People keep dying from vape-associated pulmonary illnesses (VAPI). Here's a list of the 40 reported U.S. deaths in 24 states and Washington, DC, plus one in Great Britain. Note that the information available is limited, The deceased have not been identifed and specific causes and locations are unclear.
Causes range from diluents like vitamin E acetate and other additives to cyanide and toxic poisoning.
The CDC recommends that people "should not use e-cigarette, or vaping, products that contain THC," adding: "To date, national and state data suggest that products containing THC, particularly those obtained off the street or from other informal sources (e.g., friends, family members or illicit dealers), are linked to most of the cases and play a major role in the outbreak."
On August 22, an adult was declared dead from a severe respiratory illness. The case is related to e-cig usage. "This is the first death of an individual in Illinois who has been hospitalized for severe respiratory illness with reported vaping-e-cigarette use," Illinois Department of Health information officer Melaney Arnold stated. A particular product was not identifiied.
On September 5, Oregon public health officials reported that a middle-aged resident who had used a legal cannabis vape product purchased at a licensed store had died from respiratory illness. They declined to name the product or say where it was sold.
On September 6, the Minnesota Department of Health reported that in August a resident who was over 65 died from a "lung injury (that) was associated with vaping illicit THC products... after a long and complicated hospitalization."
On September 6, it was reported that an adult over 55 with chronic health conditions who'd "vaped a product containing THC" had died. Los Angeles County's health officer Mintu Davis stated: “What liquid was used, what substances were used, what devices were used, it’s all under investigation."
On September 6, the Indiana Department of Health reported that a resident had died from a "mysterious respiratory illness linked to e-cigarette use." Deputy health commissioner Pamela Pontones stated: "Nothing is known for certain about what is causing these injuries."
On September 10, it was reported that a female resident over 50 had died two weeks after vaping. The person had "underlying health issues," according to the state's epidemiologist Farrah Ahmed. The secretary of Kansas' Department of Health and Environment, Lee Norman, said the deceased was stable until “the only thing that changed was starting to vape, which was new to this person.”
7. California (2)
On September 17, the Tulare County Health & Human Services Agency reported that a 40-year-old resident had "died from complications related to the use of e-cigarettes." County public health officer Karen Haught said it was "related to severe pulmonary injury associated with vaping." According to the agency, "Symptoms of vape-associated pulmonary injury (VAPI) can include shortness of breath, coughing, chest pain, nausea, fever, vomiting or diarrhea."
However, accorrding to Leafly, "One Tulare County, CA victim’s family member mentioned a 'black and gold' cart labeled 'Lucky Charms.' (Matching that description is both counterfeit packaging and authentic packaging for a popular, illicit market brand in California called West Coast Cure.)"
On September 19, the Missouri Department of Health and Senior Services (DHSS) reported that a man in his mid-40s had died in Mercy Hospital in St. Louis due to acute respiratory distress syndrome. DHSS director Dr. Randall Williams said the illness was "associated with vaping," but wasn't clear if it was e-cig or cannabis oil related. “This is an unfortunate case of a young man with no prior lung illness who started vaping because of chronic pain issues,” Mercy Hospital's Dr. Michael Plisco added. “He started out with shortness of breath and it rapidly progressed and deteriorated. Once the lungs are injured by vaping, we don’t know how quickly it worsens and if it depends on other risk factors.”
9. Kansas (2)
On September 24, Kansas Gov. Laura Kelly reported that a second vape-related death had occurred in the state. "The second death is a male over the age of 50 who also had underlying health conditions," the press release states. It refers to e-cigarette use and not cannabis.
On September 25, the Georgia Department of Public Health reported that a patient had died from a "vape-associated illness," adding that "the patient had a history of heavy nicotine vaping, but no reported history of vaping THC."
On September 25, the Florida Department of Health reported a death due to "lung injury associated with e-cigarette use or vaping." No other information was provided.
On September 26, the Mississippi Department of Health reported that a resident under 30 had suffered a "vaping-associated death." No other information was provided.
13. Oregon (2)
On September 26, the Oregon Health Authority (OHA) reported that a second person in the state had suffered a "vape-related death." They said the victim had purchased the cannabis product or products at a licensed retailer. "People should stop vaping immediately," health officer Dean Sidelinger stated. "If you vape, whether it's cannabis, nicotine or other products, please quit."
14. North Carolina/Virginia
On September 26, Mose Cone Hospital in Greensboro, NC reported that a southwest Virginia resident suffered a "vape-related death." Dr. Murali Ramaswamy, director of the Interstitial Lung Disease Program for LeBauer Health Care at Cone Health, stated: "This is really because the lungs are severely inflamed. We call this Acute Lung Injury or ARDS, Acute Respiratory Distress Syndrome, that’s really how they die from it."
On September 30, the Nebraska Department of Health and Human Services reported that a resident over 65 in Douglas County died from "severe lung disease associated with e-cigarettes or vaping" in May.
16. New Jersey
On October 1, the New Jersey Department of Health reported a death "associated with the national vaping outbreak." An adult female died in August. She's among 32 cases being investigated. "To date, there have been no reports of serious lung illness associated with products sold in dispensaries permitted by the New Jersey Medical Marijuana Program," the press release stated.
On October 2, the Alabama Department of Health reported a "death tied to vaping." It's unclear whether use of a cannabis or nictoine product caused the East Alabama man to die.
On October 3, the Connecticut Department of Public Health reported that last week a person between the ages 30 to 39 died from a "mysterious lung disease linked to vaping." Gov. Ned Lamont stated: "I cannot stress enough – the best thing for people to do is just avoid e-cigarettes and vaping products altogether.”
On October 3, Delaware's Division of Public Health reported that a person "died from complications relating to vaping within the past few months." Director Karyl Rattay stated: "We continue to recommend that individuals consider refraining from vaping or using e-cigarette products. At this time, no vaping is safe.”
On October 4, the Michigan Department of Health and Human Services reported that a man had died from a "vaping-related lung injury" on October 2. Thirty similar cases of "severe respiratory illness" have been reported in Michigan since August. The state's chief medical executive Dr. Joneigh Khaldun stated: "We urge people to consider refraining from vaping until the specific cause of the vaping-related severe lung injuries being reported nationwide has been identified."
On October 4, the Pennsylvania Department of Health confirmed "one death and multiple cases attributed to lung injuries associated with vaping." Twelve cases of lung injury have been reported. Indicating that the cause of death may be related to marijuana use, Secretary of Health Dr. Rachel Levine stated: "Vaping medical marijuana products sold in our dispensaries carries risk in the same way that other medications do. If you are vaping, whether as part of the medical marijuana program or not, it is essential that you have an honest conversation with your physician about the potential risk for serious illness. For those who are part of the medical marijuana program and have concerns, we encourage you to talk to your physician or the pharmacist at the dispensary to determine if a transition to another medication will continue to meet their needs."
On October 7, the Massachusetts Department of Public Health reported that a woman a "woman in her 60s from Hampshire County" died from a "vape-associated lung injury." The Boston Globe says she vaped nicotine. Of the state's 19 reported cases, "five reported vaping only cannabis oils, four reported vaping both marijuana and nicotine products, and one reported vaping only nicotine." Massachusetts instituted the nation's first and only state ban on the sales of all vape products on September 24.
23. California (3)
On October 7, the Kings County Department of Public Health reported that "an individual from Kings County has died from complications related to the use of e-cigarettes." Kings County Public Health Officer Dr. Milton Teske described it as a "severe pulmonary injury associated with vaping." It's the third vape-related death in California since September 6.
24. New York
On October 8, it was reported that a 17-year-old male from the Bronx died from a "vape-related illness." Admitted to Montifiore Hospital several times in September, he passed on October 4. He's the youngest victim since vape deaths started being reported in late August.
25. Georgia (2)
On October 8, the Georgia Department of Public Health reported the second death in the state due to a "vaping-associated illness." The department noted that the victim "had a history of nicotine vaping, but the case is still being reviewed to determine if other substances also may have been used."
On October 9, the Texas Department of State Health Services reported an older adult woman living in North Texas died from a "vaping-associated lung illness."
On October 9, the Utah Department of Health reported the death of a Salt Lake County resident under the age of 30 from a "vaping-related lung injury." The victim had "vaped THC prior to (his or her) death." According to the Salt Lake Tribune, "The toxicology screen confirmed the use of THC and vape cartridges containing THC were found at the person’s home." The person was not hospitalized and died at home.
Health Department epidemiologist Dr. Angela Dunn stated: “This death is a sad reminder of the severity of these unexplained illnesses. Based on what we know about this outbreak and what may be contributing to it, our best advice to the public is to stop vaping products that contain THC.”
28-29. Indiana (3)
On October 10, the Indiana State Department of Health (ISDH) acknowleged that two more residents had died of lung illnesses related to vaping, upping the state's total to three. The state has 30 confirmed cases of vaping-related lung injuries. According the the ISDH website: "Most individuals have reported vaping THC, the ingredient in marijuana, or other substances, but it’s unknown what specific products, brand or substance is causing these injuries. More information is being learned as new cases are investigated and data analyzed."
30-31. Minnesota (2)
On October 16, the Minnesota Department of Health reported that two more residents "have died due to complications from severe lung injuries associated with vaping." The first was reported on September 6. The two latest victims were both over 50 and passed away in September. According to the press release, "Investigators determined the first patient vaped a number of products including illegal THC. The second patient had severe underlying conditions and is believed to have vaped unknown products in addition to nicotine."
Health Commissioner Jan Malcolm urged people "to avoid vaping anything containing illegal cannabis products, as almost all of those Minnesotans who developed severe lung injuries had a history of frequent vaping of illegal cannabis," adding: "People vaping medicine from Minnesota’s medical cannabis program should talk with their health care provider about whether another delivery method may be right for them."
On October 16, the Montana Department of Health and Human Services reported that "an individual in their late teens with a history of vaping" had died from "vaping-associated pulmonary illness." State Medical Officer Dr. Greg Holzman stated: "During this time, we highly recommend that people refrain from any vaping products.”
33-34. Tennessee (2)
On October 17, the Tennessee Department of Health reported that "a patient with serious respiratory disease associated with use of electronic cigarettes or other vaping devices" had died. He was a 26-year-old adult male who lived in Nashville. On October 24, they said a second resident had died from vaping. With 53 cases reported in Tennessee, the department stated: "In many but not all cases, patients have acknowledged recent use of tetrahydrocannabinol or THC-containing e-cigarette products."
35. Illinois (2)
On October 24, the Illinois Department of Public Health (IDPH) reported that a second resident died of a "severe lung injury" due to vaping. A total of 153 Illinois residents have suffered similar injuries.
In a press release the IDPH stated: "More than 80% of the cases in Illinois report recent use of tetrahydrocannabinol (THC)-containing products, primarily obtaining them from informal sources such as friends or on the street. Additionally, almost half have also used nicotine-based products. IDPH has submitted 54 products and devices to the FDA for testing since August and has received preliminary results for 17 samples. Initial results from the FDA for Illinois are similar to information previously reported nationwide. Of the samples submitted, vitamin E acetate was found in two of the samples with THC. The FDA continues to perform additional testing."
36. Washington, DC
37. Georgia (3)
On October 29, the Georgia Department of Health reported that a third state resident had died from a "vaping-associated illness." According to the Atlanta Journal-Constitution, the death "involved a person with a history of vaping nicotine for a few years."
38. Massachusetts (2)
On October 30, the Massachusetts Department of Public Health reported that a second state resident had died of a "vaping-associated lung injury." The victim is a woman in her 40s who lived in Middlesex County "who vaped nicotine." Gov. Charlie Baker banned the sales of all vape products on September 24.
39. Illinois (3)
On October 31, the Illinois Department of Public Health reported that a third state resident had died of a "severe lung injury" due to vaping. “IDPH is urging Illinoisans not to vape or use e-cigarettes products, especially illicit THC based products, while we continue to investigate this outbreak," the department's director Dr. Ngozi Ezike stated.
40. Massachusetts (3)
On November 6, the Massachusetts Department of Public Health reported that a third state resident had died of a "vaping-associated lung injury." The victim was a man in his 50s from Worcester County who "reported vaping both nicotine and tetrahydrocannabinol (THC)." Since September, the state has had "220 reports from clinicians of suspected vaping-associated lung injuries."
In addition, on September 29, it was reported that 57-year-old factory worker Terry Miller from Gateshead had died in Great Britain after "oil in his lungs from vaping fluid triggered lipoid pneumonia." His wife Glynis says he was a regular user of e-cigs.
This article was originally posted on September 17. It has been updated numerous times.