the people who use our products. Our laundry pacs are a highly concentrated detergent meant to clean clothes and they're used safely in millions of households every day. They should only be used to clean clothes and kept up, closed and away from children. We have been consistently proactive in providing consumers with the right usage guidance and tools to enable them to use the product safely." Tide further stated, "They [pods] should not be played with, whatever the circumstance is, even if it is meant as a joke." Ann Marie Buerkle from the U.S. Consumer Product Safety Commission went on Good Morning America and commented on the meme, saying, "teens trying to be funny are now putting themselves in danger by ingesting this poisonous substance." Buerkle added, "This is what started out as a joke on the internet and now it's just gone too far." Following the growth of the meme, YouTube and Facebook started removing (and age-restricting, for YouTube) videos that depicted people eating Tide Pods or videos about the eating of Tide Pods. Following the meme's popularization on Twitter and Reddit, many media publications wrote articles discussing the phenomenon, while warning against eating Tide Pods. In January 2018, The Washington Post stated that the AAPCC reported 37 cases of pod ingestion among teenagers so far that year, half of them intentional. A related Internet meme, "Tide Pod-Chan", a moe anthropomorphization of a Tide Pod in a Japanese school uniform, was created in order to warn against pod consumption. Tide later partnered with American football player Rob Gronkowski, having him issue the message: "What the heck is going on, people? Use Tide Pods for washing. Not eating. Do not eat." Physiological and toxicological impacts The majority of cases involving exposure to laundry detergent pods are due to ingestion. As a result, nausea, vomiting, and diarrhea are the most common effects. "Dysphagia secondary to oropharyngeal and esophageal mucosal burns and ulcers" may also happen as a result of ingestion. Other impacts resulting from pod consumption include seizures, detriments to the respiratory system, and renal and electrolyte abnormalities. In 2012, the Carolinas Poison Center and the Poison Control Center at the Children's Hospital of Philadelphia received reports of children experiencing "vomiting, mental status changes, and respiratory distress after ingesting the contents of laundry detergent pods." The hospital noted that "swallowing conventional detergent might result in mild stomach upset, but with