When Can Babies Have Honey?

Toddler eating

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Since 2008, lots of changes have been made to the rules of when babies can have certain foods. You might be surprised to learn that the American Academy of Pediatrics (AAP) has reclassified many foods that used to be no-nos for babies until they were older as fine for babies after they begin eating solid foods.

However, that is not the case with honey or products made from honey.

Honey for Babies After Age One

The recommendation for when babies can have honey continues to be after age one. That includes both honey in its raw form and foods cooked or baked with honey. The AAP Pediatric Nutrition Handbook states, "Infants younger than 12 months should avoid all sources of honey." That statement makes it pretty clear that anything containing honey should be off limits, including honey cereals.

Why Honey Is Considered Unsafe For Babies

The reason to delay honey is not because of a concern over food allergies or choking hazards, but of a serious disease called infant botulism. Infant botulism is caused when a baby ingests spores from a bacterium called Clostridium botulinum.

This bacteria produces a toxin inside the baby's digestive tract that can be absorbed into the body and have serious effects on the baby's muscle control. In extreme cases, which are rare, the breathing muscles can become paralyzed. If mechanical assistance is not provided, the baby could die. Signs and symptoms of infant botulism include:

  • Constipation
  • Flat facial expression
  • Lethargy in feeding or a weak sucking
  • Weak cry
  • Decreased movement
  • Trouble swallowing or excessive drooling
  • Muscle weakness
  • Breathing problems

Why Honey Is Considered Safe After Age One

Maybe you are wondering why honey is not safe for babies under age one but fine for everyone else. The answer lies in the maturity of the baby's digestive tract. Young babies do not have the intensity of acids in the digestive system which helps fend off the toxins that the bacteria produce. So while adults and children can handle small amounts of exposure, it is not the case with babies.

Baked Goods Made With Honey

Baked goods made with honey are still off limits too. Even the high temperatures of cooking and baking will not destroy the botulism spores. For this reason, you shouldn't give your baby baked goods or cooked foods containing honey either.

Arguments Against Waiting a Year

However, there are certainly those that would argue that these guidelines are overly cautious. They might point to the fact that other cultures outside the United States introduce honey to babies on a regular basis. Further, they might point out that the incidence of infant botulism from honey exposure is a very low risk.

In the United States, fewer than 200 cases are reported yearly, and most of these infants recover fully after treatment. If you are considering introducing honey before your baby turns 1 year old, be sure to talk with your pediatrician and listen to what they advise.

But the statistics certainly do teach us that caution may be prudent. Before guidelines for preventing infant botulism were advocated, 395 cases of infant botulism were reported to the Center for Disease Control from 1976 to 1983. Most of those babies required hospitalization in order to recover, and sadly 11 of the babies died.

Why risk something so serious, yet so preventable? Have your baby wait until after their first birthday to enjoy honey and foods containing honey.

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Article Sources
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  1. AAP Handbook. Remind families: honey can cause infant botulism. Updated November 19, 2018.

  2. Abdulla CO, Ayubi A, Zulfiquer F, Santhanam G, Ahmed MA, Deeb J. Infant botulism following honey ingestionBMJ Case Rep. 2012;2012:bcr1120115153. doi:10.1136/bcr.11.2011.5153

  3. Cleveland Clinic. Botulism. Updated May 14, 2018.

  4. CDC. National botulism surveillance summary, 2017. Updated January 15, 2020.

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