Cases involved in the outbreak of severe vaping-associated pulmonary injury associated with vaping products were first identified in Illinois and Wisconsin in April 2019.
Is vaping becoming an epidemic?
Dr. Pirzada is one of the many physicians across the country treating patients — now totaling more than 215 — with mysterious and life-threatening vaping-related illnesses this summer. The outbreak is “becoming an epidemic,” she said. “Something is very wrong.”
What is the latest on vaping lung illness outbreak?
2019–2020 vaping lung illness outbreak From Wikipedia, the free encyclopedia An outbreak of vaping-associated pulmonary injury (VAPI) starting in 2019 is ongoing among users of illegal unregulated (Black market) cannabis vaping products, almost exclusively in the United States.
Which vapes are most commonly reported?
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 composition of THC based oils is to a large extent not known.
Is there lung disease associated with vaping in Illinois and Wisconsin?
Illinois Department of Public Health. 5 September 2019. ^ a b c "New Cases Identified in Investigation of Lung Disease Among Teens and Young Adults Who Reported Vaping". Wisconsin Department of Health Services. 2 August 2019. ^ a b c d e f g h i j "Severe Acute Pulmonary Disease Associated with Cannabis or Cannabidiol Oil Vaping" (PDF).
What states are affected by the vape ban?
U.S. bans on flavored vapes and online salesArkansas – online sales ban. ... California – flavor ban (on hold until 2022) ... Hawaii – flavor ban. ... Maine – online sales ban. ... Massachusetts – flavor ban. ... New Jersey – flavor ban. ... New York – flavor ban + online sales ban. ... Oregon – online sales ban.More items...•
What states vape the most?
States With the Highest Vaping RatesOklahoma.Kentucky.Indiana.Tennessee.Wyoming.West Virginia.Arkansas.Nevada.
Does vaping increase risk of COVID-19?
Teenagers and young adults who vape face a much higher risk of COVID-19 than their peers who do not vape, a new study has found. Vaping is linked to a substantially increased risk of COVID-19 among teenagers and young adults, according to a new study led by researchers at the Stanford University School of Medicine.
What 5 states in the US were the first to enact vaping bans?
These are the states that have enacted vaping bans so far, and those that have been blocked in court.Michigan. In early September, Michigan became the first state to announce its intent to limit the sale of vaping products, when Gov. ... New York. ... Massachusetts. ... Rhode Island. ... Montana. ... Washington. ... Oregon. ... California.
Is vaping legal in all 50 states?
The only states that do not regulate indoor vaping at all, be it by state territory or on a local level, are in the states of Nebraska, Nevada, and Tennessee.
What state has the highest percentage of smokers?
Kentucky once again leads all states in the percentage of adults who still smoke cigarettes, according to state-by-state figures today released by the CDC.
Can you get COVID-19 twice?
Yes, you can get COVID-19 more than once. “We're seeing more reinfections now than during the start of the pandemic, which is not necessarily surprising,” Dr. Esper says. He breaks down the reasons behind reinfection.
Does nicotine protect Covid?
Nicotine may inhibit the penetration and spread of the virus and have a prophylactic effect in COVID-19 infection. This is the proportion of subjects with at least one positive serology between W2 and W19.
Do smokers get Covid less?
In one study (n = 661), the active smokers had a lower risk of confirmed COVID-19 compared to non-smokers (7.2 vs. 28.0%; age-adjusted OR = 0.23; 95% CI = 0.09–0.59). This association remained significant after adjustment for occupation too (20).
Are vapes illegal in Texas?
The more you know about vaping, the better you can help teens avoid its dangers. In Texas, an individual must be at least 21 years old to legally buy or own tobacco products, including e-cigarettes or vape devices.
Can you vape in Florida?
Use of vapor-generating electronic devices are prohibited in enclosed indoor workplaces, except private residences when not in use as child, adult or health care facilities, with some exceptions. Vaping by persons under 21 years of age prohibited in, on, or within 1000 feet of a school between 6am and midnight.
Is vaping illegal in California?
The governor of California signed SB 793, a bill that banned the sale of tobacco and vapor products in flavors other than “tobacco” on August 28, 2020. In January 2021, a referendum suspended the ban until voters decide to repeal or affirm it in November 2022.
Which states have banned e-cigarettes?
For example, in June 2019, San Francisco banned the sale and distribution of e-cigarettes entirely. The ban in San Francisco will go into effect early next year and remain active until the U.S Food and Drug Administration (FDA) authorizes e-cigarettes. San Francisco was not the first city to institute a ban, but it was a significant decision for the city, as one of the largest e-cigarette companies, JUUL, is headquartered in San Francisco.
Is Michigan a vaping state?
On September 4, 2019, Michigan Governor Gretchen Whitmer (D) officially announced the state ban on flavored e-cigarette products. This move comes after the Michigan State Health Department declared youth vaping a public health emergency. The ban coincides with a string of reported vaping-related illnesses across the country. On September 12, 2019, the Centers for Disease Control and Prevention (CDC) acknowledged 380 cases of "confirmed and probable" lung disease attributed to vaping. Six deaths caused by vaping-related lung damage have been reported as well.
Is there an investigation into Juul?
In May 2019, the Massachusetts attorney general launched an investigation into JUUL's marketing tactics, as public concern grew regarding the number of teen users. Four other state attorney generals, representing Connecticut, Illinois, the District of Columbia, and Colorado, have announced similar actions in recent months.
Is Juul a federal investigation?
In addition to state-level investigations, there are several federal investigations. The FDA has been investigating the safety of vaping products and the potential side effect of seizures since earlier this year. However, the agency recently began a separate inquiry into the company's marketing claims. The FDA sent a warning letter to JUUL, just days after the company testified before the U.S. House of Representatives, stating that JUUL had illegally promoted their vaping products as a safer alternative to traditional cigarettes, without regulatory approval from the FDA.
UPDATE
This post has been updated with new reports of related deaths in Minnesota and California.
UPDATE
This post has been updated with information from a CDC report on the cases reported Friday.
When did the FDA start regulating e-cigarettes?
It is important to note FDA’s initial efforts to regulate e-cigarettes began more than a decade ago. Between 2008 and 2010, FDA attempted to regulate e-cigarettes as unapproved drug/device combination products. FDA’s action was challenged and ultimately, the U.S. Court of Appeals for the D.C. Circuit ruled that while FDA could choose to regulate e-cigarettes and other products “made or derived from tobacco” under its new tobacco authorities, it could not regulate these products under FDA’s drug and device authority unless they were marketed for therapeutic purposes. 1
Why did the FDA suspend inspections?
Suspending inspections was necessary to protect the health and safety of FDA’s staff and contractors (both adults and youth) who participate in the inspections. However, FDA’s monitoring and surveillance of websites, publications, and social media continued without interruption during that time.
How many inspections has the FDA done?
Since 2010, FDA has conducted more than 900 inspections of manufacturing establishments, some of which manufacture ENDS products (including e-liquids). Since the Deeming rule took effect on August 8, 2016, FDA has conducted more than 2,500 vape shop inspections.
How many warning letters did the FDA issue in 2021?
As of May 31, 2021, FDA had issued more than 120 warning letters to firms selling or distributing unauthorized ENDS and that did not submit premarket applications by the September 9 deadline. Collectively these companies have listed a combined total of over 1,280,000 products with FDA.
How many youth use e-cigarettes in 2020?
While we are seeing some progress in youth prevalence rates, the fact that there are still 3.6 million youth e-cigarettes users in 2020 is deeply concerning and underscores the critical need for FDA to address youth use of e-cigarettes and other ENDS.
What is the FDA's authority to regulate tobacco?
Under the statute, FDA had immediate authority to regulate cigarettes, cigarette tobacco, roll-your-own tobacco, and smokeless tobacco.
How many people have died from vaping?
At least 42 people have died from vaping-related lung injuries. The youngest person to die so far was 17 years old, and the oldest was 75. 2,172 other cases of vaping-related lung problems have been reported to the US Centers for Disease Control and Prevention (CDC) across 49 US states, plus Washington, DC, Puerto Rico, and the US Virgin Islands.
Is vaping a cause of death?
The cause of these vaping-related injuries and deaths are still puzzling investigators, though they're zeroing in on a potential culprit. The lung issues are killing young and old vapers alike, and they're spread out around the country, suggesting there may be no single source of a dangerous substance, or substances, that are making vapers sick.
Is it safe to vape with THC?
The CDC agrees with that advice, but goes a step further on its website, saying that vaping is "unsafe" for everyone who doesn't already use tobacco products, and is especially dangerous for pregnant women, kids, and young adults. The CDC is urging people not to vape any THC products, especially ones that are bought from "informal sources like friends or family, online dealers, or the illicit market."
Is vaping bad for your lung?
Vaping is leading to a spate of lung injuries, comas, and death. Lung experts say oils like vitamin E may be partially to blame. The FDA just leveled a stark warning against using any vapes containing THC amid an outbreak of lung disease.
Where is the CDC located?
CDC is headquartered in Atlanta and has experts located throughout the United States and the world.
Can you use e-cigarettes?
Regardless of the ongoing investigation, people who use e-cigarette products should not buy these products off the street and should not modify e-cigarette products or add any substances that are not intended by the manufacturer. E-cigarette products should never be used by youth, young adults, pregnant women, or adults who do not currently use tobacco products.
Is lung disease a chemical exposure?
No evidence of infectious diseases has been identified in these patients, therefore lung illnesses are likely associated with a chemical exposure. However, it is too early to pinpoint a single product or substance common to all cases, according to authors of articles published today in the CDC’s Morbidity and Mortality Weekly Report (MMWR) and the New England Journal of Medicine.
Can e-cigarettes cause lung disease?
CDC encourages clinicians to immediately report possible cases of e-cigarette-associated lung disease to their local or state health department for further investigation. If e-cigarette product use is suspected as a possible cause for a patient’s lung disease, a detailed history of the substances used, the sources, and the devices used should be obtained, as outlined in the HAN (Health Alert Network), and efforts should be made to determine if any remaining product, devices, and liquids are available for testing.
Who is the Vapor Technology Association?
The Vapor Technology Association, an e-cigarette and vaping industry trade group, asked “public officials to thoroughly investigate the circumstances which might have led to each reported hospitalization before making statements to the public as to whether certain products are implicated in these incidents.”
What is a CT scan of a vaping injury?
A CT scan of a vaping injury patient , looking up from the patient’s feet, with the cloudy areas in the lungs showing damage.
How does vaping work?
Vaping works by heating liquid and turning it into steam to be inhaled. Broadly speaking, e-cigarettes are considered less harmful than traditional cigarettes, which work through the combustion of tobacco that sends thousands of chemicals, many carcinogenic, into the lungs.
What does vaping X-rays show?
An X-ray of a patient with a vaping habit, showing lung damage — densities or whitish cloud-like areas typically associated with some pneumonias, fluid in the lungs or inflammation.
How many states allow marijuana?
The regulation and study of the marijuana industry is particularly complex. Even though the federal government still considers cannabis a controlled substance, 33 states now allow it to be sold for either recreational or medicinal purposes or both. Hundreds of cannabis products are sold, legally and illegally, such as THC oil, or cannabis oil with THC.
Is vaping an epidemic?
The Mysterious Vaping Illness That’s ‘Becoming an Epidemic’. A surge of severe lung ailments has baffled doctors and public health experts. An X-ray of a patient with a vaping habit, showing lung damage — densities or whitish cloud-like areas typically associated with some pneumonias, fluid in the lungs or inflammation.
Is Vitamin E oil safe for vaping?
Many vaping ingredients are not listed on the products. Vitamin E oil appears to have been a common substance associated with the severe and sudden respiratory problems in some of the New York cases, according to state health officials. It is not known how it was used. Vitamin E is sometimes advertised as a supplement in cannabidiol oil, which is not designed for vaping but has been used that way.
Introduction
- Good morning, Chairman Krishnamoorthi, Ranking Member Cloud, and Members of the Subcommittee. Thank you for the opportunity to be here today to discuss the Food and Drug Administration’s (FDA or the Agency) efforts to address youth use of electronic nicotine delivery systems, or ENDS, which include e-cigarettes. I am Janet Woodcock, Acting FDA Comm...
Background
- Let me start with some information on our tobacco regulatory authorities and our recent regulatory efforts regarding ENDS and e-cigarettes. Tobacco use is the single largest preventable cause of disease and death in the United States. Each year, more than 480,000 people in the United States die prematurely from diseases caused by cigarette smoking and exposure to toba…
Regulatory Requirements For Ends Products
- When the Deeming rule took effect in August 2016, many of the regulatory and legal requirements that had been in place for manufacturers of cigarettes, smokeless tobacco, cigarette tobacco, and roll-your-own tobacco since 2009, as well as several new requirements specific to deemed products, became applicable to manufacturers of e-cigarettes and other ENDS products. These i…
Data on Youth Use of E-Cigarettes
- FDA collaborates with the Centers for Disease Control and Prevention (CDC) to administer the National Youth Tobacco Survey (NYTS) to middle and high school students each year. The survey provides important data that allow us to understand current youth tobacco product use in a larger historical context. NYTS data from 2018 and 2019 showed disturbing increases in the use of e-c…
FDA’s Actions to Address Youth Use of Ends Products
- Protecting our nation’s youth from the dangers of tobacco products is among the Agency’s most important responsibilities, and we are taking aggressive steps to make sure tobacco products are not being marketed or sold to kids. Our work to protect youth from tobacco products is comprehensive and includes compliance and enforcement, premarket review, public education, …
Conclusion
- Thank you again for the opportunity to testify about FDA’s comprehensive efforts to regulate ENDS, including our actions to prevent youth access to, and use of, these products. The efforts described here are just a part of the important work FDA and the Administration are undertaking to protect children and youth from the harms of tobacco products. We still have much to accom…
Overview
An outbreak of e-cigarette, or vaping, product use-associated lung injury (EVALI) started in 2019 among users of illegal, unregulated cannabis vaping products, almost exclusively in the United States. The first cases of this particular outbreak were identified in Illinois and Wisconsin in April 2019; as of 21 January 2020, a total of 2,711 hospitalized cases, including 61 deaths, have been confir…
Responses
The e-cigarette industry is placing the blame on illicit vaping liquids for the lung injuries. "Each day of this crisis brings more evidence that street vapes containing THC or other illegal drugs are responsible for these illnesses, not nicotine vaping products," said Gregory Conley of the American Vaping Association, in August 2019. "Like any health-related events reportedly associated with the use of vapor products, we are monitoring these reports," Juul Labs stated to
Public health recommendations
The CDC recommends that the public should consider not using any vaping products during their investigation, particularly those containing THC from informal sources like friends, family, or in-person or online dealers as of 20 November 2019. The U.S. FDA considers it prudent to avoid inhaling vitamin E acetate. On 6 September 2019, the U.S. FDA stated that because consumers cannot be sure whether any THC vaping products may contain vitamin E acetate, consumers ar…
Background
According to a systematic review article, 2019 was not the first time that vaping products have been linked to lung injury. "Initial case reports of vaping-related lung injury date back to 2012, but the ongoing outbreak of EVALI began in the summer of 2019..."< At least 19 cases of vaping-associated pulmonary injuries had been reported worldwide prior to 2019. The first case of e-cigarettes inducing lipid pneumonia was documented in the medical literature in 2012, though th…
United States
Cases involved in the outbreak of severe vaping-associated pulmonary injury were first identified in Illinois and Wisconsin in April 2019. As of 21 January 2020, a total of 2,711 hospitalized cases of lung illness associated with the use of vaping products have been reported to the Centers for Disease Control and Prevention (CDC) from 50 states, the District of Columbia, and two US territories (Puerto …
Canada
On 18 September 2019, a case of severe lung illness associated with vaping in Canada was reported. A high school student in Ontario needed to be put on life support. The person had been vaping every day. His health improved and he was released from the hospital. This case has not been confirmed, as 27 September 2019. He vaped intensively, adding THC to his devices. He initially showed symptoms aligning with bronchiolitis (lung condition normally caused by a bacter…
Other countries
What has occurred in the United States has not occurred in other places where vaping is frequent, such as the UK. In European countries such as France, there is no evidence of an outbreak of the vaping-associated lung illness that occurred in the US.
Investigation
Investigators from multiple states in the US are collaborating with the Centers for Disease Control and Prevention (CDC) and the US Food and Drug Administration (US FDA) to determine the cause of the lung illnesses associated with the use of vaping products.
On 6 September 2019, Dr. Dana Meaney-Delman, serving as the incident mana…