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th grade level, making it too hard for millions of Americans to fully understand. According to the review s authors, the content often exceeded recommendations for the number of words in a sentence, word size, and the use of difficult terms related to public health. Instead of telling patients that following safety precautions can reduce food-borne disease transmission, publications that write about food safety should simply say follow these rules to avoid getting sick, a CDC guide to health literacy advises. Our fact sheets originally recommended that people call 911 if they noticed bluish lips or face, she says. Volunteers with her literacy project noted such guidance wasn t helpful for many people so they rewrote the language to more accurately describe this symptom of low oxygen levels as discolored lips or face, rather than bluish.

United statesSan diegoHarvard universitySan franciscoPooja chandrasekharRakesh patelMichele abercrombieFelicia collinsJoseph dexterGalicia fernandezLos angelesSolange loblack durandMichael wolfBen wadeAnne pebleyCenters for disease