is the vaping lung disease new and how many cases of people who don't vape have it

How to contact CDC about lung disease outbreak?

To communicate with CDC about this public health response, clinicians and health officials can contact: LungDiseaseOutbreak@cdc.gov.

What is a probable case of an e-cigarette?

***A probable case is someone who recently used an e-cigarette product or vaped, developed a breathing illness , and for whom some tests have been performed to rule out infection. Other common causes of illness have been ruled out as the primary cause.

Why is the CDC reporting probable cases as one number?

CDC will continue to report confirmed and probable cases as one number because the two definitions are very similar and this is the most accurate way to understand the number of people affected.

When will the CDC release the new case count?

For Immediate Release: Thursday, September 12, 2019. Contact: Media Relations. (404) 639-3286. CDC today announced the updated number of confirmed and probable cases of lung disease associated with e-cigarette product use, or vaping. The new case count is the first national aggregate based on the new CDC case definition developed ...

Does the CDC work with the FDA?

CDC also continues to work closely with the Food and Drug Administration (FDA) to collect information about recent e-cigarette product use, or vaping, among patients and to test the substances or chemicals within e-cigarette products used by case patients.

How many people have lung disease from e-cigarettes?

According to the CDC: Nearly 200 e-cigarette users have developed severe lung disease in 22 states (and the numbers keep rising — a Washington Post story put the number at 354). Most cases were among teens and young adults.

How many puffs can you have with vaping?

With vaping, you can have one or two puffs, be satisfied, and be done whenever you want. You are not committed. You might only need one puff, then maybe five minutes later you take another one. You won’t overdo because your brain will never have to justify it as an expense if you stop now. You just stop now.

What are the effects of smoking?

The recent tragic and alarming cases of severe lung disease are clearly cause for concern. A number of other health effects are also worrisome: 1 Nicotine is highly addictive and can affect the developing brain, potentially harming teens and young adults. Even some "nicotine-free" e-cigarettes have been found to contain nicotine. 2 Some substances found in e-cigarette vapor have been linked to an increased risk of cancer. 3 Teens who vape are more likely to begin smoking cigarettes. 4 Explosions and burns have been reported with e-cigarettes while recharging the devices, due to defective batteries. 5 Accidental exposure to liquid from e-cigarettes has caused acute nicotine poisoning in children and adults. 6 Vaping during pregnancy could harm a developing fetus.

What are the chemicals in e-cigarettes?

E-cigarettes produce a number of dangerous chemicals including acetaldehyde, acrolein, and formaldehyde. These aldehydes can cause lung disease, as well as cardiovascular (heart) disease. Electronic cigarettes, or e-cigarettes, put nicotine into your lungs and bloodstream.

What are the symptoms of vapors?

Typically, symptoms have started gradually, with shortness of breath and/or chest pain before more severe breathing difficulty led to hospital admission.

What is the e-cigarette called?

The Centers for Disease Control and Prevention has created a web page with the latest information and recommendations about what is now being called EVALI (for e-cigarette, or vaping, product use associated lung injury).

Can e-cigarettes cause nicotine poisoning?

Accidental exposure to liquid from e-cigarettes has caused acute nicotine poisoning in children and adults.

What is an end vape?

ENDS, also known as E-cigarettes and vaping devices, were originally developed as a replacement device for conventional tobacco cigarette smokers [1]. However, their success in the arena of smoking cessation has been very limited, and they remain unapproved as cessation tools due to a lack of data demonstrating efficacy relative to currently approved nicotine replacement therapies [2]. The aerosols produced by E-cigarettes are known to cause a variety of deleterious health effects, although more research and long-term studies are still needed [2]. E-devices have rapidly evolved since entering the international market in 2013, with vape pens, box mods, and pod-based devices being the most commonly used vaping devices in 2020 [3]. Although E-cigarettes are used in conjunction with conventional tobacco by many cigarette smokers (dual users), their sole use in young adults and adolescents has skyrocketed [4]. This is concerning as use of tobacco products had been declining worldwide for over 50 years, and now, a new generation of nicotine addicts is being created through these novel vaping devices through the use of appealing flavors and packaging [5]. Even more concerning is that children and teenagers who use E-cigarettes are more likely to smoke conventional tobacco [6].

What is the difference between evali and lipoid pneumonia?

a, bThe histologic distinction between exogenous lipoid pneumonia and electronic cigarette or vaping-associated lung injury (EVALI) is dramatic and distinctive. Exogenous lipoid pneumonia shows numerous lipid vacuoles a, most of which are much larger than individual cells. There is associated fibrosis in which many of the droplets are embedded. Occasional macrophages contain lipid droplets within their cytoplasm. However, the droplets are much larger and more variable (arrow) compared to EVALI, H&E, × 100. Larger lipid vacuoles are surrounded by several multinucleated giant cells and a foreign body giant cell reaction (arrowhead) b, a feature not seen in EVALI, H&E, × 200

What is giant cell interstitial pneumonia?

Rare descriptions of additional patterns of lung injury have been described, including giant cell interstitial pneumonia that is a form of pneumoconiosis related to hard metal exposure and shows the accumulation of numerous multinucleated giant cells within the air spaces.

Does evali show HP?

The imaging findings of EVALI can closely resemble HP, leading to an incorrect presumptive diagnosis based on imaging alone (Fig. 1c). In these patients, high-resolution computed tomography (HRCT) shows upper lobe predominant of diffuse, poorly defined centrilobular ground-glass opacity nodules and/or opacities which have been shown to correspond to acute and organizing lung injury pathologically.

Is vaping a respiratory disease?

In the summer of 2019, an acute, mysterious, and deadly respiratory illness related to vaping emerged, primarily in young patients, in the USA. Cases increased dramatically and peaked in late September 2019. The Center for Disease Control and Prevention (CDC) termed the disease causing this epidemic E-cigarette or vaping product use-associated lung injury (EVALI). Prior to EVALI, vaping had been associated with a variety of different pulmonary presentations ranging from lipoid pneumonia to diffuse alveolar hemorrhage, but at low numbers. In this review, we discuss electronic nicotine delivery systems (ENDS) as well as the etiology, clinical presentation, imaging findings, pathologic features, treatment, and long-term consequences of EVALI. We conclude with a discussion on the practical impact EVALI has had on the practice of pathology.

Is vaping a lung disease?

Although lung diseases caused by vaping have been reported since the modern invention of the electronic cigarette , in the summer of 2019, patients began to present to health care centers at epidemic levels with an acute respiratory illness relating to vaping, which the Center for Disease Control termed E-cigarette or vaping product use-associated lung injury (EVALI). This review discusses electronic nicotine delivery systems as well as the etiology, clinical presentation, imaging findings, pathologic features, treatment, and long-term consequences of EVALI. We conclude with the practical impact EVALI has had on the practice of pathology.

Does lung biopsy show tungsten?

Interestingly, energy-dispersive X-ray spectroscopy on the actual tissue samples failed to reveal evidence of tungsten or cobalt.

How many people have been hospitalized for vaping?

Stop vaping and e-cigarette use 'immediately,' city health officials warn. At least 298 people have been hospitalized nationwide with severe lung disease apparently related to vaping.

How many people in Wisconsin have been diagnosed with vaping?

The department cites 16 people in Wisconsin who have been diagnosed with what health officials there are calling "severe chemical pneumonia" after vaping either nicotine or marijuana oils, extracts or concentrates. Another 15 cases in that state are under investigation.

What is Maddie Nelson's condition?

Courtesy Maddie Nelson. Nelson said she was diagnosed with eosinophilic pneumonia, which occurs when a type of white blood cell builds up in the lungs. "The doctors told me it was directly linked to vaping," she said. Nelson has largely recovered, but still requires oxygen support at night.

Is Maddie Nelson in a coma?

Her doctors diagnosed her with a type of pneumonia, and she had to be put into a medically-induced coma. She has since been released from the hospital and is recovering. Courtesy Maddie Nelson.

Why did the CDC stop tracking vaping cases?

These newer cases have been harder to find in part due to the covid-19 pandemic, since the two conditions can present similar symptoms. The pandemic is also likely one reason why the CDC decided to stop tracking these cases, constrained by limited resources. The situation has even spawned its own fringe conspiracy theory, with some people arguing that the vaping cases last year were actually covid-19 in disguise (no expert or source I spoke to endorsed that idea).

How many people died from vaping in 2020?

In the last week of December, only 29 cases were reported to the Centers for Disease Control and Prevention—a sharp drop off from the over 200 cases reported in a week during September. All told, as of February 2020, at least 2,807 people are known to have had this vaping-related lung illness, and 68 people died.

What is vitamin E used for in vaping?

This ingredient was often used as a filler to reduce the amount of THC needed per product or to fool customers into thinking the THC in the product was better quality by making the vaping fluid thicker. Importantly, vitamin E was readily found in illicit vaping products —usually disposable THC cartridges—and these products were clearly responsible ...

When will vaping stop?

Though the CDC said it would stop tracking the reporting of vaping-related illness in February 2020, local public health agencies and doctors continue to report their own cases. In June, doctors from California described eight patients who became sick from vaping in April.

Is the CDC still warning people to stop vaping?

The CDC Is Still Warning People to Stop Vaping Completely Over Lung Illness Cases —But Why?

Did Oregon pull vitamin E off the market?

By the fall, public health agencies were explicitly warning people to stay away from buying products off the street or from friends, as were vape users and influencers. At least one company that appeared to legally sell vitamin E as a cutting agent in Oregon pulled its product off the market. And there may have been pressure on the manufacturers of illicit devices and cartridges to remove or reduce the vitamin E they used. All of these factors probably contributed to the decline of cases.

Is vaping a healthier alternative to smoking?

The name change was only the latest signal to vaping consumers, people in the industry, and public health experts who see vaping as a healthier alternative to cigarette smoking that the crisis was being used to crack down on the industry without justification.

How many cases of lung disease are linked to vaping?

At least 15 states have identified more than 120 cases of lung disease or injury that could be linked to vaping, a CNN survey of state health departments has found. The US Centers for Disease Control and Prevention said on Saturday it’s investigating severe pulmonary disease among people who use e-cigarettes in some states.

How many states have vaping?

A total of 42 states and Washington, DC, provided CNN with a response. “These latest reports of pulmonary disease in people using vaping products in New York and other states are proof that more study is needed on the long-term health effects of these products,” Dr. Howard Zucker, health commissioner for New York State, said in a statement Friday.

Why are children's illnesses so difficult to diagnose?

Emily Chapman, chief medical officer at Children’s Minnesota, which reported four cases, said in a statement that these illnesses are tricky to diagnose because they can start off looking like a common infection before leading to more serious complications.

Public Health Recommendations

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Background

United States

Canada

Other Countries

Investigation

Illicit Vaping

Legal Proceedings

Responses

Hospitalized Patients