(WSVN) - The U.S. Food and Drug Administration is issuing a warning for parents and caregivers against the dangers posed by honey-filled pacifiers or pacifiers dipped in honey.

The FDA said four infants have been hospitalized with botulism. According to the Texas Department of State and Health Services, each child had a pacifier filled with honey that was bought in Mexico, though they note the same pacifiers are available in the U.S. as well.

Botulism is a rare but serious illness caused by a toxin that attacks the body’s nerves and causes difficulty breathing, muscle paralysis, and even death.

The FDA says honey is a known source of one of the bacterias that causes botulism.

Infants are incredibly susceptible to the disease due to their undeveloped digestive systems. As a result, the FDA says parents and caregivers should not give honey or honey products to children younger than 12 months old.

According to the Texas Health Department, honey-filled pacifiers are not common in the United States, but they may be available in specialty stores or online.

Officials also recommend avoiding pacifiers filled with any other food substance.

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