According to the American Academy of Pediatrics, food accounts for half of choking incidents in small children. To help prevent this, they’ve highlighted which foods pose the biggest risk to children under the age of 4:

1. Nuts

Nuts can easily get caught in a child’s airway due to their size. To add to this, tiny teeth might not be able to handle chewing whole nuts, so avoid giving them nuts altogether. Sometimes, the shells from the nuts can restrict airways too. Before giving your child nuts, you should wait until they’re well over the age of 4, can sit while eating, and have learned how to chew their food completely.

2. Candy

Besides leading to cavities, hard candy such as lollipops send thousands of kids to the ER every year. Even a small piece can get stuck in a child’s throat. Avoid giving hard candy and marshmallows to your child until they’re over the age of 5 and can chew thoroughly.

3. Grapes

Due to their size and slippery texture, grapes are a major choking hazard. Doctors suggest a no-grape policy for kids under 4 or cutting them into quarters before serving them to children. Similarly shaped foods like cherries should also be avoided at this age.

4. Hot Dogs

According to John Hopkins, one of the biggest threats to kids under the age of 3 is hot dogs – even if you cut them up. Choking on a small piece of hot dog can lead to hospitalization if you’re not careful. If you still want to give a small child hot dogs, make sure to cut them into thin strips.

5. Meat and Cheese Chunks

Like hot dogs, chunks of cheese and meat are difficult for growing toddlers to chew. Food should be diced so that it’s no larger than ½ inch, and your child should be supervised at all times while eating these foods.

6. Peanut Butter

Nut butters can get stuck to the roof of the mouth and the throat. For kids under 2, skip the globs of peanut butter and other nut butters. When serving to toddlers, spread a thin layer of it onto bread or crackers.

7. Gum

Chewing gum can cause dangerously sticky situations for small children. They’re prone to trying to swallow it or accidentally inhaling it while chewing. Don’t give gum to small children at all.

8. Veggies and Fruits

Vegetables should be cooked until soft, and cut into small pieces that are no larger than ½ inch in size. It’s suggested to avoid stringy veggies such as celery or string beans altogether. Chunks of raw vegetables or fruits, such as carrots or apples, should be avoided until the children have learned to chew.

9. Popcorn

Popcorn shouldn’t be given to children until they’re at least 4. Many toddlers and infants have to visit the ER each year due to kernels getting lodged in their airways.