Deaths and Death Rates from an Unusual Event – By Sex Female Male Total Persons at risk 462 851 1,313 Survivors 308 142 450 Deaths 154 709 863 Death rate (%) 33.3 83.3 65.7
Deaths and Death Rates from an Unusual Event – By Age Child Adult Total Persons at risk 83 1,230 1,313 Survivors 52 398 450 Deaths 31 832 863 Death rate (%) 37.3 67.6 65.7
Deaths and Death Rates from an Unusual Event – By Sex and Socioeconomic Status (SES) Female Male High SES Middle SES Low SES High SES Middle SES Low SES Persons at 143 107 212 179 173 499 risk Survivors 134 94 80 59 25 58 Deaths 9 13 132 120 148 441 Death rate 6.3 12.1 62.3 67.0 85.5 88.4 (%)
Ep Epidemiology 101: Applying Outbreak Investigation Principles to Understand Vaping- Associated Respiratory Illness Michael Siegel, MD, MPH Professor, Boston University School of Public Health
Source: New England Journal of Medicine, September 6, 2019
Location of Reported Cases
Source: New England Journal of Medicine, September 6, 2019
Demographics of Electronic Cigarette Use among High School Students Source: CDC
Demographics of Electronic Cigarette Use among Adults Source: Annals of Internal Medicine, September 6, 2019
Demographics of Electronic Cigarette Use among Adults Source: Annals of Internal Medicine, September 6, 2019
Internet Recruitment of Marijuana Vapers Source: Drug and Alcohol Dependence, December 30, 2015
The Key Fact cts • 90% of cases report having used black market THC vaping cartridges • In one case, a THC vaping product from an Oregon dispensary was used • A new thickening agent was recently introduced (vitamin E acetate oil) • Vitamin E acetate oil was found in every New York sample • No abnormalities in any nicotine e-liquid tested
Ke Key Points 1. Because of timing, outbreak is extremely unlikely to be due to any legal electronic cigarette product or e-liquid. 2. Confirmed under-reporting of illicit marijuana vaping by teenagers. 3. Widespread counterfeit products on the market may contain THC oils. 4. CDC is not recommending testing for THC so cannot state that a single case was unassociated with the use of marijuana vaping cartridges.
The CDC’s Story
“Until we know more, if you are concerned about these specific health risks, CDC recommends that you consider refraining from using e-cigarette or vaping products.”
“Most patients have reported a history of using e- cigarette products containing THC. Many patients have reported using THC and nicotine. Some have reported the use of e-cigarette products containing only nicotine. No consistent e-cigarette or vaping product, substance, or additive has been identified in all cases, nor has any one product or substance been conclusively linked to lung disease in patients.”
Cannabis Concentrate Source: https://marijuana-science.com/cannabis-extracts-and-concentrates/
New Cutting Agent (Thinning and Thickening Agent) Source: Rolling Stone
Source: Leafly
Trends in Youth Vaping vs. Smoking, 2011-2019 30 25 20 15 Vaping 10 Smoking 5 0 2011 2012 2013 2014 2015 2016 2017 2018 2019
Relationship between Youth Vaping Prevalence and Youth Smoking Prevalence, 2011-2019 30 25 20 Vaping Prevalence 15 10 5 0 0 2 4 6 8 10 12 14 16 18 Smoking Prevalence
Youth Marijuana Vaping vs. E-Cigarette Use, 2016-2018 16 14 12 10 8 6 4 2 0 Ever vaped marijuana Current e-cigarette use Source: Bill Godshall, Smokefree Pennsylvania
Slide courtesy of Dr. Konstantinos Farsalinos
Three Major Effect cts of Fl Flavored d E-Ci Cigarette Ba Ban
1. Tens of Thousands of Ex-Smokers Will Return to Smoking
2. There Will Be a New Black Market for Flavored E-Liquids
3. Tens of Thousands of Youth Will Switch to Vaping THC
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