Pediatricians Urge Choking Warning Labels For Food

By: Lindsey Tanner - AP Writer
By: Lindsey Tanner - AP Writer

CHICAGO (AP) - When 4-year-old Eric Stavros Adler choked to death on a piece of hot dog, his anguished mother never dreamed that the popular kids' food could be so dangerous.

Some food makers including Oscar Mayer have warning labels about
choking, but not nearly enough, says Joan Stavros Adler, Eric's

The American Academy of Pediatrics agrees. The nation's largest
pediatricians group is calling for sweeping changes in the way food
is designed and labeled to minimize children's chances for choking.

Choking kills more than 100 U.S. children 14 years or younger
each year and thousands more - 15,000 in 2001 - are treated in
emergency rooms. Food, including candy and gum, is among the
leading culprits, along with items like coins and balloons. Of the
141 choking deaths in kids in 2006, 61 were food-related.

Surveillance systems lack detailed information about food
choking incidents, which are thought to be underreported but remain
a significant and under-appreciated problem, said Dr. Gary Smith,
director of the Center for Injury Research and Policy at Nationwide
Children's Hospital in Columbus, Ohio.

Smith is lead author of a new policy report from the pediatrics
academy that seeks to make choking prevention a priority for
government and food makers. The report was released Monday in the
journal Pediatrics.

Doctors say high-risk foods, including hot dogs, raw carrots,
grapes and apples - should be cut into pea-sized pieces for small
children to reduce chances of choking. Some say other risky foods,
including hard candies, popcorn, peanuts and marshmallows,
shouldn't be given to young children at all.

Federal law requires choking warning labels on certain toys
including small balls, balloons and games with small parts. Unless
food makers voluntarily put more warning labels on high-risk foods,
there should be a similar mandate for food, the pediatrics academy

Adler, a Warren, N.J. attorney who pushed for more warning
labels after her son died in 2001, says she hopes the academy's
efforts will work. Several efforts to pass federal legislation for
labels have failed in Congress.

The group also urges the Food and Drug Administration to work
with other government agencies to establish a nationwide
food-related choking reporting system; and to recall foods linked
with choking.

The academy says the food industry should avoid shapes and sizes
that pose choking risks.

Something as simple as making lollipops flat like a silver
dollar instead of round like a pingpong ball can make a big
difference, said Bruce Silverglade, legal affairs director at the
Center for Science in the Public Interest, which also has lobbied
for more attention to choking prevention.

Grocery Manufacturers Association spokesman Scott Openshaw
declined to say whether food makers would consider warning labels
or new designs, but said making parents aware of choking dangers is
key to keeping kids safe.

Openshaw said the industry would continue working with the FDA
and USDA "to ensure that our products are as safe as possible."

At the FDA, spokeswoman Rita Chappelle said the agency will review the academy's analysis and recommendations. She said the FDA also would continue consulting with the Consumer Product Safety Commission on assessing choking hazards associated with food and
take action on a case-by-case basis.

Adler considered herself educated about children's safety. Her son had eaten hot dogs before without any problem.

Hot dogs are "almost as American as apple pie," she said. "You really don't know how horrible it can be."

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