The Star Malaysia

Docs sound alarm over toys being a magnet for disaster

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Doctors from major hospitals in England sounded an alarm over a five-fold increase in the number of young children requiring medical treatment after swallowing magnets from toys.

Nearly half of these kids aged four months and up required surgery to remove the magnets, often followed by complicati­ons, they reported in a research letter published in the Archives of Disease in

Childhood, a medical journal. From 2016 through 2020, four major hospitals in southeaste­rn England admitted 251 children who had swallowed a foreign object.

Coins accounted for 37% of the items ingested, ahead of magnets (21%) and button batteries (17%).

Across all categories, the number of cases increased by more than half over this period.

But those involving magnets – mostly brightly coloured, matchstick-like pieces found in building sets – jumped five fold, they reported.

More than 40% of these incidents required surgery for removal.

“This was either laparoscop­y – also known as ‘key-hole’ surgery – or open abdominal surgery to retrieve the magnets from the intestine,” Hemanshoo Thakkar, a paediatric surgeon at Evelina London Children’s Hospital, said.

In half of the cases, there were complicati­ons.

“As the children suffer from a perforatio­n, their abdomen becomes contaminat­ed and this can result in infections,” Thakkar explained.

“Some children have lost some of their bowel, which has to be removed if unhealthy.”

The most serious case involved a youngster who underwent several operations, stayed in intensive care for a month, and in hospital for nearly five months.

No deaths were reported. “But left untreated, the injuries can be life-threatenin­g,” Thakkar said.

In Britain, regulation­s require all magnetic toys be accompanie­d by a warning notice, but most manufactur­ers do not display them prominentl­y enough, the authors wrote.

In a case reported earlier this year in the Journal of Emergency

Medicine, a three-year old boy in the United States swallowed six magnetised pieces one after the other.

Two of them stuck together in his throat, and the rest settled in his abdomen.

Bryan Rudolph, an assistant professor of pediatrics at the Children’s Hospital at Montefiore in New York City, estimated in a commentary last year that there have been nearly 20,000 magnet injuries in the US since magnetised toys entered the market more than a decade ago.

The suitable age for use of such constructi­on or desk toys is often 14 and older, but the average age of children who swallowed them in England was seven. Ages ranged from four months to 16 years old.

Thakkar speculated that the sharp uptick in magnet-related incidents had to do with marketing.

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