Update on outbreak of lung illness associated with using e-cigarette products

Sept. 11, 2019
A sixth death related to vaping reported in Kansas

Another death associated with e-cigarette use was reported in Kansas September 10, the first death in the state and sixth nationwide. The other five deaths occurred in California, Illinois, Indiana, Minnesota, and Oregon.

The Kansas Department of Health and Environment said the recent death was a Kansas resident over the age of 50. According to Kansas State Epidemiologist Dr. Farah Ahmed, the patient had a history of underlying health issues and was hospitalized with symptoms that progressed rapidly. The national investigation has not identified any specific vaping or e-cigarette products linked to all cases. Many patients report using vaping or e-cigarette products with liquids that contain cannabinoid products, such as tetrahydrocannabinol. Kansas does not have detailed information on what types of products were used by the deceased.

“It is time to stop vaping,” said Kansas State Health Officer and Secretary for the Kansas Department of Health and Environment Dr. Lee Norman. “If you or a loved one is vaping, please stop. The recent deaths across our country, combined with hundreds of reported lung injury cases continue to intensify.”

The Centers for Disease Control and Prevention (CDC) and Food and Drug Administration (FDA), state and local health departments, and other clinical and public health partners are investigating a multistate outbreak of severe pulmonary disease associated with e-cigarette product (devices, liquids, refill pods, and/or cartridges) use. This investigation is ongoing and has not identified a cause, but all reported cases have a history of using e-cigarette products.

More than 450 possible cases of lung illness associated with the use of e-cigarette products have been reported to CDC from the following 33 states and 1 U.S. territory: AR, CA, CO, CT, DE, FL, GA, IA, IL, IN, KS, KY, LA, MD, MI, MN, MT, NC, NE, NJ, NM, NY, OH, OR, PA, SC, TN, TX, UT, VA, VT, WI, WV, and the U.S. Virgin Islands). These numbers may change frequently.

CDC says it expects that states and clinicians may look back for older cases based on CDC’s case definition. States are in the process of classifying current possible cases as well as older cases.

Nationally, symptoms among cases included shortness of breath, fever, cough, and vomiting and diarrhea. Other symptoms reported by some patients included headache, dizziness and chest pain

No evidence of infectious diseases has been identified indicating that lung illnesses are likely associated with a chemical exposure. Initial published reports from the investigation point to clinical similarities among cases. Patients report e-cigarette use and similar symptoms and clinical findings. These align with the CDC health advisory released August 30, 2019.