Hospitalized cases in the vaping lung illness outbreak

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People across the US have been hospitalized as a result of vaping.[1] People were having respiratory issues by the time they got to at the hospital.[2] In 2019, an outbreak of severe lung disease was linked to vaping.[1] No one compound or ingredient has emerged as the cause of these illnesses as of October 2019; and it may be that there is more than one cause of this outbreak.[1] The Centers for Disease Control and Prevention (CDC) states that since the specific causes or causes of vaping-associated lung injury are not yet known, the only way to assure that a person is not at risk while the investigation continues is to consider refraining from use of all e-cigarette, or vaping, products.[1]

The CDC states that advising persons to discontinue use of e-cigarette, or vaping, products should be an integral part of the care approach during an inpatient admission and should be re-emphasized during outpatient follow-up.[3] Quitting of e-cigarette, or vaping, products might speed recovery from this injury; resuming use of e-cigarette, or vaping, products has the potential to cause recurrence of symptoms or lung injury.[3] Evidence-based tobacco product quitting strategies include behavioral counseling and US Food and Drug Administration (US FDA)-approved cessation medications.[3]

Persons hospitalized

Lawsuits after discharge

On September 23, 2019, a product liability lawsuit, Charles Wilcoxson v. Canna Brand Solutions LLC et al., was filed in Superior Court of Pierce County, Washington, against makers of THC vape cartridges.[4] Wilcoxson, a peace officer, had used THC vape products between January 2018 and September 2019.[4] He bought cannabis products that included Conscious Cannabis, Rainbows Aloft, Leafwerx, MFused, and Jane's Garden.[4] All of these companies are cited as defendants, according to the compliant.[4] The supplier of plaintiff's vaporizer was Canna Brand Solutions, which was also cited as a defendant.[4] On September 11, 2019, the plaintiff was vaping and that night he was wheezing very badly.[4] By Monday morning he was taken to the emergency room and was told he has lipoid pneumonia as a result of his vaping, according to the complaint.[4] He was in the hospital for three days.[4]

In May 2019, 21-year-old Connor Evans was hospitalized for more than two weeks and was in a medically induced coma for 8 days.[5] He initially thought he had the flu.[6] His lungs were accumulating with fluid and he coughing.[5] At 19, Evans started using Juul products and eventually he had trouble breathing.[5] He purportedly developed an addiction to Juul mint pods.[7] After being discharged from a Pennsylvania hospital Evans took legal action against Juul in October 2019.[5] Juul purportedly did not disclose the dangers of what its pod system can do to people and deceptively advertised its products as being safer than combustible cigarettes, according to the complaint.[5] Evan's attorney stated that Juul is selling pods in the US with high concentrations of nicotine.[5] Juul advertises its products to intentionally entice underage individuals and young adults as well as people who are never frequent smokers, according to the complaint.[5]

In September 2019, 18-year-old student Adam Hergenreder stated his attorney took legal action in Illinois against Juul after doctors told him his lungs are like that of a 70 year old.[8] He was admitted to a hospital in August 2019.[8] He was in the intensive care unit at Advocate Condell Medical Center.[9] He was vaping for more than 18 months.[8] He fell prey to Juul's misleading marketing, according to the complaint.[8] Juul used social media to target young people, according to his lawyers.[10] Juul did not inform the public what they were selling contained toxic substances, according to the complaint.[11] The gas station where he said he bought the Juul pods when he was a minor is also named as a defendant in the lawsuit.[8]

Responses after discharge

Juul e-cigarette with pods.
Juul e-cigarette with pods.

Sherie Canada from Texas was quickly taken to the hospital in June 2019.[12] Canada was unable to hold fluids and was dehydrated.[12] She was in a medically induced coma and was diagnosed with multifocal pneumonia, sepsis, and acute respiratory failure with hypoxemia.[12] Her lungs filled with fluids and she had blood clots.[12] She had low oxygen and blood pressure readings.[12] She never smoked, though was attracted to flavored electronic cigarettes.[12]

In September 2019, 45-year-old Scott Goldstein from Shreveport, Louisiana, was struggling to stay alive after he says he was sickened from a vaping-induced lung illness.[13] On September 13, 2019, it was reported that Goldstein, in his hospital bed, said, "Now I have oil and water in my lungs that my lungs can't get rid of. Making them crystallize. They're rock hard."[13] He stated that he did not have any symptoms other than not being able to keep food down.[13]

18-year-old student, Chance Ammirata from Florida was using half a Juul mint pod a day.[notes 1][15] This is equivalent to a nicotine dose of 10 combustible cigarettes a day.[16] He was vaping for about 18 months.[15] After presenting to the hospital with intense chest pain,[17] he was found to have had a collapsed left lung and needed surgery to repair it.[18] In August 2019, he posted an image of his lungs on social media.[19] On Twitter he explained the black dots on his lungs were from strictly Juul use.[15] He cautioned others to quit vaping.[15] He said, "It's so f*****g scary."[15]

In August 2019, 18-year-old Simah Herman was quickly taken to the UCLA Medical Center after she had trouble breathing.[20] After she was hospitalized her condition worsened.[21] After being hooked up to a ventilator and waking up from a medically induced coma, Herman wrote: "I want to start a no-vaping campaign."[20] She posted photos of herself on Instagram and started an anti-vaping campaign from her hospital bed.[21]

In August 2019, Herman thought she was going to die.[20] Doctors originally thought she had pneumonia.[22] She was in a medically induced coma for four days[22] and on a ventilator for almost a week.[23] She was in the hospital for almost ten days.[22] At 15, Herman started vaping and within two years her health deteriorated.[20] The smoke shop she bought the products from in North Hollywood did not ask for her ID card.[22] She told the shop she was 22, she said.[22] She was vaping everyday.[20] After leaving the hospital she has given up vaping.[22] Before ending up in the hospital, doctors were unable to tell her the reason she felt sick even though she told them she was vaping, she said.[20]

21-year-old Kerri Chonsky from New Jersey was in the intensive care unit for close to two weeks at the Jersey Shore University Medical Center.[24] Chonsky originally thought she had the flu or possibly pneumonia.[24] She had difficulty breathing.[24] She needed oxygen and steroids.[25] She began using combustible cigarettes when she was a teenager and then used Juul to try to give up smoking.[24] She was diagnosed with popcorn lung.[24] She was discharged from the hospital in October 2019.[24]

Notes

  1. ^ In sampling multiple e-cigarette delivery systems, a 2019 study found Juul pods were the only product to demonstrate in vitro cytotoxicity from both nicotine and flavor content, in particular ethyl maltol.[14]

References

  1. ^ a b c d "Outbreak of Lung Injury Associated with E-Cigarette Use, or Vaping". Centers for Disease Control and Prevention. 17 October 2019.Public Domain This article incorporates text from this source, which is in the public domain.
  2. ^ Kaplan, Sheila (7 September 2019). "Dozens of Young People Hospitalized for Breathing and Lung Problems After Vaping". The New York Times.
  3. ^ a b c Siegel, David A.; Jatlaoui, Tara C.; Koumans, Emily H.; Kiernan, Emily A.; Layer, Mark; Cates, Jordan E.; Kimball, Anne; Weissman, David N.; Petersen, Emily E.; Reagan-Steiner, Sarah; Godfred-Cato, Shana; Moulia, Danielle; Moritz, Erin; Lehnert, Jonathan D.; Mitchko, Jane; London, Joel; Zaki, Sherif R.; King, Brian A.; Jones, Christopher M.; Patel, Anita; Delman, Dana Meaney; Koppaka, Ram; Griffiths, Anne; Esper, Annette; Calfee, Carolyn S.; Hayes, Don; Rao, Devika R.; Harris, Dixie; Smith, Lincoln S.; Aberegg, Scott; Callahan, Sean J.; Njai, Rashid; Adjemian, Jennifer; Garcia, Macarena; Hartnett, Kathleen; Marshall, Kristen; Powell, Aaron Kite; Adebayo, Adebola; Amin, Minal; Banks, Michelle; Cates, Jordan; Al-Shawaf, Maeh; Boyle-Estheimer, Lauren; Briss, Peter; Chandra, Gyan; Chang, Karen; Chevinsky, Jennifer; Chiang, Katelyn; Cho, Pyone; DeSisto, Carla Lucia; Duca, Lindsey; Jiva, Sumera; Kaboré, Charlotte; Kenemer, John; Lekiachvili, Akaki; Miller, Maureen; Mohamoud, Yousra; Perrine, Cria; Shamout, Mays; Zapata, Lauren; Annor, Francis; Barry, Vaughn; Board, Amy; Evans, Mary E.; Gately, Allison; Hoots, Brooke; Pickens, Cassandra; Rogers, Tia; Vivolo-Kantor, Alana; Cyrus, Alissa; Boehmer, Tegan; Glidden, Emily; Hanchey, Arianna; Werner, Angela; Zadeh, Shideh Ebrahim; Pickett, Donna; Fields, Victoria; Hughes, Michelle; Neelam, Varsha; Chatham-Stephens, Kevin; O’Laughlin, Kevin; Pomeroy, Mary; Atti, Sukhshant K.; Freed, Jennifer; Johnson, Jona; McLanahan, Eva; Varela, Kate; Layden, Jennifer; Meiman, Jonathan; Roth, Nicole M.; Browning, Diane; Delaney, Augustina; Olson, Samantha; Hodges, Dessica F.; Smalley, Raschelle (2019). "Update: Interim Guidance for Health Care Providers Evaluating and Caring for Patients with Suspected E-cigarette, or Vaping, Product Use Associated Lung Injury — United States, October 2019". MMWR. Morbidity and Mortality Weekly Report. 68 (41): 919–927. doi:10.15585/mmwr.mm6841e3. ISSN 0149-2195. PMID 31633675.Public Domain This article incorporates text from this source, which is in the public domain.
  4. ^ a b c d e f g h "The First of the Vape-Lung Product Liability Cases Has Been Filed". Lexology. 2 October 2019.
  5. ^ a b c d e f g Bernabe, Angeline Jane; Wagschal, Andgerry (22 October 2019). "Former Juul user, 21, sues company after being hospitalized, placed in coma for 8 days". ABC News.
  6. ^ Backover, Justin (22 October 2019). "Man from Bethlehem Township sues e-cigarette company, says device almost killed him". WFMZ-TV.
  7. ^ Balk, Tim (22 October 2019). "Pennsylvania man, 21, sues Juul after spending week in medically induced coma". New York Daily News.
  8. ^ a b c d e Calicchio, Dom (14 September 2019). "Vaper, 18, suing e-cigarette maker Juul after docs say he has lungs of a 70-year-old: reports". Fox News.
  9. ^ Dampier, Cindy (13 September 2019). "A Gurnee teen hospitalized for a vaping-related illness is suing e-cigarette company Juul". Chicago Tribune.
  10. ^ Wharton, Jane (14 September 2019). "Teen sues vaping company Juul after being left 'with lungs like 70-year-old'". Metro.
  11. ^ Duncan, Conrad (14 September 2019). "Teenager sues vaping company Juul after being left with 'lungs like a 70-year-old's'". The Independent.
  12. ^ a b c d e f Harmata, Claudia (20 September 2019). "Texas Mom Speaks Out After Almost Dying from Vaping-Related Illness: 'My Lungs Were Full of Fluid'". People.
  13. ^ a b c Dillon, Dominique (13 September 2019). "Man fighting vaping-related lung illness: "If I die, let somebody else live off of my mistake"". WSYR-TV.
  14. ^ Bonilla, Alex; Blair, Alexander J.; Alamro, Suliman M.; Ward, Rebecca A.; Feldman, Michael B.; Dutko, Richard A.; Karagounis, Theodora K.; Johnson, Adam L.; Folch, Erik E.; Vyas, Jatin M. (2019). "Recurrent spontaneous pneumothoraces and vaping in an 18-year-old man: a case report and review of the literature". Journal of Medical Case Reports. 13 (1): 283. doi:10.1186/s13256-019-2215-4. ISSN 1752-1947. PMC 6732835. PMID 31495337.{{cite journal}}: CS1 maint: unflagged free DOI (link) This article incorporates text by Alex Bonilla, Alexander J. Blair, Suliman M. Alamro, Rebecca A. Ward, Michael B. Feldman, Richard A. Dutko, Theodora K. Karagounis, Adam L. Johnson, Erik E. Folch, and Jatin M. Vyas available under the CC BY 4.0 license.
  15. ^ a b c d e Mullin, Gemma (7 August 2019). "VAPE WARNING Student, 18, shares shocking images of his lungs after vaping for a year caused them to collapse". The Sun.
  16. ^ Brown, Maressa (27 August 2019). "CDC Says to Stop Using E-Cigarettes After Several Deaths From Related Lung Diseases". Parents. {{cite news}}: Cite has empty unknown parameter: |1= (help)
  17. ^ Billing, Kevin (19 August 2019). "Teen Blames Lung Collapse On His Vaping Habits". International Business Times. {{cite news}}: Cite has empty unknown parameter: |1= (help)
  18. ^ Van Hagen, Isobel (8 August 2019). "Florida Teenager Warns Against Juuling After His Lung Collapsed". Newsweek. {{cite news}}: Cite has empty unknown parameter: |1= (help)
  19. ^ Sparks, Hannah (8 August 2019). "Student shares shocking images of collapsed lungs after vaping for a year". New York Post. {{cite news}}: Cite has empty unknown parameter: |1= (help)
  20. ^ a b c d e f Hawkins, Sally; Walker, Knez; Riegle, Ashley; Rivas, Anthony (11 September 2019). "Teen who was put on life-support for vaping says 'I didn't think of myself as a smoker'". ABC News.
  21. ^ a b Hunar (8 September 2019). "Teenager Begins Anti-Vaping Movement From Death Bed. After Vaping For Consecutive 3 Years". The Inner Sane.
  22. ^ a b c d e f Ben-Moche, Erin (11 September 2019). "Local Teen 'Lucky to Be Alive' After Vaping Incident". Jewish Journal.
  23. ^ Wharton, Jane (7 September 2019). "E-cigarette users warned to stop vaping after five deaths from mystery lung disease". Metro.
  24. ^ a b c d e f Haskell, Peter (10 October 2019). "'Most Miserable Time Of My Life': NJ Woman Speaks Out After Nearly Dying From Vaping". WCBS (AM).
  25. ^ Shanes, Alexis (10 October 2019). "'My lungs were chemically burned': NJ victim speaks out against vaping". North Jersey Media Group.

External links