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Mississippi Outbreak Information: Vaping-Related Lung Illness

 
This page has been automatically translated from English. MSDH has not reviewed this translation and is not responsible for any inaccuracies.

The Mississippi State Department of Health is investigating an outbreak of severe lung illness related to e-cigarette use (vaping). This investigation is part of a national outbreak of vaping-related pulmonary illness whose cause has yet to be determined.

About This Outbreak

  • Nationally, all reported cases have a history of e-cigarette product use or vaping.
  • Most of the cases have reported vaping cannabis products, such as tetrahydrocannabinol (THC). Many patients have reported using THC and nicotine. Some have reported the use of e-cigarette products containing only nicotine.
  • The specific cause of these lung injuries remains unknown. The Centers for Disease Control and Prevention (CDC) has identified vitamin E acetate as a chemical of concern among those who have reported lung illness from vaping. This chemical can be used as an additive in vaping or e-cigarette products that contain tetrahydrocannabinol (THC). However, other substances and product sources are still under investigation as possible causes or contributing factors.

Mississippi Cases

Last updated November 19, 2019.

Outbreak Cases

10

Since September 17, 2019

Hospitalized

9 (90%)

Deaths

1

Case Statistics

Sex

Male: 7 (70%); Female: 3 (30%)

Age range

  • Under 18 years: 0
  • 18–34 years: 8
  • 35+ years: 2

Product usage

  • Reported exclusive use of THC-containing/CBD-containing products: 6 (60%)
  • Reported using both nicotine-containing and THC-containing/CBD-containing products: 1 (10%)
  • Reported exclusive use of nicotine-containing products: 3 (30%)

Healthcare providers: Report suspected cases to MSDH at 601-576-7725 or 601-576-7400 after hours, weekends and holidays.

Symptoms

Symptoms of severe pulmonary disease include:

  • cough
  • shortness of breath
  • chest pain
  • nausea or vomiting
  • diarrhea
  • fever
  • fatigue

Symptoms develop anywhere from over a few days of use to weeks of using e-cigarettes. If you have recently used an e-cigarette or vaping product and you have symptoms like these, see your healthcare provider.

Recommendations

The latest national and state findings suggest that products containing THC that were obtained from informal sources (friends, family, online dealer, etc.) are linked to most of the lung illness cases and play a major role in the outbreak. Howeber, until an exact cause of the illness has been determined, the national Centers for Disease Control and Prevention (CDC) recommends the following actions:

  • Refrain from using e-cigarettes or vaping products containing THC, particularly from informal sources.
  • Do not modify or add any substances to e-cigarette products that are not intended by the manufacturer, including those purchased through retail establishments.
  • If you have recently used an e-cigarette or vaping product and you have symptoms like those reported above, see your healthcare provider.
  • If you are an adult who used e-cigarettes containing nicotine to quit cigarette smoking, do not return to smoking cigarettes.
  • If you are an adult who wants to quit smoking, use approaches that are approved and effective. The Mississippi Tobacco Quitline offers free, expert help in quitting.

E-cigarette use

  • Youth and young adults should not use e-cigarette products. Find out more »
  • Women who are pregnant should not use e-cigarette products. Find out more »
  • Adults who do not currently use tobacco products should not start using e-cigarette products.

Healthcare Providers

Mississippi Healthcare Providers are asked to report any cases of severe pulmonary disease with no clear cause and a history of e-cigarette product use within the past 90 days to MSDH at 601-576-7725. Reporting of cases helps MSDH and the CDC determine more about the cause of these pulmonary illnesses.

Ask all patients who report e-cigarette product use within the last 90 days about signs and symptoms of pulmonary illness.

More Information

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Last reviewed on Sep 20, 2019
Mississippi State Department of Health 570 East Woodrow Wilson Dr Jackson, MS 39216 866-HLTHY4U Contact and information

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