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American Academy of Pediatrics: Label Foods as Choking Hazards

Filed under: Health & Safety: Babies, In The News


Remember putting away all the small, choking-sized toys when your second child was born? Avoiding playthings with labels on their boxes that warned they weren't suitable for children under the age of 3? Turns out, that wasn't doing nearly far enough.

The American Academy of Pediatrics is now turning its attention to the choking dangers of food and has proposed new, comprehensive reforms for the labeling and packaging of food products.

Choking remains one of the leading causes of death for children under the age of 3, and every five days a child chokes to death on food, the statement says. Hot dogs alone account for 17 percent of food-related choking incidents, one study shows.


"If you were to design the perfect plug for a child's airway, you couldn't do much better than a hot dog," says Dr. Gary Smith, director of the Center for Injury Research and Policy at Nationwide Children's Hospital and author of the AAP's new policy statement on choking. "It will wedge itself in tightly and completely block the airway, causing the child to die within minutes because of lack of oxygen."

There are measures the food industry can take to improve food safety, the AAP asserts, noting that many of the most dangerous foods are man-made. The AAP statement urges food companies to alter the shapes, sizes and textures of high-risk foods -- including, yes, the iconic hot dog -- to make them less likely to get caught in a child's throat. The group also calls upon government agencies to adopt regulations to require such change.

In addition to labels on food similar to those on toys, the AAP says the government should establish a surveillance system that would identify and investigate incidents of food-related choking incidents.

But regulation isn't enough, the AAP warns. It calls on pediatricians and other health professionals to intensify anti-choking education. Misapprehensions remain, and many of the foods thought of as kid-friendly, such as grapes and popcorn, pose serious choking hazards because their size means they can easily become lodged in a child's throat. Nuts, seeds and raw carrots are also particularly dangerous.

The group says toys are better regulated now, but there is still more to be done. The AAP calls upon the Consumer Product Safety Commission to make sure toys sold in bins, vending machines and online also have appropriate warning labels. Finally, the group recommends that all parents and caregivers learn CPR and first aid for choking.

Related: Preventing Young Children From Choking on Food

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Start by teaching him that it is safe to do so.