E-cigarette, or Vaping, Product Use-Associated Lung Injury Among Clusters of Patients Reporting Shared Product Use - Wisconsin, 2019

MMWR. Morbidity and Mortality Weekly Report
Ian W PrayJonathan Meiman

Abstract

On July 10, 2019, Wisconsin Department of Health Services (WDHS) was notified of five previously healthy adolescents with severe lung injuries who reported use of e-cigarette, or vaping, products before symptom onset. As of December 31, 2019, 105 confirmed or probable cases of e-cigarette, or vaping, product use-associated lung injury (EVALI)* had been reported to WDHS . Three social clusters (A, B, and C), comprising eight EVALI patients (cluster A = two patients, cluster B = three, and cluster C = three) were identified. WDHS investigated these clusters with standard and follow-up interviews; laboratory analysis of e-cigarette, or vaping, products; and analysis of bronchoalveolar lavage (BAL) fluid. All eight patients reported daily use of tetrahydrocannabinol (THC)-containing e-cigarette, or vaping, product cartridges (THC cartridges) in the month preceding symptom onset. All THC cartridges were purchased from local illicit dealers, and all patients reported using THC cartridges labeled as "Dank Vapes," among other illicit brand names. At least two members of each cluster reported frequent sharing of THC cartridges before symptom onset. All eight patients also reported daily use of nicotine-containing e-cigarette, or vaping,...Continue Reading

References

Oct 4, 2019·MMWR. Morbidity and Mortality Weekly Report·Isaac GhinaiJennifer E Layden
Oct 28, 2019·MMWR. Morbidity and Mortality Weekly Report·Nathaniel LewisAngela Dunn
Nov 28, 2019·MMWR. Morbidity and Mortality Weekly Report·Joanne TaylorUNKNOWN Lung Injury Response Task Force
Dec 13, 2019·MMWR. Morbidity and Mortality Weekly Report·Matthew J LozierUNKNOWN Lung Injury Response Epidemiology/Surveillance Task Force
Jan 24, 2020·MMWR. Morbidity and Mortality Weekly Report·Vikram P KrishnasamyUNKNOWN Lung Injury Response Epidemiology/Surveillance Task Force

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Citations

Jul 28, 2020·Critical Reviews in Toxicology·Daniel L OverbeekAlicia M H Casey
Aug 19, 2020·Nicotine & Tobacco Research : Official Journal of the Society for Research on Nicotine and Tobacco·Rachel N CassidySuzanne M Colby
Oct 9, 2020·International Journal of Environmental Research and Public Health·Nkiruka C AtuegwuEric M Mortensen
Feb 26, 2021·Substance Use & Misuse·Olivia AlgiersLinnea Laestadius
Jul 31, 2021·Journal of Hospital Medicine : an Official Publication of the Society of Hospital Medicine·Danielle L Clark, Susan C Walley
Aug 8, 2021·International Journal of Environmental Research and Public Health·Yulin Hswen, Elad Yom-Tov
Oct 9, 2021·Chemical Research in Toxicology·Jiries Meehan-Atrash, Irfan Rahman

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Methods Mentioned

BETA
bronchoalveolar lavage

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