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A second person in Oregon has died from a vaping-related lung illness, state health officials said Thursday as they urged people to stop vaping immediately. Like the first victim, the person vaped cannabis products bought at a licensed retail store, the Oregon Health Authority said. The person was hospitalized for several weeks. Doctors didn’t find any other health conditions that may have caused or contributed to the person’s death, officials said. https://www.oregonlive.com/news/2019/09/2nd-oregon-death-in-vaping-related-severe-lung-illness-announced.html

This information is updated on Thursday each week. REPORTS CASES Number investigated 23 Confirmed 3 Probable 0 Pending classification 3 Not a case 17

Current Cases: 9* (Age range: 18–44 years)*As of October 3, 2019 (Case count updated every Thursday)

http://mediaarchives.gsradio.net/rense/special/rense_100219_hr3.mp3

Number of Reported Cases of Severe Lung Injury Associated with E-Cigarette Use or Vaping, Oklahoma Number of new confirmed or probable cases between 9/26/2019 and 10/2/2019 Cumulative number of confirmed or probable cases Number of new confirmed or probable deaths between 9/26/2019 and 10/2/2019 Cumulative number of confirmed or probable deaths 3 4 0 0 Case details Of the four patients, One is under the age of 18, two (50%) are 18 to 34 years of age, and one is 35 years of age or older. Patients are residents of: Oklahoma County (2), Tulsa County (1), and Region 2 in northeast Oklahoma (1). For regions, see map at the bottom of the page.

six more Connecticut residents who were ill with lung injuries possibly related to using e-cigarettes or vaping were reported to DPH last week, bringing the total to 25 cases that have been reported to DPH. One patient remains in the hospital. The 25 cases involve residents from seven of our counties: Fairfield (11), New Haven (8), New London (2), Hartford (1), Litchfield (1), Tolland (1), and Windham (1). The age breakdown of the patients is as follows: Under 18 years of age (5), 18 to 34 years of age (13); 35 years of age and older (7). https://portal.ct.gov/DPH/Press-Room/Press-Releases---2019/Department-of-Public-Health-Reports-Death-in-a-Patient-with-Lung-Injury-Related-to-Vaping

Press Releases Two Rhode Island Cases Added to National Investigation into Vaping and Lung Injury The Rhode Island Department of Health (RIDOH) is reporting that two Rhode Island cases are now included in the Centers for Disease Control and Prevention (CDC) and U.S. Food and Drug Administration (FDA) investigation into lung injury associated with e-cigarette use, or "vaping." Both individuals experienced symptom on set in early September and were hospitalized. Both individuals were discharged from the hospital after approximately one week and are recovering. One was in the 18 to 24-year-old age range. The other person was in the 25 to 35-year-old age range. These cases are not linked. Products were obtained from both individuals and were submitted to RIDOH's State Health Laboratories. The State Health Laboratories are coordinating submission to the FDA for testing. The specific chemical exposures causing lung injury associated with vaping have not yet been identified. Given the unknowns about this lung injury cluster, the CDC is reporting the number of cases in each state using the single designation "confirmed and probable cases." Rhode Island's two cases are among these "confirmed and probable cases." "While we do not yet know what exactly is causing people to become ill across the country, we do know that these lung injuries are serious, and in some instances even fatal," said Director of Heath Nicole Alexander-Scott, MD, MPH. "E-cigarettes are addictive and dangerous. Children, adolescents, and pregnant women should never vape, and any adult who vapes should strongly consider not doing so until we know more. There are safe, effective resources in Rhode Island to help people quit using e-cigarettes. Help is available today at no cost." Anyone in need of support for quitting smoking or vaping should contact their healthcare provider or call 1-800-QUIT-NOW (1-800-784-8669). Rhode Island teens can text the Tobacco Free Rhode Island promo code HOPE4RI to 88709 to access This Is Quitting, a new Truth Initiative text-based service for youth. In August, the CDC and the FDA announced a nationwide investigation into non-infectious severe lung injury among patients who had used e-cigarettes or vaping devices. As of October 2nd, there have been 805 cases reported from 46 states and one U.S. territory. (This figure does not yet include Rhode Island's two cases. CDC data are updated weekly.) Twelve deaths have been confirmed in 10 states. There have been no deaths in Rhode Island. All patients have a history of vaping. The latest findings from the investigation suggest that products containing tetrahydrocannabinol (THC) play a role in the outbreak. THC is a component in cannabis. RIDOH has been communicating regularly with Rhode Island healthcare providers about the national investigation. Those communications have included instructions on how to report suspect cases. RIDOH held a conference call today to provide updates to physicians likely to encounter lung injury associated with vaping. Most patients in the national investigation have experienced respiratory symptoms, such as cough, shortness of breath, or chest pain. Some patients have also experienced gastrointestinal symptoms, such as nausea, vomiting, or diarrhea. Other symptoms have included fatigue, fever, and 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. Anyone with trouble breathing or chest pain should seek immediate medical attention. Anyone concerned about their health after vaping should contact a healthcare provider. E-cigarette products should not be bought off the street, and they should not be modified. People should not use e-cigarette products containing THC. Most e-cigarettes contain nicotine. Nicotine is highly addictive and can harm adolescent brain development, which continues into the early to mid-20s. Young people who use e-cigarettes may be more likely to smoke cigarettes in the future. Parents should talk to their children about these and other dangers of e-cigarette use. The Office of the Surgeon General has guidance online for parents at e-cigarettes.surgeongeneral.gov. Additional information from RIDOH about vaping can be found online: http://health.ri.gov/healthrisks/tobacco/about/teentargeting Related links Department or agency: Department of Health Online: http://www.health.ri.gov Release date: 10-03-2019

The Rhode Island Department of Health (RIDOH) is reporting that two Rhode Island cases are now included in the Centers for Disease Control and Prevention (CDC) and U.S. Food and Drug Administration (FDA) investigation into lung injury associated with e-cigarette use, or "vaping." Both individuals experienced symptom on set in early September and were hospitalized. Both individuals were discharged from the hospital after approximately one week and are recovering. One was in the 18 to 24-year-old age range. The other person was in the 25 to 35-year-old age range. These cases are not linked. https://www.ri.gov/press/view/36841

Press Releases 10/03/2019 Department of Public Health Reports Death in a Patient with Lung Injury Related to Vaping Total of 25 Cases Under Investigation in Connecticut The Connecticut Department of Public Health (DPH) today is reporting the first death in the state associated with the national outbreak of lung injuries related to vaping. This outbreak is being investigated by the Centers for Disease Control and Prevention (CDC), clinicians, and state and local health departments across the country. The Connecticut patient, who was between the ages of 30 and 39 years, died last week while hospitalized for multiple medical conditions. “Sadly, one of our residents with vaping-related lung injury has died,” said DPH Commissioner Renée D. Coleman-Mitchell. “Our prayers go out to the family. We are working with the CDC along with health departments across the country to find out what the specific causes of these injuries are to educate the public by providing the information needed to mitigate the risk of illness and death.” In addition to the patient who died, six more Connecticut residents who were ill with lung injuries possibly related to using e-cigarettes or vaping were reported to DPH last week, bringing the total to 25 cases that have been reported to DPH. One patient remains in the hospital. The 25 cases involve residents from seven of our counties: Fairfield (11), New Haven (8), New London (2), Hartford (1), Litchfield (1), Tolland (1), and Windham (1). The age breakdown of the patients is as follows: Under 18 years of age (5), 18 to 34 years of age (13); 35 years of age and older (7). “I am asking Connecticut residents to not use e-cigarette or vaping products,” said DPH Commissioner Renée D. Coleman-Mitchell. “If you choose to continue vaping, you should not buy vaping products off the street or from another person, including a friend, or modify or add any other unregulated substances to these products.” According to CDC, as of today 1080 cases of vaping-related lung injury had been reported from 48 states and 1 U.S. territory. The CDC also reports 18 deaths had been confirmed in 15 states. These numbers do not yet include the death from Connecticut reported in this news release. Connecticut DPH consulted with CDC experts to confirm that the death of the Connecticut patient was a death among a person with vaping-related lung injury and part of this national outbreak. Youth, young adults, and women who are pregnant should not use e-cigarette or vaping products. In Connecticut, symptoms among cases included shortness of breath, fever, cough, vomiting and diarrhea. Other symptoms reported by some patients included headache, weight loss and chest pain. More information about the investigation can be found on CDC’s webpage: https://www.cdc.gov/tobacco/basic_information/e-cigarettes/severe-lung-disease.html

The Connecticut Department of Public Health (DPH) today is reporting the first death in the state associated with the national outbreak of lung injuries related to vaping. This outbreak is being investigated by the Centers for Disease Control and Prevention (CDC), clinicians, and state and local health departments across the country. The Connecticut patient, who was between the ages of 30 and 39 years, died last week while hospitalized for multiple medical conditions. https://portal.ct.gov/DPH/Press-Room/Press-Releases---2019/Department-of-Public-Health-Reports-Death-in-a-Patient-with-Lung-Injury-Related-to-Vaping

CDC, States Update Number of Cases of Lung Disease Associated with E-cigarette Use, or Vaping Media Statement For Immediate Release: Thursday, October 3, 2019 Contact: Media Relations (404) 639-3286 CDC today announced the updated number of confirmed and probable lung injury cases and deaths associated with e-cigarette product use, or vaping. Patients with Lung Injury As of October 1, 2019, 1,080 confirmed and probable lung injury cases associated with e-cigarette product use, or vaping, were reported by 48 states and the U.S. Virgin Islands. The increase of 275 cases since last week is a combination of new patients becoming ill in the past two weeks and recent reporting of previously-identified patients. Among 578 patients with information on substances used in e-cigarette, or vaping, products in the 90 days prior to symptom onset: About 78% reported using THC-containing products, with or without nicotine-containing products; 37% reported exclusive use of THC-containing products; and 17% reported exclusive use of nicotine-containing products. These percentages are consistent with previous reports. About 70% of patients are male. Approximately 80% of the patients are under 35 years old; 16% are under 18 years old. The median age of patients is 23 years, ranging from 13 to 75 years old. Deaths 18 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. The median age of patients who have died is 50 years, ranging from 27 to 71 years old. “The increasing number of lung injury cases we see associated with e-cigarette use, or vaping, is deeply concerning. Unfortunately, this may be the tip of the iceberg when it comes to the escalating health threat this outbreak poses to the American public, particularly youth and young adults. CDC will continue to work with FDA and state health partners to investigate the cause, or causes, of this outbreak and to bring an end to these lung injuries.” – Dr. Robert R. Redfield, MD, Director of the Centers for Disease Control and Prevention. 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. https://www.cdc.gov/media/releases/2019/s1003-lung-disease.html

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 https://www.cdc.gov/tobacco/basic_information/e-cigarettes/severe-lung-disease.html

100's of new cases each week

important to test aerosols

Cases go back to March 31 on epi curve - june and july numbers start to rise

No appreciable drop-off in new cases

median age of deaths is 49.5 (range from 20's-70's)

lung damage may be permanent

Premature to blame black market products for lung injury but black market concern is high

FDA says no one product linked to all cases

18 confirmed deaths - more under investigation

1080 cases from 48 states