Author: Adrian Hale

Nov. 13, 2020 — As the holidays near, the hunt for presents begins. But not all children’s toys have made the nice list — among this year’s most dangerous items are a toolset with small parts, a toy with high noise levels, and high-powered magnets, according to a new watchdog report.

The U.S. Public Interest Research Group has released its 35^th annual “Trouble in Toyland” report that highlights hazardous children’s toys. The 2020 report found several types of toys that should be avoided — with recalled toys topping the list. And as with most things, COVID-19 has only increased the dangers of these toys, the report says. With parents juggling virtual learning, pandemic difficulties, and their own jobs, monitoring kids is more challenging than ever.

“Parents and caregivers are overwhelmed,” Grace Brombach, a consumer watchdog associate with the research group, said during a Thursday webinar. “Older siblings are spending more time indoors with younger siblings. Toys meant for older children could end up in the hands of younger children.”

For example, the researchers found a Vtech Drill & Learn Toolbox11 — labeled for children 2 to 5 years old — that contains bolts that are 1.75 inches long by .75 inches wide at their widest point. According to a Consumer Product Safety Commission report, three children died from choking or aspirating on toy nails or pegs in 2006, though they were not from that specific toolset. The toy’s makers did not respond to a request for comment.

Experts on the webinar panel recommended using the “toilet paper roll test” — anything that can easily fit inside a toilet paper roll is not safe for children under 3 years old.

Panelist Kate Cronan, MD, an emergency medicine pediatrician at Nemours/Alfred I. duPont Hospital for Children in Delaware, stressed the dangers of keeping small objects around young children. She told the story of a 2-year-old who was recently rushed to her hospital’s emergency department after swallowing an eye from a baby doll. She recovered, but the eye had to be surgically removed from her esophagus.

“It’s nothing brand new, but it’s really important we know these kinds of things are happening,” she said.

The report also warns against flocked animals — fuzzy animal figures — like the popular Calico Critters, which come with accessories and are labeled for kids ages 3 years and older. According to the report, these toys and their accessories are suspected in the death of a child in New Mexico and the near-death of a boy in Utah. Both children were under 3 years old and reportedly choked on the same pacifier accessory.

The report recommends avoiding these products, especially if there are younger children in the house. But a statement from the toy’s makers said: “All Calico Critters products meet or exceed all US safety standards. We are confident that Calico Critters are safe and do not pose a risk to children older than the recommended age on packaging.”

Some products — like high-powered magnets — can cause damage if swallowed. In May, a 9-year-old swallowed three high-powered magnets made by Zen Magnets LLC, the Consumer Product Safety Commission says. A week later, she needed emergency surgery after the swallowed magnets caused intense stomach pain.

According to a statement from Zen Magnets, there is a “dangerous impression that high-powered magnets are kids’ toys (they most certainly are not kids’ toys and should never be marketed as such).” Zen is working on new standards that will require child-resistant packaging and strong warnings on all sets of high-powered recreational magnets, the statement says.

In addition to choking and swallowing hazards, the report discussed the dangers of dangerously loud toys. Researchers found a firetruck on Amazon that plays sounds of 104 decibels at its highest point, the report says. According to the World Health Organization, exposure to noise of 100 decibels for longer than 15 minutes can damage hearing. A statement from the compliance liaison for Zetz Brands, the maker of the truck, says the company spends thousands of dollars on research and development for its products to ensure their safety.

The statement says “the subject matter has been tested for and approved to be in compliance with the CPCS safety requirements.”

But Brombach said “a toy that loud, especially when held close to a kid’s ear, can cause serious damage.” She recommends turning down the volume on loud toys if possible, removing batteries, or putting tape over the speaker to muffle noise.

The report also warns against recalled toys that are sold secondhand. Brombach said several pages of recalled toys were uncovered during an eBay search. To avoid gifting a recalled product, buyers should be aware of the 10 toys recalled by the Consumer Product Safety Commission over the past year. A search of saferproducts.gov also will disclose if a toy has been recalled.

Cronan said the fear of COVID-19 may deter people from taking their children to the emergency department after a dangerous toy incident that may not seem urgent at the moment. She strongly encourages parents and caregivers to call a doctor before deciding to stay home, so a professional can assess whether a trip to the hospital is needed.

“If something happens, they should call the doctor right away,” Cronan said. “I just want parents to feel they can get help.”

By Amy Norton
HealthDay Reporter

FRIDAY, Oct. 9, 2020 (HealthDay News) — COVID-19 is primarily a respiratory infection, but experts have suspected the virus can also infiltrate the eyes. Now, scientists have more direct evidence of it.

The findings are based on a patient in China who developed an acute glaucoma attack soon after recovering from COVID-19. Her doctors had to perform surgery to treat the condition, and tests of her eye tissue showed evidence of SARS-CoV-2.

The case offers proof that “SARS-CoV-2 can also infect ocular tissues in addition to the respiratory system,” the doctors reported in the Oct. 8 online edition of the journal JAMA Ophthalmology.

“It’s been suspected that the eyes can be a source of both ‘in’ and ‘out'” for the novel coronavirus, said Dr. Aaron Glatt, a spokesman for the Infectious Diseases Society of America.

That’s why health care workers protect their eyes with goggles or face shields, he noted.

It’s not possible to say whether the patient in this case contracted SARS-CoV-2 via her eyes, according to Glatt. But that is a possibility — whether through viral particles in the air or by touching her eyes with a virus-contaminated hand, he said.

Another big unknown is whether any lingering virus in patients’ eye tissue will cause problems.

According to Dr. Grace Richter, an ophthalmologist at the University of Southern California’s Roski Eye Institute in Los Angeles, “It’s too early to know what having this virus floating around in the eye means for ocular health.”

At this point, Richter said, limited eye problems have been seen with COVID-19: A small number of patients develop conjunctivitis (“pink eye”), where the white part of the eye and inside of the eyelid become swollen, red and itchy.

The patient in this case suffered acute angle-closure glaucoma — a serious condition in which pressure in the eyes suddenly rises due to fluid buildup. It requires prompt treatment to relieve the pressure, sometimes with surgery to restore the eye’s normal fluid movement.

Richter was doubtful the coronavirus directly caused the eye complication. In general, certain anatomical features of the eye make some people vulnerable to acute angle-closure glaucoma, and it can be triggered by medications, she explained.

Richter speculated that since the patient was hospitalized and likely received various drugs, that might have been the cause.

That is possible, agreed Dr. Sonal Tuli, a clinical spokeswoman for the American Academy of Ophthalmology and chairwoman of ophthalmology at the University of Florida College of Medicine, in Gainesville.

Tuli said the patient’s case is “interesting,” but leaves open a number of questions. One is whether the virus present in the eye tissue is actually infectious.

The patient was a 64-year-old woman who was hospitalized for COVID-19 on Jan. 31. Eighteen days later, her symptoms had fully resolved, and throat swabs turned up negative for SARS-CoV-2.

About a week later, though, she developed pain and vision loss in one eye, and then in her other eye a few days afterward, according to the report by Dr. Ying Yan and colleagues at the General Hospital of the Central Theater Command in Wuhan, China.

The patient landed in the hospital again, where she was diagnosed with acute angle-closure glaucoma and cataract. Medication failed to bring down her eye pressure, so her doctors performed surgery — taking tissue samples in the process.

Tests of those samples turned up evidence that SARS-CoV-2 had invaded the eye tissues, Yan’s team reported.

While it’s not clear how the virus got into the patient’s eyes, the experts agreed the case underscores the importance of eye protection. For health care providers, that means goggles and face shields; for the average person, it’s regular hand-washing and keeping the hands away from the eyes.

“I think people don’t realize how often they touch their eyes,” Tuli said.

That advice will reduce the chance of any virus, including cold and flu bugs, from coming into contact with the eyes, she noted.

While that may be enough in most cases, people caring for someone with COVID-19 at home may want to be extra cautious, Tuli suggested. Wearing eye protection in addition to a mask is a “good idea,” she said.