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Susan P. Baker, MPH; Russell S. Fisher, MD

JAMA. 1980;244(12):1343-1346.

Abstract
Medical examiner records were reviewed for 42 Maryland children younger than 10 years who died of asphyxiation from 1970 through 1978. Twelve children choked on food; six of these deaths involved hot dogs. Eight choked on nonfood objects. Size, shape, and consistency were important, with small, round, pliable products predominating. Twenty-two deaths resulted from suffocation, including four infants who died when plastic bags in their cribs or playpens pressed against their faces. Twelve of the 42 deaths resulted from problems that are now the subject of Consumer Product Safety Commission activity or regulations. Important problems not currently addressed include plastic bags, balloons, and foods that because of their shape or consistency are especially likely to cause asphyxiation.

(JAMA 244:1343-1346, 1980)

Author Affiliations
From the Department of Health Services Administration and Environmental Health Sciences, Johns Hopkins University School of Hygiene and Public Health, and the Office of the Chief Medical Examiner of Maryland, Baltimore.

Footnotes
Read in part before the American Public Health Association, New York, Nov 5, 1979.

Reprint requests to Office of the Chief Medical Examiner, 111 Penn St, Baltimore, MD 21201 (Mrs Baker).

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