The American Red Cross Puerto Rico chapter published official safety recommendations for Halloween celebrations. ^[1] The Journal of the American Medical Association states child pedestrian fatality risk is more than double on Halloween compared to other days of the year. ^[2] Halloween alcohol related traffic fatalities increase; party hosts are advised to provide non-alcoholic drinks and arrange safe transport for guests. ^[3] Recommended safe costume practices include using face makeup instead of masks, light coloured fabric, reflective tape, fire resistant materials, avoiding loose trailing fabric, and avoiding decorative contact lenses. ^[4] The American Red Cross recommended adult inspection of all candy collected by children before consumption ^[5]