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USA: Outbreak of Lung Illness Associated with Using E-cigarette Products - 2,668 hospitalized cases, 60 fatalities

Ronan Kelly

Ronan Kelly

Retired 2020
Another death from lung illness linked to vaping reported
By Michael Nedelman, CNN

Updated 10:42 PM ET, Tue September 3, 2019

(CNN)Oregon health officials are investigating a death from severe respiratory illness that could be linked to vaping, according to an announcement made Tuesday by the Oregon Health Authority.

The individual in Oregon, who died in July, had recently vaped products containing cannabis purchased at a dispensary, according to the announcement.
Last month, the Illinois Department of Public Health announced the first such death amid a growing number of similar lung illnesses across the country.
...
The report comes after US health officials revealed new national figures on Friday: As of August 27, there are at least 215 possible cases in 25 states of severe lung disease that could be caused by vaping -- with additional cases still under investigation, according to a statement by the US Centers for Disease Control and Prevention and the US Food and Drug Administration.
...
https://www.cnn.com/2019/09/03/health/ecigarettes-vaping-death-lung-disease-oregon-bn/index.html
 
3rd vaping-related death reported, CDC vows to find out 'what is making people sick'
ByWILLIAM MANSELLSep 6, 2019, 3:48 PM ET


As vaping-related illnesses and deaths continue to climb, the Centers for Disease Control and Prevention is vowing to work with state and federal agencies to figure out what is causing many e-cigarette users to become ill.

“We are working around the clock to find out what is making people sick,” Ileana Arias, the CDC's acting deputy director of non-infectious diseases, told reporters Friday. "The focus of the investigation is narrowing, but we are still faced with complicated questions in this outbreak."

A third person has died from an e-cigarette-related lung illness and another death is under investigation, the CDC said.

The CDC also said it is aware of 450 possible vaping-related cases in 33 states, including the 215 that have been previously reported. While vaping has been around for more than a decade, the CDC said the recent spike in illnesses started around May and June of this year.

The Los Angeles County Department of Public Health announced it's investigating the county's first known death of a person associated with e-cigarette use. Officials said there are 12 known cases of pulmonary illnesses related to vaping in Los Angeles County. It is unclear if the vaping-related death in Los Angeles is the death the CDC is investigating.

Indiana health officials reported the third known vaping-related death on Friday. As with the previous vaping-related deaths, the patient’s name, age and city were not released publicly.
...
https://abcnews.go.com/US/vaping-rel...ry?id=65435098

Health officials confirm first vaping-related death in Indiana

The Indiana State Department of Health has confirmed the first death of an adult Indiana resident due to severe lung injury who reported vaping.



September 6, 2019 at 10:57 AM CDT - Updated September 6 at 11:38 AM
INDIANA (WFIE) - Health officials have reported the first vaping-related death in Indiana.

The Indiana State Department of Health has confirmed the first death of an adult Indiana resident due to severe lung injury who reported vaping.

Nationally, this is the third reported death. Previous deaths have been reported in Illinois and Oregon.
...
https://www.14news.com/2019/09/06/he...death-indiana/

CDC: Vaping linked to 4 deaths, 450 reported illnesses
Melissa Jenco, News Content Editor
Four people have died from vaping-related lung illnesses, and the number of possible cases has grown to 450, according to the Centers for Disease Control and Prevention (CDC).

“While the investigation is ongoing, CDC has advised that individuals consider not using e-cigarettes because as of now, this is the primary means of preventing severe lung disease,” said Dana Meaney-Delman, M.D., M.P.H., incident manager for the CDC’s 2019 Lung Injury Response. “Of course, e-cigarette use is never safe for youth, young adults and pregnant women.”

The deaths occurred in Illinois, Oregon, Indiana, and Minnesota. Cases have been reported in 33 states and one territory.
...
https://www.aappublications.org/news...gillness090619

MN Health Officials Confirm State's 1st Vaping Related Death
September 06, 2019 01:43 PM

(ABC 6 News) - Health officials confirmed Friday the first vaping related death in Minnesota.

In a press release the Minnesota Department of Health said the person who died was over 65 years old and died in August after a long and complicated hospitalization.

The Minnesota State Epidemiologist, Dr. Ruth Lynfield, said the patient had a history of underlying lung disease and was hospitalized with a severe lung injury that had progressed to include other conditions.
...
https://www.kaaltv.com/news/minnesota-health-officials-vaping-related-death-latest/5482881/
[FONT=&quot]Initial State Findings Point to Clinical Similarities in Illnesses Among People Who Use E-cigarettes

No single product linked to all cases of lung disease

Press Release
Embargoed Until: Friday, September 6, 2019, 1:00 p.m. ET
Contact: Media Relations
(404) 639-3286


Initial findings from the investigation into serious lung illnesses associated with e-cigarette products point to clinical similarities among those affected. Patients report similar exposures, symptoms and clinical findings and these align with the CDC health advisory released last week. While many of the patients, but not all, reported recent use of THC-containing products, some reported using both THC- and nicotine-containing products. A smaller group reported using nicotine only.
No evidence of infectious diseases has been identified in these patients, therefore lung illnesses are likely associated with a chemical exposure. However, it is too early to pinpoint a single product or substance common to all cases, according to authors of articles published today in the CDC’s Morbidity and Mortality Weekly Report (MMWR) and the New England Journal of Medicine.
“We are committed to finding out what is making people sick,” said Robert R. Redfield, MD, director of the Centers for Disease Control and Prevention. “All available information is being carefully analyzed, and these initial findings are helping us narrow the focus of our investigation and get us closer to the answers needed to save lives.”
CDC, FDA, and state partners are combining information about e-cigarette exposures, results from FDA testing of product samples, and clinical testing results to identify a cause or causes of these illnesses.
“The FDA appreciates the continued collaboration between our federal and state public health partners to get to the bottom of these distressing incidents and gather more information about any products or substances used. We are leaving no stone unturned in following any potential leads and we’re committed to taking appropriate actions as the facts emerge,” said Acting FDA Commissioner Ned Sharpless, M.D. “Our laboratory is working closely with our federal and state partners to identify the products or substances that may be causing the illnesses and have received more than 120 samples from the states so far. The FDA is analyzing these for a broad range of chemicals but no one substance, including Vitamin E acetate, has been identified in all of the samples tested. Importantly, identifying any compounds present in the samples will be one piece of the puzzle but won’t necessarily answer questions about causality, which makes our ongoing work critical.”
CDC launched a multistate investigation into the lung illnesses on August 1, 2019, and has worked closely since then with FDA, states and other public health partners, and clinicians to determine the cause. As of today, more than 25 states have reported possible cases of lung illnesses associated with use of e-cigarette products (e.g., devices, liquids, refill pods, and cartridges).
At least two deaths have been reported to CDC. Additional cases of lung illness are being investigated to determine whether they are linked to e-cigarette use and have similar clinical features. This includes looking back for older cases based on CDC’s case definition. States are in the process of classifying possible cases, and this information will be reported next week.
What CDC is doing
CDC has created an incident command structure to respond to these illnesses and is working with FDA and states to investigate whether the illnesses may be linked to specific devices, ingredients, or contaminants in the devices, or substances associated with e-cigarette product use. On August 30, 2019, states were asked to submit data to CDC about lung illnesses associated with e-cigarette product use, as well as information about the types of e-cigarette products used. CDC is currently receiving data from affected states and will share updates as more information becomes available.
What health care providers can do
CDC encourages clinicians to immediately report possible cases of e-cigarette-associated lung disease to their local or state health department for further investigation. If e-cigarette product use is suspected as a possible cause for a patient’s lung disease, a detailed history of the substances used, the sources, and the devices used should be obtained, as outlined in the HAN (Health Alert Network), and efforts should be made to determine if any remaining product, devices, and liquids are available for testing.
What the public can do
While this investigation is ongoing, people should consider not using e-cigarette products. People who do use e-cigarette products should monitor themselves for symptoms (e.g., cough, shortness of breath, chest pain, nausea, vomiting, abdominal pain, fever) and promptly seek medical attention for any health concerns. Regardless of the ongoing investigation, people who use e-cigarette products should not buy these products off the street and should not modify e-cigarette products or add any substances that are not intended by the manufacturer. E-cigarette products should never be used by youth, young adults, pregnant women, or adults who do not currently use tobacco products.
If you are concerned about your health after using an e-cigarette product, contact your health care provider, or you can also call your local poison control center at 1-800-222-1222. Health care providers also can contact their local poison control center.
CDC and FDA encourage the public to submit detailed reports of any unexpected health or product issues related to tobacco or e-cigarette products to the FDA via the online Safety Reporting Portalexternal icon.
The reports released today in CDC’s MMWR include “Severe Pulmonary Disease Associated with Electronic-Cigarette-Product Use – Interim Guidance” by CDC authors and “Notes from the Field: An outbreak of e-cigarette associated acute lipoid pneumonia — North Carolina, July–August, 2019,” from North Carolina clinicians. The New England Journal of Medicine today released “Preliminary Report: Pulmonary disease associated with e-cigarette use, Illinois and Wisconsin,” with authors from the two states and CDC co-authors.
More information about the investigation is available on the CDC website.[/FONT]

[FONT=&quot] [/FONT]
[FONT=&quot]CDC works 24/7 protecting America’s health, safety and security. Whether disease start at home or abroad, are curable or preventable, chronic or acute, or from human activity or deliberate attack, CDC responds to America’s most pressing health threats. CDC is headquartered in Atlanta and has experts located throughout the United States and the world.[/FONT]​
[FONT=&quot] [/FONT]







[FONT=&quot]Page last reviewed: September 6, 2019 Content source: Centers for Disease Control and Prevention[/FONT]
​



https://www.cdc.gov/media/releases/2...d-illness.html
 
[FONT=&quot] [h=1]Outbreak of Lung Illness Associated with Using E-cigarette Products[/h] [/FONT]
[FONT=&quot] [h=2]Investigation Notice[/h] Posted September 6, 2019 at 4:30pm ET
CDC, 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 severe pulmonary disease associated with e-cigarette product (devices, liquids, refill pods, and/or cartridges) use. This investigation is ongoing and has not identified a cause, but all reported cases have a history of using e-cigarette products.
E-cigarettes are devices that deliver an aerosol to the user by heating a liquid that usually contains nicotine, flavorings, and other chemicals. E-cigarettes can also be used to deliver marijuana or other substances.





On This Page



Latest Outbreak Information
  • As of September 6, 2019, over 450 possible cases of lung illness associated with the use of e-cigarette products have been reported to CDC from the following 33 states and 1 U.S. territory: AR, CA, CO, CT, DE, FL, GA, IA, IL, IN, KS, KY, LA, MD, MI, MN, MT, NC, NE, NJ, NM, NY, OH, OR, PA, SC, TN, TX, UT, VA, VT, WI, WV, and the U.S. Virgin Islands). These numbers may change frequently.
  • Four deaths have been confirmed in Illinois, Indiana, Minnesota, and Oregon.
  • CDC worked with states to create a case definition to classify cases in a consistent way. State investigators determine if cases are confirmed or probable after examining the medical records of suspected cases and consulting with the clinical care team to exclude other possible causes. Unlike nationally reportable conditions, these cases are requiring clinicians and public health to interview patients to determine product use and individual behaviors.
  • CDC will report numbers of confirmed and probable cases once states have finalized their classification of cases.
  • We expect that states and clinicians may look back for older cases based on CDC?s case definition. States are in the process of classifying current possible cases as well as older cases.
  • No evidence of infectious diseases has been identified; therefore lung illnesses are likely associated with a chemical exposure. Initial published reports from the investigation point to clinical similarities among cases. Patients report e-cigarette use and similar symptoms and clinical findings. These align with the CDC health advisory released August 30, 2019.
  • The investigation has not identified any specific substance or e-cigarette product that is linked to all cases. Many patients report using e-cigarette products with liquids that contain cannabinoid products, such as tetrahydrocannabinol (THC).
  • These investigations are ongoing. CDC will provide updates when more information is available.
Map of Reported Cases

lung-illness-map-0906-650x423.jpg






Recommendations for the Public

While this investigation is ongoing, consider not using e-cigarette products.
If you do use e-cigarette products and you experience symptoms like those reported in this outbreak, seek medical care promptly. CDC and the FDA will continue to alert the public throughout this investigation.
Regardless of the ongoing investigation:
  • Youth and young adults should not use e-cigarette products.
  • Women who are pregnant should not use e-cigarette products.
  • Adults who do not currently use tobacco products should not start using e-cigarette products.
  • If you do use e-cigarette products, you should not buy these products off the street (for example, e-cigarette products with THC or other cannabinoids).
  • You should not modify e-cigarette products or add any substances to these products that are not intended by the manufacturer.
  • Adult smokers who are attempting to quit should use evidence-based treatments, including counseling and FDA-approved medications. If you need help quitting tobacco products, including e-cigarettes, contact your doctor or other medical provider.
If you are concerned about your health after using an e-cigarette product, you can also call your local poison control center at 1-800-222-1222.
CDC and FDA encourage the public to submit detailed reports of any unexpected health or product issues related to tobacco or e-cigarette products to the FDA via the online Safety Reporting Portal.


Symptoms of Severe Pulmonary Disease Reported by Some Patients in This Outbreak
  • Patients in this investigation have reported symptoms such as:
    • cough, shortness of breath, or chest pain
    • nausea, vomiting, or diarrhea
    • fatigue, fever, or weight loss
  • Some patients have reported that their symptoms developed over a few days, while others have reported that their symptoms developed over several weeks. A pulmonary infection does not appear to be causing the symptoms, which have generally not improved with antibiotic treatment alone.

Recommendations for Healthcare Providers

As this investigation continues, CDC encourages clinicians to report possible cases of e-cigarette-associated pulmonary disease to their local or state health department for further investigation.
If e-cigarette product use is suspected as a possible cause for a patient?s lung disease, a detailed history of the substances used, the sources, and the devices used should be obtained, as outlined in the HAN, and efforts should be made to determine if any remaining product, devices, and liquids are available for testing.


Recommendations for Local and State Public Health Departments

CDC encourages local and state health departments to notify CDC about possible cases promptly, and contact CDC for the most recent versions of the surveillance case definitions, reporting guidelines, and case investigation forms.
Local and state public health departments that need data collection tools should email CDC at eocevent101@cdc.gov.


Investigation Details

August 30, 2019
CDC, several states, and federal partners are investigating a multistate outbreak of severe pulmonary disease associated with using e-cigarette products. The investigation is ongoing and has not identified a cause, but all reported cases have indicated use of e-cigarette products.
Based on reports from several states, patients have experienced respiratory symptoms (cough, shortness of breath, or chest pain), and some have also experienced gastrointestinal symptoms (nausea, vomiting, or diarrhea) or non-specific symptoms (fatigue, fever, or weight loss). Some patients have reported that their symptoms developed over a few days, while others have reported that their symptoms developed over several weeks. Some patients have reported gastrointestinal symptoms began before respiratory symptoms. Fever, elevated heart rate, and elevated white blood cell count have been reported, even though no infectious disease has been identified. Many patients sought medical care in ambulatory settings, sometimes over several visits, before they were admitted to the hospital.
Many patients have required medical treatment with supplemental oxygen. Some required assisted ventilation. Some patients have been treated with corticosteroids with demonstrated improvement. Evidence does not suggest an infectious disease is the cause of the severe pulmonary disease. Antibiotic therapy alone has not consistently been associated with clinical improvement.
Investigation of the Outbreak
CDC, FDA, state and local health departments, and other clinical and public health partners are investigating a multistate outbreak of pulmonary disease associated with e-cigarette product (devices, liquids, refill pods, and/or cartridges) use. This ongoing investigation seeks to identify the exposures, demographic, clinical, and laboratory features and behaviors of patients. All patients have reported e-cigarette product use. Some patients have reported using e-cigarettes containing cannabinoid products, such as THC. To date, the investigation has not identified any single substance or e-cigarette product that has been consistently associated with illness.
State health departments are working with FDA to enable collection of e-cigarette product specimens for testing at the U.S. FDA Forensic Chemistry Center.




Key Resources



[/FONT]
https://www.cdc.gov/tobacco/basic_information/e-cigarettes/severe-lung-disease.html
 
LA County Reports Its First Death Stemming From Vaping
The U.S. Centers for Disease Control and Prevention issued a warning Friday morning, urging people to consider refraining from the use of e-cigarettes
By City News Service
Published 3 hours ago | Updated 39 minutes ago

Los Angeles County public health officials announced on Friday the county's first death stemming from the use of e-cigarettes, or vaping.

It's believed to be the fourth such death nationwide. (actually 5th - CDC announcement above reports 4 others. - Ro)

Details of the death were expected to be released at a Friday afternoon news conference. Public health officials said there have been a total of 12 cases in the county of illnesses stemming from e-cigarettes, with the illness dubbed vaping-associated pulmonary injury, or VAPI.

The Los Angeles County death is believed to be the fourth connected to vaping nationally. Authorities in Indiana on Friday morning announced a vaping-related death, and deaths were previously reported in Illinois and Oregon.
...
https://www.nbclosangeles.com/news/...ping-Los-Angeles-County-Health-559595781.html
 
Kansas death is the sixth linked to vaping in the US
Officials are investigating 450 cases of vaping-related lung illness across 33 states

September 10, 2019 at 1:20 pm
By Matthew Lavietes | Reuters

A Kansas resident was the sixth person to die in the United States of a mysterious respiratory illness related to vaping, state officials said on Tuesday, as public health officials scrambled to understand a nationwide health problem.

?It is time to stop vaping,? Kansas State Health Officer Dr. Lee Norman Norman said in a statement. ?If you or a loved one is vaping, please stop.?


U.S. public health officials are investigating 450 cases of vaping-related lung illness across 33 states and one U.S. territory. The nationwide investigation led by the U.S. Centers for Disease Control and Prevention and the U.S. Food and Drug Administration has not linked the illnesses to any specific e-cigarette product.
...
https://www.mercurynews.com/2019/09/10/kansas-death-is-the-sixth-linked-to-vaping-in-the-us/
 
[FONT=&quot] [h=1]Outbreak of Lung Disease Associated with E-Cigarette Use, or Vaping[/h] [/FONT]
[FONT=&quot]
Related Pages
[/FONT]
[FONT=&quot] Posted September 12, 2019 at 6:15pm 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 disease associated with e-cigarette product (devices, liquids, refill pods, and/or cartridges) use.


Key Facts about E-Cigarette Use, or Vaping
  • Electronic cigarettes ? or e-cigarettes ? are also called vapes, e-hookahs, vape pens, 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.
On This Page



For the Public: What You Need to Know

For Healthcare Providers

For State and Local Health Departments




What we know
  • There are 380* cases of lung illness reported from 36 states and 1 U.S. territory. Six deaths have been reported from 6 states.
  • All reported cases have a history of e-cigarette product use or vaping.
  • Most patients have reported a history of using e-cigarette products containing THC. Many patients have reported using THC and nicotine. Some have reported the use of e-cigarette products containing only nicotine.

What we don?t know
  • We do not yet know the specific cause of these illnesses. The investigation has not identified any specific e-cigarette or vaping product (devices, liquids, refill pods, and/or cartridges) or substance that is linked to all cases.



What CDC recommends
  • CDC has released interim recommendations for healthcare providers, health departments, and the public.
  • Until we know more, if you are concerned about these specific health risks, CDC recommends that you consider refraining from using e-cigarette or vaping products.
  • 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:



Latest Outbreak Information on Lung Disease Associated with Electronic Cigarettes
  • As of September 11, 2019 at 5pm, 380* cases of lung illness associated with the use of e-cigarette products have been reported to CDC from the following states and 1 U.S. territory: AR, CA, CO, CT, DE, FL, GA, HI, IA, ID, IL, IN, KS, KY, LA, MD, MI, MN, NC, ND, NE, NJ, NM, NV, NY, OH, OR, SC, SD, TN, TX, UT, VA, WA, WI, WV, and USVI. These numbers may change frequently.
  • Six deaths have been confirmed in California, Illinois, Indiana, Kansas, Minnesota, and Oregon.
  • CDC worked with states to create a case definition to classify confirmed and probable cases in a consistent way. State investigators determine if cases are confirmed or probable after examining the medical records of suspected cases and consulting with the clinical care team to exclude other possible causes of illness. Unlike nationally reportable conditions, these cases are requiring clinicians and public health professionals to interview patients to determine product use and individual behaviors.
  • CDC will report numbers of confirmed and probable cases once states have finalized their classification of cases.
  • States are in the process of classifying cases. We expect that states and clinicians may look back for older cases based on CDC?s case definition.
  • All patients have a reported history of e-cigarette product use, and no consistent evidence of an infectious cause has been discovered. Therefore, the suspected cause is a chemical exposure.
  • Most patients have reported a history of using e-cigarette products containing THC. Many patients have reported using THC and nicotine. Some have reported the use of e-cigarette products containing only nicotine.
  • No consistent e-cigarette or vaping product, substance, or additive has been identified in all cases, nor has any one product or substance been conclusively linked to lung disease in patients.
  • Initial published reports from the investigation point to clinical similarities among cases. Patients reported a history of e-cigarette use and had similar symptoms and clinical findings. These align with the CDC health advisory released August 30, 2019.
  • These investigations are ongoing. CDC will provide updates when more information is available.
*The previous case count was higher because it reported possible cases that were under investigation by states. The current number includes only confirmed and probable cases reported by states to CDC after classification.


[/FONT]
https://www.cdc.gov/tobacco/basic_i...lung-disease.html#latest-outbreak-information
 
E-cigarette-related death reported in Tulare County

A person has died after complications related to using e-cigarettes in Tulare County, a Tulare County Public Health official confirmed Monday afternoon.

By Gilbert Magallon
Tuesday, September 17, 2019 2:16AM
FRESNO, Calif. (KFSN) -- Vaping health concerns are hitting close to home.

The Tulare County Public Health Office confirmed an adult died from a lung illness linked to e-cigarettes on Saturday.

"It seems that any vaping is a risk," said Tulare County Public Health Officer, Dr. Karen Haught.

It is now the second vaping related death in California and the first in the Central Valley.

No other information has been released about the Tulare County death.
...
https://abc30.com/health/e-cigarette-related-death-reported-in-tulare-county/5544145/
 
[FONT=&quot] [h=1]Outbreak of Lung Injury Associated with E-Cigarette Use, or Vaping[/h]

Related Pages

Posted September 19, 2019 at 12:00pm 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 e-cigarette product (devices, liquids, refill pods, and/or cartridges) use.


Key Facts about E-Cigarette Use, or Vaping
  • Electronic cigarettes ? or e-cigarettes ? are also called vapes, e-hookahs, vape pens, 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.
On This Page



For the Public: What You Need to Know

For Healthcare Providers

For State and Local Health Departments




What we know
  • There are 530* cases of lung injury reported from 38 states and 1 U.S. territory. Seven deaths have been confirmed in 6 states.
  • CDC has received complete sex and age data on 373 of 530 cases.
    • Nearly three fourths (72%) of cases are male
    • Two thirds (67%) of cases are 18 to 34 years old
    • 16% of cases are under 18 years and 17% are 35 years or older
  • All reported cases have a history of e-cigarette product use or vaping.
  • Based on initial data from certain states we know: Most patients have reported a history of using e-cigarette products containing THC. Many patients have reported using THC and nicotine. Some have reported the use of e-cigarette products containing only nicotine.

What we don?t know
  • We do not yet know the specific cause of these lung injuries. The investigation has not identified any specific e-cigarette or vaping product (devices, liquids, refill pods, and/or cartridges) or substance that is linked to all cases.



What CDC recommends
  • CDC has released interim recommendations for healthcare providers, health departments, and the public.
  • Until we know more, if you are concerned about these specific health risks, CDC recommends that you consider refraining from using e-cigarette or vaping products.
  • 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:



Latest Outbreak Information on Lung Injury Associated with Electronic Cigarettes, or Vaping
  • As of September 17, 2019 at 5pm, 530* cases of lung injury associated with the use of e-cigarette or vaping products have been reported to CDC from the following states and 1 U.S. territory: AR, CA, CO, CT, DE, FL, GA, HI, IA, ID, IL, IN, KS, KY, LA, MD, MI, MN, NC, ND, NE, NJ, NM, NV, NY, OH, OR, PA, SC, SD, TN, TX, UT, VA, WA, WI, WV, WY, and USVI. These numbers may change frequently.
  • CDC has received complete sex and age data on 373 of 530 cases.
    • Nearly three fourths (72%) of cases are male
    • Two thirds (67%) of cases are 18 to 34 years old
    • 16% of cases are under 18 years and 17% are 35 years or older
  • Seven deaths have been confirmed in California (2), Illinois, Indiana, Kansas, Minnesota, and Oregon.
  • CDC worked with states to create a case definition to classify confirmed and probable cases in a consistent way. State investigators determine if cases are confirmed or probable after examining the medical records of suspected cases and consulting with the clinical care team to exclude other possible causes of illness. Unlike nationally reportable conditions, these cases are requiring clinicians and public health professionals to interview patients to determine product use and individual behaviors.
  • CDC will report numbers of confirmed and probable cases once states have finalized their classification of cases.
  • States are in the process of classifying cases. We expect that states and clinicians may look back for older cases based on CDC?s case definition.
  • All patients have a reported history of e-cigarette product use, and no consistent evidence of an infectious cause has been discovered. Therefore, the suspected cause is a chemical exposure.
  • Based on initial data from certain states we know: Most patients have reported a history of using e-cigarette products containing THC. Many patients have reported using THC and nicotine. Some have reported the use of e-cigarette products containing only nicotine.
  • No consistent e-cigarette or vaping product, substance, or additive has been identified in all cases, nor has any one product or substance been conclusively linked to lung disease in patients.
  • Initial published reports from the investigation point to clinical similarities among cases. Patients reported a history of e-cigarette use and had similar symptoms and clinical findings. These align with the CDC health advisory released August 30, 2019.
  • These investigations are ongoing. CDC will provide updates when more information is available.
*The increase in cases from last week represents both new cases and recent reporting of previously-identified cases to CDC.




Map of Reported Cases

lung-illness-map-0918-650x423.jpg







[/FONT]
[FONT=&quot]
https://www.cdc.gov/tobacco/basic_information/e-cigarettes/severe-lung-disease.html

[/FONT]
 
From: "Media@cdc.gov (CDC)" <sohco@CDC.GOV>
To: MMWR-MEDIA@LISTSERV.CDC.GOV
Subject: CDC Media Statement: Statement from CDC Director Robert R. Redfield, M.D., on lung injury and deaths associated with e-cigarette or vaping products
Date: Sep 19, 2019 2:40 PM

[TABLE="border: 0, cellpadding: 0, cellspacing: 0"]
[TR]
[TD] Media Statement

For Immediate Release
Thursday, September 19, 2019
Contact: CDC Media Relations
(404) 639-3286



Statement from CDC Director Robert R. Redfield, M.D., on lung injury and deaths associated with e-cigarette or vaping products


Today CDC announced that 530 people have experienced lung injuries associated with the use of e-cigarette or vaping products. CDC has received complete sex and age data on 373 cases. Two thirds (67%) of cases are people 18 to 34 years old, and 16% are younger than 18 years old. Of these, three fourths (72%) of the cases are male.

Any tobacco product use, including e-cigarettes, is unsafe, especially for youth. Nicotine can harm the developing adolescent brain. We must do everything we can to reduce the use of e-cigarettes among middle and high school students to protect them from immediate lung injury and a lifetime of nicotine addiction.

CDC, FDA and its state partners are engaged in a complex investigation that spans many states, involves hundreds of cases, and involves a wide variety of substances and products. What we do know is that all cases have one thing in common: the use of e-cigarettes or vaping devices. Most of the cases reported using THC or both THC and nicotine. Some of the cases have reported using only nicotine.

While this investigation is ongoing, if you are concerned about these specific health risks, consider refraining from using e-cigarette or vaping products. Adult smokers who are attempting to quit are advised you to consult with your doctor about which FDA-approved nicotine cessation product is right for you.

If you experience a problem with any tobacco product, such as an unexpected health or safety issue, report it to the FDA online using the Safety Reporting Portal.


--Robert R. Redfield, MD, CDC Director
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Missouri officials confirm first vaping-related death in state
BY KAITLYN SCHALLHORN ON SEPTEMBER 19, 2019

One person in Missouri has now died from a vaping-related illness, state officials confirmed Thursday.

The man, who was in his mid-40s, died from a vaping-related lung injury at Mercy Hospital in St. Louis. He was first hospitalized on Aug. 22 and eventually transferred to Mercy on Sept. 4 after his respiratory symptoms worsened.

?This is an unfortunate case of a young man with no prior lung illness who started vaping because of chronic pain issues,? Dr. Michael Plisco, Mercy critical care pulmonologist and medical director of Mercy?s extracorporeal membrane oxygenation (ECMO) program, said in a statement.
...
https://themissouritimes.com/65059/missouri-officials-confirm-first-vaping-related-death-in-state/
 
This was a legally aquired product here. So there is no hope that simply avoiding black market products will be safe.

https://q13fox.com/2019/09/23/army-veteran-files-first-vaping-related-lawsuit-in-washington/
[h=1]Army veteran files first vaping-related lawsuit in Washington[/h] Posted 8:18 PM, September 23, 2019, by Q13 News Staff and Simone Del Rosario, Updated at 12:42AM, September 24, 2019 SEATTLE ? A new Washington lawsuit alleges that defective vape products led to lung illness. It?s the first suit of its kind filed in the state.
The suit filed by Herrmann Law Group with offices in Seattle and Tacoma on behalf of 44-year-old Charles Wilcoxen claims he suffered from lipoid pneumonia that was caused by vape products and Everett-based distributor Canna Brand Solutions, which sold the Chinese-made vaporizer he used.
Wilcoxen, an Army veteran and Puyallup Tribal Police officer, began using a vaporizer with THC vape pods in 2018 to help with pain relief and stress. Earlier this month, he started suffering from severe wheezing and had to be hospitalized for three days.
"I was deeply gasping for air, it seemed like, because my [oxygen] levels were so low" Wilcoxen said. "Every 10 steps I would take, I'd be hunched over trying to catch my breath."
The suit claims that Wilcoxen is physically active and was in good health prior to being injured by the allegedly defective vaporizer...
Click to expand...
 
2nd vaping-related death in Kansas brings national death toll to 9
Another person has died and the CDC says 530 have fallen ill in the U.S. from a severe respiratory illness linked to vaping.
Sept. 23, 2019, 6:41 PM EDT
By Erika Edwards
Another person has died from a severe respiratory illness linked to vaping, bringing the national death toll to nine.

The patient, a Kansas resident, was a man over age 50 who had underlying health conditions, according to a statement from the Kansas governor's office announcing the death.

This is the second such death in that state. Other states that have reported vaping-related lung illness deaths are California, Illinois, Indiana, Minnesota, Missouri and Oregon.
...
https://www.nbcnews.com/health/vapi...-kansas-brings-national-death-toll-9-n1057876
 
Vaping death toll rises to 11 after officials report ?hundreds? of new cases
US government agency warns people not to buy e-cigarettes until more is known

Andy Gregory
1 hour ago

A vaping-related illness has claimed two more lives, bringing the total number of fatalities to 11.

More than 500 people are known to have fallen ill with a mysterious lung disease after smoking e-cigarettes in the US, but officials said hundreds of additional cases had been reported in the past week alone.

The first deaths in Florida and Georgia were announced on Tuesday and Wednesday. Currently 38 states have recorded cases of the illness, with lives lost in eight states.
...
https://www.independent.co.uk/news/...-cdc-latest-thc-florida-georgia-a9120946.html

Case counts for Florida located here: http://www.flhealthcharts.com/Chart...eport=ChartsProfiles.LungInjuryE-CigaretteUse


Georgia
DPH Identifies First Death From Vaping-Associated Illness
DPH has identified the state?s first death from a vaping-associated illness. The patient had a history of heavy nicotine vaping, but no reported history of vaping THC. DPH has identified nine cases, including the death, of vaping-associated illness in Georgia, and other possible cases are being reviewed. All patients were hospitalized and developed pneumonia with no known infectious cause. Cases range in age from 18 to 68 years (median age 26 years), 78% are male.
...
https://dph.georgia.gov/
 
[FONT=&quot] [h=1]Outbreak of Lung Injury Associated with E-Cigarette Use, or Vaping[/h] [/FONT]
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[FONT=&quot] Posted September 26, 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 e-cigarette product (devices, liquids, refill pods, and/or cartridges) use.


Key Facts about E-Cigarette Use, or Vaping
  • Electronic cigarettes ? or e-cigarettes ? are also called vapes, e-hookahs, vape pens, 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.
On This Page
device icon
Digital Press Kit







For the Public: What You Need to Know

For Healthcare Providers

For State and Local Health Departments




What we know
  • There have been 805* cases of lung injury reported from 46 states and 1 U.S. territory. Twelve deaths have been confirmed in 10 states.
  • CDC has received complete sex and age data on 373 cases.
    • Nearly three fourths (72%) of cases are male
    • Two thirds (67%) of cases are 18 to 34 years old
    • 16% of cases are under 18 years
    • 38% of cases are in people under 21 years
    • 17% are 35 years or older
  • All reported cases have a history of e-cigarette product use or vaping.
  • Based on initial data from certain states we know: Most patients have reported a history of using e-cigarette products containing THC. Many patients have reported using THC and nicotine. Some have reported the use of e-cigarette products containing only nicotine.

What we don?t know
  • We do not yet know the specific cause of these lung injuries. The investigation has not identified any specific e-cigarette or vaping product (devices, liquids, refill pods, and/or cartridges) or substance that is linked to all cases.



What CDC recommends
  • CDC has released interim recommendations for healthcare providers, health departments, and the public.
  • Until we know more, if you are concerned about these specific health risks, CDC recommends that you consider refraining from using e-cigarette or vaping products.
  • 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:



Latest Outbreak Information on Lung Injury Associated with Electronic Cigarettes, or Vaping
  • As of September 24, 2019 at 5pm, 805* cases of lung injury associated with the use of e-cigarette or vaping products have been reported to CDC from the following states and 1 U.S. territory: 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, SC, SD, TN, TX, UT, VA, VT, WA, WI, WV, WY, and USVI. These numbers may change frequently.
  • CDC has received complete sex and age data on 373 cases.
    • Nearly three fourths (72%) of cases are male
    • Two thirds (67%) of cases are 18 to 34 years old
    • 16% of cases are under 18 years
    • 38% of cases are in people under 21 years
    • 17% are 35 years or older
  • Twelve deaths have been confirmed in California (2), Florida, Georgia, Illinois, Indiana, Kansas (2), Minnesota, Mississippi, Missouri, and Oregon.
  • CDC worked with states to create a case definition to classify confirmed and probable cases in a consistent way. State investigators determine if cases are confirmed or probable after examining the medical records of suspected cases and consulting with the clinical care team to exclude other possible causes of illness. Unlike nationally reportable conditions, these cases are requiring clinicians and public health professionals to interview patients to determine product use and individual behaviors.
  • CDC will report numbers of confirmed and probable cases once states have finalized their classification of cases.
  • States are in the process of classifying cases. We expect that states and clinicians may look back for older cases based on CDC?s case definition.
  • All patients have a reported history of e-cigarette product use, and no consistent evidence of an infectious cause has been discovered. Therefore, the suspected cause is a chemical exposure.
  • Based on initial data from certain states we know: Most patients have reported a history of using e-cigarette products containing THC. Many patients have reported using THC and nicotine. Some have reported the use of e-cigarette products containing only nicotine.
  • No consistent e-cigarette or vaping product, substance, or additive has been identified in all cases, nor has any one product or substance been conclusively linked to lung disease in patients.
  • Initial published reports from the investigation point to clinical similarities among cases. Patients reported a history of e-cigarette use and had similar symptoms and clinical findings. These align with the CDC health advisory released August 30, 2019.
  • These investigations are ongoing. CDC will provide updates when more information is available.
*The increase in cases from last week represents both new cases and recent reporting of previously-identified cases to CDC.




Map of Reported Cases

lung-illness-map-0926a-650x423.jpg

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https://www.cdc.gov/tobacco/basic_i...lung-disease.html#latest-outbreak-information
 
This is extremely important. Washington Post is listed as the source but unfortunately I don't see it published there. The research shows that no vitamin E, flavorings or even nicotine or THC are needed to destroy lungs - just the pure carrier liquids in vapor form. They weaponize the body's own molecules..

https://www.brainerddispatch.com/bus...sed-or-ignored Healthcare Early signs of vaping health risks were missed or ignored

Doctors and researchers scattered around the globe saw problems, but "nobody put two and two together."
Written By: Washington Post | Sep 25th 2019 - 11am.

...

"In Houston, students of Farrah Kheradmand, a physician researcher at Baylor College of Medicine, had gone to a nearby vape shop in 2016 and asked for the most popular mixture of propylene glycol and glycerin. They then tested it in mice for four months with and without nicotine. They used no flavorings. In summer 2017, one of her graduate students came to her with an unexpected finding. Key immune cells in their mice appeared highly abnormal - jammed with fat in the same way that the Portland doctors saw in their patient. "I won't forget it," Kheradmand recalls. "In 15 years of doing this, I had never seen anything like this."
In a study published this month, the Baylor researchers showed that the fat deposits were coming from inside the lungs. Kheradmand suspects that vape solvents disrupt the ability of cells to recycle lung surfactant, an oil-protein substance that is required to keep the air sacs open."
 
US vaping illness count jumps to 805, deaths rise to 13
Sep 27, 2019 9:42 AM EDT Associated Press

(AP Photo/Steven Senne) Vaping devices

NEW YORK (AP) ? Hundreds more Americans have been reported to have a vaping-related breathing illness, and the death toll has risen to 13, health officials said Thursday.

The Centers for Disease Control and Prevention said 805 confirmed and probable cases have been reported, up 52% from the 530 reported a week ago. At this point, illnesses have occurred in almost every state.

The confirmed deaths include two in California, two in Kansas, two in Oregon and one each in Florida, Georgia, Illinois, Indiana, Minnesota, Mississippi, and Missouri. The Mississippi death was announced by officials in that state Thursday and the second Oregon death was revealed by authorities later in the day.
...
https://www.abccolumbia.com/2019/09/27/us-vaping-illness-count-jumps-to-805-deaths-rise-to-13/
 
Indiana father says daughter?s death linked to vaping
NATIONAL
by: CNN Newsource

Posted: Sep 27, 2019 / 05:26 PM PDT / Updated: Sep 27, 2019 / 05:26 PM PDT

INDIANAPOLIS, IN (CNN) ? Indiana health officials confirmed the state?s first vaping related death earlier this month.

Now, a father says it was his 32-year-old daughter and is sharing her story.

It?s a smile family can now only see in a picture.

Everything seemed good with Megan Eagle and then one day, it wasn?t.

?It truly is a parent?s worst nightmare, and it is a nightmare I even occasionally have, seen her death,? said the woman?s father, Steve Dillon.
...
https://www.kron4.com/news/national/indiana-father-says-daughters-death-linked-to-vaping/
 
14th vaping-related death in US reported in Nebraska
By Michael Nedelman, CNN

(CNN)Nebraska health officials on Monday announced the state's first death due to severe lung disease linked to vaping, bringing the nationwide total of confirmed deaths to 14.

The Nebraska Department of Health and Human Services said the death occurred in May -- before the outbreak was officially recognized this summer.

Before then, "vaping-associated lung injuries were unreported and not tracked by public health agencies," state epidemiologist Dr. Tom Safranek said in a statement. "Once the problem was recognized, states quickly ramped up surveillance and found current cases, but have also discovered cases that occurred before the August outbreak."
The decedent, who was over age 65, was lived in Douglas County, Nebraska.
...
https://www.cnn.com/2019/09/30/health/nebraska-vaping-lung-death/index.html

Dept. of Health confirms 1st death from vaping-related lung injury in Virginia

By WHSV newsroom ; Georgia Geen, Capital News Service | Posted: Tue 3:25 PM, Oct 01, 2019 | Updated: Tue 3:34 PM, Oct 01, 2019

RICHMOND, Va. (WHSV/CNS) — Officials have confirmed the first death of a Virginian to the recent spree of lung illnesses connected to vaping.

According to the Virginia Department of Health, they confirmed on Oct. 1 that a Virginia resident has died for the first time in the outbreak of lung injuries (officials say injury is a better way than illness to describe what happens to the lungs in these cases). The death was reported by Cone Health in Greensboro, N.C. on September 26, 2019.

“I am deeply saddened to announce the first death of a Virginia resident related to this outbreak. Our thoughts are with the family during this difficult time,” said State Health Commissioner M. Norman Oliver, MD, MA.
...
https://www.whsv.com/content/news/D...elated-lung-injury-in-Virginia-561894491.html
 
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