Eating the ironically risky symbol of long life is the latest thing that requires extra caution during the pandemic.

New Year’s is a pretty laid-back time in Japan. Most people spend most of the first three days of January at home, starting the year off with a focus on relaxation and family…and, in some cases, choking to death.

Mochi rice cakes are a traditional new year’s food, because their extremely stretchy nature is thought to be symbolic of longevity. Ironically, though, every year a number of people in Japan have their lives come to an abrupt end when a piece of mochi gets clogged in their throat and they suffocate before they can get medical attention.

Mochi is an annual culinary threat, but health experts are warning that this year it has the potential to be even deadlier than usual. The reason, as with so many unpleasant things these days, is the coronavirus, though at least we can be thankful that the virus hasn’t started infecting mochi batches. Instead, the added danger comes from hospitals crowded with coronavirus-infected patients receiving treatment.

Time is of the essence in treating suffocation victims, but with hospital staff and infrastructure more taxed than usual, response times (from calling an ambulance to receiving in-hospital treatment) will likely be slower, experts warn. Considering that many new year’s mochi choking victims in January 2020 were already unconscious when they arrived at the hospital, additional delays could be fatal, and so even greater levels of caution when eating mochi are being called for as we head into 2021.