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Health Alert: Outbreak of Severe Lung Disease Associated with E-cigarette Use or Vaping
Three Cases Identified in Washington State
Key Actions Requested:
Other clinical considerations:
As of 5 p.m. September 11, 380 cases of lung illness associated with the use of e-cigarette products have been reported to CDC from 36 states and six deaths have been confirmed. All patients have a reported history of e-cigarette product use, and no consistent evidence of an infectious cause has been discovered. Therefore, the suspected cause is a chemical exposure. Most patients have reported a history of using e-cigarette products containing THC. Many patients have reported using THC and nicotine. Some have reported the use of e-cigarette products containing only nicotine. No consistent e-cigarette or vaping product, substance, or additive has been identified in all cases, nor has any one product or substance been conclusively linked to lung disease in patients. These investigations are ongoing.
As of September 15, 3 cases of lung disease associate with vaping have been reported in Washington from King County and Spokane County. All three confirmed cases reported vaping prior to illness but to date we have not identified a product, device, or additive that are common to all three cases. Investigations into the specifics of products, devices, or additives is ongoing.
Centers for Disease Control and Prevention: Outbreak of Lung Disease Associated with E-Cigarette Use, or Vaping
MMWR: Severe Pulmonary Disease Associated with Electronic-Cigarette–Product Use — Interim Guidance
MMWR: Notes from the Field: Outbreak of Electronic-Cigarette Associated Acute Lipoid Pneumonia—North Carolina, July–August, 2019
New England Journal of Medicine: Pulmonary Illness Related to E-Cigarette Use in Illinois and Wisconsin — Preliminary Report
Snohomish Health District – www.snohd.org/vaping