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Vaping-Associated Lung Injuries

Minnesota Investigation

Number of confirmed or probable cases: 45
Number of people under review: 22
Updated Wednesday, 25-Sep-2019 08:45:43 CDT

The Minnesota Department of Health (MDH) is working with local public health and health care providers to investigate reports of severe lung injury potentially related to vaping and e-cigarette use among teens and adults. With similar reports coming from other states in recent weeks, MDH is partnering with the U.S. Centers for Disease Control and Prevention (CDC) to determine a cause and what steps may be taken to prevent additional illness. To date more than 500 cases have been reported from multiple states. Many of the patients report having vaped illicit THC (a component of cannabis). We are asking health care providers to report similar cases.

Symptoms

In Minnesota, symptoms have resulted in hospitalizations lasting from days to weeks, with some patients admitted to intensive care units. Symptoms included shortness of breath, fever, cough, vomiting and diarrhea. Some patients also reported headache, dizziness and chest pain.

People experiencing lung symptoms after vaping should seek clinical care and avoid e-cigarettes or other vaping products, as continued use may lead to worsening symptoms. People should avoid vaping non-medical cannabis-based products, as the ingredients in these products are unknown.

Basics

E-cigarettes, vapes, e-pipes and other vaping products are battery-powered devices that allow users to inhale aerosolized liquid. E-cigarettes typically contain nicotine, which is highly addictive and harmful to the adolescent brain. In addition, e-cigarette aerosol contains harmful substances, such as ultrafine particles, oil, and heavy metals like nickel, tin and lead.

The U.S. Surgeon General has called teen e-cigarette use an epidemic. The 2017 Minnesota Youth Tobacco Survey found that nearly 20% of high-school students use e-cigarettes and 40% have tried them. In addition, 34.7% of high school students and 15.8% of middle school students who use e-cigarettes have used an e-cigarette for recreational marijuana, THC or hash oil, or THC wax at least once.

Information for Parents and Schools

E-cigarettes and Vapes

School E-cigarette Toolkit: Addressing Student Use of E-cigarettes and Vapes

Information for Health Care Professionals

Vaping-Associated Lung Injuries: Information for Health Professionals

Related Information

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niman Grand Master

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Vaping-Associated Lung Injuries:
Cases by County

Data for the week of Sept. 30. These statistics are updated weekly.

Bar chart of confirmed and probable cases by county

County Confirmed and Probable
Cases by County
Hennepin 14
Dakota 7
Ramsey 7
Anoka 6
Washington 5
Scott 3
Wright 3
Itasca 2
Stearns 2
Beltrami 1
Benton 1
Blue Earth 1
Cass 1
Chippewa 1
Clay 1
Goodhue 1
Jackson 1
Mower 1
Saint Louis 1
Watonwan 1
Wilkin 1
TOTAL 61

Hennepin County Cases by City Health Board

City Health Board Confirmed and Probable
Edina 0
Richfield 0
Bloomington 0
City of Minneapolis 5
Other Hennepin County 9
Total Hennepin County 14

 

https://www.health.state.mn.us/diseases/lunginjuries/countydata.html

niman Grand Master

niman

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Vaping-Associated Lung Injuries:
Cases by County

Data for the week of Oct. 9. These statistics are updated weekly.

Confirmed and probable cases by county bar chart

County Confirmed and Probable
Cases by County
Hennepin 13
Dakota 7
Ramsey 7
Anoka 7
Washington 7
Scott 3
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
TOTAL 65*

*City of residence missing for one probable case

Hennepin County Cases by City Health Board

City Health Board Confirmed and Probable
Edina 0
Richfield 0
Bloomington 0
City of Minneapolis 4
Other Hennepin County 9
Total Hennepin County

13

https://www.health.state.mn.us/diseases/lunginjuries/countydata.html

niman Grand Master

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MINNEAPOLIS (AP) – Minnesota health officials are reporting the state’s second and third deaths due to lung illnesses caused by vaping.

The Department of Health said Wednesday both deaths involved people over age 50 who died in September after complicated hospitalizations. One had vaped several products including THC, the compound that gives marijuana its high.

The other patient had vaped unknown products in addition to nicotine.

Minnesota has 73 people with confirmed or probable cases of lung illness due to vaping, and almost all had frequently vaped illegal cannabis products. Health officials have warned against vaping the products, which can be counterfeit.

The Centers for Disease Control said earlier this week at least 26 people have died nationally from vaping-related illnesses, and it’s warned against any use of vaping products.

https://www.kdlt.com/2019/10/16/minnesota-reports-2-more-deaths-from-vaping/

niman Grand Master

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News Release
October 16, 2019

Contact information

Health officials confirm two more deaths from severe lung injuries associated with vaping

The Minnesota Department of Health (MDH) today confirmed that two more Minnesotans have died due to complications from severe lung injuries associated with vaping.

MDH reported Minnesota’s first vaping-related death Sept. 6. The two latest deaths involved people over the age of 50. Both died in September following complicated hospitalizations. The patients developed difficulty breathing, which prompted their hospitalizations. Investigators determined the first patient vaped a number of products including illegal THC. The second patient had severe underlying conditions and is believed to have vaped unknown products in addition to nicotine.

“We are saddened by the news of these deaths, and we are troubled that so many Minnesotans continue to suffer in this outbreak,” said Minnesota Commissioner of Health Jan Malcolm. “We’re working hard with our partners across the country to learn as much as we can about these injuries and deaths, and to determine what can be done to prevent them.”

Commissioner Malcolm said it is particularly important to avoid vaping anything containing illegal cannabis products, as almost all of those Minnesotans who developed severe lung injuries had a history of frequent vaping of illegal cannabis.

While investigators remain focused on these illegal products as a primary concern, health officials cannot guarantee the safety of any vaping products. People vaping nicotine to help quit smoking should consider alternative options to support their quit efforts. People vaping medicine from Minnesota’s medical cannabis program should talk with their health care provider about whether another delivery method may be right for them. People who vape and experience signs of respiratory illness should seek medical care.

To date, Minnesota has 73 patients classified as confirmed or probable cases of severe lung injury associated with vaping. MDH is reviewing an additional 32 people to see if they meet the case criteria. Most of the cases have been hospitalized, and up to half of those who have been hospitalized required intensive care. Of those cases who have been interviewed, nearly all reported vaping illegal THC products. Many also reported vaping other products including nicotine. These findings are similar to those of other states. According to the Centers for Disease Control and Prevention (CDC), most cases of severe lung injury in the U.S. reported using products containing THC, particularly those obtained from illegal or black-market sources.

Nearly 1,300 lung injury cases associated with the use of e-cigarette or vaping products have been reported to CDC from 49 states, Washington, D.C. and one territory. Twenty-six deaths have been confirmed in 21 states. This count does not include the two Minnesota deaths announced today.

According to State Epidemiologist Dr. Ruth Lynfield, Minnesota may see additional deaths from vaping injuries in the weeks ahead.

“We hope we do not have any more deaths linked to this investigation,” Dr. Lynfield said. “However, based on what we know about other patients, the seriousness of the injuries and the fact that we continue to see new cases, it is possible we will have more deaths.”

With these two latest deaths, MDH will start listing vaping-related death totals along with other information about the vaping illnesses investigation on its Vaping-Associated Lung Injuries web page. The information will be updated as new cases or deaths are reported.

More information vaping-related lung injuries can be found on the MDH website.

-MDH-

Media inquiries:

Michael Schommer
MDH Communications
651-201-4998
[email protected]

https://www.health.state.mn.us/news/pressrel/2019/lunginjury101619.html

niman Grand Master

niman

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Vaping-Associated Lung Injuries:
Cases by County

Data for the week of Oct. 16. These statistics are updated weekly.

Confirmed and probable cases by county bar chart

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

niman Grand Master

niman

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Vaping-Associated Lung Injuries:
Cases by County

Data for the week of Oct. 30. These statistics are updated weekly.

Confirmed and probable cases by county bar chart

County Confirmed and Probable
Cases by County
Hennepin 24
Anoka 13
Dakota 11
Washington 10
Ramsey 8
Stearns 5
Scott 4
Itasca 3
Wright 3
Saint Louis 2
Beltrami 1
Benton 1
Blue Earth 1
Carver 1
Cass 1
Chippewa 1
Clay 1
Goodhue 1
Jackson 1
Mower 1
Pine 1
Pope 1
Sherburne 1
Steele 1
Watonwan 1
Wilkin 1
TOTAL 99

Hennepin County Cases by City Health Board

City Health Board Confirmed and Probable
Edina 0
Richfield 0
Bloomington 1
City of Minneapolis 8
Other Hennepin County 15
Total Hennepin County 24

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