Last week, a 1-year-old toddler from upstate New York died after ingesting liquid nicotine. It’s believed he’s the first child in the US to die from the product.

“One teaspoon of liquid nicotine could be lethal to a child, and smaller amounts can cause severe illness, often requiring trips to the emergency department,” the American Association of Poison Control Centers said in a statement on Friday, according to ABC News. “Despite the dangers these products pose to children, there are currently no standards set in place that require child-proof packaging.”

The Association also said that rates of nicotine exposure, either through ingestion, inhalation, or absorption through skin had risen since 2011, when there were only 271 exposures. As of Nov. 30, there had already been 3,638 exposures in 2014.