The Insider’s Guide to Healthy Hawaii: Skip the Masks, Sort the Candy, and 7 Other Tricks for a Safe Halloween

Use these tips to avoid spooky holiday hazards on the trick-or-treat trail.

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Halloween is a magical day for many children, and a few precautions will help keep it that way. According to the US Census Bureau, more than 41 million children between the ages of 5 and 14 trick-or-treat each year, including thousands of Hawaii’s keiki. With so many youngsters scampering from door-to-door, it’s no surprise hospitals see an influx of visits from costume-clad kids.

Luckily, many of these Halloween-related bumps and bruises can be prevented. To ensure the day is filled with fun, follow these safety precautions from Douglas Holtzman, MD, a pediatric emergency medicine physician at Summerville Medical Center in Summerville, South Carolina.

Medically reviewed in May 2019.

Pick the Right Costume

2 / 10 Pick the Right Costume

Dr. Holtzman recommends parents purchase flame-retardant costumes to avoid an accident should a kid bump a candle-lit jack-o’-lantern in a rush to the candy bowl that awaits.

Burns are among the most common Halloween-related hospital visits, according to the American Academy of Pediatrics (AAP). There are nearly twice as many fires caused by open flames during Halloween than on any other day, and they’re primarily caused by flickering candles. Flame-retardant or -resistant costumes and accessories can help keep kids safe, as can keeping a lookout for potentially dangerous decorations.

Find the Perfect Fit

3 / 10 Find the Perfect Fit

Scraped knees and stubbed toes are a normal part of childhood, but tripping on a costume that is too big or drags along the ground can cause more serious injuries. Sprains, fractures, lacerations, and abrasions are also common Halloween injuries, all of which can be caused by trips and falls. Costumes that fit properly can minimize these risks.

Don't overlook footwear. Slippers are great for the beach but might not be the best option for longer treks like trick-or-treating. Pick well-fitting shoes with Velcro straps, or double knot the laces and retie as soon as they come loose.

Skip the Swords

4 / 10 Skip the Swords

Samurai swords and throwing stars may seem like awesome accessories—until someone gets hurt. The cost of a playful sword fight with a handheld prop that's too long or too sharp could easily result in an injury. Accessories also limit a child’s ability to catch themselves should they stumble.

Look for props that are soft and flexible. If you can’t find a safer option, fasten the prop to your child’s costume or, better yet, leave it at home.

Embrace the Power of the Paint

5 / 10 Embrace the Power of the Paint

Kids love to hide their identities on Halloween, but the downside is masks limit a child’s vision, especially when crossing the street.

If a mask is a must, instruct your child to remove his mask when crossing the street. Non-toxic face paint and a well-fitting hat are festive and less dangerous alternatives. “You want to make sure they have good visibility, so they don’t miss steps or curbs or trip and fall, all for the sake of the mask,” says Holtzman.

Before creating your child's Halloween look, test the paint on a small patch of skin a day or two before to avoid an allergic reaction.

Get the Glow

6 / 10 Get the Glow

In addition to making sure your child can see, take extra steps to be sure your child is visible to drivers and other pedestrians. “They need to see and be seen,” says Holtzman.

Kids tend to have very strong opinions about their Halloween costumes, but you can encourage brightly colored and reflective costumes. If your child insists on dressing in black as a Ninja warrior, you can add reflective tape to the front and back of the costume, as well as your child’s plastic pumpkin or trick-or-treat bag.

Other ways to brighten the night? “There are lots of good options, from pumpkin flashlights to flashing bracelets or glow sticks,” says Holtzman.

Know Your Area

7 / 10 Know Your Area

Stay in well-lit areas without too much road traffic, especially when taking younger children out. Choose neighborhoods with sidewalks that are populated with other trick-or-treaters, where drivers, seeing packs of kids, will be reminded to slow down. Avoid busy intersections—the "haunted" house that requires a race across a highly traveled road just isn’t worth it.

Use the Buddy System

8 / 10 Use the Buddy System

Children younger than 10 years old should be with a parent or an older, responsible sibling or friend on the trick-or-treat trail. Older kids who may be out without parental supervision should visit houses with porch lights and never enter anyone’s home. You should also insist that they trick-or-treat with a group of two or more friends.

Your community may also offer kid-friendly Halloween events, too. In Aiea, Pearlridge Center hosts indoor trick-or-treating for children 12 and under while downtown Lahaina has a keiki costume parade annually. Other malls and shopping centers around the state may also have keiki-friendly events. Additionally, “there are lots of places that do ‘trunk-or-treat,’ where kids trick-or-treat out of the back of people's cars,” says Holtzman. Trunk-or-treat usually takes place in school and church parking lots, where parents can decorate the trunks of their cars and let kids collect candy.

Swap Treats for Toys

9 / 10 Swap Treats for Toys

It’s tough to find healthy candy options on Halloween, but other treats can be just as fun. The Teal Pumpkin Project promotes inclusion for kids with nut allergies by handing out non-edible treats like stickers and bubbles. “Kids love bubbles, stickers and glow sticks,” says Holtzman. “Just be careful not to give out treats that could be choking hazards to little ones.”

If you let your child enjoy some sweets Halloween night, candies like Skittles or Starburst are typically nut-free, but double check the ingredients to be safe.

Sort the Stash

10 / 10 Sort the Stash

Parents have long been warned against hazards lurking in their child’s loot and encouraged to check kids’ candy as soon as they arrive home. “If anything looks remotely suspicious or like it may have been tampered with, throw it away immediately,” says Holtzman. To be on the safe side, throw away any fruit, like apples.

He also suggests separating treats by type. “That way you can ration the amount of sugar intake,” he says. Many treats, even the fun-sized candies, are loaded with calories and fat, so knowing how much and what kind of candy you kids are munching is a good idea.

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