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The remaining 12 were purchased at an out-of-state cannabis dispensary (six), vaperesult online (5), or from a vape or tobacco shop (one). In distinction, vapeconsider   amongst eighty one nicotine-containing merchandise, forty (49%) had been obtained from a vape or tobacco shop, 22 (27%) from gas stations or convenience stores, vapeexpect 14 (17%) from buddies or family, and 5 (6%) on-line. Given the diversity of products reported and frequency of patients using both THC- and nicotine-containing e-cigarette products, extra strategies equivalent to product testing and traceback may assist establish the specific cause of this outbreak.

Among the many 86 interviewed patients, seventy five (87%) reported using e-cigarette products containing THC, the principal psychoactive part of cannabis, during the 3 months preceding illness; Sixty one (71%) reported utilizing nicotine-containing merchandise; 50 (58%) reported using both THC- and nicotine-containing merchandise. A variety of e-cigarette and vaping device sorts (6) were used by patients to aerosolize THC- or nicotine-containing merchandise. Within this category of vaping devices, some have been closed-pod systems (also referred to as "mods") designed for use with proprietary nicotine-containing merchandise (e.g., JUUL); however, most have been common "vape pens" which might be adaptable to the prefilled THC cartridges reported by many patients.

In July 2019, the Illinois Department of Public Health and the Wisconsin Department of Health Services launched a coordinated epidemiologic investigation after receiving reviews of a number of cases of lung harm in previously wholesome individuals who reported electronic cigarette (e-cigarette) use, vapingper or vaping (1). This report describes features of e-cigarette product use by patients in Illinois and vaporfact Wisconsin. Most interviews had been carried out by state or local well being division workers members or in individual by health care facility employees members throughout a patient’s hospitalization; a small number of patients accomplished the identical survey online.

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