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The brand is actually Polkadot Bar. And they’ve become increasingly common in the psychedelic grey market. As more states open up laws around cannabis, Polkadot Bars and a range of other magic mushroom containing-candies – including One-Up Bars, Holy Grail Bars, Magic Bars and Mushie Gummies – have become common, under-the-counter offerings in cannabis boutiques, smoke shops and corner bodegas. The bars come in a range of flavours, from Ferrero Rocher, Twix and Fruity Pebbles to matcha, blueberry acai and “strawnana”.

The cartoonish Wonka Bar-like packaging may entice the average child, who, as in the case of the Florida six-year-old, may well eat an entire bar without heeding that each package “contains 4 grams of mushroom”.

“I have noticed a disturbing number of social media posts of Instagram profiles, promoting the availability of psilocybin chocolates/candies for sale,” says Dr Daniel Sudakin, a board-certified medical toxicologist working in Oregon, which recently instituted a legal framework for psilocybin therapy clinics statewide. “Similar to cannabis edibles, if psilocybin products look like candy and/or are labeled like candy, and have no protective packaging, it is inevitable that these products will get into the wrong hands.”

Earlier this year, in the heart of Pennsylvania’s Amish Country, a man was charged with child endangerment after a three-year-old in his care consumed the bulk of a psychoactive candy bar, procured from an unattended backpack. Emergency responders noted that the child, who had been vomiting, was woozy, semi-alert and nauseous. Recently, in central Tennessee, several middle-schoolers were sent to a local hospital after ingesting mushroom chocolate.

This is hardly a new phenomenon. An early modern account of accidental mushroom poisoning can be found in the reporting of the English physician Dr Edward Brande. In a 1799 letter to the London Medical and Physical Journal, he reported on his eight-year-old son unknowingly consuming a “tea saucerful” of hallucinogenic fungi, and being beset in turn by “a great degree of stupor” and “fits of immoderate laughter”. More contemporary data confirms similar effects: confusion, nausea, lethargy and hallucinations.

“When you’re looking at toxicology you’re looking at how much you’re ingesting compared to the patient’s body size,” says Dr Meghan Martin, a paediatric emergency medicine specialist at Johns Hopkins All Children’s hospital in St Petersburg, Florida. The toxicological risks of overdosing are, thankfully, vanishingly small, but there is danger of risky behaviour when children are unsupervised, and of vivid hallucinations. “Because kids have a smaller body size, the effects that we see on a child are potentially greater.” Martin notes that the effects typically do not require medical treatment beyond observation, except in the event of “significant hallucinations”, in which case the children may require sedation.

“A lot of the times the kiddos are seeing things they’re usually scared of,” she says. “It’s bugs and snakes and monsters. They have very vivid imaginations.”

Jimmy Leonard, assistant director of the Maryland poison control center in Baltimore and co-author of an exhaustive survey of psychedelic incidents across America’s poison control centers explains that children admitted for accidental ingestion can often not be easily reasoned with. “How do you say to a two-year-old, ‘Yes, you are tasting colours?’” he says. “Essentially, if they are incredibly high, they are inconsolable.”

Data provided to the Guardian by the National Poison Data System shows a modest uptick in children under the age of 12 admitted to poison centres for accidentally ingesting hallucinogenic mushrooms: from 12 cases in December 2022 up to 22 in April 2023. (The data does not distinguish between children who consumed whole, dried mushrooms and those who ingested the drugs in candy form.) Of these cases, 91.3% occurred at the patients’ residences. These are not exactly alarming, “think-of-the-children” numbers. (Some may consider 22 cases, in a nation with 50 million-plus children under age 12, “statistically irrelevant”.) None were fatal. Martin notes that psychological risks are actually decreased in children, as their exposure to these drugs is usually accidental and a one-off occurrence. “Generally a limited ingestion, once or twice, would not have significant long-term issues.”

For all their trippy, mind-expanding and (more recently) therapeutic potential, magic mushrooms are relatively safe. In fact, a 2017 Global Drug Survey showed magic mushrooms were “one of the safest drugs in the world”, with only 0.2% of adult respondents requiring medical treatment. Like other psychedelics, magic mushrooms are generally not considered addictive. But even the modest increase in incidence –and the more notable proliferation of these candies more generally – speaks to larger issues in the country’s emerging, normalised-but-unregulated, destigmatised-but-not-quite-decriminalised psychedelics market.