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USA: Outbreak of Lung Illness Associated with Using E-cigarette Products - 1,479 cases, 33 fatalities

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  • Ronan Kelly
    replied
    First vaping related death in Nashville confirmed: TN DOH, Metro Public Health Dept.
    by Jason HallThursday, October 17th 2019


    The Metro Public Health Department and the Tennessee Department of Health confirmed the first reported death from a vaping associated disease in Nashville on Thursday.

    An adult male suffered a severe pulmonary illness associated with the use of electronic cigarettes.
    ...
    https://fox17.com/news/local/first-v...ic-health-dept

    Leave a comment:


  • Ronan Kelly
    replied
    Outbreak of Lung Injury Associated with E-Cigarette Use, or Vaping

    Español (Spanish)

    CDC, the U.S. Food and Drug Administration (FDA), state and local health departments, and other clinical and public health partners are investigating a multistate outbreak of lung injury associated with use of e-cigarette, or vaping, products.

    If you have questions about CDC’s investigation into the lung injuries associated with use of electronic cigarette, or vaping, products, contact CDC-INFO or call 1-800-232-4636.

    General Public
    For the Public
    Health Care Providers
    For Healthcare Providers
    Health Departments
    For Health Departments
    Updated October 17, 2019 at 3:00 PM ET

    What We Know
    • As of October 15, 2019, 1,479* lung injury cases associated with the use of e-cigarette, or vaping, products have been reported to CDC from 49 states (all except Alaska), the District of Columbia, and 1 U.S. territory.
    • Thirty-three deaths have been confirmed in 24 states.
    • All patients have reported a history of using e-cigarette, or vaping, products.
    • We do know that THC is present in most of the samples tested by FDA to date, and most patients report a history of using THC-containing products.
    • The latest national and state findings suggest products containing THC, particularly those obtained off the street or from other informal sources (e.g. friends, family members, illicit dealers), are linked to most of the cases and play a major role in the outbreak.
    • As such, we recommend that you should not use e-cigarette, or vaping, products that contain THC.
    • Since the specific causes or causes of lung injury are not yet known, the only way to assure that you are not at risk while the investigation continues is to consider refraining from use of all e-cigarette, or vaping, products
    • The use of e-cigarettes, or vaping, products is unsafe for all ages, including youth and young adults. Nicotine is highly addictive and can harm adolescent brain development, which continues into the early to mid-20s.

    On This Page



    What We Don't Know
    • At this time, FDA and CDC have not identified the cause or causes of the lung injuries in these cases, and the only commonality among all cases is that patients report the use of e-cigarette, or vaping, products.
    • No one compound or ingredient has emerged as the cause of these illnesses to date; and it may be that there is more than one cause of this outbreak. Many different substances and product sources are still under investigation. The specific chemical exposure(s) causing lung injuries associated with e-cigarette product use, or vaping, remains unknown at this time

    book icon
    Resources
    device icon
    Digital Press Kit

    What CDC Recommends
    • CDC recommends that people should not:
      • Use e-cigarette, or vaping, products that contain THC.
      • Buy any type of e-cigarette, or vaping, products, particularly those containing THC, off the street.
      • Modify or add any substances to e-cigarette, or vaping, products that are not intended by the manufacturer, including products purchased through retail establishments.
    • Since the specific cause or causes of lung injury are not yet known, the only way to assure that people are not at risk while the investigation continues is to consider refraining from use of all e-cigarette and vaping products. There is no safe tobacco product. All tobacco products, including e-cigarettes, carry a risk.
    • If you are an adult using e-cigarettes, or vaping, products, to quit smoking, do not return to smoking cigarettes. Adults addicted to nicotine using e-cigarettes should weigh all risks and benefits, and consider utilizing FDA-approved nicotine replacement therapies.
    • If people continue to use an e-cigarette, or vaping, product, carefully monitor yourself for symptoms and see a healthcare provider immediately if you develop symptoms like those reported in this outbreak.
    • Irrespective of the ongoing investigation:
      • E-cigarette, or vaping, products should never be used by youths, young adults, or women who are pregnant.
      • Adults who do not currently use tobacco products should not start using e-cigarette, or vaping, products.
      • THC use has been associated with a wide range of health effects, particularly with prolonged heavy use. The best way to avoid potentially harmful effects is to not use THC, including through e-cigarette, or vaping, products. Persons with marijuana use disorder should seek evidence-based treatment by a health care provider.
      • There is no safe tobacco product. All tobacco products, including e-cigarettes, carry a risk.
      • CDC will continue to update guidance, as appropriate, as new data emerges from this complex outbreak.

    Top of Page

    Key Facts about E-Cigarette Use, or Vaping
    • Electronic cigarettes — or e-cigarettes — are also called vapes, e-hookahs, vape pens, tank systems, mods, and electronic nicotine delivery systems (ENDS).
    • Using an e-cigarette product is commonly called vaping.
    • E-cigarettes work by heating a liquid to produce an aerosol that users inhale into their lungs.
    • The liquid can contain: nicotine, tetrahydrocannabinol (THC) and cannabinoid (CBD) oils, and other substances and additives. THC is the psychoactive mind-altering compound of marijuana that produces the “high”.

    Top of Page

    Latest Outbreak Information

    Updated every Thursday
      • As of October 15, 2019, 1,479* lung injury cases associated with e-cigarette use, or vaping, have been reported to CDC from the District of Columbia, 1 U.S. territory (USVI), and 49 states (all except Alaska).
      • Thirty-three deaths have been confirmed in 24 states: Alabama, California (3), Connecticut, Delaware, Florida, Georgia (2), Illinois, Indiana (3), Kansas (2), Massachusetts, Michigan, Minnesota (3), Mississippi, Missouri, Montana, Nebraska, New Jersey, New York, Oregon (2), Pennsylvania, Tennessee, Texas, Utah, and Virginia. More deaths are under investigation.
        • The median age of deceased patients was 44 years and ranged from 17 to 75 years.
      • Among 1,358 patients with data on age and sex:
        • 70% of patients are male.
        • The median age of patients is 23 years and ages range from 13 to 75 years.
        • 79% of patients are under 35 years old.
        • By age group category:
          • 15% of patients are under 18 years old;
          • 21% of patients are 18 to 20 years old;
          • 18% of patients are 21 to 24 years old;
          • 25% of patients are 25 to 34 years old; and
          • 21% of patients are 35 years or older.
    • To date, national and state data suggest that products containing THC, particularly those obtained off the street or from other informal sources (e.g., friends, family members, or illicit dealers), are linked to most of the cases and play a major role in the outbreak.
    • All patients have a reported history of e-cigarette product use, or vaping, and no consistent evidence of an infectious cause has been discovered. Therefore, the suspected cause is exposure to a chemical or chemicals.
    • The specific chemical exposure(s) causing lung injuries associated with e-cigarette use, or vaping, remains unknown at this time.
    • Among 849 patients with information on substances used in e-cigarette, or vaping, products in the 3 months prior to symptom onset**:
      • About 78% reported using THC-containing products; 31% reported exclusive use of THC-containing products.
      • About 58% reported using nicotine-containing products; 10% reported exclusive use of nicotine-containing products.
    • This complex investigation spans almost all states, involves over a thousand patients, and involves a wide variety of brands and substances and e-cigarette, or vaping, products. Case counts continue to increase and new cases are being reported, which makes it more difficult to determine the cause or causes of this outbreak.

    Top of Page

    What CDC is Doing
    • CDC is working 24/7 to identify the cause or causes of this outbreak through partnerships with states and other federal agencies.
    • CDC has activated the Emergency Operations Center (EOC) to coordinate activities and provide assistance to states, public health partners and clinicians around the nation.
    • CDC’s Lung Injury response efforts are committed to:
      • Identify and define the risk factors and the source for lung disease associated with e-cigarette product use, or vaping.
      • Detect and track confirmed and probable cases in the US.
      • Communicate actionable recommendations to state, local, and clinical audiences.
      • Establish lab procedures that can assist with the public heath investigation and patient care.
    • CDC continues to work closely with FDA, states, public health partners, and clinicians on this investigation by providing consultation and technical assistance to states on communication, health alerts, public outreach, and surveillance.
    • CDC is maintaining an outbreak webpage with key messages and weekly updates on case counts, deaths, and resources.
    • CDC is holding congressional briefings, media telebriefings, and regular calls with health departments, clinicians to provide timely updates.
    • CDC worked with states to create primary and out-of-hospital case definitions to classify confirmed and probable cases in a consistent way. States are in the process of classifying patients. We expect that states and clinicians may look back for past lung injury cases based on CDC’s case definition CDC will report numbers of confirmed and probable lung injury cases once states have finalized their classification of cases.
    • By invitation, CDC has deployed Epidemic Intelligence Service (EIS) officers and other CDC staff to support states.
    • CDC is offering additional laboratory testing.
      • CDC is currently validating targeted methods to test chemicals in bronchoalveolar lavage (BAL) fluid, blood, or urine and has received initial samples.
      • CDC is testing pathologic specimens, including lung biopsy or autopsy specimens, associated with patients.
      • CDC is also validating methods for aerosol emission testing of case-associated product samples from e-cigarette, or vaping, products and e-liquids. Initial data from product sample testing has guided the need for these additional assays.
      • Results may provide insight into the nature of the chemical exposure(s) contributing to this outbreak.
    • CDC developed guidance documents for were created to assist public health laboratories, healthcare providers, and pathologists, and others, with specimen collection, storage, and submission.
    • For more information and resources visit For the Public, For Healthcare Providers and For State and Local Health Departments as well as our Publications and Resources page.

    * The increase in lung injury cases from last week represents both new patients and recent reporting of previously-identified patients to CDC.

    ** Based on complete reports received.
    Top of Page


    Top of Page

    Dates of symptom onset and hospital admission for patients with lung injury associated with e-cigarette use, or vaping — United States, March 31–October 12, 2019



    Top of Page

    https://www.cdc.gov/tobacco/basic_in...ak-information

    Leave a comment:


  • Ronan Kelly
    replied
    Teen becomes first vaping-related death recorded in Montana
    by The Associated PressWednesday, October 16th 2019


    Montana health officials say a teenager has died of a lung disease associated with a national outbreak of vaping-related illnesses.



    MISSOULA, Mont. — Montana health officials say a teenager has died of a lung disease associated with a national outbreak of vaping-related illnesses.

    Montana Department of Public Health and Human Services officials said Tuesday that the teenager died of severe pulmonary disease, and is the state's first recorded death connected to e-cigarette use.
    ...
    https://nbcmontana.com/news/local/of...ath-in-montana

    Minnesota reports 2 more deaths from vaping-related illnesses
    The first patient vaped a number of products, including illegal THC, while the second patient had severe underlying conditions and is believed to have vaped unknown products in addition to nicotine.
    Written By: Forum News Service | Oct 16th 2019 - 10am.

    ST. PAUL — Two more Minnesotans have died due to complications from severe lung injuries associated with vaping, the Minnesota Department of Health reported Wednesday.

    In an Oct. 16 news release, the Health Department said the latest two deaths involved people over the age of 50. Both died in September after complicated hospitalizations. The patients had difficulty breathing, which prompted their hospitalizations, the release said.
    ...
    https://www.grandforksherald.com/lif...inda+Pierce%29

    Leave a comment:


  • Ronan Kelly
    replied
    Indiana sees two more deaths related to vaping, bringing total to three
    Shari Rudavsky, Indianapolis StarPublished 4:49 p.m. ET Oct. 10, 2019 | Updated 5:42 p.m. ET Oct. 10, 2019

    Vaping has been marketed as a healthy option to traditional smoking. But federal and state health officials have issued warnings and data that dispel that notion. Dwight Adams, dwight.adams@indystar.com


    Two more Indiana residents have died of lung illness related to vaping, which brings the total number of deaths in the state to three, the Indiana State Department of Health said Thursday.

    Although 26 deaths have occurred in 21 states across the nation, not counting Indiana's two most recent deaths, only the state of California has had as many deaths as Indiana, according to the Centers for Disease Control and Prevention.
    ...
    https://www.indystar.com/story/news/...ts/3935075002/

    Leave a comment:


  • Ronan Kelly
    replied
    Indiana vaping-related deaths now up to 3
    POSTED 2:05 PM, OCTOBER 10, 2019, BY FOX59 WEB, UPDATED AT 04:47PM, OCTOBER 10, 2019


    LAFAYETTE, Ind.– Indiana now has two more deaths of severe lung injuries linked to a history of e-cigarette use.

    The Indianapolis State Department of Health (ISDH) said the latest deaths bring Indiana to three since September 6.

    “These deaths are heartbreaking,” said State Health Commissioner Kris Box, M.D., FACOG. “I urge anyone who is using these products to consider stopping, especially if you are vaping THC.”
    ...
    https://fox59.com/2019/10/10/second-...ecanoe-county/

    Texas records 1st death linked to e-cigarette use
    by Associated PressThursday, October 10th 2019

    DALLAS (AP) — Health officials in Texas say the state has recorded its first death associated with vaping-related lung illnesses.

    The Texas Department of State Health Services confirmed Wednesday that an older woman in north Texas died last week from a lung disease associated with using electronic cigarettes. The agency says the state has also identified 95 confirmed or probable cases of lung illnesses linked to vaping.
    ...
    https://wwmt.com/news/nation-world/t...-cigarette-use
    Outbreak of Lung Injury Associated with E-Cigarette Use, or Vaping

    Español (Spanish)

    Table of Contents
    Posted October 10, 2019 at 1:00pm ET

    CDC, the U.S. Food and Drug Administration (FDA), state and local health departments, and other clinical and public health partners are investigating a multistate outbreak of lung injury associated with use of e-cigarette, or vaping, products.

    If you have questions about CDC’s investigation into the lung injuries associated with use of electronic cigarette, or vaping, products, contact CDC-INFO or call 800-232-4636.


    What we know
    • As of October 8, 2019, 1,299* lung injury cases associated with the use of e-cigarette, or vaping, products have been reported to CDC from 49 states, the District of Columbia, and 1 U.S. territory.
    • Twenty-six deaths have been confirmed in 21 states.
    • All patients have reported a history of using e-cigarette, or vaping, products.
    • Most patients report a history of using THC-containing products. The latest national and regional findings suggest products containing THC play a role in the outbreak.
    • Approximately 70% of patients are male.
    • Approximately 80% of patients are under 35 years old.
      • 15% of patients are under 18 years old
      • 21% of patients are 18 to 20 years old

    On This Page
    book icon
    Resources
    device icon
    Digital Press Kit
    For the Public: What You Need to Know
    Lots of hands reaching together
    For Healthcare Providers
    Doctor standing with arms crossed
    For State and Local Health Departments
    person at computer

    What we don’t know
    • The specific chemical exposure(s) causing lung injuries associated with e-cigarette use, or vaping, remains unknown at this time.
    • No single product or substance has been linked to all lung injury cases.
      • The outbreak is occurring in the context of a dynamic marketplace for e-cigarette, or vaping, products, which may have a mix of ingredients, complex packaging and supply chains, and include potentially illicit substances.
      • Users may not know what is in their e-cigarette or e-liquid solutions. Many of the products and substances can be modified by suppliers or users. They can be obtained from stores, online retailers, from informal sources (e.g. friends, family members), or “off the street.”
    • More information is needed to know whether one or more e-cigarette or vaping products, substances, or brands is responsible for the outbreak.
    Top of Page

    What CDC recommends
    • While this investigation is ongoing, CDC recommends that you consider refraining from using e-cigarette, or vaping, products, particularly those containing THC.
    • If you are an adult who used e-cigarettes containing nicotine to quit cigarette smoking, do not return to smoking cigarettes.
    • If you have recently used an e-cigarette or vaping product and you have symptoms like those reported in this outbreak, see a healthcare provider.
    • Regardless of the ongoing investigation:
      • Anyone who uses e-cigarette, or vaping, products should not buy these products (e.g., e-cigarette or vaping products with THC or CBD oils) from informal sources (e.g. friends, family members) or “off the street,” and should not modify or add any substances to these products that are not intended by the manufacturer.
      • Youth and young adults should not use e-cigarette, or vaping, prod­ucts.
      • Women who are pregnant should not use e-cigarette, or vaping, products.
      • Adults who do not currently use tobacco products should not start using e-cigarette, or vaping, products.
      • THC use has been associated with a wide range of health effects, particularly with prolonged heavy use. The best way to avoid potentially harmful effects is to not use THC, including through e-cigarette, or vaping, products. Persons with marijuana use disorder should seek evidence-based treatment by a health care provider.
    Top of Page

    Key Facts about E-Cigarette Use, or Vaping
    • Electronic cigarettes – or e-cigarettes — are also called vapes, e-hookahs, vape pens, tank systems, mods, and electronic nicotine delivery systems (ENDS).
    • Using an e-cigarette product is commonly called vaping.
    • E-cigarettes work by heating a liquid to produce an aerosol that users inhale into their lungs.
    • The liquid can contain: nicotine, tetrahydrocannabinol (THC) and cannabinoid (CBD) oils, and other substances and additives. THC is the psychoactive mind-altering compound of marijuana that produces the “high”.
    Top of Page

    Latest Outbreak Information

    Updated every Thursday
    • As of October 8, 2019, 1,299* lung injury cases associated with e-cigarette use, or vaping, have been reported to CDC from the following states, the District of Columbia, and 1 U.S. territory: AL, AR, AZ, CA, CO, CT, DE, FL, GA, HI, IA, ID, IL, IN, KS, KY, LA, MA, ME, MD, MI, MN, MO, MT, MS, NC, ND, NE, NJ, NH, NM, NV, NY, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VA, VT, WA, WI, WV, WY, and USVI.
    • Twenty-six deaths have been confirmed in 21 states: Alabama, California (3), Connecticut, Delaware, Florida, Georgia (2), Illinois, Indiana, Kansas (2), Massachusetts, Michigan, Minnesota, Mississippi, Missouri, Nebraska, New Jersey, New York, Oregon (2), Pennsylvania, Texas, and Virginia. More deaths are under investigation.
      • The median age of deceased patients was 49 years and ranged from 17 to 75 years.
    • Among 1,043 patients with data on age and sex:
      • 70% of patients are male.
      • The median age of patients is 24 years and ranges from 13 to 75 years.
      • 80% of patients are under 35 years old.
      • By age group category:
        • 15% of patients are under 18 years old;
        • 21% of patients are 18 to 20 years old;
        • 18% of patients are 21 to 24 years old;
        • 26% of patients are 25 to 34 years old; and
        • 20% of patients are 35 years or older.
    • The latest findings from the investigation into lung injuries associated with e-cigarette use, or vaping, suggest products containing THC play a role in the outbreak.
    • All patients have a reported history of e-cigarette product use, or vaping, and no consistent evidence of an infectious cause has been discovered. Therefore, the suspected cause is a chemical exposure.
    • The specific chemical exposure(s) causing lung injuries associated with e-cigarette product use, or vaping, remains unknown at this time.
    • No single product or substance has been linked to all lung injury cases. More information is needed to know whether a single product, substance, brand, or method of use is responsible for the outbreak.
    • Among 573 patients with information on substances used in e-cigarette, or vaping, products in the 3 months prior to symptom onset**:
      • About 76% reported using THC-containing products; 32% reported exclusive use of THC-containing products.
      • About 58% reported using nicotine-containing products; 13% reported exclusive use of nicotine-containing products.
    • This complex investigation spans many states, involves hundreds of patients, and involves a wide variety of substances and e-cigarette, or vaping, products.
    Top of Page

    What CDC is Doing
    • CDC is working 24/7 to identify the cause or causes of this outbreak through partnerships with states and other federal agencies.
    • CDC has activated the Emergency Operations Center (EOC) to coordinate activities and provide assistance to states, public health partners and clinicians around the nation.
    • CDC’s Lung Injury response efforts are committed to:
      • Identify and define the risk factors and the source for lung disease associated with e-cigarette product use, or vaping.
      • Detect and track confirmed and probable cases in the US.
      • Communicate actionable recommendations to state, local, and clinical audiences.
      • Establish lab procedures that can assist with the public heath investigation and patient care.
    • CDC continues to work closely with FDA, states, public health partners, and clinicians on this investigation by providing consultation and technical assistance to states on communication, health alerts, public outreach, and surveillance.
    • CDC is maintaining an outbreak webpage with key messages and weekly updates on case counts, deaths, and resources.
    • CDC is holding congressional briefings, media telebriefings, and regular calls with health departments, clinicians to provide timely updates.
    • CDC worked with states to create a primary and an out-of-hospital case definition to classify confirmed and probable cases in a consistent way. States are in the process of classifying patients. We expect that states and clinicians may look back for past lung injury cases based on CDC’s case definition CDC will report numbers of confirmed and probable lung injury cases once states have finalized their classification of cases.
    • By invitation, CDC has deployed Epidemic Intelligence Service (EIS) officers and other CDC staff to support states.
    • CDC has started collecting and testing clinical lab specimens to learn more about this lung injury.
    • CDC developed guidance documents for were created to assist public health laboratories, healthcare providers, and pathologists, and others, with specimen collection, storage, and submission.
    • For more information and resources visit For the Public, For Healthcare Providers and For State and Local Health Departments. Also available are Publications and Resources.

    *The increase in lung injury cases from last week represents both new patients and recent reporting of previously-identified patients to CDC.

    **Based on complete reports received.
    Top of Page


    Top of Page

    Dates of symptom onset and hospital admission for patients with lung injury associated with e-cigarette use, or vaping — United States, March 31–October 5, 2019


    https://www.cdc.gov/tobacco/basic_in...ak-information

    Comment - The two newly reported deaths from Indiana raise the national toll to 28. - Ro

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  • Ronan Kelly
    replied
    Georgia confirms its 2nd death linked to vaping
    THE ASSOCIATED PRESS
    OCTOBER 09, 2019 07:01 AM, UPDATED 6 HOURS 49 MINUTES AGO
    ATLANTA
    Health officials in Georgia say they have confirmed the state's second death linked to vaping.

    The Georgia Department of Public Health said in a news release Wednesday the person died after being hospitalized for lung injury and had a history of nicotine vaping. No other details were given.
    ...
    https://www.tri-cityherald.com/news/...235948232.html

    Utah's first vaping-related death reported, victim was under 30
    By Alexandria Hein | Fox News


    Health officials in Utah announced the state’s first vape-related death on Wednesday, adding that the victim had “vaped THC prior to their death.” The Utah Department of Health said the victim was under age 30, and died at home without being hospitalized prior to death.


    “The UDOH Office of the Medical Examiner made the final determination as to the cause of death,” the health department said in the news release. “Public health officials investigating the death have determined the individual vaped THC prior to their death. In order to protect the identity of the deceased resident, no further information will be released.”
    ...
    https://www.foxnews.com/health/utah-1st-vaping-death

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  • Ronan Kelly
    replied
    Governor Cuomo says 17-year-old Bronx teen first NY vaping death

    Posted: Oct 8, 2019 / 02:37 PM EDT / Updated: Oct 8, 2019 / 04:05 PM EDT

    NEW YORK STATE (WSYR-TV) — On Tuesday, Governor Andrew Cuomo announced that a Bronx teen is New York’s first vaping-related death.

    The Department of Health says the 17-year-old was first hospitalized in September with a “vaping-associated respiratory illness.” The teen was readmitted to the hospital in late September and then passed away on October 4th.

    The Department of Health says they have received 110 reports of severe pulmonary illness in New York State in people ranging from age 14 to 69 who have used a vaping product at least once.
    ...
    https://www.localsyr.com/news/local-...-vaping-death/

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  • Ronan Kelly
    replied
    Vaping-related death reported in Kings County, second death in Valley

    One person has died due to "complications related to the use of e-cigarettes," the Kings County Department of Public Health reported Monday afternoon.

    By Gilbert Magallon
    Tuesday, October 8, 2019 2:14AM
    FRESNO, Calif. (KFSN) -- Another vaping-related death has been reported in the Central Valley, this time in Kings County.

    The Kings County Department of Public Health said a woman died from a severe lung injury.

    Nancy Gerking with the department says like many, it started with symptoms similar to a common cold. The symptoms including shortness of breath, coughing, chest pain, nausea, fever, vomiting or diarrhea.
    ...
    https://abc30.com/health/vaping-rela...alley/5601183/

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  • Ronan Kelly
    replied
    Department of Health reports 1 vaping death in Pennsylvania, multiple lung injuries
    by CBS21 NewsFriday, October 4th 2019

    HARRISBURG, Pa. — The Pennsylvania Department of Health held a a press conference on Friday to provide an update on lung injuries associated with vaping and to outline steps being taken.

    Officials announced one reported death and nine confirmed lung injury cases in the state due to vaping. There are also 12 probable cases related to vaping. The Center for Disease Control and Prevention are investigating an additional 63 cases in the state. The individuals in the cases have all suffered serious lung injuries and most have been hospitalized.

    Vaping with illegal cartridges containing THC is the main cause of these reported cases, according to officials, but the Department of Health warns against the use of legally purchased products as well.
    ...
    https://local21news.com/news/local/d...iple-illnesses

    MDHHS reports first death in the state from vaping-related lung injury
    by Newschannel 3 Friday, October 4th 2019

    First person in Michigan dies from vaping-related illness amid nationwide outbreak of lung diseases. (WWMT/MGN Online)


    LANSING, Mich. — The Michigan Department of Health and Human Services (MDHHS) Friday announced the first death in connection with the outbreak of vaping-related lung injury in the state. MDHHS officials said the department was notified of the death of an adult male on Wednesday, Oct. 2. The department did not release the name or any other information on the individual due to confidentiality reasons.

    “We are saddened to announce a death associated with this outbreak,” said Dr. Joneigh Khaldun, chief medical executive and chief deputy for health for MDHHS. “To protect public health, we urge people to consider refraining from vaping until the specific cause of the vaping-related severe lung injuries being reported nationwide has been identified."
    ...
    https://wwmt.com/news/state/mdhhs-re...ed-lung-injury



    Leave a comment:


  • Ronan Kelly
    replied
    First vaping-related death reported in Connecticut
    HEALTH by JENNA CARLESSO OCTOBER 3, 2019


    Connecticut health officials on Thursday reported the first death from a vaping-related illness in the state.

    A person between the ages of 30 and 39 is the first to die in Connecticut of a mysterious lung disease linked to vaping, state public health officials said Thursday.

    In addition, the number of vaping-related illnesses here has reached 25, seven more than the last time state leaders provided data less than a week ago.

    The first fatality in Connecticut happened last week. Health officials said the person, whose name was withheld, had been hospitalized for multiple medical conditions.
    ...
    https://ctmirror.org/2019/10/03/firs...n-connecticut/

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  • Ronan Kelly
    replied
    Outbreak of Lung Injury Associated with E-Cigarette Use, or Vaping

    Español (Spanish)

    Related Pages
    Posted October 3, 2019 at 4:00pm ET

    CDC, the U.S. Food and Drug Administration (FDA), state and local health departments, and other clinical and public health partners are investigating a multistate outbreak of lung injury associated with use of e-cigarette, or vaping, products.

    If you have questions about CDC’s investigation into the lung injuries associated with use of electronic cigarette, or vaping, products, contact CDC-INFO or call 800-232-4636.


    What we know
    • As of October 1, 2019, 1,080* lung injury cases associated with using e-cigarette, or vaping, products have been reported to CDC from 48 states and 1 U.S. territory.
    • Eighteen deaths have been confirmed in 15 states.
    • All patients have reported a history of using e-cigarette, or vaping, products.
    • Most patients report a history of using THC-containing products. The latest national and regional findings suggest products containing THC play a role in the outbreak.
    • Approximately 70% of patients are male.
    • Approximately 80% of patients are under 35 years old.
      • 16% of patients are under 18 years old
      • 21% of patients are 18 to 20 years old

    On This Page
    device icon
    Digital Press Kit
    For the Public: What You Need to Know
    Lots of hands reaching together
    For Healthcare Providers
    Doctor standing with arms crossed
    For State and Local Health Departments
    person at computer

    What we don’t know
    • The specific chemical exposure(s) causing lung injuries associated with e-cigarette use, or vaping, remains unknown at this time.
    • No single product or substance has been linked to all lung injury cases.
      • The outbreak is occurring in the context of a dynamic marketplace for e-cigarette, or vaping, products, which may have a mix of ingredients, complex packaging and supply chains, and include potentially illicit substances.
      • Users may not know what is in their e-cigarette or e-liquid solutions. Many of the products and substances can be modified by suppliers or users. They can be obtained from stores, online retailers, from informal sources (e.g. friends, family members), or “off the street.”
    • More information is needed to know whether one or more e-cigarette or vaping products, substances, or brands is responsible for the outbreak.
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    What CDC recommends
    • While this investigation is ongoing, CDC recommends that you consider refraining from using e-cigarette, or vaping, products, particularly those containing THC.
    • If you are an adult who used e-cigarettes containing nicotine to quit cigarette smoking, do not return to smoking cigarettes.
    • If you have recently used an e-cigarette or vaping product and you have symptoms like those reported in this outbreak, see a healthcare provider.
    • Regardless of the ongoing investigation:
      • Anyone who uses e-cigarette, or vaping, products should not buy these products (e.g., e-cigarette or vaping products with THC or CBD oils) from informal sources (e.g. friends, family members) or “off the street,” and should not modify or add any substances to these products that are not intended by the manufacturer.
      • Youth and young adults should not use e-cigarette, or vaping, prod­ucts.
      • Women who are pregnant should not use e-cigarette, or vaping, products.
      • Adults who do not currently use tobacco products should not start using e-cigarette, or vaping, products.
      • THC use has been associated with a wide range of health effects, particularly with prolonged heavy use. The best way to avoid potentially harmful effects is to not use THC, including through e-cigarette, or vaping, products. Persons with marijuana use disorder should seek evidence-based treatment by a health care provider.
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    Key Facts about E-Cigarette Use, or Vaping
    • Electronic cigarettes – or e-cigarettes — are also called vapes, e-hookahs, vape pens, tank systems, mods, and electronic nicotine delivery systems (ENDS).
    • Using an e-cigarette product is commonly called vaping.
    • E-cigarettes work by heating a liquid to produce an aerosol that users inhale into their lungs.
    • The liquid can contain: nicotine, tetrahydrocannabinol (THC) and cannabinoid (CBD) oils, and other substances and additives. THC is the psychoactive mind-altering compound of marijuana that produces the “high”.
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    Latest Outbreak Information

    Updated every Thursday
    • As of October 1, 2019, 1,080* lung injury cases associated with the use of e-cigarette, or vaping, products have been reported to CDC from the following states and 1 U.S. territory: AL, AR, AZ, CA, CO, CT, DE, FL, GA, HI, IA, ID, IL, IN, KS, KY, LA, MA, ME, MD, MI, MN, MO, MT, MS, NC, ND, NE, NJ, NM, NV, NY, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VA, VT, WA, WI, WV, WY, and USVI.
    • Eighteen deaths have been confirmed in 15 states: Alabama, California (2), Delaware, Florida, Georgia, Illinois, Indiana, Kansas (2), Minnesota, Mississippi, Missouri, Nebraska, New Jersey, Oregon (2), and Virginia. More deaths are under investigation.
      • The median age of deceased patients was 49.5 years and ranged from 27-71 years.
    • Among 889 patients with data on age and sex:
      • 70% of patients are male.
      • The median age of patients is 23 years and ranges from 13-75 years.
      • 81% of patients are under 35 years old.
      • By age group category:
        • 16% of patients are under 18 years old;
        • 21% of patients are 18 to 20 years old;
        • 18% of patients are 21 to 24 years old;
        • 26% of patients are 25 to 34 years old; and
        • 19% of patients are 35 years or older.
    • The latest findings from the investigation into lung injuries associated with e-cigarette use, or vaping, suggest products containing THC play a role in the outbreak.
    • All patients have a reported history of e-cigarette product use, or vaping, and no consistent evidence of an infectious cause has been discovered. Therefore, the suspected cause is a chemical exposure.
    • The specific chemical exposure(s) causing lung injuries associated with e-cigarette product use, or vaping, remains unknown at this time.
    • No single product or substance has been linked to all lung injury cases. More information is needed to know whether a single product, substance, brand, or method of use is responsible for the outbreak.
    • Among 578 patients with information on substances used in e-cigarette, or vaping, products in the 3 months prior to symptom onset:
      • About 78% reported using THC-containing products; 37% reported exclusive use of THC-containing products.
      • About 58% reported using nicotine-containing products; 17% reported exclusive use of nicotine-containing products.
    • This complex investigation spans many states, involves hundreds of patients, and involves a wide variety of substances and e-cigarette, or vaping, products.
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    What CDC is Doing
    • CDC is working 24/7 to identify the cause or causes of this outbreak through partnerships with states and other federal agencies.
    • CDC has activated the Emergency Operations Center (EOC) to coordinate activities and provide assistance to states, public health partners and clinicians around the nation.
    • CDC’s Lung Injury response efforts are committed to:
      • Identify and define the risk factors and the source for lung disease associated with e-cigarette product use, or vaping.
      • Detect and track confirmed and probable cases in the US.
      • Communicate actionable recommendations to state, local, and clinical audiences.
      • Establish lab procedures that can assist with the public heath investigation and patient care.
    • CDC continues to work closely with FDA, states, public health partners, and clinicians on this investigation by providing consultation and technical assistance to states on communication, health alerts, public outreach, and surveillance.
    • CDC is maintaining an outbreak webpage with key messages and weekly updates on case counts, deaths, and resources.
    • CDC is holding congressional briefings, media telebriefings, and regular calls with health departments, clinicians to provide timely updates.
    • CDC worked with states to create a case definition to classify confirmed and probable cases in a consistent way. States are in the process of classifying patients. We expect that states and clinicians may look back for past lung injury cases based on CDC’s case definition CDC will report numbers of confirmed and probable lung injury cases once states have finalized their classification of cases.
    • By invitation, CDC has deployed Epidemic Intelligence Service (EIS) officers to states to conduct Epi-Aids.
    • CDC has started collecting and testing clinical lab specimens to learn more about this lung injury.
    • CDC developed guidance documents for were created to assist public health laboratories, healthcare providers, and pathologists, and others, with specimen collection, storage, and submission.
    • For more information and resources visit For the Public, For Healthcare Providers and For State and Local Health Departments.

    *The increase in lung injury cases from last week represents both new patients and recent reporting of previously-identified patients to CDC.
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    Dates of symptom onset and hospital admission for patients with lung injury associated with e-cigarette use, or vaping — United States, March 31–September 28, 2019


    https://www.cdc.gov/tobacco/basic_in...ak-information

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  • Emily
    replied
    https://www.nytimes.com/2019/10/02/h...illnesses.html
    Lung Damage From Vaping Resembles Chemical Burns, Report Says

    By Denise Grady

    Published Oct. 2, 2019Updated Oct. 3, 2019
    All 17 of our cases show a pattern of injury in the lung that looks like a toxic chemical exposure, a toxic chemical fume exposure, or a chemical burn injury,” said Dr. Brandon T. Larsen, a surgical pathologist at the Mayo Clinic in Scottsdale, Ariz. “To be honest, they look like the kind of change you would expect to see in an unfortunate worker in an industrial accident where a big barrel of toxic chemicals spills, and that person is exposed to toxic fumes and there is a chemical burn in the airways.”

    The injuries also look like those seen in people exposed to poisons like mustard gas, a chemical weapon used in World War I, he said.

    Leave a comment:


  • Ronan Kelly
    replied
    DPH Announces Delaware’s First Death Associated with Multi-State Outbreak of Vaping-Related Lung Illnesses
    News | Date Posted: Thursday, October 3, 2019

    DOVER – Today the Delaware Division of Public Health (DPH) hosted a media call to provide an update on its participation in a multi-state investigation into an outbreak of severe pulmonary disease reported across the country. As of September 27, 2019, 46 states, including Delaware, have reported 805 cases of lung injury associated with use of e-cigarette products (e.g., devices, liquids, refill pods, and cartridges).

    Currently in Delaware, there are 11 cases of vaping-related lung injury that meet the Centers for Disease Control and Prevention (CDC) case definition as either probable or confirmed. Additionally, DPH announced today that one of the cases associated with this outbreak involves an individual who died.

    “The Division of Public Health is saddened to announce the first death in Delaware associated with this outbreak,” said DPH Director Dr. Karyl Rattay. “Our thoughts and prayers are with the individual’s family. This death is a harsh reminder that these illnesses are serious and life-threatening. We continue to recommend that individuals consider refraining from vaping or using e-cigarette products. At this time, no vaping is safe.”
    ...
    https://news.delaware.gov/2019/10/03...ung-illnesses/

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  • Ronan Kelly
    replied
    First vaping-related death confirmed in Alabama
    WVTMUpdated: 9:55 AM CDT Oct 2, 2019
    Linda Grantin

    MONTGOMERY, Ala. —
    The Alabama Department of Public Health confirmed a man in East Alabama is the state's first death associated with vaping.
    ...
    As of October 1, there were 19 Alabama residents under investigation. Of the 19 reports, 4 cases have been identified and 9 other reports are still under investigation in Alabama; 3 have been identified as probable cases; 1 confirmed case, of lung disease associated with vaping.
    ...
    https://www.wvtm13.com/article/sherm...nning/29332052

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  • Ronan Kelly
    replied
    New Jersey reports first death linked to vaping
    THE ASSOCIATED PRESS
    OCTOBER 01, 2019 01:25 PM, UPDATED OCTOBER 01, 2019 01:26 PM
    TRENTON, N.J.
    New Jersey health officials say the state has had its first death tied to vaping.

    The Health Department said in a statement Tuesday that a woman from northern New Jersey died in August. Her identity and details surrounding her death were not released.
    ...
    https://www.tri-cityherald.com/news/...235684637.html

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