Recent news • Kentucky announced its first vaping-related death, bringing the total to 59 deaths in 28 states. • Texas reported the youngest death from vaping so far, a 15-year-old in the Dallas area.

Cases and Deaths

The Centers for Disease Control and Prevention and state agencies have reported 2,602 lung injury cases that required hospitalization and 59 deaths linked to vaping.

Cases of lung illness Deaths 1 10 50 100 150 250 Mont. Minn. Mass. Ore. 3 Mich. 2 Wis. N.Y. 4 2 3 Conn. Pa. Neb. Ind. N.J. Ill. Utah Del. Mo. 5 Kan. Calif. Va. 5 Ky. 2 2 4 Tenn. 2 S.C. Ala. Ga. D.C. Miss. 5 La. Tex. Fla. 3 Virgin Islands 2 Cases of vaping-related lung illness Deaths 1 10 50 100 150 250 Mont. Minn. Ore. Mass. 3 Mich. 2 Wis. N.Y. 4 2 3 Conn. Pa. Neb. Ind. N.J. Ill. Utah Del. 5 Mo. Calif. Va. 5 Kan. 2 Ky. 2 4 Tenn. 2 S.C. Ala. Ga. Miss. D.C. 5 La. Tex. Fla. 3 2 Virgin Islands Cases of vaping-related lung illness Deaths 1 10 50 100 150 250 Mont. Minn. Ore. Mass. N.Y. 2 3 Mich. Wis. 4 2 3 Conn. Pa. N.J. Neb. Ind. Ill. Utah Del. 5 5 Calif. Mo. Va. Kan. 2 Ky. 2 4 Tenn. 2 S.C. Ga. Ala. Miss. 5 D.C. La. Tex. 3 Fla. Virgin Islands Hawaii 2 Cases of vaping-related lung illness Deaths 1 10 50 100 150 250 Mont. Ore. Minn. Mass. N.Y. 2 3 Wis. 4 Mich. 2 3 Conn. Pa. N.J. Neb. Ind. Ill. Utah Del. 5 5 Kan. Calif. Mo. Va. Ky. 2 4 2 Tenn. 2 S.C. Ga. Ala. Miss. 5 D.C. La. Tex. 3 Fla. Virgin Islands Hawaii 2



Vaping-related emergency room visits peaked in September and mostly involved younger people, especially young men and boys.

Peak on Sept. 8 500 visits per million visits 400 300 Patients aged 10–19 Number of emergency room visits linked to vaping or e-cigarettes 200 100 2017 2018 2019 200 Aged 20–29 100 30–39 50 40–49 50–59 60–69 Patients aged 70–79 50 2017 2018 2019 Sept. 8 500 visits per million visits Patients aged 10–19 300 Number of E.R. visits linked to vaping or e-cigarettes 200 100 2017 2018 2019 200 Aged 20–29 100 30–39 50 40–49 50–59 60–69 Patients aged 70–79 50 2017 2018 2019 By The New York Times | Source: New England Journal of Medicine

Vaping Regulations

Several states and cities have announced or enacted vaping bans in response to the recent illnesses and deaths.

Wash. Mont. Mass. Ore. Mich. N.Y. R.I. Chicago Pine Ridge S.F. Utah Ill. The Trump administration County and City of Los Angeles San Diego County Considering or working on a ban Announced or enacted ban on flavored e-cigarettes Announced or enacted ban on all e-cigarettes Four-month ban on all vaping products Wash. Mont. Ore. Mass. Mich. N.Y. S.D. R.I. Calif. Chicago Pine Ridge Reservation Ill. Utah San Francisco The Trump administration County of Los Angeles City of Los Angeles San Diego County Considering or working on a ban Announced or enacted ban on flavored e-cigarettes Announced or enacted ban on all e-cigarettes Four-month ban on all vaping products Wash. Mont. Ore. Mass. S.D. N.Y. Mich. R.I. Pine Ridge Reservation Chicago San Francisco Ill. Utah The Trump administration Calif. County of Los Angeles City of Los Angeles San Diego County Considering or working on a ban Announced or enacted ban on flavored e-cigarettes Announced or enacted ban on all e-cigarettes Four-month ban on all vaping products

◼ The Trump administration says it is planning a national ban on most flavored e-cigarettes.

◼ Massachusetts declared a public health emergency and ordered a four-month ban on the sale of all vaping products.

◼ New York’s ban on flavored e-cigarettes has been delayed by a state court.

◼ Michigan banned the sale of flavored e-cigarettes and Utah restricted their sale to adult-only tobacco shops.

◼ Oregon imposed a 180-day ban, Rhode Island imposed a four-month ban and Washington imposed a 120-day ban on flavored vaping products. Montana’s 120-day ban will begin Oct. 22.

◼ San Francisco banned all e-cigarettes but a measure that would overturn the ban is on the November ballot.

◼ The Oglala Sioux banned vaping on the Pine Ridge Reservation.

◼ Illinois is considering banning flavored e-cigarettes, and Chicago and Los Angeles are considering bans on all vaping devices.





Lung Damage

Patients with vaping-related lung injuries typically show up in emergency rooms with shortness of breath after several days of symptoms that resemble flu or pneumonia.

Below, a CT scan of a patient in Utah whose lungs were injured from vaping.

Sternum Lung Lung Ribs Heart Spine Cloudy areas in the patient’s lungs show unusual pneumonias, fluid or inflammation. Back muscles Sternum Lung Lung Ribs Heart Spine Cloudy areas in the patient’s lungs show unusual pneumonias, fluid or inflammation. Back muscles Sternum Lung Lung Ribs Heart Spine Back muscles Cloudy areas in the patient’s lungs show unusual pneumonias, fluid or inflammation. Sternum Lung Lung Ribs Heart Spine Back muscles Cloudy areas in the patient’s lungs show unusual pneumonias, fluid or inflammation. Sternum Lung Lung Ribs Heart Spine Back muscles Cloudy areas in the patient’s lungs show unusual pneumonias, fluid or inflammation. By The New York Times | Source: Intermountain Healthcare

Patient Demographics

Seventy percent of those who became ill were male:

Gender Number of cases Male 70% 70% Female 30% 30%

Two-thirds were between ages 18 and 34:

Age Number of cases Under 18 15% 15% 18–24 39% 39% 25–34 26% 26% 35 and older 20% 20%

What They Vaped

No single substance has been shown to cause the illness, but several marijuana products have been identified as possible causes.

Percentage of lung injury patients who reported vaping each substance. YES NO THC products 77% 19% 5 Nicotine products 57 34 10 Cannabidiol (CBD) 17 52 31 Synthetic cannabinoids 56 43 Flavored e-liquids 20 26 55% Unknown Percentage of lung injury patients who reported vaping each substance. YES NO THC products 77% 19% Nicotine products 57 34 Cannabidiol (CBD) 17 52 31 Synthetic cannabinoids 56 43 Flavored e-liquids 20 26 55% Unknown Percentage of lung injury patients who reported vaping each substance. YES NO THC products 77% 19% Nicotine products 57 34 Cannabidiol (CBD) 17 52 31 Synthetic cannabinoids 56 43 Flavored e-liquids 20 26 55% Unknown

Common Brands

A study of 86 lung-injury patients in Wisconsin and Illinois found that 87 percent reported using vaping products that contained THC.

“Dank Vapes” was the most commonly reported brand name, but that brand is one of many illicit labels that sellers can find online and slap on products.

Products containing THC Nicotine products BRAND BRAND Dank Vapes JUUL TKO Smok Off White Suorin Drop Moon Rocks Naked Chronic Carts Solace Cookies Mr Salt-E Smart Carts Salt Nic Kingpen Air Factory Dabwoods Vuse Alto Rove 0 10 20 30 Mario Carts Number of patients reporting use Calif. Confidential Cereal Carts Supreme G 0 10 20 30 40 50 60 Number of patients reporting use Products containing THC BRAND NAME Dank Vapes TKO Off White Moon Rocks Chronic Carts Cookies Smart Carts Kingpen Dabwoods Rove Mario Carts Calif. Confidential Cereal Carts Supreme G 0 10 20 30 40 50 60 Number of patients reporting use Nicotine products BRAND NAME JUUL Smok Suorin Drop Naked Solace Mr Salt-E Salt Nic Air Factory Vuse Alto 0 10 20 30 Number of patients reporting use

Vaping Use Among Teens

Teen vaping rates rose sharply this year, and a quarter of 12th grade students say they have used nicotine vaping products in the last month. More than 120 lung injury patients have been under 18.

Grade 2017 2018 2019 8th grade 4% 4% 6% 6% 9% 9% 10th grade 8% 8% 16% 16% 20% 20% 12th grade 11% 11% 21% 21% 25% 25% Source: New England Journal of Medicine







For more, see What You Need to Know About Vaping-Related Lung Illness