The states with the most cases include Wisconsin, with 15 confirmed cases and 15 more under investigation. Illinois has 10 confirmed cases, while 12 more are under investigation. California is considering 19 such cases. The New York State Department of Health said it was "actively investigating" 11 cases on Friday. Indiana and New Jersey report nine cases, of which Indiana confirmed six.
Connecticut, Florida, Iowa, Michigan, Minnesota, North Carolina, Pennsylvania, Texas and Utah health officials also said they were aware of confirmed or potential cases, 42 states in total and Washington, D.C., responded to CNN.
Health officials in many states have said that it is not yet clear whether there is a link between the cases or whether or not vaping has finally caused these diseases ̵
Difficult to track
The Minnesota Department of Health announced this week that some patients have been hospitalized for "several weeks", in some cases undergoing intensive care. They occur with symptoms including shortness of breath, fever, coughing, vomiting, diarrhea, headache, dizziness and chest pain.
They are also difficult experts to say that lung disease associated with vaping is not a requirement for reporting. Some health services say they do not track this data.
"There is no diagnostic code … for lung disease associated with vaping. So it will be difficult to track and monitor," says Dr. Umberto Choi, a pulmonologist and critical care specialist at the Cleveland Clinic.
Choi said. that he has seen three cases himself in the last few months – and suspects there were others who did not consider vaping as a potential cause.
"People are left with the impression that vaping was something safe," Choi said. "They don't associate new symptoms with vaping."
However, the state of Ohio's Choi is not one of the states where health departments are currently reporting cases.
"It's hard to say what to expect in these cases, because it's something new," Choi said.
Without a clear culprit
Wisconsin cases are largely in the southeastern part of the state, Haupt said. It borders northeastern Illinois, where the original patients of that state are hospitalized.
Although staff members are still trying to determine which products were used by patients, some states – including Wisconsin, Minnesota and New York – stated that using nicotine in Wisconsin " all patients reported that they had vaporized before hospitalization. but we don't know all the products they used at the time, ”Andrea Palm, secretary of state at the Department of Health. designer, said in a statement last week. "The products used can include a variety of substances, including nicotine, THC, synthetic cannabinoids, or a combination of them."