E-cigarette Product Use, or Vaping, Among Persons with Associated Lung Injury — Illinois and Wisconsin, April–September 2019

E-cigarette, or Vaping, Product Use–Associated Lung Injury Among Clusters of Patients Reporting Shared Product Use — Wisconsin, 2019

“…Nationwide, 80% of hospitalized EVALI patients reported use of THC-containing e-cigarette, or vaping, products, and 56% of EVALI patients with data on product use specifically reported using Dank Vapes in the 3 months preceding symptom onset (4). Similar results have been reported in Illinois, Wisconsin (5), and Utah (6), which, together, suggest that Dank Vapes and other illicit THC-containing products obtained from informal sources played a major role in the nationwide EVALI outbreak. The current findings reinforce this relationship by linking multiple EVALI patients to the same illicit THC cartridges.…”

Characteristics of Patients Experiencing Rehospitalization or Death After Hospital Discharge in a Nationwide Outbreak of E-cigarette, or Vaping, Product Use–Associated Lung Injury — United States, 2019

“…Among EVALI patients, careful and comprehensive discharge planning ensuring clinical stability before discharge, follow-up optimally within 48 hours after hospital discharge, and enhanced efforts to coordinate care and address comorbidities might minimize risk for rehospitalizations or death after discharge (5). The latest national and state data from patient reports and product sample testing suggest tetrahydrocannabinol-containing e-cigarette, or vaping, products, particularly from informal sources such as friends, family members, or in-person or online dealers, are linked to most of the cases and play a major role in the outbreak (1,7,8). Thus, CDC and FDA recommend that persons not use tetrahydrocannabinol -containing e-cigarette, or vaping, products, particularly from informal sources.…”

Update: Interim guidance for health care providers evaluating and caring for patients with suspected e-cigarette, or vaping, product use associated lung Injury — United States, October 2019

“…This outbreak might have more than one cause, and many different substances and product sources are still under investigation. To date, national and state data suggest that products containing THC, particularly those obtained off the street or from other informal sources (eg, friends, family members, or illicit dealers), are linked to most of the cases and play a major role in the outbreak . Therefore, CDC recommends that persons should not use e‐cigarette, or vaping, products that contain THC.…”