Historic, Archive Document Do not assume content reflects current scientific knowledge, policies, or practices. I ^ ' 4 - i ! i fe Your consumer education connection 0 0 d ^ S a f e t y Q ■ Volume 4, No. 1 1999 _:1 O') > o ,o Listeria: Public Health Strategies .-X<) - C . K3 c/> As a result of foodborne illness outbreaks traced to Listeria People at risk include: pregnant women and newborns, monocytogenes linked to lunch meats and hot dogs, the older adults, and people with immune systems that are Food Safety and Inspection Service (FSIS), is working with weakened as a result of a number of causes, including chronic industry and the public to reconsider approaches to illnesses like diabetes, kidney disease and AIDS. controlling the pathogen. Listeriosis causes flu-like symptoms, such as fever and At a public meeting convened by FSIS in February 1999, chills. Sometimes people have an upset stomach, but not Catherine Woteki, U. S. Department of Agriculture Under always. It can take up to 8 weeks for a person to become sick Secretary for Food Safety, reinforced that “we need to look after eating a food contaminated with Listeria monocytogenes. at all our options” in developing new public health strate¬ While infected pregnant women may experience only mild, gies. (Check the FSIS web site for updates: flu-like symptoms, the mother’s illness can be transmitted to www.fsis.usda.gov) the fetus, causing serious illness, spontaneous abortion or During the public meeting, FSIS officials emphasized stillbirth. A blood test or spinal fluid test can be used to the importance of reaching people at risk with safe food confirm a diagnosis of illness from Listeria monocytogenes, handling information concerning Listeria monocytogenes. and the illness can be treated with antibiotics. Public health officials also stressed the importance of People at risk for listeriosis should: warning consumers not to eat food products that have been • Reheat ready-to-eat foods such as hot dogs, luncheon recalled. meats, cold cuts, fermented and dry sausage, and other deli- Listeria monocytogenes is found widely in the environ¬ style meat and poultry products until they are steaming hot. ment and can contaminate a variety of foods. It can be found If you cannot reheat these foods, don’t eat them. in uncooked meats and vegetables as well as cooked foods • Do not drink raw, unpasteurized milk or eat foods made that can become contaminated after processing, such as soft from it. cheeses and lunch meats. • Do not eat soft cheeses such as feta. Brie, Camembert, or When people eat food contaminated W\\h Listeria blue-veined varieties. monocytogenes, they can become sick with an illness called listeriosis, an uncommon but potentially fatal disease. Less FSIS is working with the Centers for Disease Control and than 2,000 cases of serious illness from listeriosis are Prevention as well as state and local health departments to reported each year. But, of those reported cases, nearly 25 identify sources of contamination and prevention techniques. percent die as a result of the illness. At the same time, the agency is teaming with the Food and While most people don’t get sick from Listeria Drug Administration on a risk assessment concerning the monocytogenes, some people are more at risk. These people pathogen due to be completed in the fall of 1999. are more likely to get sick from bacteria in food and suffer For more information, check: www.foodsafety.gov • serious health problems as a result. United States Department of Agriculture Dianne Durant, writer/editor Meat and Poultry Hotline: 1-800/535-4555 Food Safety and Inspection Service www/.fsis.usda.gov/OA/educator/educator.htm Phone: 202-720-9352 FAX: 202-720-9063 Teaming Educators and Communities other food safety education project word for grandmothers, were the has shown that teaming educators with teachers. The Abuela Project was born. communities can produce dramatic Using funds from the Washington results. State Dairy Projects Commission, the Every community has people it relies Abuela Project trained 15 Hispanic on as leaders. They may be elected grandmothers, who in turn trained leaders, religious leaders or simply others in their community. every-day people others turn to for Each abuela Wcis provided with a guidance. These people can be the key to demonstration kit worth about $65 successful education campaigns. which included a thermometer, stock That’s what happened in Yakima, pot and Spanish and English flyers ill from the pathogen. Investigators for Washington. containing the new recipe using the Centers for Disease Control and In the summer of 1997, Dr. Val pasteurized milk. Prevention (CDC) linked the illnesses to Hillers, an extension food specialist at The abuelas were asked to train at the consumption of locally made raw- Washington State University, attended least 15 other people. Each grand¬ milk cheese, queso fresco. the first national conference for food mother did that and some did much Nearly one-quarter of the county’s safety educators in Washington, D.C., more. In all, the grandmothers trained population is made up of Mexican- sponsored by the Food Safety and more than 250 people. Americans and queso fresco is a favorite Inspection Service and the Food and The results were impressive. traditional food. Drug Administration. Rates of illness dropped dramati¬ No sooner had Hillers returned from During one of the presentations. Dr. cally. Within 6 months, the rate the conference in Washington, D.C., than Anne Peterson of Georgia spoke of dropped to pre-outbreak levels. In she learned that both the state health outbreaks of yersinia in Georgia that 1998, not a single case was linked to department and CDC were urging an had been traced to chitterlings. consumption of soft cheese. immediate intervention to try to stem the The outbreaks were causing severe In late 1998, Thomas and Hillers outbreak. illness in children. Looking for help in obtained additional funding from Peterson’s project, Hillers says, stemming the outbreaks, Peterson USDA and trained an additional 30 “planted the seed. This is how you are turned to the African-American commu¬ grandmothers. These abuelas will be successful-you are respectful of the nity. With their help, Peterson discov¬ training others throughout this year. By community you are trying to reach.” ered cooks in the community who were the end of 1999, Hillers expects the Hillers worked with Theo Thomas, an using a safer process for fixing chitter¬ program will reach seven counties in extension educator at Washington State lings. Peterson turned to the community the state. University. Together, they assembled a again. She used community networks Hillers and Thomas also expect to working group of university students and and leaders, including churches and target new training to small unlicensed extension agents. Then they turned to the ministers, to help educate others about vendors of fresh cheese and assist them Hispanic community looking for a the new, safer preparation method. The in the licensing process. solution. And they found one. result? Outbreaks declined. For a copy of the recipe flyer in “One of the women we were meeting As Hillers listened to Peterson speak, Spanish or English, or more informa¬ with told us her mother had a recipe for she says, “I wondered if that approach tion on the project, contact: queso fresco made with pasteurized could work for us.” Dr. Val Hillers milk,” Hillers recalls. Like Peterson, Hillers faced an FSHN106L, WSU The recipe was modified by dairy outbreak taking its toll on children. P.O. Box 646367 product researchers at the university. Between 1992 and 1997 in Yakima Pullman, WA 99164-6376 Graduate student Ryan Bell helped County, Washington, illnesses from transform the recipe into a full-blown Salmonella Typhimurium increased phone: 509/335-2970 educational campaign that relied on the dramatically. In the first half of 1997, Spanish-speaking community for its 89 people, primarily children, became success. Abuelas, which is the Spanish 2 The Food Safety Educator When “Short and Sweet”-- Comes Up Short I Countering a Food Safety “Lay Theory” Excerpted from materials by One of the basic tenets of effective communications in the 1990’s has been Rowan notes several properties of Katherine E. Rowan keep it “short and sweet.” lay theories: But as Katherine Rowan, professor of • They are “tacit,” hard to explain. 7grew up with my mother communication at Purdue University cooking the turkey overnight at • People don’t want to let go of them- notes, consider this statement: the earth low temperatures and no one got they are “obdurate.” is weightless. sick. So why can’t I do that in • They are intuited. “That’s a short statement. There are 1998?" no big words there. But the concept is • They are a guide to behavior. State the lay view and acknowl¬ hard to understand. It runs counter to edge its apparent plausibility: our intuition,” she explains. In order to overcome lay theories, You may be right that no one got That “intuition” is the basis of Rowan advises: sick. People adjust to levels of something Rowan terms “lay theories,” • State the consumers’ lay theory back to pathogens over time, so if the the personal explanations people have them. cook followed the same practices for how the world works. Sometimes lay • Acknowledge its apparent plausibility. repeatedly, family members may theories are correct, even though they may be based on intuition. But some¬ • Create dissatisfaction with it. have acclimated. times they are not. • Offer support for a new view. Create dissatisfaction with the Scientists who are trying to comm* Illustrate with familiar examples. lay view. On the other hand, unicate ideas that run counter to Rowan points out that good commu¬ sometimes we don’t remember, or people’s lay theories will find, she says, nicators frequently understand intuitively even know, when people get sick. that these inaccurate ideas get in the that they are dealing with lay theories- Guests might become ill and the way. and seek to defuse them. family may never know. Or, To deal with lay theories, communi¬ To understand the lay theories you are people may think they had a cators need to go beyond “short and dealing with. Rowan suggests that “bug,” when in fact it was food sweet. Sometimes, more words are educators tap their own knowledge as poisoning. Dangerous pathogens needed to explain complex ideas,” she well as the knowledge of others. Rich in food can make people sick says. sources of data, she points out, may be days—or even weeks—after eating. Rowan applied her ideas about lay people who routinely field consumers’ Sometimes people just don’t theories to food safety during a recent questions, like the experts on the USDA make the connection. presentation to the Washington D.C. Meat and Poultry Hotline. “You can hear Chapter of Agricultural Communicators in the things they say to consumers that State the scientifically supported in Education. they are instinctively dealing with lay view and illustrate with familiar As Rowan pointed out, sometimes a theories,” she says. examples. person’s personal theories about food For more information, contact: When food is kept at low tem¬ conflict with the science of food and peratures, known as the “danger food safety. Katherine E. Rowan zone,” bacteria double every In order to communicate effectively. Department of Communication 20 minutes. A turkey cooked Rowan says, educators need to recognize 1366 LAEB 2114 overnight at low temperatures the lay theories that may be blocking Purdue University may make food warm enough to communications. West Lafayette, IN 47907-1366 promote the growth of bacteria, email: [email protected] ^ but not hot enough to stop phone: 765/494-3325 bacterial growth, or kill the bacteria that are present. Why take the chance? ^ Volume 4, No. 1 1999 When Warnings Don’t Work Check the Web for Recall Info: Despite a flurry of media reports estimated 11,000 people in Georgia concerning a 1994 recall of Salmonella- became ill. Don’t forget to check the web for contaminated ice cream, a newly CDC studied the effectiveness of the recall information. The latest published study shows that many people recall warnings through a telephone information on meat and poultry who had heard about the recall ate the survey of 250 randomly selected Georgia recalls is available through the ice cream anyway. customers of the recalled product. FSIS web site at: In fact, 16 percent of all the reported The results? http://fsis.usda.gov/OA/news/ illnesses in the study area occurred after After first hearing the warning, 36 xrecalls.htm the warnings were issued. percent of the respondents did not Click on the “retail notifica¬ According to the study’s authors understand that the recalled ice cream tion reports,” and click again on writing in the January 1999 issue of The should not be eaten. the accompanying report number. American Journal of Public Health (Vol. In 31 percent of the households who For each recall, the site provides: 89, No. 1), “The warning was neither as had the product and heard the warning, •Info on product recalled by timely or as convincing as we would someone ate the ice cream anyway. brand names, producers and have hoped.... Many customers misunder¬ Twenty-six percent of the people who ate identifying codes. stood or were skeptical of the warning.” the ice cream became sick with diarrhea. • The problem or reason for The study showed that only 6 percent “The media, especially TV, get the the recall. of the news reports included the fact that word out quickly, but may not focus on • How/when discovered. the recalled food should not be eaten. the public health message,” the authors • The federal establishment. Instead, news stories focuses on the ill noted. • The corporate contact. people and the investigation into the The authors added that they don’t • FSIS contacts, including source of the contamination. know if public health officials may have emergency response, media The study on the effectiveness of missed opportunities in press interviews inquiries. Congress and consumer warnings on recalled food was con¬ to emphasize that consumers should not calls. ducted in Georgia by the Centers for eat the recalled food. For information on FDA Disease Control and Prevention (CDC). “Our investigation,” the authors recalls, go to http://www.fda.gov/ In the 1994 outbreak, it was esti¬ concluded, “highlights the need for po/enforceindex/99enforce.html mated that more than 224,000 people further research on methods for deliver¬ nationwide became sick as a result of ing effective warnings.” • 5a/wor7e//fl-contaminated ice cream; an llhe Gateway to Government Food Safety Information If you haven’t done this lately, log on • News and safety alerts • Educational materials for kids, teens to www.foodsafety.gov and educators, including links to • Consumer advice You’ll find a new and much improved materials produced by state and local • Other federal and state agencies federal site that provides information on governments. involved in food safety hot topics in food safety, links to key sites inside and outside of government • How to report illness and product and a search engine and index. complaints Whether you’re a food safety educa¬ • Industry assistance tor, student, consumer, industry rep or a • Facts on foodborne pathogens kid, you'll find something of interest at this great gateway site, including: www.foodsafety.gov Avv\/\A/\/\i\|\]\Ai\^ 4 The Food Safety Educator I Cooked to the Food will be cooked to the “T”— work with food safety educators in the Those two messages will be central to a temperature that is. If food safety campaign to expand use of thermom¬ campaign to be launched by FSIS later educators have their way, consumers will eters in the home. this year. be using food thermometers to check the “The need is so evident,” she said. In the meantime, the FSIS thermom¬ food they prepare. “Thermometer use is the most reliable eter industry briefing has created While some consumers may scoff at method consumers have for ensuring momentum. Thermometer industry the idea of using food thermometers for that foods have reached a temperature representatives are studying ways to everyday meals, educators are just sufficient to destroy pathogens.” support food safety education and make gearing up to show consumers how they “We have our work cut out for us,” sure that their products and packaging can improve food quality as well as Woteki said. She noted that focus group are “consumer friendly.” safety by using a food thermometer. testing with consumers shows that Building on the campaign launched To lay the ground work for a ther¬ people have many objections to using last year by Wegmans, two more grocery mometer campaign, the Food Safety and food thermometers. But the focus group store chains. Giant Food Inc. and Copps, Inspection Service (FSIS) held a briefing testing also found that change is have launched thermometer campaigns for thermometer industry representatives possible. and others are exploring how they can late in 1998. One key to effecting that change is promote the use of food thermometers. Catherine Woteki, USDA Under stressing that consumers can improve Interested in more information? Secretary for Food Safety, encouraged the quality of their food, as well as the Contact Holly McPeak at 202/720-5836, thermometer industry representatives to safety, by using a food thermometer. or email: [email protected] ■Arkansas’ Food Safety Program for Kids They look like a pair of plain, white the first state requiring food safety The curriculum and puppets are gloves, with hand-sewn eyes and smiling education for schools. available to other educators for free. mouths-but anyone with a little imagi¬ The result was Operation Food “It was always our plan to make it nation would know they are a lot more Safety. The project is supported by a available throughout the state and than that. They are “Squeaky and Clean, coalition drawn from state and health develop a model other states could use,” the Handwashing Team.” education departments, the University of says program coordinator Amy These hand puppets are now in Arkansas, the Arkansas Poultry Federa¬ Waldroup. Arkansas schools teaching young tion, the Arkansas Hospitality Associa¬ The two other curriculum packages, children the importance of handwashing tion, and grocer groups. grades five through eight and and grades as part of a program called Operation Operation Food Safety plans for the nine through twelve, are now being Food Safety. development of three curriculum developed and will be available during These children will be learning about packages. the 1999-2000 school year. food safety, in part, because one little boy The curriculum for pre-K through For more information, contact: became sick and almost died as a result grade four, of which Squeaky and Clean Amy Waldroup ofE. co//0157;H7. are a part, started in schools in 1998. University of Arkansas That little boy is the grandson of The 60-plus-page curriculum is divided Room 0-114, Poultry Science Center Arkansas Representative Percy Malone. into three clusters targeting the differ¬ Fayetteville, Arkansas 72701 As a result of his grandson’s illness, ent grades and is designed for fun Malone became an advocate for food learning. It’s loaded with games and email: [email protected] safety education. He introduced and puzzles. More than 2,500 copies have phone: 501/575-4409 helped pass legislation making Arkansas already been distributed. fax: 501/575-8775 • Volume 4, No. 1, 1999 5 briefs ■ USDA’s Meat and Poultry Hotline and toll-free The Big Chill! 1-800/535-4555 It’s time to talk about “Chill,” the • The Big Thaw-Safe Defrosting You can access the feature packet through topic of USDA’s Meat and Poultry Methods for Consumers our web site. Go to: Hotline’s packet of news features. Fighting BAC™ by Chilling Out www.fsis.usda.gov/OA/pubs/hotpaks.htm Loaded with information for • Refrigeration and Food Safety consumers, the packet includes features on: Appliance Thermometers •Keeping Food Safe During a Power Outage ■ FDA Consumer ■ New Director for Magazine Highlights Sprouts Food Safety Intitiative v^uestions Keep Sprouting About Avoid musty-smelling, dark, or Dr. Morris Potter has been named to be Sprouts,” notes the January/February slimy-looking sprouts. the first director of the President’s Food issue of the Food and Drug • Refrigerate sprouts at home. The Safety Initiative program operated by FDA. Administration’s (FDA) consumer refrigerator should be set at no Coming from the Centers for Disease magazine. higher than 40 degrees Fahrenheit Control and Prevention (CDC), Potter will The lead article focuses on ill¬ (4 degrees Celsius). be responsible for all of the food safety nesses traced to sprouts, explaining the efforts at FDA’s Center for Food Safety and • Wash hands with warm water and different kinds of sprouts, and new Applied Nutrition. soap for at least 20 seconds before techniques being used by industry to Potter’s duties will include expanding and after handling raw foods. improve safety. and improving the FDA’s food-related • Rinse sprouts thoroughly with water In a section titled “How to Eat inspection and surveillance. Potter will before use. Rinsing can help Sprouts Safely,” FDA reminds consum¬ also coordinate FDA’s collaboration with remove surface dirt. Do not use ers: other government agencies in responding soap or other detergents. If you belong to one of the groups to foodborne illness outbreaks, instituting at high risk for foodborne diseases- The article is available on the web additional prevention controls and children, the elderly, and people with site: strategies and conducting nationwide compromised immune systems— http://www.fda.gov/fdac/default.html public education campaigns. avoid raw alfalfa sprouts. For subscription information, call At CDC, Potter served as assistant If you are a healthy adult, follow the Government Printing Office at director for foodborne diseases. He also led these tips: 202/512-1800. • the World Health Organization Collaborat¬ • Buy only sprouts kept at refrigerator ing Center for Foodborne Disease Surveil¬ temperature. Select crisp-looking lance. • sprouts with the buds attached. 6 The Food Safety Educator new<^ hripf<; B Risk Communications HHow Can You Take in I New Web Site 6,000 Foods Without Gaining a Pound? Interested in risk communications? Download the USDA Nutrient Data Base Food safety information from the food Check out these benchmark resources: for Standard Reference. processing industry is now available •“Communicating Foodborne Disease The data base is the primary source through www.safefood.org Risk, ” by Baruch Fischhoff and Julie of food composition data in the U.S. It’s The site is run by the National Food S. Downs, Emerging Infectious the only such data base in the world Processors Association (NFPA) and is Diseases, Vol. 3, No. 4, October- that’s free. expected to increase consumer awareness December 1997 The data base has values for as many of the “safety benefits and nutritional as 81 nutrients in 6,000 foods among 22 value of processed foods,” according to •“Risk perception and communica¬ food groups. NFPA’s Kelly Johnston. • tion,” Chapter 34, by Baruch Some 8,000 visitors access the web Fischhoff, Ann Bostrom and Marilyn site each month. If you want to be among Jacobs Quadrel, Oxford Textbook of them, go to: Public Health, 3rd Edition, Vol. 2, http://www.nal.usda.gov/fnic/foodcomp Oxford University Press, 1997 • ■ Catch the Catchment ■ New Emerging Infectious Diseases Plan The latest in FoodNet data is now Branch. Dr. Mead notes that during the In November 1998, the Centers for available through CDC’s newly devel¬ first 12 months of surveillance, coli Disease Control and Prevention (CDC) oped newsletter. The Catchment. 0157:H7 accounted for at least 69 released the second phase of their plan to The first issue, released Fall 1998, percent of D+HUS cases among children combat emerging infectious diseases, includes information on FoodNet’s in the catchment area.” Mead also including foodborne illnesses. active surveillance of laboratory- pointed out that while D+HUS is The plan, titled “Preventing Emerg¬ confirmed cases of foodborne illness, typically associated with bloody diar¬ ing Infectious Diseases: A Strategy for the which is considered FoodNet’s “core rhea, nearly one-quarter of the D+HUS 21st Century,” provides a detailed activity.” patients reported non-bloody diarrhea. description of CDC’s efforts to under¬ The newsletter also provides a The newsletter is available through stand, detect, control and prevent rundown of FoodNet abstracts presented the web: national and international infectious at the International Conference on http://www.cdc.gov/ncidod/dbmd/ diseases. Emerging Infectious Diseases in March foodnet/foodnet.htm The plan builds on an earlier plan 1998. The overview provides abstract Or, if you’d like an old-fashioned released in 1994. titles, authors and some highlights of hard copy to hold in your hands, email The plan targets nine categories of interesting findings. Sam Yang at [email protected], or call problems, including antibiotic resistance The newsletter also includes a one- 404/639-4356. And here’s the best part- and foodborne and waterborne diseases. page Q & A concerning E. coli 0157:H7 it’sFREE. • To access the plan on the web, go to: and Diarrhea-Associated Hemolytic http://www.cdc.gov/ncidod/emergplan/ Uremic Syndrome (D+HUS) which features an interview with Dr. Paul Mead, a medical epidemiologist from the Foodborne and Diarrheal Diseases Volume 4, No. 1, 1999 7 m The BAC Page ■ Help for BAC! Susan Conley, director of food safety Operation Fight BAC! T>.l Florida education for FSIS, began a one-year appointment this past January to assist the Partnership for Food Safety Educa- With teams of volunteers and a our effort is to gauge the effectiveness of TM tion with the Fight BAC! campaign. determination to change consumers’ our approach, analyze the significance of Conley will work with the Partner¬ food handling habits, Operation Fight the findings and publish a report.” ship as a full-time technical advisor BACi... Florida is moving into high To do this, Costa and students from assisting in project development, gear. the University of South Florida College consumer education outreach and food Starting in January of this year and of Public Health will be conducting pre- service worker training. continuing until March 2000, the group and post tests of consumers. The study is Conley is on assignment at the is holding consumer workshops being conducted by Jaime Sanchez as University of Maryland/Joint Institute for throughout central Florida on safe food part of his Masters thesis in public health Food Safety and Applied Nutrition. TM handling using the four key Fight BAC! and will involve follow-up surveys. “I’m thrilled to be working on the messages and supporting materials. A variety of tools will be used in the campaign,” Conley said, “and I’m According to group facilitator Roy consumer workshops. A Fight BAC! ™ encouraging all the ‘BAC fighters’ out Costa of the Florida Department of slide show was created and donated by there to contact me. I want to hear how Business and Professional Regulation, the Florida Association of Milk, Food and you’re fighting BAC.” “our goal is to see if we can document a Environmental Sanitarians. Handouts One of Conley’s projects will be change in consumers’ attitudes and are being provided by Lynn Isaacs of the assisting with the ne\NBacTalk newslet¬ behaviors. Consumer food safety Food and Drug Administration. ter by providing articles about successful education is much talked about, but few Interested in hearing more? Contact education campaigns using Fight BAC!™ studies exist showing the efficacy of Costa at 904/943-9602, or email The newsletter, and subscription infor¬ educational interventions. A key part of [email protected]. • mation, can be accessed through the web site shown below. Conley can be reached at ■Canada Fights BAC! 301/405-5421. Fax 301/405-7404. Or, email: [email protected]. edu • Last November, a unique coalition of “Fight BACfis the most ambitious Canada’s food industries, consumer and and far-reaching consumer food safety health groups, and government came awareness campaign ever undertaken in together to start a new national public Canada,” said Lyle Vanclief, Minister, Check out awareness campaign on food safety in Agriculture and Agri-Food. the BAC the home kitchen. Information from the campaign will Talk news¬ The Canadian Partnership for be distributed through public health Consumer Food Safety Education is offices, public service announcement on letter: using the Fight BACf” logo and mes¬ radio and TV, supermarket displays and www.fightbac.org sages. The campaign was launched in community events. five cities across the country, Ottawa, For more information, check the new Halifax, Montreal, Toronto and web site: www.canfightbac.org # Vancouver. Subscribe for Free! 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Room 2942 South Bldg. communication of program information (Braille, large print, audiotape, etc.) should contact USDA’s TARGET Center at You can e-mail the informa¬ FSIS/USDA (202) 720-2600 (voice and TDD). tion to: [email protected] Washington, D.C. 20250 To file a complaint of discrimination, write USDA, Director, Office of Civil Rights, Room 326-W Whitten, Building, 14th and You can fax to 202/720-9063. independence Avenue, SW, Washington DC 20250-9410 or call (202) 720-5964 (voice or TDD). USDA is an equal employment opportunity provider and employer. 8 The Food Safety Educator