Health Advisory: Severe Lung Injury Associated with Electronic Cigarette Product Use or Vaping - What the Public Needs to Know


Based on updated recommendations from CDC October 11, 2019 and an October 4, 2019 consumer alert from the FDA, MDHHS recommends the following for the public:

  • Persons should not use e-cigarette, or vaping, products that contain tetrahydrocannabinol (THC).
  • Persons should consider refraining from using e-cigarette, or vaping, products that contain nicotine.
  • Persons should not buy any type of e-cigarette, or vaping, products, particularly those containing THC, off the street.
  • Persons should not modify or add any substances to e-cigarette, or vaping, products that are not intended by the manufacturer, including products purchased through retail establishments.
  • Persons who have recently used an e-cigarette or vaping product and have symptoms like those reported in this outbreak should see a healthcare provider.


Regardless of the ongoing investigation:

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


Symptoms and health effects

All patients have reported breathing symptoms such as cough, shortness of breath, or chest pain. In addition, some have reported:

  • Nausea, vomiting, or diarrhea;
  • Fatigue, fever, or abdominal pain.

Symptoms developed over a few days to weeks.

Many had to be hospitalized because of their breathing problems. 

All had an abnormal lung x-ray or CT scan.

All reported using e-cigarette/vaping products within the last few days or weeks before getting sick.

Teenagers and young adults made up the majority of people hospitalized for this condition.


What is known and not known about the cause(s)

No single product or substance has been linked to these lung injury cases.

According to the CDC, about 75 percent of the cases vaped with marijuana products in combination with nicotine or alone.


Cessation resources for the public

If you are an adult who uses e-cigarettes because you have quit cigarette smoking:

  • Do not return to smoking cigarettes.
  • Utilize Cessation Services including
    • Michigan Quitline 1-800-QuitNow for adults
    • MyLifeMyQuit for youth 18 years and younger
  • Speak to your health care provider about FDA approved nicotine replacement medications.


Resources for additional information

CDC E-Cigarette Outbreak of Lung Injury: What you Need to Know

FDA Lung Injury Associated Use Vaping Products

FDA Consumer alert

Michigan E-Cigarette and Vaping Information

CDC E-Cigarettes Information

E-Cigarettes: Talk to Youth About the Risks

Surgeon General Know the Risks of E-Cigarettes

Tobacco Free Kids

Truth Initiative