Contaminants found in vaping products have been linked to a multistate outbreak of lung injury — 2,291 cases of e-cigarette or vaping associated lung injury (EVALI) and 48 confirmed fatalities in 25 states and the District of Columbia. (CDC, December 3, 2019)
What’s NEW: (CDC, Updated December 6, 2019, at 2:30 PM EST)
CDC has analyzed national data on use of THC-containing product brands by EVALI patients.
Overall, 152 different THC-containing product brands were reported by EVALI patients.
Dank Vapes, a class of largely counterfeit THC-containing products of unknown origin, was the most commonly reported product brand used by patients nationwide, although there are regional differences. While Dank Vapes was most commonly reported in the Northeast and South, TKO and Smart Cart brands were more commonly reported by patients in the West and Rove was more common in the Midwest.
The data further supports that EVALI is associated with THC-containing products and that it is not likely associated with a single THC-containing product brand.
CDC recommends that people should not use THC-containing e-cigarette, or vaping, products, particularly from informal sources like friends, family, or in-person or online dealers. In addition, people should not add any substances to e-cigarette or vaping products that are not intended by the manufacturer, including products purchased through retail establishments.
THC-containing products continue to be the most commonly reported e-cigarettes, or vaping, products used by EVALI patients, and it appears that vitamin E acetate is associated with EVALI. However, many substances and product sources are being investigated, and there might be more than one cause. Therefore, while the investigation continues, persons should consider refraining from the use of all e-cigarette, or vaping, products.
*Latest EVALI outbreak information: CDC updates every THURSDAY NJ Dept of Health updates every TUESDAY
Health Care Providers
The New Jersey Poison Control Center is the data collection point of contact for the CDC and New Jersey Department of Health. All cases of vaping related illnesses should be immediately reported to the New Jersey Poison Control Center by calling 1-800-222-1222.
E-cigarettes, vape pens, personal vaporizers, JUULS: these terms describe Electronic Nicotine Delivery Systems (ENDS), the use of which are on the rise. They contain a concentrated nicotine solution (“e-liquid”) which comes in a variety of flavors. Initially developed to help smokers quit cigarettes, their popularity among consumers who have never smoked is significant, especially in nicotine-naive adolescents. 11% of teenagers reported regular use of these products in a recent survey. The Centers for Disease Control, American Academy of Pediatrics, and the United States Surgeon General have all concluded that nicotine is dangerous for children at any age. The long-term effects of these products, which contain chemicals and carcinogens such as nitrosamines, are still unclear. Teens who use these products are more likely to begin using other tobacco products. Exposure to nicotine at this early age can also set the stage for addiction.
Worse still, concentrated nicotine liquid in the hands of a toddler can be fatal. Signs of nicotine poisoning include vomiting, agitation, sweating, and seizures. Like all drugs, we urge consumers to lock up the nicotine liquids and do not allow young children to access and potentially swallow it. If you have these products in your home, please be safe and make sure they don’t fall into the wrong hands.
Poison Control Centers handle thousands of calls for nicotine exposure each year. If you or someone you know is experiencing nicotine poisoning or has been exposed, we can help. Call us right away at 1-800-222-1222.
Information from the Experts
Centers for Disease Control and Prevention. Tobacco Use Among Middle and High School Students—United States, 2011–2016. Morbidity and Mortality Weekly Report, 2017;66(23):597-603.
US Department of Health and Human Services (2016). E-Cigarette Use Among Youth and Young Adults: A Report of the Surgeon General. Atlanta, GA. US Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health