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Hot dogs pose high choking risk

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The American Academy of Pediatrics or AAP on Feb 22 issued a policy report "Prevention of Choking Among Children" saying lawmakers, regulators, parents, care providers, and food processors need to take measures to prevent choking on food.

The risk of food related choking

Choking is a leading cause of morbidity and mortality among children particularly those aged 3 years or younger.  The report cites the risk of choking on toys has been well addressed, but there is not much attention paid to the risk of choking on food.  Choking on food can be as lethal as toys. 

Choking on food causes about 60 to 80 children each year in the United States and more than 10,000 emergency room visits annually.   And hot dogs are responsible for 17 percent of food related asphyxiations among children aged 10 and younger, according to the report.

Foods that pose high risk of choking

Hot dogs are the food most commonly resulting in fatal choking among children because they are cylindrical, air-way sized and compressible. Other risky foods include hard candy, peanuts/nuts, seeds, whole grapes, raw carrots, apples, popcorn, chunks of peanut butter, marshmallows, chewing gum and sausages.

800px_NCI_Visuals_Food_Hot_Dog_wiki_896196071.jpgWho are at risk?

Children younger than four years and those with chewing and swallowing disorders are at highest risk of food related choking.

Children with health conditions including neuromuscular disorders, developmental delay,traumatic brain injury, and others are at higher risk of swallowing disorders which predispose them to choking risk.

children's behaviours also affect their risk of choking on food. High risk behaviours include eating while walking, running, talking, laughing and eating quickly. Playing while eating also puts a child at high risk.

How to prevent choking on food

The report says regulatory actions that are needed to prevent choking on food include surveillance, cautionary food labeling, recalls when necessary, and public education.

The policy report scheduled to appear in the March issue of the journal Pediatrics offers a number of recommendations on choking prevention including using warning labels on food that poses a high choking risk, recalling food products that pose a significant choking hazard, establishing a Nationwide food related choking incident surveillance and reporting system, designing or redesigning foods to reduce the choking risk and teaching teachers, parents, and child care providers CPR and choking first aid.

By Jimmy Downs

Source:http://pediatrics.aappublications.org/cgi/content/abstract/peds.2009-2862v1

Photo courtesy of wikipedia

Subscribe to comments feed Comments (31 posted):

Justin Damerell on 02/23/2010 12:45:55
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Duh! After you label them, will anybody take the time to read the warning.
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Daniel on 02/23/2010 12:48:27
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the dangers of Hot Dogs is not new and the safety Nazi's have nothing better to do but create a panic, simple solution don't give Hot dogs to children under five and if your child is eating a Hot dog supervise them, GET REAL PEOPLE
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jt4f32 on 02/23/2010 12:52:22
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Choking on food causes children, now?

How did I not hear about this in 8th grade biology?

Oh, my bad. Probably just a typo.
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Dave on 02/23/2010 12:52:32
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This is the dumbest article any food that is not properly chewed is a choking hazard. I can see it now if the hot dog companies don't label the product then there will be a million dollar wrongful death lawsuit or something to that tune. Kind of like the dumb woman who put hot coffee between her legs and burned herself. To quote Justin-"DUH!!"
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Joe on 02/23/2010 12:52:37
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"The American Academy of Pediatrics or AAP on Feb 22 issued a policy report "Prevention of Choking Among Children" saying lawmakers, regulators, parents, care providers, and food processors need to take measures to prevent choking on food."

These people wasted their time and money. The only statment that needed to be made was "parents take caution to what your children eat so that they don't choke on any of it." Nuff said, let the stupidity end
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becky - Las Vegas on 02/23/2010 12:53:30
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Are they serious ? ANY food has the potential to be a choking hazard. It's just one more useless label to put on. Then again the instructions on a hairdryer say not to use it while IN the bathtub. Rather than this I'd like to see a test for people who want to breed. THOSE are the people this label is for anyway. Eeek!
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Ned on 02/23/2010 12:57:34
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People, get real. "You can't fix stupid." Do we really need govt. regulations on hotdogs? Water causes drowning. Let's regulate that too so we can all be safe.
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doug on 02/23/2010 13:06:59
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REALLY? How much less responsibility are people going to take for their actions. If you cant be responsible enough to make sure that your own child does'nt choke on it's food, then maybe you don't deserve to be a parent in the first place. It just shows the level of apathy out there with regeard to personal responsibilty and consequences for our actions.
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RB on 02/23/2010 13:07:41
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The Nanny State...we are going backwards - We are de-evolving – unable to make cognitive intelligent decisions, unable to logically discern danger from non-dangerous situations, and a complete inability to care for ourselves or our loved one without state intervention and/or direction – The De-Evolution of the humanity.
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wayne on 02/23/2010 13:14:18
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Not rocket science. You need to slice the hot dog lengthwise as well as crosswise. Takes an extra second. Less likely to plug.
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BS on 02/23/2010 13:16:07
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Time to outlaw bananas.
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Sean on 02/23/2010 13:17:43
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I we all made it through childhood with killing ourselves eating hot dogs, what makes you think children now can't do it? If you can't eat without choking on everything, your most likely not going to make it for long anyways.
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Dad on 02/23/2010 13:19:31
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Whine, whine, whine.
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jg on 02/23/2010 13:20:20
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My oldest son is 18 and this was old news when he was a baby! Why don't we just mandate that everyone's food has to be pureed to remove all risk!
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Ryan on 02/23/2010 13:20:21
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"Choking on food causes about 60 to 80 children each year in the United States"
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RR on 02/23/2010 13:20:35
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Here is the liberal approach, children choke on some foods, let's charge manufacturers with the responsibility to remake those foods.

Here is the common sense approach, parents spending the time and making the effort to make sure their children receive and follow instruction on how to properly consume and chew food.

Why is it that government always looks to business as the culprit in these cases and does not put the blame where it belongs...squarely on the shoulders of parents who are too busy and self absorbed to take the time to properly raise their kids.

Blame the parents....not the hot dogs.
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rgw1946 on 02/23/2010 13:23:33
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Get a life...
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Steve on 02/23/2010 13:27:24
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Response to Dave:

Yes the old lady was dumb to spill coffee on herself; however, the real reason she got so much money was because McD's kept their coffee too hot. Essentially, they use to super-heat large vats of coffee and keep them at illegally high temperatures. They had previously been warned about the temp of their stored coffee. While it was clearly the ladies fault, the burns were significantly more severe because of the illegal temperature of the coffee. Therefore she was awarded the money (or a portion of it) they penalized McD's.
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Jeff on 02/23/2010 13:27:46
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Of course hot dogs are a choking hazard, didn't you see Field of Dreams. Good thing Dr. Graham was there!
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Grammar on 02/23/2010 13:34:10
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airway-sized not "air-way sized"
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geee on 02/23/2010 13:34:13
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these people must have been born at night and i mean last night. this is not news I have know this for years, idiots
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ced on 02/23/2010 13:35:55
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i choked on a hotdog in pre-school. this is old news.
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atherine on 02/23/2010 13:52:23
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Slow news day. WOW!! This is an amazing waste of time, really!! I mean woww! Did I say WOW??? They actually...oh wow. sad. Oh yeah...cut the hot dogs in small pie-shaped pieces. Maybe they can print a diagram on the package that shows how to do this...help.
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Tavi on 02/23/2010 13:58:20
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hot dogs are a choking hazard, stairs are a falling hazard, doors are a slam-on-finger hazard, open flame is a burning hazard. So what? People do their best to keep themselves and their children safe but accidents happen, you cannot prevent all accidents through labeling and manufacture. 70 deaths out of 40 million children, that is an acceptable risk (it falls almost in the freak-accident category figuring it occurs over hundreds of millions of hot dogs consumed).
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Kevin on 02/23/2010 13:58:43
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If they want to play the numbers game I'm sure we can find that there are more deaths each year from Malpractice cases than hot dog cases. Hot dogs don't kill people, doctors do. Maybe all these doctors need a stamp on their foreheads that says, "Caution: I may kill your child."
It's the same logic.
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Kyle on 02/23/2010 14:00:24
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My fourth grade teacher told me this is not a problem. She had extremely saggy breasts, was overweight, and had a drifting lazy eye.
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gmoney on 02/23/2010 14:10:35
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thats just common to see a kid chock but you have to be carful about what u give them
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Ashok on 02/23/2010 14:37:30
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Common sense is very uncommon.Doctors and lawyers all want to make world idiot proof.Instead of learning skills a mishap in life is somebody's fault.What happened to a statement from mom "chew your food at least ten times before you swollow"
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Karen on 02/23/2010 14:45:40
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Instead of a hot dog, give your toddler a thick slice of bologna. You can even grill a slice of bologna on the grill like a hot dog. They are equally bad for you but at least the bologna cuts the choking risk.
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Xenablue on 02/23/2010 14:54:51
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If children are taught table manners and not running around or sitting in front of TV whilst eating, then parents can supervise their eating, just like in the 'old days' and these alarming choking deaths would be all but eliminated.
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Jim on 02/23/2010 15:00:36
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Shouldn't the real story be that hot dogs are really bad for your health?
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