Casey Drummond
All work
From the archive · 2015
Case study 4 · Public health · Mobile-first · Research

Making fluoride data clear for the public

CDC’s “My Water’s Fluoride” app told people and health officials how much fluoride was in their drinking water, but most visitors couldn’t answer that one question. As design and research lead, I ran the research with a junior UX researcher and redesigned the app mobile-first.

From idea to launch: how I work with product

Role
Senior UX Specialist & Web Developer
Design & research lead, with a junior researcher
Organization
Centers for Disease Control and Prevention
Oral health program (contract)
Users
The general public, water system
specialists, public health staff
Tools · Shipped
Axure RP, TechSmith Morae, Zoom
Shipped 2015
About this work: Shipped in 2015 while I was a contractor to CDC. Screens show the original design in its era and public data only; personal contact details are obscured. This case study is not affiliated with or endorsed by CDC.
Before · desktop onlyBefore: the original desktop-only My Water’s Fluoride page
After · mobile-first redesignAfter: redesigned My Water’s Fluoride on two phones and a laptop
+45%More people using the app after the mobile-first relaunch, per post-launch analytics
½ the timeTo complete core tasks, like checking whether a water system is fluoridated
2 roundsOf remote usability testing, before and after, measured against the same baseline
01 · The challenge

One simple question, buried in technical detail

A highly trafficked federal app, built for specialists and used by the public. The redesign also had to move it onto CDC’s new look and feel. People came with four tasks:

01
Check my waterDoes my water system have fluoride, and how much?
02
Understand itWhy fluoride matters, and what the right level is
03
Reach someoneContact the people who run my water system
04
Find reportsLocate and read my state’s fluoridation reports
How I think

Public health information only works if people can act on it. Answer the question they came with, then explain.

02 · How I worked

Measure, fix, measure again

Each step answers a question the previous one raised. Here’s what I led, why I chose it, and what it changed.

The original desktop app, 2015The original 2015 desktop app, before the redesign
Step 01

Measured the old app before changing anything

What I led

Ran a remote usability test on the existing desktop site to set a baseline for effectiveness, efficiency and satisfaction.

Why this step

Without a baseline, “better” is an opinion. I wanted numbers to compare against later.

What it changed

Two clear failures to fix: a confusing map, and an answer people couldn’t find.

Step 02

Fixed the map that confused people

What I found

Some states didn’t take part, so they had no data. The legend sat far below the map, and clicking those states did nothing.

What it changed

Moved the legend next to the map, labeled “State (Non-Participating)” on hover, and turned “States participating in MWF” into a prominent “Can’t find your state?”

BeforeBefore: the state map with its legend far below
AfterAfter: legend beside the map and a Can’t find your state link
  1. A direct question people actually ask.
  2. Yes or No with an icon, at a glance.
  3. “What does this mean?” explains the result.
  4. State contacts so people know who to ask.
Step 03

Put the answer first, in plain language

What I found

People couldn’t tell if their water was fluoridated. The details page was technical and wordy, and the levels meant nothing to them.

What it changed

A direct question, “Is this water system optimally fluoridated?”, with a Yes or No icon, a “What does this mean?” explanation, and the state health department’s contact details.

Step 04

Prototyped mobile-first, then tested again

Built interactive mobile and desktop prototypes in Axure on CDC’s new look and style guide, which I helped create. A second round of remote testing measured them against the baseline and set this happy path, from home to answer.

Mobile happy path: home, choose state, list of counties, water systems, and the fluoridation answer
A call I’d make again

No time for a full IRB review

Federal rules cap how many members of the public you can test with before an Institutional Review Board review, and our timeline couldn’t absorb one. I paired internal subject-matter experts with a smaller group of public participants, kept the schedule, and still got clear insight. Federal content rules also blocked some wording users asked for, so I leaned on layout, icons and white space to make it scannable.

03 · If I built it today

Same question, one step to the answer

The 2015 research still holds. What’s changed is what people expect, and what responsible AI makes possible.

My Water’s Fluoride

Is my tap water fluoridated?

Check the water system that serves your home.

30329
Check my water
Use my location
Or browse by state and county
Why it mattersFluoride in community water prevents about 1 in 4 cavities in children and adults.Source: CDC
01 · Look up2015: the state map confused people, especially in states with no data.
Today: start from a ZIP code or location, with the map as backup.
My Water’s Fluoride
Sample City Water · sample data
Yes. It’s at the recommended level.
Yours: 0.7 mg/LTarget: 0.7 mg/L
What this meansThis level helps prevent cavities for everyone who drinks it. You don’t need to do anything.
Sample City WaterCall or email about your water
Ask a question
02 · Answer2015: people couldn’t tell if their water was fluoridated.
Today: the answer comes first, shown with an icon and words, never color alone.
My Water’s Fluoride
Can I mix my baby’s formula with it?
Yes, it’s safe for formula. To lower the chance of faint white spots on teeth, you can sometimes use low-fluoride bottled water.Source: CDC infant formula guidance
My son has white spots on his teeth. Is it the water?
I can’t tell what’s causing that. A dentist can check his teeth and explain.
Find a dentist near me
Contact my state oral health program
03 · Ask2015: we added state contacts so people knew who to ask.
Today: follow-ups answered from CDC guidance with the source shown, and a handoff for anything it shouldn’t answer.

Built to WCAG 2.2 AA at a 6th–8th grade reading level, and measured by “found my answer,” not pageviews.2026 concept with sample data. Not a CDC product.

04 · Outcome

People got their answer, on any device

More people, fasterEngagement rose 45%, and core tasks took half the time.
Proven, not assumedRetesting showed gains in effectiveness, efficiency and satisfaction over the baseline.
Built to lastDelivered on CDC’s new look and style guide, with a mobile layout the old app never had.
More from my CDC years · 2005–2016

Public health sites for a national audience

As a contractor at CDC from 2005 to 2016, I grew from web developer into UX designer and researcher, across two of CDC’s national centers:

2005–2014National Center for Environmental Health (NCEH), and its partner, the Agency for Toxic Substances and Disease Registry (ATSDR)
2014–2016National Center for Chronic Disease Prevention, home of My Water’s Fluoride

Experts owned the content. I built how it reached people: information architecture, design, development, Section 508 accessibility and usability testing.

Lead poisoning preventionDesigned and built how prevention guidance reached parents, clinicians and health departments.
AsbestosMade exposure information easy to find for affected communities.
Camp LejeuneOrganized public health information for people exposed at Camp Lejeune.
Vessel Sanitation ProgramDesigned how travelers find cruise ship inspection results and guidance.
Carbon monoxide poisoningMade prevention guidance fast to find during storms and power outages.
Emergency responseKept crucial guidance current and easy to find during H1N1, Deepwater Horizon and extreme heat (awarded).

Hiring a design leader? Let’s talk.

Email meLinkedInResume