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Vaping can be associated with lung disease in more than 120 cases in 15 countries



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.

"These recent reports of lung disease in people using vaping products in New York and other states are evidence that more research into the long-term health effects of these products is needed," Dr. Howard Zucker said in a statement Friday , New York State Commissioner for Health.

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 ̵

1; which have led to the hospitalization of many people. [19659003]

In the email Friday The American Centers for Disease Control and Prevention called on doctors to collect information and samples of those patients who may have been vaping, the agency said, working with some of those states to share information and facilitate testing.
"There are still many unanswered questions, but the health damage stemming from the current Minnesota youth vaping epidemic is continuing to increase," says Dr. Ruth Linfield, medical director and state epidemiologist at the Minnesota Department of Health, said in a statement Tuesday. "We encourage providers and parents to take care of vaping as a cause of unexplained breathing problems and damage and lung disease."

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.

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. Emily Chapman, chief medical officer at Children's Minnesota, who reports on four cases, said in a statement that these diseases are difficult to diagnose because they can begin to look like a common infection before leading to more serious complications.

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.

However, states are launching notices in the hope that doctors will notice the clues and ask the right questions. In Colorado, Georgia and Kansas, health officials tried to look for cases by analyzing data from emergency departments.

"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.

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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

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Thomas Haupt, a respiratory epidemiologist at the Wisconsin Department of Health, told CNN this month the cases in his country were young people "otherwise normally healthy and coming in with severe respiratory illnesses and in some cases actually having to go to the intensive care unit and be placed on ventilators." from and "But every test has returned completely negative," he added.

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 "[1965] 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."

Health experts have indicated various substances in e-liquids that are thought to be harmful to cells or contain "dangerous chemicals, "but the full extent of the short- and long-term risks of e-cigarettes is not yet clear. A number of counterfeit and counterfeit products that may have other additives or ingredients are also on the market. It is unclear whether this plays a role in these cases. Nadia Kunang, Past Nigam, Jen Christensen, Amanda Watts and Sheen Jones contributed to this report.


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