באגף הרפואה של איחוד הצלה מציינים כי ילדים קטנים אינם מנוסים בלעיסת ואכילת פירות, קטניות ופיצוחים ומערכת הבליעה שלהם עדיין איננה מסוגלת להכיל אותם. למרבה הצער בשנים קודמות נקראו מתנדבי איחוד הצלה למספר רב של מקרים במהלך ט"ו בשבט עקב מקרי חנק במהלך אכילת פירות יבשים שבאורח נס הסתיימו בנפגעים קל.
בהנחיות שמוציא אגף הרפואה של "איחוד הצלה" נכתב, "אין להגיש לילדים קטנים פיצוחים למיניהם, בעיקר גרעינים ובוטנים, הידועים כעלולים לגרום לחסימת דרכי הנשימה ובכך להביא ח"ו לחנק, כמו כן צריך לשים לב ולעקוב גם בהגשת פירות יבשים כמו: צימוקים, חמוציות תאנים מיובשות, תמרים ומשמשים יבשים, היות ומרקמם הדביק עלול לגרום לחנק".
אלון בסקר מנהל אגף רפואה באיחוד הצלה אומר: "הדרך למנוע חנק בקרב ילדים קטנים, היא, להקפיד על כך שילד יישב בזמן האוכל ליד השולחן ולא יתרוצץ וישחק בעת שהאוכל נמצא בפיו. כמו כן יש לחתוך את האוכל לחתיכות קטנות ולהקפיד ללמד את הפעוטות ללעוס היטב את המזון, אם ההורים ישכילו וינקטו בכללי הבטיחות והזהירות הנדרשים, האסון הבא יכול בעז"ה להימנע".
יצויין כי במשרד הבריאות ההוראה היא כי "יש להימנע מלתת לילדים עד גיל 4 את כל סוגי הפיצוחים, פוקפוקרן, וזיתים עם חרצנים".
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