Water beads (Health Canada image)

Health Canada has issued a public advisory on water beads, a product that could cause serious internal injuries in young children if ingested.

According to Health Canada, water beads and products containing them should be kept out of sight and reach of children. The public health agency advises that if you suspect that your child has ingested a water bead, call the Canadian Poison Centre hotline at 1-844-POISON-X.

Health Canada states that water beads. also known as jelly beads, hydro orbs, crystal soil, sensory beads or orb beads, are water-absorbing gel beads that can grow up to 1,500 times their size when placed in water.

Water beads can be very harmful if swallowed or put in the ears or nose. If ingested, water beads can continue to grow inside the body leading to potentially life-threatening injuries, such as intestinal or bowel obstruction.

Water beads can be found in a wide range of products that may be accessible to children, such as toys, art kits, stress balls, foot baths, vase fillers, and gardening products. They are also sold in their dehydrated form in individual containers. They may be promoted to parents and caregivers of young children, specifically for use in sensory bins.

Water beads are typically brightly coloured. This may lead young children or adults with cognitive impairment to mistake them for candy. These beads are also small, slippery, and bouncy, allowing them to roll away from their initial location. In several incidents, children gained access to beads that had rolled to another area of the home and were overlooked during clean-up. In some reported cases, the beads had been purchased for, and used by, an older sibling, but a younger child was able to gain access to them. In other reported cases, young children gained access to water beads while at school or in childcare.

Health Canada is aware of several international incidents where children who had ingested water beads sustained life-threatening injuries requiring surgical intervention. In the United States, there have been at least 248 known water bead cases as reported to the National Electronic Injury Surveillance System (NEISS) from January 1, 2017 to November 22, 2022. Of the 248 NEISS incident reports related to water beads: 112 were involved in ingestion, 100 involved ear canal insertion, 35 involved nasal cavity insertion and 1 involved eye injury. From June 20, 2011, to January 31, 2023, Health Canada’s Consumer Product Safety Program received six reports related to water beads. Three of the reports involved an injury, one of which was severe.

What parents and caregivers should do

If you suspect that your child has ingested a water bead, call the Canadian Poison Centre hot line at 1-844-POISON-X.

Monitor for symptoms, such as:

* vomiting,

* abdominal or chest pain,

* abdominal swelling or soreness,

* constipation,

* lethargy,

* drooling,

* difficulty breathing or swallowing, and

* loss of appetite.

If water beads are placed in the nose or ear, seek medical intervention.

Water beads should always be stored in an airtight container out of sight and reach of children, especially those under the age of five.

It is recommended that caregivers of children under five avoid having water beads in their household or classroom, even if intended for an older child or adult use.

If using water beads with children five and up, closely supervise their play.

After using water beads, thoroughly clean the surrounding area and clean up any beads that may have rolled away. Check under furniture, toys and in adjoining rooms for water beads that may have rolled away from their initial location.