Health officials in Quebec are looking at possibly banning grilled cheese sandwiches at elderly care facilities after at least two residents died after choking on them.

A coroner concluded earlier this year that the sandwich appears to pose a particular choking risk to the elderly. The Quebec Health Department says it is wrapping up a comprehensive review of the risks of choking on food in the province’s facilities. A spokesperson says the department isn’t focusing on grilled cheese in particular but rather on wider measures to reduce choking and improve patient safety.