Characteristics of Hospitalized and Nonhospitalized Patients in a Nationwide Outbreak of E-cigarette, or Vaping, Product Use–Associated Lung Injury — United States, November 2019

• DOI: 10.15585/mmwr.mm6846e1
• Publication Date: 2019-11-19T16:09:39Z
• Authors: Kevin Chatham-Ste...; Katherine Roguski; Yunho Jang; Pyone Cho; Tara C. Jatlaoui; Sarah Kabbani; Emily Glidden; Emily N. Ussery; Katrina F. Trivers; Mary E. Evans; Brian A. King; Dale A. Rose; Christopher M. Jones; Grant Baldwin; Lisa J. Delaney; Peter Briss; Matthew D. Ritchey; ; ; ; Kayla Anderson; Francis B. Annor; Sharyn E. Brown; Angela D. Coullie...; Kristen N. Cowan; Angela Dunn; Aaron Fleishauer; Jennifer Freed; Macarena C. Garcia; Janet Hamilton; Donald Hayes; Michelle M. Hughes; Mia Israel; Anne Kimball; Hannah Kisselburgh; Jennifer Layden; Akaki Lekiachvili; Matthew Lozier; Ruth Lynfield; Jonathan Meiman; Erin D. Moritz; Rashid Njai; Jeffrey Ratto; Sarah L. Shafer; Stephen Soroka; Natalie Sterrett; Kimberly R. Thomas; Bailey Wallace; Angela K. Werner; Jason Wilken; Lauren B. Zapata; ; Susan Hocevar Adkins; Emily A. Kiernan; Ram Koppaka; Emily H. Koumans; Mark Layer; Jaswinder Legha; Michelle Montandon; Sarah Reagan-Steiner; David A. Siegel; David N. Weissman; Jennifer L. Wiltz
• Keywords: Adult; Male; Adolescent; Vaping; Lung Injury; Middle Aged; United States; Disease Outbreaks; 3. Good health; Hospitalization; Young Adult; 03 medical and health sciences; 0302 clinical medicine; Humans; Female; Full Report; Centers for Disease Control and Prevention, U.S.; Aged

CDC, the Food and Drug Administration (FDA), state local health departments, public clinical stakeholders are investigating a nationwide outbreak of e-cigarette, or vaping, product use-associated lung injury (EVALI) (1). As November 13, 2019, 49 states, District Columbia, two U.S. territories (Puerto Rico Virgin Islands) have reported 2,172 EVALI cases to including 42 (1.9%) EVALI-associated deaths. To inform surveillance, during 2019-20 influenza season, case report information supplied by states for hospitalized nonhospitalized patients with were analyzed using data collected as 5, 2019. Among 2,016 available on hospitalization status, 1,906 (95%) hospitalized, 110 (5%) not hospitalized. Demographic characteristics similar; most male (68% versus 65% patients), aged <35 years (78% 74% patients). These also similar use tetrahydrocannabinol (THC)-containing products (83% 84% Given similarity between patients, potential large numbers respiratory infections emerging difficulty in distinguishing from infections, CDC will no longer collect national patients. Further collection be at discretion individual state, local, territorial departments. Candidates outpatient management should normal oxygen saturation (≥95% while breathing room air), distress, comorbidities that might compromise pulmonary reserve, reliable access care, strong social support systems, able ensure follow-up within 24-48 hours initial evaluation seek medical care promptly if symptoms worsen. Health providers emphasize importance annual vaccination all persons ≥6 months, who (2,3).