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How common is infant botulism from honey?

Author

Sarah Smith

Published Jan 10, 2026

Honey can be contaminated with Clostridium botulinum spores and is the only food implicated in infant botulism. International surveys have shown approximately 2 to 7% of honey samples contain C. botulinum spores. Parents and caregivers should not give honey to infants less than one year of age.

What are the chances of a baby getting botulism from honey?

The researchers found that 2.1 percent of the samples contained the bacteria responsible for producing the botulinum neurotoxin. The researchers also noted that their results are in line with results from other countries. Infants and children under 12 months are at the highest risk of developing botulism from honey.

How common is botulism in babies?

About 100 babies a year in the United States will develop infant botulism. It can affect babies up to age 1, but is most common between three weeks and six months. It's so rare most doctors will go their whole careers without ever seeing it.

Can a drop of honey cause botulism?

Infant botulism can also occur if a baby eats food in which C. botulinum spores have multiplied and produced the toxin. Infant botulism has been associated with raw honey. Avoid giving raw honey — even a tiny taste — to babies under age 1.

What happens if my baby eats honey?

Giving honey to babies under 12 months has been associated with a rare, but serious, condition called infant botulism. Infant botulism is caused by exposure to the spores of a bacteria. Clostridium botulinum bacteria spores can grow and multiply in your baby's intestines.

18 related questions found

How long does it take for infant botulism to set?

If infant botulism is related to food, such as honey, problems generally begin within 18 to 36 hours after the toxin enters the baby's body. Signs and symptoms include: Constipation, which is often the first sign. Floppy movements due to muscle weakness and trouble controlling the head.

Can infant botulism be cured?

It develops when a baby ingests C. botulinum spores, which are present in honey and soil. Infant botulism causes muscle weakness, which can lead to difficulty eating and breathing. If doctors catch infant botulism early, they can successfully treat it with no long-term ill effects for the child.

When do symptoms of infant botulism appear?

Symptoms generally begin 12-36 hours after eating contaminated food, but may occur as early as a few hours and as late as 10 days. Symptoms of botulism in infants may occur up to 14 days later.

Is pasteurized honey Safe for Babies?

The Problem with Honey for Babies

Honey—especially raw honey, but pasteurized kinds are not considered safe either—can contain a bacteria called Clostridium botulinum. This bacteria, when and ingested and multiplied, produces toxins that can cause something called infant botulism.

What are the signs of botulism in babies?

Patients with infant botulism may present with some or all the following signs and symptoms:

  • Constipation.
  • Poor feeding.
  • Ptosis.
  • Sluggish pupils.
  • Flattened facial expression.
  • Diminished suck and gag reflexes.
  • Weak and altered cry.
  • Respiratory difficulty and possibly respiratory arrest.

How long after eating honey do babies get botulism?

Your baby may also be irritable, have trouble breathing, or have a weak cry. A few babies may also experience seizures. Symptoms typically show up within 12 to 36 hours of eating contaminated foods and often begin with constipation. However, some infants with botulism may not show signs until 14 days after exposure.

Is there a test for infant botulism?

In cases of possible infant botulism, the doctor may ask if the child has eaten honey recently and has had constipation or sluggishness. Analysis of blood, stool or vomit for evidence of the toxin may help confirm an infant or foodborne botulism diagnosis.

Why is honey OK after 1 year?

Is this true? Yes, babies younger than 1 year old should not be given honey. Clostridium bacteria that cause infant botulism usually thrive in soil and dust. They also can contaminate some foods — honey, in particular.

Does honey always cause botulism?

Honey can contain the bacteria that causes infant botulism, so do not feed honey to children younger than 12 months. Honey is safe for people 1 year of age and older. Learn more about infant botulism from the Infant Botulism Treatment and Prevention Program .

What foods carry botulism?

Low-acid foods are the most common sources of botulism linked to home canning. These foods have a pH level greater than 4.6. Low-acid foods include most vegetables (including asparagus, green beans, beets, corn, and potatoes), some fruits (including some tomatoes and figs), milk, all meats, fish, and other seafood.

How common is botulism in canning?

Although it's a rare occurrence, botulism is generally associated with improper home canning, but may still be found in some consumer food products. It's a serious illness that paralyzes muscles and can even lead to death.

How common is infant botulism Australia?

Botulism is a rare but potentially fatal condition that causes progressive and often rapid weakness. In Australia, there is typically only one case of botulism reported per year.

How common is infant botulism UK?

Infant botulism is a very rare disease in the UK and as such may not always be considered as a diagnosis leading to possible delays in treatment. There have only been a total of 17 cases since the first reported case in 1978 until the end of 2013 and no reported cases from 2014 until September 2017.

Can babies get botulism from Honey Nut Cheerios?

Honey is a potential source of Clostridium botulinum spores, which are able to multiple in your baby's intestines and develop into infant botulism. Watch out for foods with honey such as Honey Nut Cheerios and Honey Maid graham crackers.

What should you do if you suspect botulism?

In foodborne botulism, symptoms generally begin 18 to 36 hours after eating a contaminated food. If you or someone you know has symptoms of botulism, immediately see your doctor or go to the emergency room.

What happens if a baby have honey before 1?

Infant botulism is caused by a toxin (a poison) from Clostridium botulinum bacteria, which live in soil and dust. The bacteria can get on surfaces like carpets and floors and also can contaminate honey. That's why babies younger than 1 year old should never be given honey.

Can my 10 month old have graham crackers?

Before your child is 12 months old, do not give him or her any foods containing honey, including yogurt with honey and cereals and crackers with honey, such as honey graham crackers.

What is the mortality rate of botulism?

Incidence of botulism is low, but the mortality rate is high if prompt diagnosis and appropriate, immediate treatment (early administration of antitoxin and intensive respiratory care) are not given. The disease can be fatal in 5 to 10% of cases.

Can my 11 month old have honey?

The general warning is that you should not feed honey to infants under 12 months of age. For a child under 12 months of age, there is a risk of botulism from eating honey and it should be avoided. 1 The spores of the Clostridium botulinum bacteria can be found in honey.

Can I give my 2 year old honey for a cough?

Honey. For older toddlers, honey works by thinning congestion and loosening a cough. People can give a toddler aged 1 or over a spoonful of honey, as needed, to relieve cough symptoms. The Cough Expert Panel says that honey may be better than an antihistamine (diphenhydramine) or no treatment for coughs.