611 W. Union Street
Benson, AZ 85602
(520) 586-0800

Health Choice Integrated Care crisis Line
1-877-756-4090

AzCH Nurse Assist Line
1-866-495-6735

NAZCARE Warm Line
1-888-404-5530



SEABHS
611 W. Union Street
Benson, AZ 85602
(520) 586-0800

AzCH Nurse Assist Line
1-866-495-6735

NAZCARE Warm Line
1-888-404-5530


powered by centersite dot net

Getting Started
Here are some forms to get started. These can be printed and brought with you so that you can pre-fill out some known info ahead of time. More...


Smoking
Resources
Basic InformationLatest News
Scientists Find Unsafe Levels of Known Carcinogen in Menthol E-CigarettesCDC Revises Number of Vaping-Linked Lung Illnesses to 380 in 36 StatesTrump Pushing for Nationwide Ban on Flavored E-CigarettesAre Hookahs Safer Than Cigarettes? Chemical Study Says No WayWould a Health Warning on Every Cigarette Help Smokers Quit?FDA Warns Juul About Illegal Marketing Claims and Pitch to YouthVaping-Linked Lung Illnesses Double, Vitamin E Acetate Leading SuspectHealth Officials Close in on Culprit in Vaping Lung Injury CasesAs Lung Injury Cases Rise, CDC Says 'Don't Vape'Jumps in Pot Use, Depression and Drinking Threaten Gains Against SmokingLots of Teens Are Breathing in Others' Vaping FumesVaping May Trigger Lung Damage Like That Seen in EmphysemaIn-Store Marketing Helps Get Kids VapingFirst Death Tied to Lung Injury From Vaping Reported in IllinoisCases of Lung Injury Tied to Vaping Keep RisingVaping Constricts Blood Vessels, Raising Heart, Lung ConcernsWhen Does Heart Health Return to Normal After Quitting Smoking?AHA News: Amid 'Epidemic' of School Vaping, a Search for SolutionsFDA Proposes Graphic Warning Labels on CigarettesE-Cig Use Triples Odds That Teens Will Smoke Pot: StudyRaising Legal Smoking Age to 21 WorksFDA Reports More Seizures Among VapersSmoking Creates Long-Lasting Risk for Clogged Leg ArteriesAHA News: Cigarette Smoke in Pregnancy May Impair Healing of Newborns' HeartsSmoking May Interfere With 'Embolization' Lung TreatmentNumber of American Smokers Who've Tried to Quit Has StalledMoney Motivates Smokers to Quit Long Term, Study FindsTough Rules on E-Cigs Might Push Folks Back to Smoking8 in 10 Americans Want Less Nicotine in Cigarettes: CDCFew U.S. Universities Are Smoke-FreeSocial Media a Big Driver of Teen Vaping Craze: StudyAHA News: Who's Helping Smokers Quit? Probably Not Their Heart DoctorYoung Female Smokers at Especially High Heart Risk'Secret Shopper' Study Shows How Easily Teens Can Buy E-CigsAnother Vaping Danger: E-Cigarette Explodes in Teen's FaceGlobal Efforts to Cut Smoking Show Mixed ResultsSheep Study Shows a Stuffy Side Effect of VapingAHA News: Vaping Ignites Legislative Trend to Raise Tobacco Sales Age to 21Cancer Patients Vaping in Growing NumbersVaping May Exact a Toll on Blood Vessel Health2 in 3 Adults Who Use E-Cigs Want to StopUnfiltered Cigarettes Are Most DeadlyVaping Habit Might Make You More Prone to FluNearly Half of Juul Twitter Followers Are Teens, Young Adults: StudyWhen E-Cig Makers Offer Promotional Items, More Teens Likely to VapeQuitting Smoking Helps Shield Women From Bladder Cancer: StudyE-Cigarettes Used in 5% of U.S. Homes With KidsFDA OKs Restricted Sales of 'Heat-Not-Burn' Tobacco DevicesVaping and Smoking May Signal Greater Motivation to QuitMany Smokers Switch to Vaping While Pregnant, But Safety Issues Remain
Questions and AnswersLinksBook Reviews
Related Topics

Medical Disorders
Wellness and Personal Development

Vaping-Linked Lung Illnesses Double, Vitamin E Acetate Leading Suspect

HealthDay News
by -- Carole Tanzer Miller
Updated: Sep 6th 2019

new article illustration

FRIDAY, Sept. 6, 2019 (HealthDay News) -- The number of cases of severe lung disease linked to vaping has now doubled, with more than 450 people in 33 states struck by the illness, U.S. health officials reported Friday. At least three of those patients have died.

The leading culprit at this point is an oily chemical called vitamin E acetate, according to the U.S. Centers for Disease Control and Prevention.

There have been three confirmed deaths linked to vaping, as well as one death that's potentially connected, Ileana Arias, acting deputy director of non-infectious diseases at the CDC, said during a media briefing on Friday. The deaths occurred in Illinois, Indiana and Oregon.

"The focus of our investigation is narrowing and that's great news, but we're still faced with complex questions in this outbreak that will take time to answer," Arias said.

The CDC urges people to not use e-cigarettes until more is known about what's causing these lung injuries.

"While this investigation is ongoing, people should consider not using e-cigarette products," said Dr. Dana Meaney-Delman, the incident manager in charge of the CDC's response to this health crisis.

"People who do use e-cigarette products should monitor themselves for symptoms such as cough, shortness of breath, chest pain, nausea and vomiting, and promptly seek medical attention for any health concerns," she added.

Many patients hospitalized

More information has also been released regarding the first 53 cases reported in Illinois and Wisconsin. Details on those cases was published Friday in the New England Journal of Medicine.

Nearly all of the patients -- 98% -- wound up being hospitalized, said Dr. Jennifer Layden, chief medical officer and state epidemiologist with the Illinois Department of Public Health. She spoke at the Friday news briefing.

"Among the patients that were hospitalized, over half required intensive care management and 32% required mechanical ventilation to help their breathing," Layden noted.

According to Meaney-Delman, many patients in cases reported nationwide said they had recently used "THC-containing products, and some reported using both THC- and nicotine-containing products," she said. "A smaller group reported using only nicotine products."

"We are aware that some laboratories have identified vitamin E acetate in product samples," Meaney-Delman said. Those labs have been connected with FDA for further research.

Vaped oil can turn dangerous

The oil is derived from vitamin E, which is found in vegetable oils, nuts and seeds, and leafy green veggies. Vitamin E acetate is available as a dietary supplement and skin treatment.

When vaped and inhaled, this oil can harm lung cells, said one respiratory expert.

"My understanding of vitamin E acetate, the oil, is that it needs to be heated to a very high temperature in order to be transformed into a vapor," explained Patricia Folan, who directs the Center for Tobacco Control at Northwell Health, in Great Neck, N.Y.

"However, when an individual inhales the vapor into their lungs, the temperature in their lungs is lower causing the substance to return to its oil state," she added. "This in turn causes shortness of breath, lung damage and the respiratory illness being seen in several individuals."

Dr. Teresa Murray Amato is chair of emergency medicine at Long Island Jewish Forest Hills in New York City. She noted that, "once inhaled, oil can set off an inflammatory response that can lead to severe lung injury. Acute respiratory distress syndrome (ARDS) is one of the dreaded complications as it can lead to the need for intubation -- placing a breathing tube -- and being placed on a ventilator to assist in the respiratory effort." In the most severe cases, ARDS can prove fatal, she said.

Other factors could be at play

Dr. Daniel Fox, a pulmonary and critical care specialist with WakeMed Health & Hospitals in North Carolina, said during the CDC media briefing that he has helped track a cluster of five cases that featured lung illness in relatively young people ages 18 to 35.

"All the patients we saw had consumed THC through their vaping devices. That seemed to be a common feature," Fox said.

The patients also all suffered from a non-infectious type of pneumonia called lipoid pneumonia. "It can occur when either oils or lipid-containing substances enter the lungs," Fox said.

The FDA currently has more than 120 samples linked to cases that are being tested, said Mitch Zeller, director of the CDC's Center for Tobacco Products.

"The FDA laboratory is analyzing these samples for the presence of a broad range of chemicals," Zeller said. "No one substance or compound -- including vitamin E acetate -- has been identified in all of the samples tested."

His advice?

"If you're thinking of purchasing one of these products off the street, out of the back of a car, out of a trunk, in an alley, or if you're going to go home and make modifications to the product yourself using something you purchased from a third party or got from a friend -- think twice," Zeller said.

More information

Visit the Center on Addiction for more on the dangers of vaping.