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CDC, the Food and Drug Administration (FDA), state and local well being departments, and public health and clinical stakeholders continue to research a nationwide outbreak of e-cigarette, or vaping, product use-associated lung harm (EVALI) (1). EVALI patients in Illinois, Utah, and Wisconsin acquired tetrahydrocannabinol (THC)-containing products primarily from informal sources (2,3).

This report updates demographic traits and self-reported sources of THC- and nicotine-containing e-cigarette, or vaping, products derived from EVALI patient knowledge reported to CDC by state well being departments. The public survey hyperlink was posted on the IDPH web site during September 17-October 8, 2019 and was publicized by means of the media, posted on IDPH social media accounts, and promoted by native well being departments (4). Because of an IDPH Institutional Review Board dedication, the survey was restricted to persons aged ≥18 years.

To look at whether e-cigarette, or vaping, product use behaviors differed between adult EVALI patients and adults who use these products but have not developed lung harm, the Illinois Department of Public Health (IDPH) carried out a web-based public survey during September-October 2019 concentrating on e-cigarette, or vaping, product users in Illinois. IDPH developed a web-based public survey targeting Illinois adults who use e-cigarette, or vaping, merchandise based on the structured questionnaire developed by IDPH and administered to EVALI patients as part of the ongoing outbreak investigation.

E-cigarette, or vaping, product use behaviors of sixty six EVALI patients aged 18-forty four years who had been interviewed as a part of the continuing outbreak investigation were compared with a subset of 519 survey respondents aged 18-44 years who reported use of THC-containing e-cigarette, or vaping, products. The United States is experiencing an unprecedented outbreak of e-cigarette, or vaping, product use-related lung harm (EVALI) (1). All EVALI patients have used e-cigarette, or vaping, products, and most (≥85%) have reported utilizing merchandise containing tetrahydrocannabinol (THC) (2,3), the principal psychoactive part of cannabis.

Declines in the number of EVALI instances reported every week since mid-September 2019, and ED visits related to e-cigarette, or vaping, products reported to NSSP, indicate that the outbreak peaked in September.