Health officials in California are worried over a new trend of intoxication that sees teenagers drinking hand sanitizers to induce the effect of intoxication similar to drinking a couple of shots of hard liquor.
As many as six California teenagers were hospitalised with alcohol poisoning last month, and two last weekend alone, from drinking hand sanitizer.
"This is a rapidly emerging trend," ABC News quoted Cyrus Rangan, medical toxicology consultant for Children's Hospital Los Angeles, as saying in a news conference.
About 2,600 cases have been reported in California since 2010, but it's become a national problem.
"It's not just localized to us," Helen Arbogast, an injury prevention coordinator in the trauma program at Children's Hospital Los Angeles, said.
"Since 2009 we can see on YouTube it's in all regions of the country. We see it in the South, in the Midwest, in the East," Arbogast said.
Liquid hand sanitizer is 62 to 65 percent ethyl alcohol, or ethanol, the main ingredient in beer, wine and spirits, making it 120-proof. To compare, a bottle of vodka is 80-proof.
"A few swallows is all it takes to get a person to get the intoxicated effects of alcohol," Rangan said.
According to doctors, ingesting hand sanitizer can produce the same side effects as consuming large amounts of alcohol - slurred speech, unresponsiveness, possibly falling into a coma state.
Rangan warned that long-term use could lead to brain, liver and kidney damage.
Teenagers use salt to break up the alcohol from the sanitizer to get a more powerful dose. These distillation instructions can be found on the Internet in tutorial videos that describe in detail how to do it.
Other troubling videos have surfaced online showing kids laughing as they purposely ingested sanitizer, many boasting of fulfilling a dare.
"Methods to distill it can be found through friends and the Internet, but straight ingestion of the product without distillation is also common," Rangan said.
Sean Nordt, director of toxicology at the USC Los Angeles County Emergency Department, told ABC News it used to get reports of children accidentally consuming small amounts of hand sanitizer, but now the trend is toward purposeful ingestion by those who cannot purchase or obtain alcohol legally.
"We get worried about children getting into these, but it is different from an adolescent who is trying to drink half a bottle to get drunk," Nordt said.
And it's a tough problem to combat, as hand sanitizer is inexpensive and seems to be available at the entrance of every door. Young people can buy pocket-size bottles, which can be the equivalent of two-three shots of hard liquor, or huge tubs at most markets and stores.