Health Advisory: Severe Lung Injury Associated with Electronic Cigarette Product Use or Vaping - What the Public Needs to Know
- MDHHS and Local Health Departments are investigating an outbreak of lung injury associated with electronic cigarette use, or vaping.
- Patients with vaping-related lung injury have been reported in almost every state, including Michigan.
- Michigan is working with the Centers for Disease Control and Prevention (CDC) and the federal Food and Drug Administration (FDA) to get information that can help identify what is in the vape materials that is making people sick.
- 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.