E-cigarette Product Use, or Vaping, Among Persons with Associated Lung Injury - Illinois and Wisconsin, April-September 2019

被引:71
作者
Ghinai, Isaac [1 ,2 ]
Pray, Ian W. [2 ,3 ]
Navon, Livia [1 ,4 ]
O'Laughlin, Kevin [2 ]
Saathoff-Huber, Lori [1 ]
Hoots, Brooke [5 ]
Kimball, Anne [2 ]
Tenforde, Mark W. [2 ]
Chevinsky, Jennifer R. [2 ]
Layer, Mark [6 ,7 ]
Ezike, Ngozi [1 ]
Meiman, Jonathan [3 ]
Layden, Jennifer E. [1 ]
机构
[1] Illinois Dept Publ Hlth, Springfield, IL 62761 USA
[2] CDC, Epidem Intelligence Serv, Atlanta, GA 30333 USA
[3] Wisconsin Dept Hlth Serv, Madison, WI USA
[4] CDC, Div State & Local Readiness, Ctr Preparedness & Response, Atlanta, GA 30333 USA
[5] CDC, Div Unintent Injury Prevent, Natl Ctr Injury Prevent & Control, Atlanta, GA 30333 USA
[6] CDC, Natl Ctr Environm Hlth, Atlanta, GA 30333 USA
[7] Emory Univ, Sch Med, Atlanta, GA USA
来源
MMWR-MORBIDITY AND MORTALITY WEEKLY REPORT | 2019年 / 68卷 / 39期
关键词
D O I
10.15585/mmwr.mm6839e2
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
In July 2019, the Illinois Department of Public Health and the Wisconsin Department of Health Services launched a coordinated epidemiologic investigation after receiving reports of several cases of lung injury in previously healthy persons who reported electronic cigarette (e-cigarette) use, or vaping (1). This report describes features of e-cigarette product use by patients in Illinois and Wisconsin. Detailed patient interviews were conducted by telephone, in person, or via the Internet with 86 (68%) of 127 patients. Overall, 75 (87%) of 86 interviewed patients reported using e-cigarette products containing tetrahydrocannabinol (THC), and 61 (71%) reported using nicotine-containing products. Numerous products and brand names were identified by patients. Nearly all (96%) THC-containing products reported were packaged, prefilled cartridges, and 89% were primarily acquired from informal sources (e.g., friends, family members, illicit dealers, or off the street). In contrast, 77% of nicotine-containing products were sold as prefilled cartridges, and 83% were obtained from commercial vendors. The precise source of this outbreak is currently unknown (2); however, the predominant use of prefilled THC-containing cartridges among patients with lung injury associated with e-cigarette use suggests that they play an important role. While this investigation is ongoing, CDC recommends that persons consider refraining from using e-cigarette, or vaping, products, particularly those containing THC. Given the diversity of products reported and frequency of patients using both THC- and nicotine-containing e-cigarette products, additional methods such as product testing and traceback could help identify the specific cause of this outbreak.
引用
收藏
页码:865 / 869
页数:5
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