Vaping: The deaths, diseases and controversies within the final 12 months


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E-cigarette producers hoping to remain available on the market should submit a premarket tobacco product utility to the FDA as a part of the company’s evolving regulation of the vaping trade.


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In current weeks, there’s been a surge of studies about folks ending up within the hospital with lung points, seizures and different health concerns after vaping — and 5 sufferers have died. It is clear we’re simply beginning to perceive all the risks of vaping.

E-cigarettes hit the US market a few decade in the past, touted as a safer different to conventional tobacco cigarettes. Nevertheless, they did not actually achieve any traction till 2015, when Juul Labs (then a part of Pax Labs) debuted its discreet USB-size vaporizer, rapidly changing into the trade chief.

The consequence was a spike in e-cigarette use, particularly amongst younger adults, a phase of the inhabitants that, till then, had been utilizing fewer tobacco merchandise, in keeping with the Facilities for Illness Management and Prevention. In 2016, the Food and Drug Administration finalized a rule extending its authority to manage all tobacco merchandise, together with e-cigarettes, the repercussions of that are nonetheless taking part in out right this moment.

Under, we undergo what’s occurred over the previous 12 months as well being officers and the vaping trade attempt to adapt inside this quickly altering regulatory panorama.

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Sept. 12, 2018 — FDA calls teen vaping an “epidemic”

Dr. Scott Gottlieb, the FDA commissioner on the time, points an announcement calling teen vaping an “epidemic” and urges the e-cigarette trade to deal with the issue or threat having their flavored merchandise pulled from the market.

Sept. 31, 2018 — FDA inspectors seize documents from Juul Labs HQ

The FDA performed an unannounced inspection of Juul Labs’ San Francisco headquarters, looking for extra details about the corporate’s gross sales and advertising and marketing practices. Inspectors collected “over a thousand pages of paperwork,” in keeping with the company.

Nov. 18, 2018 — Juul Labs shuts down social media accounts

After the FDA expresses concern that Juul is luring in underage customers, the corporate shuts down Facebook and Instagram accounts, and limits its Twitter presence to “non-promotional communications solely.”

Tobacco Free Campus

The College of California, San Francisco was forward of the curve. It has been a smoke- and tobacco-free campus since Aug. 1, 2017.


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March 13, 2019 — FDA restricts sale of flavored tobacco products

FDA points new pointers proscribing the sale of most flavored tobacco merchandise, together with e-cigarettes, at comfort shops, fuel stations and pharmacies. The FDA additionally asks that each one e-cigarette producers submit functions exhibiting their merchandise meet present rules by Aug. 8, 2021.

March 27, 2019 — Health experts sue FDA over delay of e-cigarette review

Seven public well being and medical teams and several other pediatricians file swimsuit towards the FDA for not following correct necessities when the company gave e-cigarette firms extra time to submit their merchandise for overview.

April 3, 2019 — FDA announces investigation into potential link between seizures and vaping

The FDA notifies the general public that it has acquired studies of individuals experiencing a seizure following using e-cigarettes.

June 25, 2019 — San Francisco bans e-cigarettes

San Francisco, house to Juul’s headquarters, turns into the primary metropolis within the US to ban the sale of e-cigarettes.

July 12, 2019 —E-cigarette marketing application submission deadline set

A US District Courtroom choose in Maryland gave e-cigarette firms till Might 12, 2020, to submit premarket tobacco functions to the FDA for approval.

July 23, 2019 — FDA launches anti-vaping ads to combat teen vaping

The FDA launches new anti-vaping commercials as a part of The Actual Value, the company’s almost $60 million smoking prevention marketing campaign. Within the TV adverts, a avenue magician makes use of tips to coach teenagers on the dangers of utilizing e-cigarettes.

July 24, 2019 — Facebook, Instagram restrict e-cigarette content

Fb points a brand new coverage that can limit gross sales of and restrict content material associated to alcohol and tobacco merchandise, together with e-cigarettes, throughout Fb and Instagram.

July 26, 2019 — WHO issues global tobacco epidemic report

In a report, the World Well being Group requires extra analysis and regulation of e-cigarettes and particularly names Juul as one of many new trade gamers that “proceed to subvert tobacco management.”

Aug. 7, 2019 — FDA says it’s received 127 reports of vaping-related seizures

FDA releases an announcement saying it is now acquired a complete of 127 studies of seizure or different neurological signs, similar to fainting or tremors, that occurred after vaping between 2010 and 2019.

Aug. 14, 2019 — Vaping industry group sues FDA

The Vapor Expertise Affiliation, which represents lots of of vaping firms, recordsdata swimsuit towards the FDA to delay regulators’ overview of the e-cigarettes at the moment available on the market.

Aug. 16, 2019 — Investors still bullish on Juul Labs

Juul Labs raised one other $325 million from buyers, regardless of rising well being and authorized considerations, in keeping with regulatory filings.

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Juul Labs was based by former people who smoke with the objective of eliminating cigarettes, in keeping with the corporate’s mission assertion.


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Aug. 17, 2019 — CDC opens probe into vaping-related lung disease

State and federal well being officers crew as much as discover whether or not e-cigarettes brought about extreme pulmonary points in 153 folks (and counting).

Aug. 19, 2019 — Juul Labs sued over marketing practices

A 19-year-old Juul person sues the corporate for concentrating on minors and utilizing misleading advertising and marketing practices, saying the practices led to his nicotine habit. The lawsuit additionally names tobacco big Philip Morris and its mum or dad firm Altria, a Juul investor.

Aug. 19, 2019 — Health officials report more than 150 people have been hospitalized

State and federal well being officers report that 153 folks — a lot of them younger adults — throughout 16 states have been handled for respiratory points that occurred after vaping.

Aug. 20, 2019 — Juul Labs leaves Vapor Technology Association

Six days after the VTA issued a lawsuit towards the FDA, Juul Labs pronounces that it will not renew its membership to the trade group, citing variations on “vital coverage points.”

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John Keeble/ Getty Photos

Aug. 23, 2019 — Illinois reports a patient dying after vaping

The Illinois Division of Public Well being mentioned an individual who had “just lately vaped and was hospitalized with extreme respiratory sickness” had died. The dying could also be the first tied to vaping within the US, in keeping with the Related Press.

Aug. 28, 2019 — Juul CEO says respiratory illness cases are ‘worrisome’

Juul CEO Kevin Burns calls the current string of lung diseases probably linked to vaping “worrisome” and urges nonsmokers to keep away from utilizing Juul. “If there was any indication that there was an antagonistic well being situation associated to our product, I believe we would take very swift motion,” Burns mentioned in a CBS This Morning interview.

Aug. 29, 2019 — FTC launches an investigation into Juul’s marketing practices

The Federal Commerce Fee has launched an investigation into whether or not Juul practiced misleading advertising and marketing, together with concentrating on minors and will search financial damages, in keeping with a report from The Wall Avenue Journal.

Aug. 30, 2019 — CDC: Don’t buy vaping products off the street, and don’t modify them

The Facilities for Illness Management and Prevention “took the weird step” of issuing suggestions concerning vaping and e-cigarette merchandise, The New York Occasions reported. The CDC’s vaping recommendations cowl most of the people, clinicians and public well being officers. Among the many recommendation for the general public: “Anybody who makes use of e-cigarette merchandise mustn’t purchase these merchandise off the road (e.g., e-cigarette merchandise with THC, different cannabinoids) and mustn’t modify e-cigarette merchandise or add any substances to those merchandise that aren’t meant by the producer.” The CDC additionally mentioned, as it had done previously, that “e-cigarette merchandise shouldn’t be utilized by youth, younger adults, pregnant girls, in addition to adults who don’t at the moment use tobacco merchandise.”

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Europa Press Information

Sept. 4, 2019 — A second vaping-related death

Extreme lung illness linked to vaping took one other life, in keeping with The New York Occasions. The unidentified particular person was hospitalized after vaping THC utilizing a product purchased at an Oregon leisure marijuana store, the Occasions mentioned. The affected person was “in any other case wholesome and rapidly turned very sick,” a public well being doctor and lead investigator within the case instructed the paper. 

Sept. 5, 2019 — Indiana reports vaping-related death 

A 3rd life was claimed by extreme lung damage associated to vaping, The Wall Street Journal confirmed Thursday. After information of the person’s dying, federal well being authorities urged folks to cease utilizing e-cigarette merchandise whereas they examine about 450 instances  of the mysterious sickness in 33 states.

Sept. 6, 2019 — Two extra deaths and CDC warning

Well being officers in Minnesota confirmed that a 65-year-old person died in August after an extended hospitalization from extreme lung damage. The particular person had a historical past of underlying lung illness, however the lung damage was related to vaping illicit THC merchandise. The lung damage progressed to different circumstances, ABC 5 reported on Friday. The Minnesota Division of Well being instructed the station that the state has had 17 sufferers up to now who’ve been labeled as confirmed or doable instances. A further 15 instances are underneath investigation.

The first death in Los Angeles county related to vaping was additionally reported the identical day by ABC 7. The county has reported 12 instances up to now, in keeping with the county’s Division of Public Well being. 

The CDC additionally launched an announcement about its investigations and mentioned no single product is linked to all cases of lung disease. Most of the sufferers reported current use of merchandise containing THC whereas some reported utilizing merchandise with each THC and nicotine. A smaller group mentioned they used nicotine solely. 

Illinois Sen. Dick Durbin tweeted a letter to Ned Sharpless, performing commissioner for the US Meals and Drug Administration, demanding motion. Durbin mentioned the FDA ought to ship letters to all colleges in America warning them of well being penalties associated to vaping. He additionally referred to as on the company to ban e-cigarette flavors aside from tobacco and ban e-cigarette gadgets that have not been accredited by the FDA.  

“If Dr. Sharpless would not take motion within the subsequent 10 days, I plan to name for his resignation. Sufficient is sufficient,” Durbin tweeted

Sept. 9, 2019 — FDA calls out Juul for claiming vaping is safer than other tobacco products

The FDA has raised extra considerations about Juul over some questionable advertising and marketing that steered that Juul’s vaporizer is safer than different tobacco merchandise. What’s worst, highschool college students testified earlier than Congress claiming that an organization rep instructed them that Juul is “completely secure.”  

Sept. 12, 2019 — Photographs emerge revealing extreme lung harm, Juul continues adverts regardless of FDA warning

A set of photographs obtained by Enterprise Insider from medical doctors and researchers illustrate what are believed to be the severe effects of vaping-related lung damage. The pictures embody these of a California teen who underwent surgical procedure to take away a blister that collapsed his lung after he used a hashish vape he purchased at a live performance. Different photographs illustrate patterns famous by researchers, together with irritation, harm to the alveoli (or the lungs’ air sacs), and particles of fats in lung tissues. The surgeons quoted within the article mentioned they could not affirm that the accidents and diseases have been undoubtedly brought on by vaping.

Regardless of a warning letter from the US Food and Drug Administration final week, a Juul spokesman instructed CNBC the company will continue to run its “Make the Switch” ad campaign, which positions vaping as a safer different to cigarettes. The corporate is required to acquire FDA approval earlier than asserting {that a} product is safer than cigarettes however hasn’t submitted an utility for such approval, CNBC mentioned. 


Notice: The knowledge contained on this article is for academic and informational functions solely and isn’t meant as well being or medical recommendation. All the time seek the advice of a doctor or different certified well being supplier concerning any questions you could have a few medical situation or well being goals. 





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