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MMWR Morb Mortal Wkly Rep

Title:		Severe Pulmonary Disease Associated with Electronic-Cigarette-Product Use - Interim Guidance
Author(s):		Schier JG; Meiman JG; Layden J; Mikosz CA; VanFrank B; King BA; Salvatore PP; Weissman DN; Thomas J; Melstrom PC; Baldwin GT; Parker EM; Courtney-Long EA; Krishnasamy VP; Pickens CM; Evans ME; Tsay SV; Powell KM; Kiernan EA; Marynak KL; Adjemian J; Holton K; Armour BS; England LJ; Briss PA; Houry D; Hacker KA; Reagan-Steiner S; Zaki S; Meaney-Delman D; Group CDCL;
Address:
Journal Title:		MMWR Morb Mortal Wkly Rep
Year:		2019
Volume:		20190913
Issue:		36
Page Number:		787 - 790
DOI:		10.15585/mmwr.mm6836e2
ISSN/ISBN:		1545-861X (Electronic) 0149-2195 (Print) 0149-2195 (Linking)
Abstract:		"On September 6, 2019, this report was posted as an MMWR Early Release on the MMWR website (https://www.cdc.gov/mmwr). As of August 27, 2019, 215 possible cases of severe pulmonary disease associated with the use of electronic cigarette (e-cigarette) products (e.g., devices, liquids, refill pods, and cartridges) had been reported to CDC by 25 state health departments. E-cigarettes are devices that produce an aerosol by heating a liquid containing various chemicals, including nicotine, flavorings, and other additives (e.g., propellants, solvents, and oils). Users inhale the aerosol, including any additives, into their lungs. Aerosols produced by e-cigarettes can contain harmful or potentially harmful substances, including heavy metals such as lead, volatile organic compounds, ultrafine particles, cancer-causing chemicals, or other agents such as chemicals used for cleaning the device (1). E-cigarettes also can be used to deliver tetrahydrocannabinol (THC), the principal psychoactive component of cannabis, or other drugs; for example, 'dabbing' involves superheating substances that contain high concentrations of THC and other plant compounds (e.g., cannabidiol) with the intent of inhaling the aerosol. E-cigarette users could potentially add other substances to the devices. This report summarizes available information and provides interim case definitions and guidance for reporting possible cases of severe pulmonary disease. The guidance in this report reflects data available as of September 6, 2019; guidance will be updated as additional information becomes available"
Keywords:		"Centers for Disease Control and Prevention, U.S.Humans Lung Diseases/*epidemiology *Practice Guidelines as Topic *Severity of Illness Index United States/epidemiology Vaping/*adverse effects;"
Notes:		"MedlineSchier, Joshua G Meiman, Jonathan G Layden, Jennifer Mikosz, Christina A VanFrank, Brenna King, Brian A Salvatore, Phillip P Weissman, David N Thomas, Jerry Melstrom, Paul C Baldwin, Grant T Parker, Erin M Courtney-Long, Elizabeth A Krishnasamy, Vikram P Pickens, Cassandra M Evans, Mary E Tsay, Sharon V Powell, Krista M Kiernan, Emily A Marynak, Kristy L Adjemian, Jennifer Holton, Kelly Armour, Brian S England, Lucinda J Briss, Peter A Houry, Debra Hacker, Karen A Reagan-Steiner, Sarah Zaki, Sherif Meaney-Delman, Dana eng 2019/09/13 MMWR Morb Mortal Wkly Rep. 2019 Sep 13; 68(36):787-790. doi: 10.15585/mmwr.mm6836e2"