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Infant Botulism Cases Prompt Alert About Honey Pacifiers

Parents should also avoid pacifiers containing any other food substance, because they could also pose a risk of botulism.

The Texas Department of State Health Services is warning parents and other adults not to give babies pacifiers containing honey after four babies were treated for botulism in Texas.

The infants pacifiers contained honey purchased in Mexico.

The illnesses occurred from mid-August to the end of October. All four babies were hospitalized for life-saving treatment.

The infants are residents of West Texas, North Texas and South Texas. The infants are not related.

Botulism is a serious illness caused by a toxin that attacks the body’s nerves and can cause difficulty breathing, paralysis and even death. Honey may contain bacteria that produce the toxin in the intestine of babies that eat it. By the time children get to be 12 months old, they’ve developed enough other types of bacteria in their digestive tract to prevent the botulism bacteria from growing and producing toxin.

DSHS has issued a health alert asking health care providers to be on the look out for cases of infant botulism. The Centers for Disease Control and Prevention and the American Academy of Pediatrics have long advised that children under 12 months old should not consume honey.

Parents should also avoid pacifiers containing any other food substance, because they could also pose a risk of botulism.

Texas has had seven to eight cases of infant botulism per year in recent years. Ten confirmed or suspected cases have been reported in 2018. Additional information on botulism is available on the DSHS website.

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