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CDC Vaping Update 10/10/19


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Media Statement

 

For Immediate Release

Thursday, October 10, 2019

                       

Contact: CDC Media Relations

(404) 639-3286          

 

CDC, states update number of cases of lung injury associated

with use of e-cigarette, or vaping, products

 

CDC today announced the updated number of confirmed and probable lung injury cases and deaths associated with the use of e-cigarette, or vaping, products.

Patients with Lung Injury

  • As of October 8, 2019, 1,299 confirmed and probable lung injury cases associated with use of e-cigarette, or vaping, products were reported by 49 states, the District of Columbia, and the U.S. Virgin Islands.
  • Among 573 patients with information on substances used in e-cigarette, or vaping, products in the 90 days prior to symptom onset:
    • 76% reported using THC-containing products, with or without nicotine-containing products;
    • 32% reported exclusive use of THC-containing products;
    • 58% reported using nicotine-containing products, with or without THC-containing products; and
    • 13% reported exclusive use of nicotine-containing products.
  • Among 1,043 patients with data on age and sex:
    • 70% of patients are male.
    • 80% of patients are under 35 years old.
      • 15% are under 18 years old
      • 21% are 18 to 20 years old.
      • 18% are 21 to 24 years old.
      • 26% are 25 to 34 years old.
      • 20% are 35 years or older.

Deaths

  • 26 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.
    • The median age of patients who have died is 49 years, ranging from 17 to 75 years old.

 

 

For updates on this investigation, visit: https://www.cdc.gov/lunginjury.

 

For information about the collection of e-cigarette products for possible testing by FDA, contact: [email protected].

 

For information about collection and submission of clinical specimens for possible testing by CDC, see CDC’s Healthcare Provider web page.

Clinicians and health officials who have questions about this outbreak can contact: [email protected].

All others, including the general public, who have questions about this outbreak can contact CDC-INFO at 800-232-4636, or visit https://wwwn.cdc.gov/dcs/ContactUs/Form.

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  • 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.
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.

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
Dates of symptom onset and hospital admission for patients with lung injury associated with e-cigarette use, or vaping.
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Vaping Illnesses Climb Upward, Nearing 1,300 With 29 Deaths

The cause of the outbreak is still unknown, and the only advice health officials can offer so far is to avoid vaping.

 
 
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CreditCreditSteve Helber/Associated Press
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The outbreak of lung illnesses linked to vaping grew by more than 200 cases in a week, now totaling 1,299, the Centers for Disease Control and Prevention reported on Thursday.

Twenty-nine people have died from vaping-related illnesses, health officials said.

The figures mean that 219 new cases and seven new deaths were reported. Cases have occurred in 49 states, the District of Columbia and the United States Virgin Islands.

A 17-year-old boy died in the Bronx last week, the youngest death so far linked to vaping. Utah and Massachusetts officials confirmed their states’ first vaping deaths this week. Indiana health officials announced late Thursday afternoon that two more people had died.

The ages of those who died range from 17 years to 75 years, with a median of 49.

The exact cause of the illness is still unknown. Many of those who became ill had vaped THC, some had used both THC and nicotine, and others report vaping only nicotine.

https://www.nytimes.com/2019/10/10/health/vaping-illnesses-cdc.html?smtyp=cur&smid=tw-nythealth

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