The need to more effectively regulate END markets: A primary public health lesson of the U.S. vaping associated lung injury outbreak

Pacula, Rosalie Liccardo

doi:10.1111/add.15179

Cited by 3 publications

(4 citation statements)

References 13 publications

(19 reference statements)

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“…We strongly agree with Pacula [2] and St Helen [4] that the EVALI outbreak demonstrates the need for the tighter regulation of all vaping products, i.e. those that contain nicotine and cannabis.…”

supporting

confidence: 86%

“…Pacula [2] thought that we were unfair in accusing the Centers for Disease Control and Prevention (CDC) of confirmation bias in its public advice about the causes of the outbreak they describe with the initialism EVALI (e‐cigarette, or vaping, product use‐associated lung injury). She argues that the CDC was appropriately cautious in attributing the primary cause to vitamin E acetate from illicit tetrahydrocannabinol (THC) products on the basis of ‘a 2% convenience sample of identified vaping‐associated lung injury cases’ when both nicotine and cannabis e‐liquids were readily available and there was a lack of information on their ingredients [2].…”

mentioning

confidence: 99%

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The EVALI outbreak makes a strong case for better regulation of all vaporizer products

2021

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supporting

confidence: 86%

mentioning

confidence: 99%

The EVALI outbreak makes a strong case for better regulation of all vaporizer products

2021

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“…People are using e-cigarettes to smoke nicotine, but e-cigarettes can also deliver other substances, such as tetrahydrocannabinol (THC), like our patient [ 1 ]. The study by Pacula et al reported that the median age of EVALI is 24 years, and the median age for the patient who died from EVALI was 54 years [ 2 ]. Almost 82% of EVALI patients reported using any TCH-containing e-cigarette or vaping product [ 1 ].…”

Section: Discussionmentioning

confidence: 99%

Coagulopathy and Acute Respiratory Distress Syndrome: Dual Complications of E-Cigarette-Associated Lung Injury

Kalantary¹,

Abdelazeem²,

Shams³

et al. 2021

Cureus

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E-cigarette-associated lung injury (EVALI) is related to the usage of e-cigarettes or a related product (e.g., “vaping” or “dabbing”). It presents mainly with constitutional, respiratory, or gastrointestinal symptoms, and EVALI is currently a diagnosis of exclusion. EVALI patients are more prone to rapid clinical decline requiring close monitoring, with some requiring intensive care unit (ICU) level of care or intubation. Mortality occurs in rare cases. We are presenting an interesting case of a male in his mid-60s who presented to the emergency department with worsening dyspnea and cough for two weeks, preceded by a one-week history of fever, nausea, and diarrhea. He was diagnosed with bilateral pneumonia based on computed tomography (CT) findings. Subsequent CT of the chest showed worsening bilateral diffuse ground-glass opacities (GGOs) correlating with acute respiratory distress syndrome (ARDS). Laboratory workup showed leukocytosis and lactic acidosis. The rest of the laboratory workup was normal. The patient was intubated due to ARDS, developed multiorgan failure, and passed away subsequently.

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“…This process began initially in 2016 but was deferred to allow retailers sufficient time to make their PMTA application and finally took effect as of September 2020. This ruling will ensure the standardisation and regulation of the contents in e-cigarette and vaping devices [ 122 ].…”

Section: Electronic Cigarette and Vaping-associated Lung Injury: Evalimentioning

confidence: 99%

Vaping-Associated Lung Injury: A Review

et al. 2022

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Since commercial development in 2003, the usage of modern electronic cigarette (e-cigarette) continues to increase amongst people who have never smoked, ex-smokers who have switched to e-cigarettes, and dual-users of both conventional cigarettes and e-cigarettes. With such an increase in use, knowledge of the irritative, toxic and potential carcinogenic effects on the lungs is increasing. This review article will discuss the background of e-cigarettes, vaping devices and explore their popularity. We will further summarise the available literature describing the mechanism of lung injury caused by e-cigarette or vaping use.

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The need to more effectively regulate END markets: A primary public health lesson of the U.S. vaping associated lung injury outbreak

Cited by 3 publications

References 13 publications

The EVALI outbreak makes a strong case for better regulation of all vaporizer products

The EVALI outbreak makes a strong case for better regulation of all vaporizer products

Coagulopathy and Acute Respiratory Distress Syndrome: Dual Complications of E-Cigarette-Associated Lung Injury

Vaping-Associated Lung Injury: A Review

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