E-Cigarette and Vaping Product Use Associated Lung Injury (EVALI)
The Centers for Disease Control and Prevention (CDC) is investigating a multistate outbreak of lung injury associated with use of e-cigarette, or vaping, products. Healthcare providers and clinicians should report any suspected cases of EVALI to their local health department.
- DHEC Health Alert Network
- CDC Clinical Outreach and Communication Activity Clinical Action Alert
- Outbreak of Lung Disease Associated with E-Cigarettes, or Vaping (CDC)
- Update: Interim Guidance for Healthcare Providers
The SC Department of Health and Environmental Control (DHEC) is participating in the Centers for Disease Control and Prevention (CDC) investigation of E-cigarette and Vaping Product Use Associated Lung Injury (EVALI). While recent findings suggest products containing THC play a role in the outbreak, the specific chemical exposure causing the lung injuries remains unknown. It is important to remember that no single product or substance has been linked to all cases. More information is needed to know whether one or more e-cigarette or vaping product, substance, or brand is responsible for the outbreak.
As of November 5, 2019, the CDC is reporting 2,051* cases of e-cigarette, or vaping, product use associated lung injury (EVALI) from 49 states, the District of Columbia, and 1 U.S. territory. Thirty-nine deaths have been confirmed in 24 states.
New findings this week indicate a potential chemical of concern, Vitamin E acetate. This additive used in the production of e-cigarette or vaping products was found in all 29 patient fluid samples submitted to CDC from 10 states. While it appears that vitamin E acetate is associated with EVALI, evidence is not yet sufficient to rule out contribution of other chemicals of concern with this illness. Cases range in age from 13-69.
|SC Cases of E-Cigarette and Vaping Product Use Associated Lung Injury (EVALI)|
|Confirmed or Probable||34|
Find more e-cigarette risk information on the DHEC E-cigarettes, Vapes, and Other Tobacco Products page.
*The increase in lung injury cases from last week represents both new patients and recent reporting of previously-identified patients to CDC.