How can cyanide affect children?

Like adults, children can be exposed to cyanide by breathing air, drinking water, touching soil or water, or eating foods that contain cyanide, but the amounts are usually low. Breathing second-hand tobacco smoke is a more important source of cyanide exposure for children. Serious exposures can occur when children accidentally eat certain fruit pits, such as apricot kernels, containing a cyanide-releasing substance. A high blood level of thiocyanate is a sign of cyanide exposure in children, as well as adults. If a pregnant mother is exposed to cyanide, for example, by exposure to tobacco smoke, the fetus will be exposed to both cyanide and thiocyanate crossing the placenta. Animal studies show that cyanide and thiocyanate can be transferred into milk and pass to nursing baby animals, and suggest that this may also occur in humans.
Effects reported in exposed children are like those seen in exposed adults. Children who ate large quantities of apricot pits, which naturally contain cyanide as part of complex sugars, had rapid breathing, low blood pressure, headaches, and coma, and some died. Cyanide has not been reported to directly cause birth defects in people. However, among people in the tropics who eat cassava root, children have been born with thyroid disease because of the mothers' exposure to cyanide and thiocyanate during pregnancy. Birth defects occurred in rats that ate cassava root diets, and harmful effects on the reproductive system occurred in rats and mice that drank water containing sodium cyanide.