Friday, October 18, 2019

CDC Update On Acute Lung Injuries LInked To Vaping (Oct 17th)

Credit CDC


The CDC's investigation into unexplained acute pulmonary illnesses linked to using e-cigarettes (see CDC Clinical Action: Unexplained Vaping-Associated Pulmonary Illness) has entered its 3rd month and as more doctors become aware of the symptoms, the number of identified cases continues to rise.
Although the numbers thus far affected are relatively small compared to the number of people using e-cigs - until the cause can be identified (and hopefully eliminated) -  the entire industry remains under a cloud.
Last week the CDC released updated Interim Guidance in the MMWR for clinicians, and yesterday held a COCA Call to review the recommendations.

Excerpts from latest CDC update, posted yesterday, follow:

Outbreak of Lung Injury Associated with E-Cigarette Use, or Vaping

Updated October 17, 2019 at 3:00 PM ET

What We Know
  • As of October 15, 2019, 1,479* lung injury cases associated with the use of e-cigarette, or vaping, products have been reported to CDC from 49 states (all except Alaska), the District of Columbia, and 1 U.S. territory.
  • Thirty-three deaths have been confirmed in 24 states.
  • All patients have reported a history of using e-cigarette, or vaping, products.
  • We do know that THC is present in most of the samples tested by FDA to date, and most patients report a history of using THC-containing products.
  • The latest national and state findings suggest products containing THC, particularly those obtained off the street or from other informal sources (e.g. friends, family members, illicit dealers), are linked to most of the cases and play a major role in the outbreak.
  • As such, we recommend that you should not use e-cigarette, or vaping, products that contain THC.
  • Since the specific causes or causes of lung injury are not yet known, the only way to assure that you are not at risk while the investigation continues is to consider refraining from use of all e-cigarette, or vaping, products
  • The use of e-cigarettes, or vaping, products is unsafe for all ages, including youth and young adults. Nicotine is highly addictive and can harm adolescent brain development, which continues into the early to mid-20s.

What We Don't Know
  • At this time, FDA and CDC have not identified the cause or causes of the lung injuries in these cases, and the only commonality among all cases is that patients report the use of e-cigarette, or vaping, products.
  • No one compound or ingredient has emerged as the cause of these illnesses to date; and it may be that there is more than one cause of this outbreak. Many different substances and product sources are still under investigation. The specific chemical exposure(s) causing lung injuries associated with e-cigarette product use, or vaping, remains unknown at this time

What CDC Recommends