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In the majority of aerosol samples analyzed, the researchers found levels of carcinogenic metals in fumes above the minimal risk levels for safe air set by the Department of Health and Human Services. Those levels are not contained in regulations for the devices, and manufacturers trying to cut corners might be using lead or cadmium-based solder and other dangerous metals, experts consulted by USA TODAY said. https://www.usatoday.com/story/news/nation/2019/10/23/vaping-devices-under-scrutiny-outbreak-lung-illnesses-continue/4009350002/ 'Something has changed': People have been vaping for years but now they're dying. Could it be the devices? Trevor Hughes and Jayne O'Donnell, USA TODAYPublished 10:49 a.m. ET Oct. 23, 2019 | Updated 10:52 p.m. ET Oct. 23, 2019

Total reported patients statewide: 146 (Updated: 10/22/2019) Breakdown of reported patients by region: Western New York: 33 Central New York: 13 Capital Region: 25 Northern New York: 4 Metropolitan Region (outside of NYC): 37 New York City: 31 Out of State: 3* *Patients treated at hospitals in NYS but are residents of another state https://www.health.ny.gov/prevention/tobacco_control/campaign/e-cigarettes/

SC Cases of E-Cigarette and Vaping Product Use Associated Lung Injury (EVALI) Confirmed or Probable 30 Find more e-cigarette risk information on the DHEC E-cigarettes, Vapes, and Other Tobacco Products page. *The increase in lung injury cases from last week represents both new patients and recent reporting of previously-identified patients to CDC. https://www.scdhec.gov/severe-pulmonary-disease-associated-e-cigarette-use

Since June 2019, CDPH has received reports that 138 people in California who have a history of vaping were hospitalized for severe breathing problems and lung damage, and three people have died. https://www.cdph.ca.gov/Programs/CCDPHP/Pages/Vaping-Health-Advisory.aspx

Confirmed and probable cases in Colorado since August 2019 Values Number Percentage Age Mean 25.09 Median 18 Sex Male 8 73% Female 3 27% Total 11 100% County Boulder 2 18% Arapahoe 1 9% Denver 4 36% Jefferson 3 27% Weld 1 9% Total 11 100% Hospitalized Yes 9 82% No 2 18% Total 11 100% Substances vaped Marijuana only 3 27% Nicotine only 5 45% Both nicotine and marijuana 2 18% Unknown 1 9% Total 11 100% At a glance As of Oct. 23rd, 2019 11 outbreak cases 9 hospitalizations 0 deaths Colorado Vaping-Associated Respiratory Illness Outbreak Report | Last updated 10/23/19 https://docs.google.com/document/d/e/2PACX-1vSM_x2Lls4ip-PDZT5LGVYYnwaTya-G4sBNlNM00XM_zs5RekMCbFkIjzzIUqkbxZoVitKg8OwlXhpm/pub

Confirmed 16 Probable 30 Statistics Statistics based on above confirmed and probable cases: Gender Number of Confirmed and Probable Cases Percentage** Male 19 41% Female 27 59% Gender Number of Confirmed and Probable Cases Percentage** Age Number of Confirmed and Probable Cases Percentage** Under age 30 21 46% Ages 30-49 14 30% Ages 50+ 11 24% Age Number of Confirmed and Probable Cases Percentage** Did this case result in hospitalization? Number of Confirmed and Probable Cases Percentage** Yes, patient was hospitalized 40 87% No, patient was not hospitalized 6 13% Did this case result in hospitalization? Number of Confirmed and Probable Cases Percentage** Substance reported to have been vaped* Number of Confirmed and Probable Cases Percentage** Nicotine only 11 24% THC only 19 41% Nicotine and THC 12 26% CBD <5*** Unknown <5*** Substance reported to have been vaped* Number of Confirmed and Probable Cases Percentage** * Investigations of confirmed and probable cases are ongoing, so these data are subject to change. ** Due to rounding, in some cases total may not add up to exactly 100 percent. https://www.mass.gov/info-details/vaping-associated-pulmonary-injury-weekly-update-report-october-23-2019#statistics-

15 October, 2019 LAS VEGAS – The Southern Nevada Health District has confirmed a fourth case of severe respiratory illness linked to e-cigarettes in a Clark County resident. The individual is over the age of 18. The Health District previously reported cases in an individual under the age of 18 and two over the age of 18. The first case confirmed in Clark County was reported in September 2019. Up to date information on the outbreak is available on the CDC website. Among Clark County’s reported cases, one of the individuals reported using e-cigarettes with nicotine products only. Three of the individuals reported using tetrahydrocannabinol (THC) products, and two of the four also reported using cannabinoid (CBD) oils. All of the individuals reported purchasing or acquiring their products from different sources, including friends, retail outlets, and through online purchases. https://www.southernnevadahealthdistrict.org/news-release/fourth-vaping-related-illness-confirmed-in-clark-county/

At this time, the Montana Department of Public Health and Human Services (DPHHS) has three confirmed cases in Montana. https://dphhs.mt.gov/publichealth/mtupp/vapingpulmonarydisease

KDHE Update 10/22/2019: As of October 22, Kansas has had two confirmed deaths related to vaping. Kansas currently has 16 probable/confirmed vaping related cases, including the two deaths. Of the cases, 75% are male and the collective ages range from 15-67 years old. 14 of the 16 were hospitalized. Regarding the types of vaping products used, there was a combination or those reporting using only nicotine, only THC, only CBD and a combination of THC and nicotine. Due to the small numbers of those affected, KDHE is not releasing locations of those affected or information about specific cases. http://www.kdheks.gov/vaping/index.htm

Vape-Related Pulmonary Illnesses As of October 23, 2019, the Alabama Department of Public Health (ADPH) has 8 cases of lung disease associated with e-cigarette product use, or vaping. The 8 cases (4 confirmed and 4 probable) will be included in the CDC national counts updated on Thursday, October 24, 2019. Please see the breakdown of current cases in Alabama below: Total Reports Confirmed Probable Not a Case Under Investigation 30 4* 4 21 1 *1 Deceased http://alabamapublichealth.gov/tobacco/ecigs.html

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Since June 2019, CDPH has received reports that 136 people in California who have a history of vaping were hospitalized for severe breathing problems and lung damage, and three people have died. https://www.cdph.ca.gov/Programs/CCDPHP/Pages/Vaping-Health-Advisory.aspx

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Dr. Henry Niman PhDUpdate Major Developments in Vaping Crisis

Dr. Henry Niman PhDUpdate Major Developments in Vaping Crisis

Tonight 9 PM ET Dr. Henry Niman PhDUpdate Major Developments in Vaping Crisis

Tonight at 9 PM ET Dr. Henry Niman PhDUpdate Major Developments in Vaping Crisis

Vaping-Associated Lung Injuries: Cases by County Data for the week of Oct. 16. These statistics are updated weekly. County Confirmed and Probable Cases by County Hennepin 17 Dakota 10 Ramsey 9 Anoka 8 Washington 7 Scott 4 Wright 3 Itasca 3 Stearns 2 Beltrami 2 Benton 1 Blue Earth 1 Cass 1 Chippewa 1 Clay 1 Goodhue 1 Jackson 1 Mower 1 Saint Louis 1 Watonwan 1 Wilkin 1 County of residence missing 2 TOTAL 78 Hennepin County Cases by City Health Board City Health Board Confirmed and Probable Edina 0 Richfield 0 Bloomington 1 City of Minneapolis 4 Other Hennepin County 12 Total Hennepin County 17 https://www.health.state.mn.us/diseases/lunginjuries/countydata.html

Minnesota Investigation Confirmed or probable cases: 78 Confirmed deaths: 3 Cases under review: 33 Updated Tuesday, 22-Oct-2019 08:50:18 CDT Case numbers by county https://www.health.state.mn.us/diseases/lunginjuries/index.html