mary’s Hospital/Mayo Clinic with doctors and student doctors as well as nurses all around me. I was screaming for my mom.
She was at the end of my bed, also being bombarded by people. While I was being poked and prodded, Mom was being asked a ton of questions about my health history, my disposition, my home and family, all kinds of information. I know they were doing what they needed to help me get better but Mom and I both just wanted them to leave us alone so that she could hold me and tell me things would be okay.
Because of a huge delay in our flight, Dad got to us about an hour or so after we arrived at the hospital. He had driven until 3 AM. He was tired.
We all were.⁕ Ashley, childhood E.coli/HUS survivor
If diagnostic tests to identify pathogens are not automatically ordered you should specifically request them in order to identify the cause, confirm a diagnosis, and start appropriate and timely medical care.
If testing is still discouraged, you are entitled to a second opinion, and you should confidently pursue one. Too often patients are sent home, only to be hospitalized later, wasting precious time in identifying the infectious organism and beginning appropriate treatment.
Testing is a large, complex, and rapidly changing issue. There is great disparity in how it is applied within different medical settings.
For more information to help yourself or your loved one, as well as supporting references that you may want to share with your doctor, please go to the ABC’s of Laboratory + Imaging Studies.
The Emergency Room (or Emergency Department) is where you can get initial answers and evaluation.
Patients with severe symptoms will likely end up going directly to the emergency room (ER), or will be sent there by their pediatrician or family physician.
If your community has more than one hospital, give careful consideration to the question of which hospital would have the most resources and capability. If you don’t know the answer, ask your pediatrician or family doctor, or any contact you might have in the medical community.
When you arrive in the ER, a registered triage nurse will ask questions about the patient’s general health and symptoms. He or she may assign a priority level based on your medical history and current condition according its level of urgency. If symptoms worsen while you wait to see a doctor, notify the emergency technician or triage nurse immediately.
You will also be registered. Registration gathers information for your patient record and obtains your consent for treatment. Both are necessary to allow the ER doctor to order diagnostic tests and determine treatment.
You may have to spend time in the waiting room – depending on how busy it is and the urgency of other patients’ conditions which may take precedence over yours. It is not unusual to wait for hours to be seen by a doctor, so try to understand that the ER staff is doing its best with other patients’ oftentimes life-threatening situations.
Should the patient need to use the bathroom, let the ER staff know first. Ask them if they can give you the supplies to collect a urine and/or stool sample. The patient should not eat or drink unless hospital staff say it is okay to do so.
Once the patient is moved from the waiting room to the treatment area, symptoms will be assessed again. During treatment, the Emergency Department staff in this area will help keep you comfortable and informed.
“I regret so much being casual about which Emergency Room I chose.
I was out of town with the children and made my choice based on the closest one to our hotel. I also chose it because its name “University Hospital” sounded like it was a teaching institution.
As it turned out, the hospital had no university affiliation; and within 24 hours of being admitted my husband and I and our new doctors in University Hospital were begging for an emergency transfer to a better equipped nearby hospital.
We needed a hospital with a pediatric intensive care unit able to handle our child.
It took a lot of effort, a lot of wasted time, incredible stress, and an ambulance in the middle of the night to end up at the right place.”⁕ Mary Heersink, mother of an adolescent E.coli/HUS survivor
An IV line may be inserted in the arm or hand to administer fluids and medicines. Tests will be ordered. It is common for patients suspected of having food poisoning to receive blood and urine tests to look for dehydration, infection and kidney function.
An abdominal X-ray or other imaging tests may be ordered of the colon and appendix. It is very important that the Emergency Department (ED) collect a stool sample and test for foodborne pathogens. Ask the doctor or nurse to be sure that pathogen testing is done. Results of the pathogen testing will be very important to determine the cause of the illness.
For more detailed information, see: ABC’s of Laboratory + Imaging Studies
Your condition will be reevaluated after initial test results come in, and the ED physician will determine whether you should be admitted to the hospital or discharged.
If you are sent home:
The day passed and I was still in the hospital without a diagnosis.
Ariel, thankfully, was still by my side and scrolling through Twitter when she found a Chicago Tribune story about a possible food poisoning outbreak at my favorite taco joint. “Have you eaten there recently?” she asked. She immediately told the doctors who said, “Ah, Yes! That makes sense.”
They had a few other cases arrive because of the restaurant’s proximity to the hospital. Well, yeah! How could they not think to test for that, then?! (SMH) They wanted a stool sample … but I’d been sick for days, and hadn’t had anything to eat for days, and there was virtually nothing left in my system to pass.
About 36 hours after I entered the hospital they were finally able to determine that I had E. coli O157. I was so angry in that moment ... I lost a whole day in the ER and had to return the next day to do it all over again. That lost day would end up costing me thousands of dollars.
Regrettably, the lesson I learned from this, is that if a hospital has a certain, well-known reputation, then one should believe that reputation and try to avoid that hospital – even if, in your most dire hour, it is the most convenient option.⁕ Joe, E.coli O157:H7 survivor
Why is it important to know what is making me sick?
Because there are more than 250 different viruses, bacteria, and parasites that can cause food poisoning, it’s imperative that accurate testing be conducted early, not only for your individual case, but to help investigate and prevent other illnesses in the event that your infection may be part of an outbreak. If foodborne illness is suspected, your doctor should submit appropriate specimens for laboratory testing.
The most common lab tests are stool cultures which may take several days to render results.
These cultures grow bacterial isolates which reveal critical information: which organism is making you sick, what its DNA fingerprint is, and which if any antibiotics can be used to treat your infection.
From a public health respective, DNA fingerprinting is crucial to our national surveillance system (PulseNet) which is designed to detect clusters of foodborne illnesses and to stop implicated food from being further consumed. Legally, DNA fingerprinting allows the victims of foodborne pathogens to learn if their illness was part of an outbreak, and to identify the commercial source of their contaminated food.
There are also faster laboratory tests that can reveal the cause of your illness within hours, instead of days. These are Culture-Independent Diagnostic Tests (CIDTs). Although their speed presents a clinical advantage for you, they do not reveal the organism’s DNA or its antibiotic resistance. This poses a large disadvantage for public health workers who need that information to stop outbreaks and contain antibiotic resistant strains.
Ideally, both types of testing will be available to you:
It would certainly help you personally, and it would advance the larger public health objective for you to ask your Emergency Room doctor for both forms of these tests.
The following are very helpful links to share with your caregiver, if necessary.
It is unlikely that you will encounter any reluctance to test and to test thoroughly; but if you do, you may want to print out a page from the Guidelines (below) and request that it be entered into your official medical record.
Blood tests will probably also be ordered to test for bacteria like Listeria and viruses like Hepatitis A.
A blood test can also reveal inflammation and dehydration to show how sick you are.
Laboratory tests can render false negative results if the patient stops “shedding” the organism by the time he or she is sick enough to seek medical care. Nonetheless, they can help explain the cause, and steer the management, of an illness.
“I remember not feeling heard.
I went to about 12 infectious disease doctors and kept telling them I had fevers and felt like things were biting me under my skin.
The doctors kept telling me they thought I had depression and should consider going on depression medication.
Even once I got the diagnosis, the doctor who confirmed the diagnosis through the Centers for Disease Control told me he didn’t believe the diagnosis and didn’t want to give me the medication until after the CDC ran the test again.
I insisted on the medication because I had been ill for nearly one year and could hardly lift my head up.”⁕ Ines, Schistosomiasis survivor
What happens with my test results?
Once laboratory testing results are available, your doctor or hospital should inform the local health department if testing detects a reportable pathogen.
It is not your responsibility as a patient or family member to report cases of foodborne illness to your county, city, or state health department.
However, you should be aware that almost everywhere in the United States infections with the following pathogens are reportable :
The authority of reporting diseases rests on the state level, and states voluntarily notify the Centers for Disease Control and Prevention (CDC) of infections. This list of pathogens and diseases is annually updated by a national council of epidemiologists with input from the CDC.
Once the test results are reported to the local health department, someone from the health department may contact you, most likely a public health nurse. You may be interviewed to gather information that could possibly help health officials identify the source of infection.
You’ll be asked about recent travel, activities and the food eaten by the patient in the previous days and weeks. It generally takes a number of patients to track infections back to a common source.
If you do not hear from the health department, ask your doctor if the diagnostic laboratory or clinical microbiologist have definitely reported your positive lab results to the health department. This way you can help public health workers connect the dots more quickly and possibly prevent more families from getting sick.
Your case deserves to be entered into the national network of public health agency laboratories that conduct surveillance, helping them to detect possible outbreaks, intervene early, and prevent others illnesses.
“ I remember it like it was yesterday.
It started as an upset stomach that progressively got worse. Then came the diarrhea, followed a couple hours later by intense vomiting. I remained curled up on the bathroom floor for the next 36 hours not knowing what was happening to me.
When I went to the emergency room, I was taken right in. I was given 3 liter bags of IV solution just to rehydrate me. They wanted a stool sample, which was just blood at this point. It was this testing that showed the antibiotic-resistant strain of Salmonella I contracted from the ground beef I handled a week earlier.
The CDC did a good job helping me remember the ground beef I bought. They seized the 2 remaining pounds I had in the freezer. These packages tested positive and [the store where I purchased the meat] issued a recall.
It has been a slow road to recovery.”⁕ Ken, Salmonella survivor
My mom doesn’t drive and my dad is blind – and I couldn’t get home to help them – so we all just bided our time.
Then the next day my mom got sick. I called an ambulance to take her to the hospital. She has a history of heart and intestinal issues and needed immediate attention. The next day, I got home, took my dad to his oncologist who admitted him to the hospital. I went through the Emergency Room to get checked out. No one ever tested me or suggested it.
Tests on my parents indicated they did not have Salmonella, E. coli, or any of the usual foodborne illnesses. I requested they keep testing. My dad’s doctor stopped testing early on. My mom’s doctor, who was the admitting doctor through the Emergency Room and an orthopedic, told her and me verbally that he knew we all had a foodborne illness and that it wasn’t a bacteria, instead a virus. He said testing was more difficult for that.
The hospital was working in concert with the local health department and state lab. They couldn’t determine what bug we had eaten. Finally, the state lab suggested all testing stop, as it was getting too costly.
I rocked the boat by begging the doctor and local health department to continue testing. They refused. The health department told me they could not request the doctor to test at all. Talk about bureaucracy!
My mom was in the hospital for 6 days and my dad for 4. My mom’s doctor suggested she recover in a rehab facility. No, I took her home with me. She was very weak.
When we got all of our financial records together, we sought legal advice on how to be reimbursed for our medical bills. They totaled less than $50,000, but people on set incomes cannot afford unanticipated emergencies such as this.
When we got the medical records, we found doctors never put in writing their comments to us regarding foodborne illnesses and they refused to do so after we went back and asked. If the tests had been conclusive as to what made us sick, we could have sued. Two days after we were there, the county health department found the restaurant to have a filthy kitchen and improper temperature for hot and cold foods – a perfect breeding ground for contamination.
Four months after getting sick, my mom broke out in painful shingles. They bother her daily – still.
When my parents and I were sick, and the medical community wasn’t answering my questions, I had no one to turn to for advice. I learned about STOP through a news story. I found solace in knowing I wasn’t alone in the bitter world of foodborne illnesses.⁕ Greta, foodborne illness survivor
KEEP YOU AND YOUR FAMILY SAFE
Our mission:
As the voice of people affected by foodborne illness, we collaborate with partners in academia, the food industry, and government to prevent foodborne illness. We advocate for effective food safety policy and facilitate culture change to increase food safety.
Stop Foodborne Illness is a 501(c)(3) tax-exempt organization. Donations are tax-deductible to the extent the law allows.
Wyoming Department of Public Health
401 Hathaway Building
Cheyenne, WY 82002
Call 1-866-571-0944 (toll free) or (307) 777-7656
Wyoming Department of Health: Epidemiology Unit
Infectious Disease Epidemiology + Food Safety
Nevada HHS/ Division of Public and Behavioral Health
Environmental Health
4126 Technology Way 4150 Technology Way
Carson City, NV 89706 Carson City, NV 89706
http://dpbh.nv.gov/Reg/Food/Food_Establishments_Home/
Southern Nevada Health District Food Safety
https://www.southernnevadahealthdistrict.org/Health-Topics/food-safety/
Report a Foodborne Illness
https://www.southernnevadahealthdistrict.org/Health-Topics/foodborne-illness/
702-759-1300
South Dakota Department of Health
Office of Health Protection
600 E Capitol Avenue
Pierre, SD 57501
605-773-4945
doh.sd.gov/food/
South Dakota Department of Agriculture
523 E Capitol Avenue
Pierre, SD 57501
605-773-5425
Preventing Foodborne Illness
https://doh.sd.gov/food/prevention.aspx
Arkansas Department of Health
Office of Environmental Health
4815 West Markham Street, Slot 46
Little Rock, AR 72205
501-661-2171
www.healthy.arkansas.gov
Public Health Safety | Foodborne Disease
https://www.healthy.arkansas.gov/programs-services/topics/foodborne-disease
Utah Department of Health/Report a Foodborne Illness
Cannon Health Building
288 North 1460 West
Salt Lake City, UT 84116
888-222-2542
Utah Association of Local Health Departments
Salt Lake County Health Department
Food Protection
Vermont Department of Health
Public Health Laboratory
108 Cherry Street, PO Box 70
Burlington, VT 05402
800-439-8550
Vermont Agency of Agriculture, Food & Markets
Food Safety and Consumer Protection
116 State Street
Montpelier, VT 05620
802-828-2430
Virginia Department of Health
Food Safety
109 Governor Street
Richmond, VA 23219
804-864-7454
350 Capitol Street, Room 702
Charleston, WV 25301
304-558-2971
1 West Wilson Street
Madison, WI 53703
608-266-1865
DC Department of Health Food Safety https://dchealth.dc.gov/service/division-food
DC Department of Health Foodborne Disease Surveillance https://dchealth.dc.gov/service/foodborne-illness-surveillance
National Resources
US Food and Drug Administration (FDA)
FDA Center for Food Safety
888-SAFEFOOD (1-888-723-3366)
www.fda.gov
US Department of Agriculture (USDA)
USDA Meat & Poultry Hotline: 1-888-674-6854
USDA- Food Safety and Inspection Services (FSIS)
www.fsis.usda.gov
US Department of Health and Human Services (HHS)
www.foodsafety.gov
Centers for Disease Control and Prevention (CDC)
800-232-4636
www.cdc.gov/foodsafety/
Antibiotic Resistance Action Center
The Center for Food Safety
202-547-9359
International Food Information Council Foundation
202-296-6540
Council of State and Territorial Epidemiologists
www.cste.org
770-458-3811
_________________________________________
Office on Women’s Health
womenshealth.gov/index.html
US National Library of Medicine
www.nlm.nih.gov/
Medline Plus
www.nlm.nih.gov/medlineplus/
National Institutes of Health
www.nih.gov/
Agency for Healthcare Research and Quality
Food and Water Safety for Travelers
https://www.iamat.org/food-and-water-safety
Puerto Rico Done
https://www.fns.usda.gov/contact/puerto-rico-department-health
Guam Dept of Health
Guam Department of Agriculture
US Virgin Islands
Connecticut Department of Public Health
Food Protection Program
410 Capitol Avenue
Hartford, CT 06134
860-509-7297
Hartford Health Department
131 Coventry Street
Hartford, CT 06112
860-757-4726 or 860-757-4729
New Haven Health Department
54 Meadow Street
New Haven, CT 06519
203-946-6999
Texas Department of State Health Services
Food Establishments Group
PO Box 149347
Austin, TX 78714
512- 834-6753
www.dshs.state.tx.us/foodestablishments/
Texas Department of Agriculture
Food and Nutrition
1700 N Congress, 11th Floor
Austin, TX 78701
512-463-7476
www.squaremeals.org/
http://www.squaremeals.org/FandNResources/FarmtoSchool/ToolsforSchools/FoodSafety.aspx
Texas Health Departments (by District)
www.dshs.state.tx.us/regions/lhds.shtm
www.dshs.state.tx.us/regions/nonlhd.shtm
Infectious Disease Control Unit
1100 West 49th Street, Suite T801
Austin, TX 78714
512-776-7676
www.dshs.state.tx.us/idcu/health/foodborne_illness/
Austin Food Establishment Inspections
https://data.austintexas.gov/dataset/Restaurant-Inspection-Scores/ecmv-9xxi
Dallas Food Establishment Inspections
http://www2.dallascityhall.com/FoodInspection/SearchScores.cfm
Fort Worth Food Establishment Inspections
www.fortworthgov.org/applications/Health/
Houston Food Establishment Inspections
http://houston.tx.gegov.com/media/search.cfm
San Antonio Food Establishment Inspections
www.sanantonio.gov/health/Food-Establishment-Inspection.html
Tennessee Department of Health
425 5th Avenue North
Cordell Hull Building, 3rd Floor
Nashville, TN 37243
615-741-3111
http://tn.gov/health
Division of Foodborne Illness
615-741-7247
Foodborne Illness Complaint Hotline
800-293-8228 (toll free)
Tennessee Restaurant Inspections
http://tn.gov/health/topic/eh-inspections
Health Departments in Tennessee by County
http://tn.gov/health/topic/localdepartments
Shelby County Health Department
814 Jefferson Avenue
Memphis, TN 38105
901-222-9243
www.shelbycountytn.gov/index.aspx?nid=1094
Metro Public Health Department of Nashville & Davidson County
311 23rd Avenue North
Nashville, TN 37203
615-340-5616
www.nashville.gov/Health-Department/Environmental-Health/Food-Protection-Services.aspx
South Carolina Department of Health and Environmental Control
Food Protection
2600 Bull Street
Columbia, SC 29201
803-898-3432
http://www.scdhec.gov/FoodSafety/
South Carolina Department of Agriculture
Food Safety and Compliance
State Capitol /Wade Hampton Building, 5th Floor
Columbia, SC 29211
803-734-2210
http://agriculture.sc.gov/divisions/consumer-protection/foodfeed-safety-compliance/
South Carolina Food Establishment Inspections
www.scdhec.gov/environment/envhealth/food/htm/inspection-rating/
Rhode Island Department of Health
Food Protection
3 Capitol Hill
Providence, RI 02908
401-222-5960
401-272-5952 (emergency after hours)
http://www.health.ri.gov/programs/foodprotection/
Rhode Island Department of Environment
Agriculture Division
235 Promenade Street
Providence, RI 02908
401-222-2781
http://www.dem.ri.gov/programs/bnatres/agricult/index.php
Rhode Island Food Establishment Inspections
http://www.health.ri.gov/food/
Pennsylvania Department of Agriculture
Bureau of Food Safety & Laboratory Services
2301 North Cameron Street
Harrisburg, PA 17110
866-366-3723
www.agriculture.state.pa.us
Pennsylvania Department of Health
625 Forster Street, 8th Floor West
Harrisburg, PA 17120
877-PA-HEALTH
www.portal.health.state.pa.us
Pennsylvania Food Establishment Inspections
https://www.pafoodsafety.state.pa.us/web/inspection/publicinspectionsearch.aspx
Oregon Health Authority
Healthy Environments/Foodborne Illness
800 NE Oregon Street, Suite 640
Portland, OR 97232
971-673-0451
public.health.oregon.gov/HealthyEnvironments/FoodSafety/Pages/index.aspx
erica.vaness@state.or.us
Oregon Department of Agriculture
Food Safety Program
635 Capitol Street NE
Salem, OR 97301
503-986-4720
www.oregon.gov/ODA/fsd/Pages/index.aspx
Oregon Health Departments (by County)
public.health.oregon.gov/ProviderPartnerResources/LocalHealthDepartmentResources/Pages/lhd.aspx
Multnomah County (Portland) Food Establishment Inspections
www3.multco.us/MCHealthInspect/ListSearch.aspx
Oklahoma Department of Health
Food Safety and Foodborne Diseases
1000 NE 10th Street, Room 605
Oklahoma City, OK 73117
405-271-4060
800-522-0203 (toll free)
www.ok.gov/health/Disease,_Prevention,_Preparedness/Acute_Disease_Service/Disease_Information/Food_Safety_and_Foodborne_Diseases/
Oklahoma Department of Agriculture Food and Forestry
2800 N Lincoln Boulevard
Oklahoma City, OK 73105
405-521-3864
www.oda.state.ok.us/food/
Oklahoma Food Establishment Inspections
www.phin.state.ok.us/Inspections/
Ohio Department of Health
Food Safety Program
246 N High Street
Columbus, OH 43215
614-466-1390
www.odh.ohio.gov/odhprograms/eh/foods/food2.aspx
Find Your Local Health Department (Ohio)
odhgateway.odh.ohio.gov/lhdinformationsystem/Directory/GetMyLHD
Ohio Department of Agriculture
Food Safety Division
8995 E Main Street
Reynoldsburg, OH 43068
614-728-6250
www.agri.ohio.gov/foodsafety
www.agri.ohio.gov/divs/meat/meat.aspx
Columbus Public Health
Food Protection Program
240 Parsons Avenue
Columbus, Ohio 43215
614-645-8191
publichealth.columbus.gov/food-protection.aspx
Columbus Food Establishment Inspections
www.decadeonline.com/main.phtml?agency=COL
Franklin County Food Establishment Inspections
www.myfcph.org/foodinspections.php
Cleveland Food Establishment Inspections
www.clevelandhealth.org/network/environment/review_inspection_report.php
Cincinnati Food Establishment Inspections
www.cincinnati-oh.gov/noncms/health/inspection/
Ohio Inspections by County
www.ohioinspections.org/category.php
North Dakota Department of Health
600 E Boulevard Avenue
Bismarck, ND 58505
701-328-2372
www.ndhealth.gov/disease/GI/default.aspx
North Dakota Division of Food and Lodging
www.ndhealth.gov/foodlodging
North Dakota Department of Agriculture
Meat Inspection
www.nd.gov/ndda/program/meat-inspection
North Carolina Department of Agriculture and Consumer Services
NC Food Safety
4000 Reedy Creek Road
Raleigh, NC 27607
919-733-7366
http://www.ncfoodsafety.com/
North Carolina Department of Health
Food Protection Program
5605 Six Forks Road
Raleigh, NC 27609
919-707-5854
ehs.ncpublichealth.com/faf/food/index.htm
Report a Foodborne Illness
NCDPH Epidemiology
225 N McDowell Street
Raleigh, North Carolina 27603
919-733-3419 (24 hr access)
epi.publichealth.nc.gov/cd/report.html#who
North Carolina Health Department Directors (by County)
http://www.ncalhd.org/directors
Restaurant Inspections
www.wral.com/5onyourside/restaurants/page/1001540/
New York Department of Agriculture & Markets
Food Safety & Inspection
10B Airline Drive
Albany, NY 12235
518-457-4492
www.agriculture.ny.gov/FS/FSHome.html
New York Department of Health
Empire State Plaza
Albany, NY 12237
800-458-1158 (toll free)
518-473-4436
www.health.ny.gov/environmental/indoors/food_safety/index.htm
New York Health Departments (by Region, District and County)
www.health.ny.gov/environmental/water/drinking/doh_pub_contacts_map.htm
New York City Restaurant Inspection
www.nyc.gov/html/doh/html/services/restaurant-inspection.shtml
New Mexico Environment Department
Food Program
PO Box 5469
Santa Fe, NM 87502
505-476-9102
www.nmenv.state.nm.us/fod/Food_Program
New Mexico Department of Health
1190 South Saint Francis Drive
Santa Fe, NM 87502
505-827-2613
www.health.state.nm.us
New Mexico Public Health Offices Map (by County)
http://nmhealth.org/location/public/
Albuquerque Food Inspection and Safety
www.cabq.gov/envhealth/inspections
New Jersey Department of Health
Food and Drug Safety Program
PO Box 360
Trenton, NJ 08625
609-826-4935
www.nj.gov/health/foodanddrugsafety/consumer.shtml
New Jersey Department of Agriculture
PO Box 330
Trenton, NJ 08625
609-588-7606
www.state.nj.us/agriculture/news/hottopics/topics070319.html
New Jersey Departments of Health (by County or Municipality)
www.nj.gov/health/lh/directory/lhdselectcounty.shtml
Rutgers University/NJ Agricultural Experiment Station
88 Lipman Drive
New Brunswick, NJ 08901
njaes.rutgers.edu/health/
New Hampshire Department of Health & Human Services
Public Health Services/Food Protection
129 Pleasant Street
Concord, NH 03301
603-271-4589
www.dhhs.nh.gov/dphs/fp
Foodborne Illness Surveillance
29 Hazen Drive
Concord, NH 03301
603-271-5300 (24 hr)
800-852-3345, x5300 (toll free 24 hr)
www.dhhs.nh.gov/dphs/cdcs/surveillance/food.htm
Nebraska Department of Health & Human Services
Epidemiology/Foodborne Illness
301 Centennial Mall South
Lincoln, NE 68509
402-471-2937
dhhs.ne.gov/publichealth/EPI/Pages/Foodborne.aspx
Nebraska Department of Agriculture
Food Safety and Consumer Protection
301 Centennial Mall South
Lincoln, NE 68509
402-471-3422
ttp://www.nda.nebraska.gov/fscp/index.html
Nebraska Health Departments (by County and Rural District)
dhhs.ne.gov/publichealth/Pages/puh_oph_lhd.aspx#Websites
Omaha-Douglas County Health Department
Disease Control/Foodborne Illness
1111 South 41st Street at Pacific
Omaha, NE 68105
402-444-7214
402-444-7000 (after hours)
www.douglascountyhealth.com/disease-a-immunization/food-borne-illness
Restaurant Inspections
www.douglascountyhealth.com/food-a-drink/food-facility-ratings?rname=all&submit=Search
Lincoln-Lancaster County Health Department
3140 N Street
Lincoln, NE 68510
402-441-6280
www.lincoln.ne.gov/city/health/environ/consumer/food/foodsafety.htm
Food Establishment Inspections
logisrv01.lincoln.ne.gov/health/rdPage.aspx?rdReport=EPH.Default
Montana Department of Public Health and Human Services
Food & Consumer Safety
1400 Broadway
Helena, MT 59604
406-444-4542
www.dphhs.mt.gov/publichealth/fcs/index.shtml
Montana Health Departments (by County or Tribal Agency)
www.dphhs.mt.gov/publichealth/phep/countytribalhealthdepts.shtml
Montana Food Star Award Program
http://web.hhs.mt.gov/publichealth/fcs/foodstar.shtml
Montana DPHHS Food and Consumer Safety
http://dphhs.mt.gov/publichealth/FCSS
Missouri Department of Health and Senior Services
PO Box 570
Jefferson City, MO 65102
866-628-9891 (toll free)
www.health.mo.gov/safety/foodsafety
Missouri Department of Agriculture
Food Safety
1616 Missouri Boulevard
Jefferson City, MO 65102
573-751-4211
mda.mo.gov/connect/foodsafety.php
Kansas City Department of Healt
Food Protection Program
2400 Troost Ave, Suite 3000
Kansas City, MO 64108
816-513-6315
http://kcmo.gov/health/environmental-health-services/environmental-public-health-program/
Kansas City Food Establishment Inspections
www.inspectionsonline.us/foodsafety/mousakansascity/search.htm
St. Louis County Department of Health
Safe Food Center
www.stlouisco.com/HealthandWellness/FoodandRestaurants
St. Louis Restaurant Inspections
www.stlouisco.com/HealthandWellness/FoodandRestaurants/RestaurantInspections
Mississippi Department of Health
Food Safety, Restaurant Inspections
570 East Woodrow Wilson Drive
Jackson, MS 39216
866-458-4948
msdh.ms.gov/msdhsite/_static/43,0,377.html
Reporting a Foodborne Illness
800-556-0003
601-576-7400 (after hours/holidays)
Mississippi Public Health Laboratory
570 East Woodrow Wilson
Jackson, MS 39216
601- 576-7582
601-576-7725 (Office of Epidemiology)
msdh.ms.gov/msdhsite/_static/14,0,73.html
Mississippi Department of Agriculture & Commerce
Consumer Protection
PO Box 1609
Jackson, MS 39215
601-359-1148
https://www.mdac.ms.gov/bureaus-departments/regulatory-services/consumer-protection/
Minnesota Department of Public Health
Food Safety
PO Box 64975
St Paul, MN 55164
651-201-5000
888-345-0823 (toll free from greater MN)
www.health.state.mn.us/foodsafety
Reporting a Suspected Foodborne Illness
877-366-3455
www.health.state.mn.us/divs/idepc/dtopics/foodborne/reporting.html
Minnesota Department of Agriculture
Food Safety
625 Robert Street North
St Paul, Minnesota 55155
651-201-6000
800-967-2474
www.mda.state.mn.us/food/safety
Infectious Disease Epidemiology, Prevention and Control (IDECP)
625 N Robert Street
PO Box 64975
St Paul, MN 55164
77-676-5414 (toll free from greater MN)
877-FOOD-ILL (877-366-3) Foodborne Illness Hotline
Minneapolis Department of Health
Food Safety Program
Public Service Center
250 S 4th Street, Room 510
Minneapolis, MN 55415
612-673-2301
http://www.ci.minneapolis.mn.us/health/inspections/foodsafety
Michigan Department of Agriculture & Rural Development
Food Safety
PO Box 30017
Lansing, MI 48909
800-292-3939
www.michigan.gov/mdard/0,4610,7-125-50772—,00.html
www.michigan.gov/mdard/0,4610,7-125-1572_2875_31948-8257–,00.html
Michigan Department of Community Health
Bureau of Disease Control, Prevention, Epidemiology
Capitol View Building
201 Townsend Street
Lansing, MI 48913
517-373-3740
517-335-9030 (emergency after hours)
www.michigan.gov/mdch/0,4612,7-132-2945_5104—,00.html
Michigan Food Inspections
secure1.state.mi.us/misafe/Default.aspx
Kent County (Grand Rapids) Health Department
700 Fuller Avenue NE
Grand Rapids, MI 49503
616- 632-6900
www.accesskent.com/Health/FoodServices/default.htm
Massachusetts Department of Public Health
Food Protection Program
305 South Street
Jamaica Plain, MA 02130
617-983-6700
617-522-3700 (emergency/after hours)
www.mass.gov/dph/fpp
Massachusetts Health Departments (by County)
www.healthguideusa.org/massachusetts_local_health_departments.htm
Massachusetts Partnership for Food Safety Education
www.mafoodsafetyeducation.info
City of Boston Department of Health
Inspectional Services Department/Health Division
1010 Massachusetts Avenue, 4th floor
Boston, MA 02118
617-635-5300
www.cityofboston.gov/isd/health
Worcester Department of Public Health\
25 Meade Street
Worcester, MA 01610
508-799-8531
www.worcesterma.gov/ocm/public-health
Maryland Department of Health
Office of Food Protection; Center for Retail Food, Plan and Process Reviews
6 Saint Paul Street, Suite 1301
Baltimore, MD 21202
410-767-8400
phpa.dhmh.maryland.gov/OEHFP/OFPCHS/SitePages/Home.aspx
Foodborne Illness/Emerging Infections Program
phpa.dhmh.maryland.gov/OIDEOR/EIP/SitePages/Home.aspx
Baltimore City Health Department\
1001 E Fayette Street
Baltimore, MD 21202
410-396-4398
baltimorehealth.org/foodcontrol.html
http://health.baltimorecity.gov/environmental-health/food-facilities
Montgomery County (Germantown, Silver Spring) Department of Health
Disease Control and Epidemiology
Dennis Avenue Health Center
2000 Dennis Avenue
Silver Spring, MD 20902
240-777-1755
www.montgomerycountymd.gov/HHS-Program/Program.aspx?id=PHS/PHSDControl-p270.html
Howard County (Columbia) Department of Health
Food Protection Program
7178 Columbia Gateway Drive
Columbia, MD 21046
410-313-1772
866-313-6300 (toll free 24/7 access)
www.howardcountymd.gov/DisplayPrimary.aspx?id=4294969400
Food Establishment Inspection Program
howard.envhealth.info/
Maine Department of Health and Human Services
Division of Environmental Health
221 State Street
Augusta, ME 04333
207-287-8016
www.maine.gov/dhhs/mecdc/environmental-health/el/postings.htm
Maine Center for Disease Control and Prevention
286 Water Street, State House Station 11
Augusta, ME 04333
800-606-0215
www.maine.gov/dhhs/boh/food_safety_in_maine.html
Report a Foodborne Illness
800-821-5821 (24 hr access)
Maine Department of Agriculture, Food and Rural Resources
www.maine.gov/agriculture/qar/index.html
University of Maine Food Safety Program
5741 Libby Hall
Orono, ME 04469
207-581-3188
extension.umaine.edu/food-health/food-safety/
Portland Health & Human Services
389 Congress Street
Portland, ME 04101
207-874-8633
http://www.portlandmaine.gov/610/Food-Safety
Portland Restaurant Inspections
www.pressherald.com/special/portland_maine_restaurant_inspection_report.html
Louisiana Department of Health & Hospitals
Food and Drug Unit
PO Box 629
Baton Rouge, LA 70821-0629
225-342-9500
dhh.louisiana.gov/index.cfm/page/300
Louisiana Community Health Units (by Parish)
www.dhh.louisiana.gov/index.cfm/page/394
Reporting Foodborne/Waterborne Disease
1450 Poydras Street, Suite 2146
New Orleans, LA 70112
504-568-8316
www.dhh.louisiana.gov/index.cfm/page/535
Louisiana Restaurant Inspections
inspections.eatsafe.la.gov/default.aspx
Louisiana Department of Agriculture and Forestry
Food Quality
PO Box 1951
Baton Rouge, LA 70821
225-925-3772
http://www.ldaf.state.la.us/food-safety/
New Orleans Health Department
1300 Perdido Street, Suite 8E18
New Orleans, LA 70112
311
www.nola.gov/health-department/
Kentucky Department Public Health
Cabinet for Health and Family Services
275 E Main Street, 1E-B
Frankfort, KY 40621
502-564-7181
www.chfs.ky.gov/dph/info/phps/food.htm
Kentucky Department of Agriculture
Consumer & Environmental Protection
107 Corporate Drive
Frankfort, KY 40601
502-573-0282
www.kyagr.com/consumer/division-of-food-distribution.html
Louisville Health and Wellness
400 East Gray Street
Louisville, KY 40202
502-574-6520
http://louisvilleky.gov/government/health-wellness/food-safety
Restaurant Inspections
http://portal.louisvilleky.gov/applications/RestaurantInspectionScores
Lexington-Fayette County Health Department
Environmental Health
804A Newtown Circle
Lexington, KY 40511
859-231-9791
www.lexingtonhealthdepartment.org/ProgramsServices/FoodProtection/tabid/200/Default.aspx
Barren River District (Bowling Green) Health Department
1109 State Street
Bowling Green, KY 42102
270-781-8039
270-202-5785 (24 hr access)
www.barrenriverhealth.org/mx/hm.asp?id=RestaurantScores
Kansas Department of Agriculture
Food Safety
109 SW Ninth Avenue
Topeka, KS 66612
785-296-3556
https://agriculture.ks.gov/divisions-programs/food-safety-lodging
Kansas Restaurant Inspections
https://agriculture.ks.gov/divisions-programs/food-safety-lodging/inspection-results
Kansas Department of Health and Environment
Curtis State Office Building
1000 SW Jackson
Topeka, Kansas 66612
785-296-1500
www.kdheks.gov/epi/foodborne.htm
Sedgwick County (Wichita) Health Department
1900 E Ninth Street
Wichita, KS 67214
316-660-7300
www.sedgwickcounty.org/healthdept/
Report a Foodborne Illness
316-660-5555 (24 hr access)
Johnson County (Overland Park) Health Department
http://www.jocogov.org/health
Wyandotte County (Kansas City) Health Department
619 Ann Avenue
Kansas City, KS 66101
913-321-4803
www.wycokck.org/dept.aspx?id=488
Iowa Department of Public Health
Bureau of Environmental Health
321 E 12th Street
Des Moines, IA 50319
515-281-7689
www.idph.state.ia.us/eh/food_safety.asp
Iowa Food System Council
www.iowafoodsystemscouncil.org
Center for Acute Disease Epidemiology (CADE)
www.idph.state.ia.us/Cade/Foodborne.aspx
Iowa State University Food Safety Project
www.extension.iastate.edu/foodsafety/
Iowa Department of Inspections & Appeals
Food and Consumer Safety Bureau
www.state.ia.us/government/dia/page3.html
Polk County (Des Moines) Health Department
1907 Carpenter Avenue
Des Moines, IA 50314
515-286-3798
ms.polkcountyiowa.gov/health/
Linn County (Cedar Rapids) Health Department
935 2nd Street SW
Cedar Rapids, IA 52404
319-892-5000
http://ia-linncounty.civicplus.com/603/Food-Safety
Scott County (Davenport) Health Department
Food Protection Program
600 W Fourth Street
Davenport, Iowa 52801
563-326-8618
www.scottcountyiowa.com/health/food.php
Indiana Department of Health
Food Protection
100 North Senate Avenue, N855
Indianapolis, IN 46204
317-234-8569
www.in.gov/isdh/20640.htm
Indiana Food Protection (by County)
www.in.gov/isdh/23962.htm
Report a Complaint to the Health Department
www.in.gov/isdh/20887.htm
Indiana Food Defense Program
317-233-8476
www.in.gov/isdh/20994.htm
Marion County (Indianapolis area) Department of Food Safety
3838 N Rural Street
Indianapolis, IN 46205
317-221-2222
www.mchd.com/fdp.htm
Fort Wayne-Allen County Department of Health
200 E Berry Street, Suite 360
Fort Wayne, IN 46802
260-449-7561
http://www.allencountyhealth.com/get-informed/environmental-health-hazards/consumer-alerts/
Evansville & Vanderburgh County Department of Health
Food Safety Program
420 Mulberry Street
Evansville, Indiana 47713-1231
812- 435-2400
www.evansville.in.gov/Index.aspx?page=623
Illinois Department of Public Health
535 West Jefferson Street
Springfield, IL 62761
217-782-4977
www.idph.state.il.us
Report Foodborne Illness (Health Departments by County)
www.idph.state.il.us/local/alpha.htm
Illinois Department of Agriculture
Food Inspection
PO Box 19281, State Fairgrounds
Springfield, IL 62794-9281
217- 782-2172
www.agr.state.il.us/programs/consumer/foodinsp.html
Restaurant Inspections (Chicago)
webapps.cityofchicago.org/healthinspection.jsp
Report Foodborne Illness
Chicago: 312-747-3663 | @foodbornechi (Twitter)
Suburban Cook County: @foodsafecookco (Twitter)
Cook County Department of Public Health
Food Safety Resources
15900 S Cicero Avenue – Building E
Oak Forest, IL 60452
708-633-4000
http://cookcountypublichealth.org/services/food-safety
Kane County Health Department
Environmental Health
1240 N Highland Avenue
Aurora, IL 60506
Or
1750 Grandstand Place
Elgin, IL 60123
630-444-3040
kanehealth.com/food_safety.htm
Idaho Department of Health and Welfare
Food Protection Program
PO Box 83720
Boise, ID 83720
208-334-6996
www.healthandwelfare.idaho.gov/Health/FoodProtection/tabid/96/Default.aspx
Questions/To Request Informational CD
208-334-5938
Idaho Health Districts (Reporting Illness, Restaurant Inspections, and More)
www.healthandwelfare.idaho.gov/Health/HealthDistricts/tabid/97/Default.aspx
Idaho Department of Agriculture
Food Safety Program
2270 Old Penitentiary Road
Boise, Idaho 83712
208-332-8500
www.agri.idaho.gov/Categories/InspectionsExams/FoodSafety/indexfoodSafetyHome.php
Boise Area Food Establishment Inspection Records
secure.cdhd.idaho.gov/cdhpublic/LicenseBrowser.aspx
Hawaii Department of Health
591 Ala Moana Boulevard
Honolulu, HI 96813
808-586-8012
health.hawaii.gov/food-drug/for-consumers/
http://hdoa.hawaii.gov/blog/ag-resources/food-safety-on-farm/
Reporting Foodborne Illness (District Health Offices)
Oahu 808-586-4586
Maui 808-984-8213
Kauai 808-241-3563
Hilo 808-933-0912
Kona 808-322-4877
808-566-5049 (after hours)
800-360-2575 (toll free)
Hawaii Food Education
www.ctahr.hawaii.edu/NEW/index.html
Hawaii Department of Agriculture
hdoa.hawaii.gov/agricultural-resources/
Georgia Department of Health
Office of Environmental Health
2 Peachtree Street NW, 13 Floor
Atlanta, GA 30303
404-657-6534
dph.georgia.gov/environmental-health
Environmental Health Inspections
dph.georgia.gov/environmental-health-inspections
Digital Health Department
http://www.garrisonenterprises.com/
Fulton County Health & Wellness (Atlanta)
141 Pryor Street
Atlanta, GA 30303
404-612-4000
fultoncountyga.gov/dhw-home
Restaurant Inspections
fultoncountyga.gov/dhw-restaurant-inspections
Richmond County Health Department (Augusta)
950 Laney-Walker Boulevard
Augusta, Georgia 30901
706-721-5900
www.ecphd.com/common/content.asp?PAGE=661
Columbus Department of Public Health
Office of Environmental Health
2100 Comer Avenue
Columbus, GA 31904
888-810-4316 toll free
www.columbushealth.com/chd/columbusHealth/index.cfm/community/environmental-health/
Emergency/After Hours
1-800-PUB-HLTH (782-4584)
Florida Department of Health
Food and Waterborne Disease Program
4052 Bald Cypress Way, Bin #A08
Tallahassee, FL 32399
850-245-4401
doh.state.fl.us/environment/medicine/foodsurveillance/FoodandWaterborneDiseaseProgramFinalIndexPage.html
On Facebook
www.facebook.com/FLDepartmentofHealth
Reporting a Problem with Food in Florida
doh.state.fl.us/environment/medicine/foodsurveillance/HowtoReportaProblemwithFoodinFlorida.htm
Florida Department of Agriculture and Consumer Services
Division of Food Safety
3125 Conner Boulevard, Suite D
Tallahassee, Florida 32399
850-245-5595
University of Florida Food Safety and Quality
fycs.ifas.ufl.edu/foodsafety/
Florida Restaurant Inspections (All Counties)
www.ledgerdata.com/restaurant-inspections/alachua/
Hillsborough County Department of Health (Tampa)
1105 E Kennedy Boulevard
Tampa, FL 33602
813-307-8000
www.hillscountyhealth.org/
Dade County Department of Health (Miami)
Miami-Dade Service Sites
http://miamidade.floridahealth.gov/programs-and-services/clinical-and-nutrition-services/service-sites.htm
Contact 24/7
305-324-2400
www.dadehealth.org
Duval County Department of Health (Jacksonville)
900 University Boulevard, N
Jacksonville, FL 32211
904-253-1000
www.dchd.net/our-programs/epidemiology
Delaware Department of Health
Office of Food Protection
417 Federal Street
Dover, DE 19901
302-744-4546
www.dhss.delaware.gov/dhss/dph/hsp/ofp.html
Food Establishment Inspection Reports
dhss.delaware.gov/dhss/dph/hsp/Default.aspx
Colorado Department of Public Health
Division of Environmental Health
4300 Cherry Creek Drive South B-2
Denver, Colorado 80246=
303-692-3645
www.cdphe.state.co.us/cp/
Colorado Department of Agriculture
Fruit and Vegetable Section
PO Box 407
Monte Vista, CO 81144
719-852-4749
Reporting Foodborne Illness by County
www.colorado.gov/cs/Satellite/CDPHE-Main/CBON/1251588365684
Colorado Inspection & Consumer Services
www.colorado.gov/cs/Satellite/ag_ICS/CBON/1251599400393
Food Safety (Statewide)
www.colorado.gov/cs/Satellite/ag_Main/CBON/1251634013356
Tri-County (Denver area) Health Department
6162 South Willow Drive, Suite 100
Greenwood Village, CO 80111
303-220-9200
http://www.tchd.org/246/Restaurants-Grocery
http://www.tchd.org/171/Infectious-Diseases
Denver Restaurant Health Inspection Reports
www.denvergov.org/eh/tabid/435231
Denver Foodborne Illness Investigations
www.denvergov.org/?TabId=391974
El Paso County (Colorado Springs) Food Safety
www.elpasocountyhealth.org/service/food-safety
California Department of Public Health
Food and Drug Branch
1500 Capitol Avenue, MS 7602
Sacramento, CA 95899
916- 650-6500
www.cdph.ca.gov/programs (Follow link to Food, Drug, and Radiation Safety)
California Department of Food and Agriculture
Inspection Services Division
1220 N Street
Sacramento, CA 95814
916-900-5020
inspection_services@cdfa.ca.gov
Consumer Complaints (Statewide)
800-495-3232
Restaurant Inspections by County
www.ca.gov/OnlineServices/OS_Consumers_inspections.html
Los Angeles Area Food Illness Report
https://www.visualcmr.net/webvcmr/pages/public/pub_FBI_Report.aspx
Los Angeles Area Restaurant/Market Ratings
publichealth.lacounty.gov/rating/
San Diego Food Complaints
http://www.sandiegocounty.gov/content/sdc/deh/fhd/food/foodcomplaints.html
San Diego Foodborne Epidemiology
http://www.sandiegocounty.gov/content/sdc/deh/fhd/food/foodborneepidemiology.html
Santa Clara County Food Facility Inspections
sccinspections.org/onlineinsp/
San Francisco Restaurant Safety Scores
www.sfdph.org/dph/EH/Food/score/default.asp
San Francisco Food Safety
www.sfdph.org/dph/EH/Food/default.asp
Arizona Department of Health Services
www.azdhs.gov/preparedness/epidemiology-disease-control/food-safety-environmental-services/index.php
Office of Food Safety and Environmental Health
150 N 18th Avenue, #140
Phoenix, AZ 85007
602-364-3118
Maricopa County Department of Public Health
4041 N Central Avenue
Phoenix, AZ 85012
602-506-6900
www.maricopa.gov/publichealth/
Maricopa County Food Safety Inspections
www.azcentral.com/HealthInspectionMaps
Pima County Health Department
webcms.pima.gov/government/health_department
Pima County Consumer Health & Food Safety Administration
webcms.pima.gov/health/food-safety/
Pima County Restaurant Ratings
www.pima.gov/restaurantratings/
State of Alaska Food Safety and Sanitation Program
555 Cordova Street, 5th Floor
Anchorage, AK 99501
907- 269-7501 / 877-233-3663 (87 Safe Food – toll free)
www.dec.alaska.gov/eh/fss/index.htm
Food Safety & Sanitation by Location
www.dec.state.ak.us/eh/fss/Food/sanstaff.htm
Food Safety Inspections (Statewide)
www.dec.alaska.gov/eh/fss/Food/food_inspections.htm
Making a Complaint (Food and Sanitation)
http://dec.alaska.gov/eh/fss/Food/Complaints.html
Food Safety for Consumers
dec.alaska.gov/eh/fss/consumers/consumers.html
Foodborne & Waterborne Disease Information
www.epi.hss.state.ak.us/id/dod/foodwater/default.htm
Anchorage Area Food Safety Inspections
hhs.muni.org/fss/
Alabama Department of Public Health
201 Monroe Street, Suite 1250
Montgomery, AL 36104
334-206-5300 / 800-ALA-1818
www.adph.org
Division of Food, Milk, and Lodging
www.adph.org/foodsafety/
Food Establishment Scores
www.adph.org/foodscores
County Health Departments in Alabama
www.adph.org/administration/Default.asp?id=505
Jefferson County Department of Health
1400 Sixth Avenue South
Birmingham, AL 35233
205-933-9110
www.jcdh.org
Mobile County Health Department
251 North Bayou Street
Mobile, AL 36603
251-690-8158
www.mobilecountyhealth.org
Mobile County Department of Food & Lodging
251-690-8116