Confirmed Cases and Deaths:
- As of February 18, 2020, 2,807 hospitalized lung injury cases associated with the use of e-cigarette, or vaping, products have been reported to CDC from 50 states, the District of Columbia, and 2 U.S. territories (Puerto Rico and U.S. Virgin Islands).
- 68 deaths have been confirmed in 29 states and the District of Columbia. Ages ranging from 17-75 years old.
- As of February 18, 2020, the Montana Department of Public Health and Human Services (DPHHS) has confirmed 8 cases in Montana, which includes 1 death.
- While Emergency Department visits associated with possible EVALI have declined, they have not returned to levels before June 2019 and EVALI remains a concern.
Patients presented with:
- Respiratory symptoms including cough, shortness of breath, and fatigue.
- Symptoms worsened over a period of days or weeks before admission to the hospital.
Other symptoms reported by some patients included:
- Chest pain,
- Weight loss,
- Nausea and Diarrhea.
Contact your healthcare provider: If you or someone you know is experiencing any of these symptoms. If it is a medical emergency call 9-1-1 or the Poison Control Center (1-800-222-1222). Additional provider-specific guidance available.
Refrain from using all e-cigarette, or vaping products is strongly recommended while the investigation continues. More information available on the CDC site.
Healthcare providers notify your local health department if treating patients with recent e-cigarette use and respiratory illness and who present similarly to cases described by clinicians in Illinois, Wisconsin and North Carolina.
Detailed Information on Investigation
No one compound or ingredient has been identified in all patients. All patients have reported vaping in the weeks and months prior to illness. Products used by patients may contain THC, CBD, nicotine, flavors and other chemicals. THC is present in most of the samples tested by FDA to date.
CDC has identified vitamin E acetate as a chemical of concern. Vitamin E acetate is used as an additive, most notably as a thickening agent in THC-containing e-cigarette, or vaping, products. While it appears that vitamin E acetate is associated with EVALI, evidence is not yet sufficient to rule out contribution of other chemicals of concern to EVALI. Many different substances and product sources are still under investigation, and it may be that there is more than one cause of this outbreak. The only way to assure that you are not at risk while the investigation continues is to refrain from use of all e-cigarette, or vaping, products.
To report concerns about a tobacco or e-cigarette product, contact the Federal Food and Drug Administration through the FDA Safety Reporting Portal.
Need Help Quitting?
- Montana Tobacco Quit Line – For help quitting tobacco, including e-cigarettes, visit quitnowmontana.com or call 1-800-QUIT-NOW.
- Montana American Indian Commercial Tobacco Quit Line, visit MTAmericanIndianQuitLine.com or call 1-855-372-0055.
- My Life, My Quit – Youth (anyone under the age of 18) who need help quitting tobacco, including e-cigarettes, can text “Start my Quit” to 1-855-891-9989 or visit mylifemyquit.com.
DPHHS Media Statements
- Press Release: Health officials identify two additional cases related to sever pulmonary disease associated with vaping
- Press Release: Montana's First Confirmed Death of Severe Pulmonary Disease Associated with Vaping
- Press Release: Montana's First Confirmed Case of Severe Pulmonary Illness
- Press Release: Montanans Urged to Stop Using E-cigarettes
- CDC’s Clinician Outreach and Communication Activity (COCA) Clinical Action Message
- CDC Media Statement: CDC, states investigating severe pulmonary disease among people who use e-cigarettes
Prevention Materials on E-cigarettes and Vaping
- The use of e-cigarettes, or vaping, products is unsafe for all ages, including youth and young adults. Nicotine is highly addictive and can harm adolescent brain development, which continues into the early to mid-20s.
- E-cigarettes, Vapes & JUUL: The New Nicotine Addiction in Montana
- CDC Infographic Electronic Cigarettes: What’s the Bottom Line
- Educate Young Patients about the Risk of E-cigarettes
DPHHS Public Information Officer
Program Goal Areas
Tobacco Control Partners
American Cancer Society Cancer Action Network
American Heart Association
American Lung Association
Americans for Nonsmokers Rights
Big Brothers and Big Sisters
Campaign for Tobacco-Free Kids
Center of Disease Control
National Association of County & City Health Officials
National Jewish Medical and Research Center
National Native Network
Rocky Mountain Tribal Leaders Council
Tobacco News and Information
World Health Organization Framework Convention on Tobacco Control