UPDATE: CDC Names Vaping-Related Illness, Issues New Guidance
The U.S. Centers for Disease Control and Prevention (CDC) has updated its initial recommendations for healthcare providers on how to deal with vaping-associated illness, which the CDC has now named e-cigarette, or vaping, product use-associated lung injury (EVALI).
Based on the most current data, CDC’s updated interim guidance provides a framework for health care providers in their initial assessment, evaluation, management, and follow-up of persons with EVALI.
Rapid recognition by health care providers of patients with EVALI and an increased understanding of treatment considerations could reduce morbidity and mortality associated with this injury.
Forty-nine states, the District of Columbia, and one U.S. territory have reported 1,299 cases of lung injury associated with the use of electronic cigarette (e-cigarette), or vaping, products. Twenty-six deaths have been reported from 21 states. The Kansas Department of Health and Environment (KDHE) has reported that two Kansans have died from vaping related illnesses since September 10, 2019.
Following on the CDC's initial recommendations in early August based on limited data from the first reported EVALI cases, the new updated report summarizes national surveillance data describing clinical features of more recently reported cases and provides interim recommendations based on these data.
Specifically, it details interim guidance for U.S. healthcare providers on initial clinical evaluation, suggested criteria for hospital admission and treatment, patient follow-up, special considerations for groups at high risk, and clinical and public health recommendations.
E-cigarettes typically contain nicotine, most also contain flavorings and other chemicals, and some may contain marijuana or other substances. They are known by many different names and come in many shapes, sizes and device types.
E-cigarettes can contain harmful or potentially harmful substances, including nicotine, heavy metals (e.g., lead), volatile organic compounds, and cancer-causing chemicals.
For assistance with managing patients suspected of illness related to recreational, illicit, or other drugs, call your local poison control center at: