FDA Vaping Warning

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U.s. Food And Drug Administration

Centers for Disease Control and Prevention are working tirelessly to analyze the distressing incidents of extreme respiratory illness related to use of vaping products. The particular chemical exposure(s) inflicting lung accidents related to e-cigarette product use, or vaping, remains unknown right now. About fifty seven% reported using nicotine-containing products; sixteen% reported exclusive use of nicotine-containing merchandise. About seventy seven% reported utilizing THC-containing products; 36% reported exclusive use of THC-containing merchandise.

Products

Department of Health and Human Services, protects the public health by assuring the security, effectiveness, and security of human and veterinary medicine, vaccines and different organic products for human use, and medical units. The agency is also responsible for the security and safety of our nation’s food provide, cosmetics, dietary dietary supplements, merchandise that give off digital radiation, and for regulating tobacco merchandise. In a New England Journal of Medicine article revealed September 6, medical doctors in Illinois and Wisconsin reviewed 53 instances of vaping-related diseases between April and August in these states and located that eighty four% of the patients reported having used THC products in e-cigarette gadgets. Sent in April, the newest spherical of letters are along with 22 similar warnings sent to retailers, enforcing the company’s January guidance on e-cigarettes. That steering stated the FDA would use its enforcement powers to compel retailers to take flavored vaping cartridges—excluding tobacco and menthol flavors—off their shelves.

Vaporizers, E-cigarettes, And Other Electronic Nicotine Delivery Systems (Ends)

Not only has there been security issues with e-cigarettes, but many fear about the flavored products seeming appealing to youth and possibly rising the number of young nicotine or THC users. Recent statistics suggest tens of millions of center and highschool students used e-cigarettes in 2019, with eighty one p.c of the customers stating the interesting flavors are one of many major reasons they used e-cigarettes. In December 2019, the president signed legislation to extend the minimum age of tobacco purchases from 18 to 21 years. Sildenafil and tadalafil are the active pharmaceutical ingredients in FDA-accredited prescribed drugs used to deal with erectile dysfunction. These FDA-accredited prescribed drugs aren't permitted for inclusion in e-liquid products sold over-the-counter and are due to this fact being bought illegally.

Statistics About E-cigarette Use Among U.s. Youth

The best way to avoid probably harmful results is to not use THC-containing e-cigarette, or vaping, products. Adults who do not currently use tobacco products shouldn't start using e-cigarette, or vaping, products. Additionally, individuals should not add some other substances not supposed by the producer to merchandise, together with merchandise purchased through retail institutions. Evidence is not sufficient to rule out the contribution of other chemical compounds of concern, together with chemical substances in either THC or non-THC products, in some of the reported EVALI cases. Food and Drug Administration (FDA), state and local well being departments, and different medical and public well being companions are investigating a national outbreak of e-cigarette, or vaping, product use-related lung injury (EVALI).

Fda Regulation Of Electronic Nicotine Delivery Systems

Acomplia is the commerce name of an anti-obesity drug product that's not FDA-approved on the market in the U.S. Use of those trade names and images of the drug merchandise next to the e-liquid products on HelloCig’s website suggests that the products are meant to treat the same conditions because the drug itself. Therefore, these merchandise are unapproved new medicine and misbranded under federal regulation because they don't seem to be generally acknowledged amongst scientific consultants as secure and efficient for their labeled uses and require FDA review and approval earlier than they can be sold. Health care suppliers and customers are inspired to doc antagonistic occasions or any problems associated to vaping merchandise by submitting a report via the FDA’s Safety Reporting Portal. Several premarket applications for such ENDS are in progress, the FDA says, though none are but complete.

Manufacturing Electronic Nicotine Delivery Systems And E-liquids

The standard lethal dose of nicotine for adults is 30–60 milligrams—that interprets to the ingestion of five cigarettes again-to-again or “10 milliliters of a dilute-nicotine containing resolution,” in accordance with a 2014 evaluation within the Archives of Toxicology. While the FDA has reported that deaths are mostly from illicit THC-vaping products, Dr. Niman says that at least two vapers killed in Oregon bought their e-cigarette merchandise at a authorized dispensary. (THC is legal in Oregon.) Dr. Niman has additionally stated that vapers have been injured who did not use a THC-containing product. Food and Drug Administration (FDA) lately sent 10 warning letters to retailers and manufacturers who sell, manufacture or import digital nicotine delivery system — vaping products the agency says are focused to youth. Vitamin E acetate has been present in product samples tested by FDA and state laboratories and in affected person lung fluid samples tested by CDC from geographically diverse states.

Required Nicotine Addictiveness Warning On Packages And Advertisements

“It’s crucial we ensure producers, retailers and others are including the required health warning about nicotine’s addictive properties on packages and commercials — especially on social media platforms in style with kids,” acting FDA Commissioner Ned Sharpless said in a press release. They are largely seen as less Sugar Free CBD Gummies dangerous than conventional paper-and-tobacco cigarettes, and a few adult smokers use them instead source of nicotine. But health experts warn that nicotine can harm creating brains, and up to date analysis exhibits many teenagers don’t know they are consuming the addictive chemical after they vape.

Retail Sales Of Electronic Nicotine Delivery Systems And, E-liquids

A report from theNew England Journal of Medicine, revealed in September, took a deeper dive into these vaping-related illness signs. The report looked at circumstances of fifty three sufferers with “extreme unexplained respiratory illnesses” in Wisconsin and Illinois, which again, have been the earliest reports of extreme lung sickness related to vaping in late July and early August. All patients have been admitted to the hospital and introduced with respiratory, gastrointestinal, and constitutional signs—together with nausea, vomiting, coughing, chest pain, shortness of breath, fever, and weight loss—and all had reported e-cigarette use within ninety days earlier than their signs began. In that very same assertion, released in October, the CDC went into element concerning these vaping disease symptoms.

Vape Shops That Mix E-liquids Or Modify Products

Similarly, the Vapewear vWaTch Starter Kit and Wizman Puff Boy Mod appear to be merchandise which might be in style with children — such as smartwatches, video game methods and fidget spinners — that may be carried or worn without revealing they are vaping products. Vitamin E acetate is used as an additive, most notably in THC-containing e-cigarette, or vaping, merchandise. Electronic cigarettes—or e-cigarettes—are also known as vapes, e-hookahs, vape pens, tank methods, mods, and electronic nicotine delivery systems (ENDS).

Importing Electronic Nicotine Delivery Systems And E-liquids

In these diagnosed with EVALI, 95% of sufferers experienced respiratory symptoms, like cough, shortness of breath, and chest ache. Other patients reported gastrointestinal signs like nausea, diarrhea, and vomiting; and still others reported chills, weight loss, and fever, per the CDC. Dr. Niman believes that enhance in injuries has one thing to do with JUUL’s temperature-adjustment modifications that started in 2017 with a newl-patented product. Perhaps that unimaginable warmth alone could injury lungs, but there's additionally the query of unknown ingredients which JUUL won't reveal till it's pressured to take action by the FDA or by legal discovery in JUUL e-cigarette lawsuits. Plaintiffs’ attorneys are already starting to pursue litigation against the corporate, for causing lung accidents as well as for encouraging chemical habit. A variety of Florida medical marijuana dispensaries have come ahead to make clear that their products don't comprise Vitamin E acetate. As talked about earlier, the FDA is also investigating the function of a broad range of chemical substances, including nicotine, THC and other cannabinoids together with slicing brokers/diluents and other additives, pesticides, opioids, poisons and toxins. This investigation is ongoing and has not identified a cause, however all reported instances have a history of using e-cigarette merchandise. According to the FDA, will probably be prioritizing enforcement towards any “Electronic Nicotine Delivery Systems” (ENDS) manufacturer that produces a flavored, cartridge-primarily based produce, apart from tobacco or menthol flavored, assuming it has not been approved beforehand.

The company has also previously been named in probes corresponding to an investigation by Massachusetts Attorney General Maura Healey and a lawsuit by North Carolina Attorney General Josh Stein. The federal drug administration (FDA)1 has issued warnings, and is continuous to research, security considerations with e-cigarette, or “vaping”, merchandise. If you could have experienced an unexpected well being or safety concern with a particular tobacco product, you'll be able to report an issue with any tobacco product, including vapes, to the FDA. Knowledge about adverse experiences can help the FDA determine well being or questions of safety beyond those usually associated with product use. You can discover a list of retailer responsibilities for ENDS within the final rule Deeming Tobacco Products To Be Subject to the Federal Food, Drug, and Cosmetic Act. Look, I’m all for firms defending minors maintain them safe from merchandise that they shouldn’t use. That being said, I don’t agree with what a few of these corporations are doing to make their merchandise appear to be candy. After May 12, 2020, enforcement shall be prioritized in opposition to companies which proceed to promote their vaping products and which haven’t begun the application process. For those which have, the FDA will generally give a twelve month grace period before starting enforcement. "It's crucial we guarantee producers, retailers and others are together with the required well being warning about nicotine's addictive properties on packages and commercials — especially on social media platforms well-liked with children," appearing FDA Commissioner Ned Sharpless said in an announcement.

These elements can be associated with vital questions of safety and the risk of significant adverse events. For instance, they could interact with nitrates present in some pharmaceuticals used to treat, hypertension or coronary heart disease, and may lower blood stress to dangerous levels. Further, the “E-Cialis HelloCig E-Liquid” is marketed with a picture of a Cialis bottle and tablets. “E-Rimonabant HelloCig E-Liquid” is marketed with an image of an Acomplia container and tablets. They are largely viewed as less dangerous than conventional paper-and-tobacco cigarettes and a few grownup people who smoke use them as an alternative source of nicotine. But well being experts warn that nicotine can hurt growing brains and up to date research shows many teenagers are unaware they're consuming the addictive chemical when they vape. Facebook prohibits e-cigarette adverts even with warnings and the FTC has been pressuring influencers — individuals with many social media followers who promote services — to disclose when they're being paid to endorse one thing. The posts didn't embody a compulsory warning that the vaping liquids comprise nicotine, which is addictive.

• By pooling the knowledge received from sick patients and completing laboratory testing of vape merchandise and samples from inside sufferers’ lungs, they have discovered some similarities.
• For instance, many ill sufferers say they had recently used vaping merchandise containing THC, usually merchandise obtained from unofficial sources like associates, household, or in-person and online dealers.
• They should contact their healthcare skilled if they need assistance quitting tobacco products, including e-cigarettes, in addition to if they've concerns about EVALI.
• Adults using nicotine-containing e-cigarette, or vaping, products as an alternative to cigarettes shouldn't go back to smoking; they need to weigh all available info and think about using FDA-permitted smoking cessation medicationsexternal icon.
• If they select to use e-cigarettes as an alternative to cigarettes, they should utterly swap from cigarettes to e-cigarettes and never partake in an extended period of dual use of each merchandise that delays quitting smoking fully.

Researchers still don't know for sure—largely due to the truth that vaping is a relatively new trend (from 2011 to 2018, the rate of vaping among US high school students rose from 1.5%, or 220,000 students, to 20.8%, or 3.05 million college students, per the CDC). But that doesn't mean experts are totally at midnight about the adverse well being effects of vaping. From numerous lung sicknesses to uncommon accidents, here's everything we all know so far in relation to the dangers of e-cigarette use. Currently, 26 deaths as a result of vaping-associated illness have been confirmed in 21 different states, and 1,299 circumstances of severe lung sickness related to e-cigarettes have been reported across the US. The coronavirus presents a brand new challenge for the tobacco industry, which for years has confronted lawsuits and higher taxes due to hyperlinks between smoking and better rates of lung illness. E-cigarette maker Juul Labs Inc. was already underneath hearth for allegedly advertising its product to youngsters, and an amended grievance filed in San Francisco district court this month consists of claims that vapers endure a larger threat of extra serious coronavirus complications. Tobacco and vape producers should submit a premarket tobacco utility (PMTA) submission for those merchandise by Sept. 9, 2020, in order to hold certain products on retailer cabinets pending FDA evaluate. In line with the FDA’s warning, CannaMD warns sufferers to keep away from inhaling Vitamin E acetate and ensure with their dispensary that purchased merchandise don't contain this agent. Many of the samples tested as a part of this ongoing investigation have been recognized as vaping products containing THC and, additional, most of these samples with THC additionally contained significant amounts of Vitamin E acetate. According to the CDC, at the time of its discover, over 450 potential instances of lung sickness associated with the use of e-cigarette products have been reported. Five deaths have been confirmed in California, Illinois, Indiana, Minnesota, and Oregon. It’s a 30 day warning to producers that, as of February, they might be within the FDA’s crosshairs. They are a part of the Federal Government’s try to lower the provision of tobacco and vaping products to younger individuals. There was one other issued warning, this time warnings were sent to forty retailers that had been promoting JUUL merchandise to minors. The update also notes that as of September 24, 2019 at 5pm, 805 lung damage cases related to the use of e-cigarette or vaping products have been reported. Given its aim is to chop youth use of vaping merchandise, the FDA says that omitting menthol and tobacco flavors makes sense. Vitamin E acetate has not been found within the lung fluid of people that don't have EVALI. Although officials said the exact cause behind the injuries has not been determined, most of the people who have abruptly fallen sick have reported using vaping merchandise that contained THC. "We urge customers to take heed of our warning and stop using THC vaping products," the FDA warned Friday. Vapes, vaporizers, vape pens, hookah pens, electronic cigarettes (e-cigarettes or e-cigs), and e-pipes are a number of the many phrases used to explain digital nicotine supply techniques (ENDS). The New York Department of Health beforehand reported that it was wanting into vitamin E acetate, an ingredient found in some lotions and food. "The child-pleasant merchandise that stay in the marketplace embody cheap, disposable e-cigarettes sold in an assortment of flavors, nicotine e-liquids bought in over 15,000 flavors, refillable gadgets and menthol-flavored pod merchandise like Juul," Myers noted. With more American teens taking on e-cigarettes, there's a flood of merchandise designed to allow them to vape without getting caught by parents or lecturers -- and federal officers wish to put a cease to it. The FDA had despatched Eonsmoke a letter a yr ago asking for extra details about whether or not the corporate was illegally advertising new tobacco merchandise. Research in 2019 suggested that “youth choice for menthol- and tobacco-flavored e-cigarettes is much lower than that for mint- and fruit-flavored e-cigarettes,” the agency says. However, if producers of such flavors are seen to be targeting younger individuals, there’s the potential for the enforcement scope to increase to embody them too. Before the outbreak of the coronavirus, the vaping industry had drawn scrutiny and restrictions from federal and state governments amid a series of deaths and sicknesses that have been linked to faulty hashish products. As a part of its plan of motion to address the epidemic, the FDA also despatched greater than 1,300 warning letters to shops for the illegal sale of e-cigarettes to minors and issued one other 131 civil money penalties to shops that continued to violate the restrictions on sales to minors. "The FDA is especially disturbed by a few of these new merchandise being marketed to children and youths by selling the benefit with which they can be used to conceal product use," Zeller mentioned. Of course, the products attraction to kids because they permit "them to hide tobacco product use from mother and father, lecturers, law enforcement or other adults," he stated. "The public should actually be outraged by these products," said Mitch Zeller, director of the FDA's Center for Tobacco Products. The FDA's latest transfer comes amid calls by lawmakers such as Rep. Raja Krishnamoorthi and Sen. Dick Durbin for the FDA to problem the compliance coverage it announced last month that may clear the market of unauthorized flavored e-cigarettes. You can read the opposed experience reports for tobacco merchandise to FDA within the FOIA Electronic Reading Room. The FDA recently changed the deadline from May 12 to Sept. 9, responding to concerns concerning the coronavirus well being emergency. A warning for 13 firms producing and selling vaping hardware and juices has been issued by the Federal Government. Mr. Sharpless mentioned those that proceed using vaping products should monitor for signs and promptly search medical attention if they've health concerns. He also repeated a prior warning that no kids or pregnant women should use any vaping product. Those who expertise sudden tobacco or vaping-related well being or product issues should submit detailed stories to the FDA through its online security reporting portal, he said. Don't use any vaping merchandise with THC — that's the most recent warning issued by federal well being officials on Friday since greater than 1,000 vaping-related accidents have been reported across the United States. The warning letter additionally cites claims made by the company that its products are much less harmful than other marketed tobacco products -- claims that require FDA evaluate. The FDA announced Monday a brand new round of warning letters to vaping producers and retailers, demanding that some vaping products be removed from the market. Most of the gadgets named are area of interest merchandise, but one is a very popular refillable pod vape, the Uwell Caliburn. An earlier model of this post misstated which federal agency made the announcement. Products marketed for therapeutic functions (for example, marketed as a product to assist individuals give up smoking) are regulated by FDA Center for Drug Evaluation and Research (CDER). FDA revealed a rule clarifying when merchandise made or derived from tobacco are regulated as tobacco merchandise, medication, and/ or units. Acting FDA Commissioner Norman E. Sharpless stated in a press release that the FDA’s updated alert additionally warns consumers who select to use vaping products to not modify or add substances such as THC or different oils to merchandise bought in shops. The agency also cautioned against buying any vaping merchandise by way of illicit channels. As of February 18, 2020, a complete of two,807 hospitalized e-cigarette, or vaping, product use-associated lung harm (EVALI) circumstances or deaths have been reported to CDC from 50 states, the District of Columbia, and two U.S. territories (Puerto Rico and U.S. Virgin Islands). If you have questions on CDC’s investigation into the lung accidents related to use of e-cigarette, or vaping, products, contact CDC-INFO or call . THC use has been related to a variety of health effects, significantly with prolonged frequent use. In addition, our web site offers more information on regulations, steerage, and webinars for retailers. FDA is in search of unpublished information and information related to the use of vaping merchandise associated with current lung accidents. FDA is seeking information on product design and potential methods to stop customers from modifying or including substances to these merchandise that aren't intended by the manufacturers. Laboratory analysis performed by the FDA confirmed “E-Cialis HelloCig E-Liquid” contains the undeclared medication sildenafil and tadalafil, and “E-Rimonabant HelloCig E-Liquid” contains the undeclared drug sildenafil. Nearly one-third of these 573 patients said they used solely THC-containing merchandise in their devices. "Available information suggest THC-containing merchandise play a role in this outbreak, but the specific chemical or chemical substances responsible for EVALI haven't but been recognized, and nicotine-containing merchandise have not been excluded as a attainable cause," the CDC mentioned. In essentially the most basic phrases, e-cigarettes right now have been advertised as wholesome alternate options to cigarettes. In reality, JUUL was lately despatched a warning from the FDA for violating federal regulations by promoting their vaping products as healthier choices than cigarettes with out FDA approval. In addition, the company is marketing different e-liquids utilized in e-cigarettes in ways in which convey and mislead customers into believing that the FDA has accredited these tobacco products, when it has not. If there’s one thing that’s clear over the past months, because the FDA readies its assault on unauthorized vaping merchandise, it’s that users aren’t universally impressed by the policies. Although most agree that underage use of e-cigarettes is one thing to crack down on, flavored e-liquids and other comparable ENDS merchandise are nonetheless in style among adults, too. If you own a CBD or THC or any kind of cannabis or vaping firm do your self a stable and avoid the meals like product advertising for teens. A consultant of the NEwhere Inc, an organization that produces e-liquids and has acquired a warning, has acknowledged that their products are meant just for adults that wish to make the swap from standard tobacco cigarettes to a much safer medium – the electronic cigarette. And the warning was focused on a single of their discontinued products that was even voluntarily drawn from the distribution. Electronic nicotine delivery techniques (ENDS), such as vapes, vape pens, hookah pens, e-pipes, and e-cigarettes, have turn out to be increasingly popular. These are nicotine products that aren't lit, like a standard cigarette, however as an alternative use an “e-liquid”, normally containing nicotine, flavoring, and other elements. In addition to nicotine, e-cigarette liquids containing THC, or tetrahydrocannabinol, the principle psychoactive substance in marijuana that causes the “excessive” sensation, even have been made. The FDA, joined by the Federal Trade Commission, despatched the letters to Solace Vapor, Hype City Vapors, Humble Juice Co. and Artist Liquid Labs. The corporations didn't immediately return calls and emails in search of remark Friday morning. "While vaping devices have the potential to be disruptive to the flamable tobacco market, this cannot be on the expense of increasing charges of nicotine dependancy in young individuals," Ylioja said. San Francisco-primarily based Juul, which instructions over 60 percent of the e-cigarette market, mentioned it is working to stop underage use of its products but added that flavors can help adult smokers quit cigarettes. Though vaping merchandise have been considered probably much less harmful than traditional cigarettes, current findings recommend they will not be as safe as supposed. In October 2019, the FDA revealed a warning after many instances of illness and dying have been discovered to have a potential hyperlink to vaping products. Particularly in danger are flavored, cartridge-based ENDS products – if they’re not flavored as tobacco or menthol – and different ENDS merchandise which do not sufficiently take care to keep away from underage use. Those which specifically target, or promote use, to minors will also be notably at risk. What makes this significantly important is that the FDA says that no present ENDS have truly completed that premarket authorization requirement. Introduced in August 2016, the rules that brought e-cigarettes beneath FDA tobacco authority meant that any supposed to be legally marketed would first must be assessed through the identical processes that common cigarettes would. Adults using nicotine-containing e-cigarette, or vaping, merchandise as an alternative choice to cigarettes should not go back to smoking; they need to weigh all available information and think about using FDA-accredited smoking cessation medicationsexternal icon. If they choose to make use of e-cigarettes as an alternative to cigarettes, they should completely switch from cigarettes to e-cigarettes and not partake in an prolonged interval of twin use of both products that delays quitting smoking completely. They should contact their healthcare professional in the event that they need help quitting tobacco merchandise, including e-cigarettes, in addition to if they have concerns about EVALI. By pooling the knowledge obtained from sick sufferers and finishing laboratory testing of vape products and samples from inside patients’ lungs, they have found some similarities. Manufacturers and retailers that obtain warning letters are expected to answer to the FDA inside 15 working days, describing what corrective actions they’ve taken, or alternatively, disputing the agency’s accusations. Dr. Anne Schuchat, principal deputy director of the CDC, mentioned in an Oct. 3 phone press conference that the 18 deaths confirmed and reported to the CDC have come from 15 states. Dr. Schuchat stated vaping damage instances have been reported from 48 states and the Virgin Islands. In addition, 275 circumstances have been recognized since late September 2019, together with new sufferers and up to date diagnoses on present sufferers. Though reported lung damage cases went again to Spring 2019, there was a big jump in circumstances during June and July this year. For example, many unwell sufferers say they had lately used vaping products containing THC, typically products obtained from unofficial sources like associates, household, or in-particular person and on-line sellers. Laboratory data also showed a substance referred to as vitamin E acetate, often added into THC-containing vaping merchandise, is strongly linked to EVALI as well. While there are similarities between the instances of EVALI, there may be not a single trigger recognized as causing EVALI, and the investigation into the outbreak remains ongoing. For updates on findings and recommendations, check the FDA and CDC web sites, that are updated regularly. That includes demonstrating that they meet the related health standards, along with showing how their advertising received’t target young folks. The US Food and Drug Administration has banned unauthorized flavored vaping cartridges, cracking down on e-cigarette products as it tries to chop use among children. The announcement – which impacts “unauthorized flavored e-cigarette merchandise that enchantment to kids” the FDA warns – comes solely days after the agency raised the tobacco sale age from 18 to 21. WASHINGTON — The U.S. Food and Drug Administration (FDA) has introduced that it despatched warning letters to seventy three extra retailers for selling flavored vaping cartridges, which the company took off its licensed list of nicotine merchandise that shops might legally sell pending FDA evaluation. The warning was brought forth after there were 1000's of confirmed nicotine exposures by younger children. The exposures were defined as unintended, the place the kids have been tempted by the colourful labeling and packaging. This is in direct violation of an FDA regulation that is associated to the marketing and distribution of tobacco merchandise, that states that any tobacco or nicotine-containing merchandise ought to be designed in a manner that won't be interesting to minors. Facebook prohibits e-cigarette ads even with warnings, and the FTC has been pressuring influencers — people with many social media followers who promote products and services — to disclose when they're being paid to endorse one thing. The posts didn’t embody a compulsory warning that the vaping liquids include nicotine, which is addictive. Food and Drug Administration as promoting an e-cigarette formulation without together with the required nicotine warning assertion. It’s unclear how they’ll reply to this new enforcement, which may see nicely-beloved flavors pulled from cabinets in the subsequent thirty days. What this isn’t, the FDA is eager to point out, is an outright ban on flavored vapes. Instead, it’s overdue stress CBD Vitamins on producers to really go through the official course of of having their e-cigarettes and e-liquids validated. The report really helpful not to use vaping merchandise containing THC, products obtained “off the road” (or other illicit or social sources), and not to add any THC or oils to vaping products, even if they had been purchased from a retail store. The CDC noted that a major percentage of individuals admitted they used THC-containing merchandise in e-cigarette or vaping devices previous to getting sick from EVALI. Among 573 sufferers who offered data on their e-cigarette or vaping system use, 76% stated they used THC-containing merchandise in some unspecified time in the future during the 90 days previous to EVALI symptom onset.