We felt totally helpless because his pain was so severe and he wouldn’t let us touch him in anyway.
PATHOGEN: E. coli HUSÂ |Â Â SOURCE: Undetermined
August 9, 2016 was a typical Tuesday for us. My 2-year-old son, Grayson, and I were home doing our regular mom and child routine: living life loving on each other, playing a game or two, learning something new, taking a nap, and fixing dinner while waiting for Daddy to get home. Little did we know that on August 10 our world would be turned upside down.
Grayson woke up around 8:00 that morning, with a bad bout of diarrhea and vomiting. My husband, Brent, and I just thought he’d caught a little bug, and so we weren’t particularly worried. When he suffered the same symptoms the next day, we kept him comfortable and figured he’d feel better soon, but decided to take him to the pediatrician just to be safe. There he was diagnosed with stomach flu.
Friday evening he got worse. He was feeling very uncomfortable and I could see that Grayson was in pain. We thought we’d see how the night would go and take him back to the pediatrician first thing Saturday morning. Later that evening, though, he was up with persistent pain—and then we noticed blood in his stool. Saturday morning we went to our pediatrician first thing and, with Grayson’s growing constellation of symptoms, were advised to head straight for Indiana University’s Riley North Hospital for Children in Carmel, near our home.
While at Riley North, they gave Grayson fluids, did chest and stomach X-rays/ultrasounds, took a stool sample, and tried to keep him comfortable. But our little guy was in serious pain. And the diarrhea was constant—all through the night Grayson was going every 10 minutes.
The doctors had a hard time determining a diagnosis. First we were told it could be intussusception, a condition in which the intestines fold into themselves and cut off blood supply to affected parts. Then, they said it may be Henoch-Schönlein Purpura, which causes inflammation of the blood vessels. With no definitive diagnosis, we watched our sick son get worse by the minute. Brent and I were extremely scared and frustrated.
On Sunday evening, we were transferred to Riley Hospital in Indianapolis where a pediatric surgical team would be ready to go if needed. Before we left, though, they did another ultrasound and discovered his appendix was enlarged.
Still in a great deal of pain, Grayson arrived at Riley Indianapolis where yet another ultrasound was done, only to discover that his appendix was NOT enlarged. Instead, we were told his colon was inflamed and colitis was the next diagnosis.
This was getting crazy. We were losing faith. And our little boy wasn’t getting better. Was colitis really the problem? Was there something else going on? We had so many questions and were worried sick.
Our worrying only intensified when they transferred us to the ICU. Grayson’s stomach was hardening, which made him very irritable. In fact, we felt totally helpless because his pain was so severe and he wouldn’t let us touch him in any way.
Next came another diagnosis: Hemolytic uremic syndrome (HUS), a serious, life-threatening kidney disease. At this time, we also got word from Riley North that his stool sample had tested positive for E. coli (and we later learned from our state’s board of health that it was a Shiga toxin-producing strain—one of the most deadly types).
Our hearts sank.
This time, they told us, they were certain that HUS due to E. coli was what Grayson was suffering with. His pain was so severe now, that multiple doses of strong medication didn’t even cut the pain. This was absolutely agonizing for us to see!
With HUS, Grayson’s kidneys weren’t functioning normally so dialysis was ordered for the following day (Monday), along with surgery first to put in a central line for dialysis. This would give his kidneys and body a chance to rest.
While we sat with our sweet Grayson on Sunday night, they inserted a nasogastric tube, which helped release tons of fluid and softened his tummy. After the fluids were released, we saw glimmers of hope when Grayson started to talk more and watch some YouTube videos. And his pain had decreased dramatically. We felt like we had finally turned the corner and figured Grayson would be getting better.
Next, doctors told us they wanted to sedate him and put in a breathing tube so Grayson could relax and rest before his surgery the next day. This seemed to be working wonders for some of his vitals—specifically blood pressure and heart rate, which had been extremely high (due to HUS). Once sedated, his blood pressure went down, his heart rate steadied, and his oxygen level was perfect.
But, after a few hours with the breathing tube in, his hemoglobin dropped from normal to nearly zero. And the doctors couldn’t get his heart to pump on its own.
Grayson’s life was hanging by a thread at this point.
20+ doctors and nurses descended around Grayson doing CPR for almost two hours.
But our precious baby boy was gone. They couldn’t save him.
On August 15, 2016 at 4:30 am after just five days of sickness and less than 10 hours in Riley Hospital’s pediatric ICU, Grayson passed away.
______________________________
Unfortunately, we don’t know where Grayson contracted his E. coli infection.
It could have come from an animal or food, but we aren’t sure. In the days leading up to his illness, we visited our state fair where we were around animals, ate at a few restaurants, and enjoyed food prepared at our home, too. So, it’s very hard to say just where the infection originated.
From a personal perspective, I feel we did everything we could as far as food safety goes. I’ve always been very diligent about making sure all of us wash our hands after touching animals and that our food is handled and cooked safely at home.
But, tragically, even one little mishap somewhere along the line in the food industry can doom a darling baby like Grayson to his death.
Now, from a medical standpoint, looking back I see there are a few things that could have gone differently to help my Grayson have a better shot at living through this nightmare.
But, before I get into that, I want to say the medical team that cared for Grayson was one of the best. They were extremely caring people with huge hearts who cried with us when Grayson died. And, during the entire time he was treated at Riley Indianapolis, they never left his side. I truly feel that, based on the knowledge they had, they did everything they could to help Grayson.
Still … I’ve played it over in my mind a hundred times … could one thing in particular have made a difference and saved Grayson’s life? Because of the time it takes for a lab to process a stool sample, I wonder, if we had gone in right when the diarrhea started, and a stool sample was ordered sooner at the ER (or even the pediatrician’s office), would results coming in earlier have given us the chance to more quickly catch it, start him on dialysis, and give him more effective treatment?
I’ll never know, and when I think about these questions, they haunt me.
Going on without my child was the worst day I ever faced. The pain and suffering and heartache nearly ripped me to pieces. When Grayson passed away, I was 17 weeks pregnant with our second child, Graysie. She kept me focused, and truly kept me going, because I knew I had to be strong so I could continue to have a healthy pregnancy.
Even though the grief we felt was overwhelming and extremely hard on us every single day, one thing was certain: We never wanted Grayson to be forgotten. He had the most beautiful blonde hair and blue eyes and an infectious smile that could light up the room. Talking about him and sharing memories gives me strength and helps me feel that his passing had purpose. To that end, Brent and I have established the Grayson Dunham Foundation, so that our sweet boy’s legacy is carried on by supporting others through the hardships of HUS.
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
Â
Nevada HHS/ Division of Public and Behavioral Health
Environmental Health
4126 Technology Way     4150 Technology Way
Carson City, NV 89706Â Â Â Â Â 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, WIÂ 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)Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â
FDA Center for Food Safety
888-SAFEFOOD (1-888-723-3366)
www.fda.gov
                                                                                  Â
US Department of Agriculture (USDA)
USDA Meat & Poultry Hotline: 1-888-674-6854
USDA- Food Safety and Inspection Services (FSIS)
www.fsis.usda.gov
                                                                                  Â
US Department of Health and Human Services (HHS)
www.foodsafety.gov
                                                                                  Â
Centers for Disease Control and Prevention (CDC)
800-232-4636
www.cdc.gov/foodsafety/
                                                                                  Â
Antibiotic Resistance Action Center                            Â
                                                                                 Â
The Center for Food Safety                                  Â
202-547-9359
                                                                                  Â
International Food Information Council Foundation
202-296-6540
                                                                                  Â
Council of State and Territorial Epidemiologists
www.cste.org                                                                         Â
770-458-3811
_________________________________________
Office on Women’s Health                                   Â
womenshealth.gov/index.html
                                                                                  Â
US National Library of Medicine                          Â
www.nlm.nih.gov/
                                                                                  Â
Medline Plus                                                         Â
www.nlm.nih.gov/medlineplus/
                                                                                  Â
National Institutes of Health                                Â
www.nih.gov/
                                                                                  Â
Agency for Healthcare Research and Quality    Â
Â
Food and Water Safety for Travelers
https://www.iamat.org/food-and-water-safety
Â
Puerto Rico Done
https://www.fns.usda.gov/contact/puerto-rico-department-health
Â
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, TNÂ Â 38105
901-222-9243
www.shelbycountytn.gov/index.aspx?nid=1094
Metro Public Health Department of Nashville & Davidson County
311 23rd Avenue North
Nashville, TNÂ Â 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, ORÂ 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
919-733-3419Â (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 Â Â 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
402-444-7000Â (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 ProgramÂ
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, LAÂ 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, KYÂ 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, KYÂ 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, INÂ 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
808-566-5049Â (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.htmlÂ
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, ALÂ Â 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