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Vaping-Associated Lung Injuries: Information for Health Professionals

MDH is working with health care providers to investigate reports of the most serious cases of severe lung injury potentially linked to vaping. As of Dec. 15, 2019, MDH will be following up only on reports from health care facilities of hospitalized patients.

Health care providers should continue to:

• Ask patients who present with pulmonary symptoms about vaping.
• When treating patients with pulmonary symptoms who report a history of vaping, consider consultation with a pulmonologist and conduct a thorough infectious disease evaluation, including influenza testing.
• Report to MDH only those cases that are hospitalized by one of these methods:
  • Fax a Vaping Case Report Form (PDF) to 1-800-267-1058.
  • Use the online Vaping Case Report Form.
• Hold earliest clinical specimens (blood, urine, bronchoalveolar lavage) for submission to the Minnesota Department of Health Public Health Laboratory.
• Let hospitalized patients know that MDH will be interested in speaking with them and collecting products to test for chemicals that may be involved in this national outbreak.
• Clinicians with questions about possible vaping-related illness or injury may call MDH at 651-201-5878.

Health Alert Network Advisories

Health Advisory: Update on Severe Acute Lung Injury Among Patients Who Report Vaping (PDF) | (Word)
September 11, 2019

Health Advisory: Severe Acute Lung Disease Among Youth Who Report Vaping (PDF) | (Word)
August 13, 2019

Resources

• Severe lung injury associated with vaping algorithm (PDF)
• Device and Substance Visual Dictionary: Severe Pulmonary Disease with E-cigarette Use (PDF)

Journal Articles

• CDC - Outbreak of Lung Injury Associated with E-cigarette Use, or Vaping - Resources and Publications
  MMWR publications, webinars, posters and other materials.
• Characteristics of E-cigarette, or Vaping, Products Used by Patients with Associated Lung Injury and Products Seized by Law Enforcement — Minnesota, 2018 and 2019
• Update: Interim Guidance for Health Care Providers for Managing Patients with Suspected E-cigarette, or Vaping, Product Use–Associated Lung Injury — United States, November 2019
• Pulmonary Illness Related to E-Cigarette Use in Illinois and Wisconsin — Preliminary Report (New England Journal of Medicine)
• Outbreak of Electronic-Cigarette–Associated Acute Lipoid Pneumonia — North Carolina, July–August 2019