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Drug regulators in Zimbabwe, Rwanda and Tanzania have announced the recall of a shipment of Benylin baby syrup made by the US-based Johnson & Johnson unit Kenvue, following similar actions by South Africa and Nigeria over alleged toxicity.

Nigeria’s health authority found dangerously high levels of diethylene glycol in children’s cough syrup last week, a toxic substance that can cause severe symptoms including abdominal pain, vomiting, and kidney injury, potentially leading to death.

Johnson & Johnson has previously faced scrutiny in Africa for the alleged harmful effects of its products. Last year, Rwanda’s FDA recalled the company’s baby powder over cancer risk concerns.