The Delaware Division of Public Health continues to participate in a multi-state investigation into an outbreak of severe pulmonary disease reported across the country.
As of today, 38 states, including Delaware, have reported cases of lung injury associated with the use of e-cigarette products (devices, liquids, refill pods, and cartridges).
The Centers for Disease Control and Prevention (CDC) classifies cases as probable or confirmed based on case definition.
Since the Division of Public Health released its initial Sept. 9, press release announcing three possible cases of vaping-related lung illnesses under investigation in Delaware, two of the three cases were identified as meeting the CDC case definition of “probable.”
Four additional cases have since been classified as probable, resulting in a total of six probable cases as of Wednesday. Currently, Delaware does not have any cases classified as confirmed. An additional five cases are under investigation.
In the six probable cases, the individuals range from ages 15 to 45. Five are New Castle County residents, and one is from Kent County.
Four of the six individuals are men and two are women. Some individuals reported the use of e-cigarette products containing THC, as well as e-cigarette products containing nicotine, and some reported using e-cigarette products containing only THC.
As of Thursday, Sept. 19, 2019, there were 530 probable or confirmed cases of lung injury associated with the use of e-cigarette or vaping products reported throughout the United States, according to the CDC. Seven deaths related to this outbreak have been reported in six states.
“As we continue to investigate additional cases of lung injury associated with the use of e-cigarette products, we strongly recommend that individuals avoid using e-cigarette products,” said DPH Director Dr. Karyl Rattay. “These illnesses can be life-threatening.” More research needs to be done on the long-term impacts, but the CDC has stated that the aerosol used in e-cigarettes contains harmful substances such as nicotine, lead products and cancer-causing agents.
The CDC launched its investigation into the lung illnesses on Aug. 1, 2019, and has worked closely since then with the Food and Drug Administration, states and other public health partners, and clinicians to determine the cause.
No evidence of infectious diseases has been identified in these patients, therefore lung illnesses are likely associated with chemical exposure. The investigation has not yet identified any specific substance or e-cigarette product that is linked to all cases. Many patients report using e-cigarette products with liquids that contain cannabinoid products, such as tetrahydrocannabinol (THC).
Based on reports from several states, patients have experienced respiratory symptoms (cough, shortness of breath, or chest pain), and some have also experienced gastrointestinal symptoms (nausea, vomiting, or diarrhea) or non-specific symptoms such as fatigue, fever, or weight loss.
Symptoms typically develop over a period of days but sometimes appear over several weeks. Gastrointestinal symptoms sometimes preceded respiratory symptoms. Fever, tachycardia, and elevated white blood cell count have been reported in the absence of identifiable infectious disease.
While this investigation is ongoing, DPH “strongly encourages people not to use e-cigarette products.” People who do use e-cigarette products should monitor themselves for symptoms (e.g., cough, shortness of breath, chest pain, nausea, vomiting, abdominal pain, fever) and promptly seek medical attention for any health concerns.
Although there is a risk with any vaping product, people should not buy these products off the street and should not modify e-cigarette products or add any substances that are not intended by the manufacturer. E-cigarette products should never be used by youth, young adults, pregnant women, or adults who do not currently use tobacco products.
Individuals who may be concerned about their health after using an e-cigarette product should contact their health care provider, or the local poison control center at 1-800-222-1222.
DPH recently issued a health alert to Delaware medical providers advising them of the CDC outbreak investigation and providing guidance for reporting possible cases.
Among teenagers, experimentation with electronic or e-cigarettes became very popular, starting about 2015. According to the 2017 Youth Risk Behavior Survey of public high school students, 38 percent reported ever trying e-cigarettes, 13.6 percent of students had used e-cigarettes in the past month, and 1.9 percent were smoking or “vaping” e-cigarettes daily.
E-cigarette use is also catching on with adults. According to the 2017 Behavioral Risk Factor Survey, about 4.8 percent of Delaware adults currently use e-cigarettes, about the same prevalence as the 2016 survey. However, 12.7 percent of 18- to 24-year-old adults and 21.3 percent of males age 18-24 are “current users” of e-cigarettes.
In 2017, more than half of the adults who “vaped” e-cigarettes (56.4 percent) also were current smokers, thereby increasing potential harm.
For more information and updates on the CDC’s multi-state investigation, go to https://www.cdc.gov/tobacco/basic_information/e-cigarettes/severe-lung-disease.html.