The Associated Press reports that British authorities are contemplating taking custody of an 8 year-old boy, Connor, who weighs three times an 8 year-old’s average weight.

An unidentified health official was quoted as telling The Sunday Times that taking custody of Connor would be a last resort, but said the family had repeatedly failed to attend appointments with nurses, nutritionists and social workers.

“Child abuse is not just about hitting your children or sexually abusing them, it is also about neglect,” the official was quoted as saying.