Deaths and Death Rates from an Unusual Event By Sex Female Male - - PowerPoint PPT Presentation

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Deaths and Death Rates from an Unusual Event By Sex Female Male - - PowerPoint PPT Presentation

Deaths and Death Rates from an Unusual Event By Sex Female Male Total Persons at risk 462 851 1,313 Survivors 308 142 450 Deaths 154 709 863 Death rate (%) 33.3 83.3 65.7 Deaths and Death Rates from an Unusual Event By


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Female Male Total Persons at risk 462 851 1,313 Survivors 308 142 450 Deaths 154 709 863 Death rate (%) 33.3 83.3 65.7

Deaths and Death Rates from an Unusual Event – By Sex

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Child Adult Total Persons at risk 83 1,230 1,313 Survivors 52 398 450 Deaths 31 832 863 Death rate (%) 37.3 67.6 65.7

Deaths and Death Rates from an Unusual Event – By Age

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Female Male High SES Middle SES Low SES High SES Middle SES Low SES Persons at risk 143 107 212 179 173 499 Survivors 134 94 80 59 25 58 Deaths 9 13 132 120 148 441 Death rate (%) 6.3 12.1 62.3 67.0 85.5 88.4

Deaths and Death Rates from an Unusual Event – By Sex and Socioeconomic Status (SES)

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Ep Epidemiology 101:

Applying Outbreak Investigation Principles to Understand Vaping- Associated Respiratory Illness

Michael Siegel, MD, MPH Professor, Boston University School of Public Health

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Source: New England Journal of Medicine, September 6, 2019

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Location of Reported Cases

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Source: New England Journal of Medicine, September 6, 2019

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Source: CDC

Demographics of Electronic Cigarette Use among High School Students

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Demographics of Electronic Cigarette Use among Adults

Source: Annals of Internal Medicine, September 6, 2019

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Demographics of Electronic Cigarette Use among Adults

Source: Annals of Internal Medicine, September 6, 2019

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Internet Recruitment of Marijuana Vapers

Source: Drug and Alcohol Dependence, December 30, 2015

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The Key Fact cts

  • 90% of cases report having used black market THC

vaping cartridges

  • In one case, a THC vaping product from an Oregon

dispensary was used

  • A new thickening agent was recently introduced

(vitamin E acetate oil)

  • Vitamin E acetate oil was found in every New York

sample

  • No abnormalities in any nicotine e-liquid tested
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Ke Key Points

  • 1. Because of timing, outbreak is extremely unlikely to be

due to any legal electronic cigarette product or e-liquid.

  • 2. Confirmed under-reporting of illicit marijuana vaping by

teenagers.

  • 3. Widespread counterfeit products on the market may

contain THC oils.

  • 4. CDC is not recommending testing for THC so cannot state

that a single case was unassociated with the use of marijuana vaping cartridges.

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The CDC’s Story

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“Until we know more, if you are concerned about these specific health risks, CDC recommends that you consider refraining from using e-cigarette or vaping products.”

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“Most patients have reported a history of using e- cigarette products containing THC. Many patients have reported using THC and nicotine. Some have reported the use of e-cigarette products containing

  • nly nicotine. No consistent e-cigarette or vaping

product, substance, or additive has been identified in all cases, nor has any one product or substance been conclusively linked to lung disease in patients.”

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Cannabis Concentrate

Source: https://marijuana-science.com/cannabis-extracts-and-concentrates/

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New Cutting Agent (Thinning and Thickening Agent)

Source: Rolling Stone

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Source: Leafly

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5 10 15 20 25 30 2011 2012 2013 2014 2015 2016 2017 2018 2019

Vaping Smoking

Trends in Youth Vaping vs. Smoking, 2011-2019

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5 10 15 20 25 30 2 4 6 8 10 12 14 16 18

Vaping Prevalence Smoking Prevalence

Relationship between Youth Vaping Prevalence and Youth Smoking Prevalence, 2011-2019

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2 4 6 8 10 12 14 16

Ever vaped marijuana Current e-cigarette use

Source: Bill Godshall, Smokefree Pennsylvania

Youth Marijuana Vaping vs. E-Cigarette Use, 2016-2018

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Slide courtesy of Dr. Konstantinos Farsalinos

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Three Major Effect cts of Fl Flavored d E-Ci Cigarette Ba Ban

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  • 1. Tens of Thousands of Ex-Smokers Will Return to Smoking
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  • 2. There Will Be a New Black Market for Flavored E-Liquids
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  • 3. Tens of Thousands of Youth Will Switch to Vaping THC
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