A mysterious outbreak of critical lung disease is forcing federal agencies to grapple with a vast, nearly unregulated market of nicotine- and marijuana-based vaping products
Yet since the first case was logged in June, agencies have released no product recalls, nor any details or broad public awareness campaigns about which specific vaping products might be causing the illness.Leading scientists and public health experts, including former FDA commissioners, want the CDC and FDA to step in and warn people about certain vapes, or even pull some products off the market.
Sen. Dick Durbin , an outspoken vaping critic whose state announced the only death reported so far from the mystery illness, called Tuesday for more e-cigarette regulation. “Press releases and incremental bureaucratic half-measures have failed,” Durbin wrote in a letter to acting Commissioner Ned Sharpless. “FDA’s inaction is alarming and has become dangerous."Get the latest on the health care fight, every weekday morning — in your inbox.
Federal officials and states are also developing uniform definitions so all the cases can be registered and counted the same way, state officials familiar with the discussions said.urged doctors to ask about e-cigarette use when they talk to patients with an unclear respiratory or pulmonary illness and to report cases involving a vaping patient to state or local health departments.
CDC did not respond to multiple requests for comment. An FDA spokesperson said the agency is working with CDC and state health officials "as quickly as possible to gather more information" and urged the public to report possible cases through its onlineThe causes of the outbreak aren’t clear, said Matthew Myers, president of the Campaign for Tobacco-Free Kids.
Even if the cause is the illegal brands it doesn’t mean big companies like Juul, with its sleek, USB-like technology and easily inserted cartridges — should be let off the hook, Gottlieb said. Irfan Rahman, a researcher at the University of Rochester Medical Center, suspects that the main cause is the oil used as a suspension for many vaping products, including nicotine, THC or another popular marijuana component, CBD, producing a disease called lipoid pneumonia. Since e-cigarette manufacturers have not filed applications with FDA yet, it’s difficult to know how many nicotine-based products use these oils and which could be most problematic.
“Do I think it's missed? It is. But not because we're bad doctors, but this is a new epidemic,” said Dr. Panagis Galiatsatos, director of the Tobacco Treatment Clinic at Johns Hopkins.
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