Vaping Prevention Resources and Information
It is important for the prevention community to know and understand the risks related to vaping. The New England PTTC has created this page to bring together the latest health advisories from the CDC, the Surgeon General's office, and other federal partners, as well as the health departments of the six New England states. We have also posted some helpful information resources and vaping prevention toolkits from each of the six New England states. We have also included some recorded webinars and other products from our sister PTTC's.
We will continue to update this page with the latest federal and state health advisories and tools and resources you can use in your community to respond to this urgent public health crisis. If you have other training and technical assistance needs around vaping and vaping prevention, please contact us at firstname.lastname@example.org
As of December 27, 2019, a total of 2,561 hospitalized EVALI cases have been reported to CDC from all 50 states, the District of Columbia, and two U.S. territories (Puerto Rico and U.S. Virgin Islands).
- Fifty-five deaths have been confirmed in 27 states and the District of Columbia, this includes deaths reported in the states of Massachusetts, Connecticut, and Rhode Island.
- Although the number of reported cases appears to be declining, states are still reporting new hospitalized EVALI cases to CDC on a weekly basis and should remain vigilant with EVALI case finding and reporting.
About Patient Exposure:
- All EVALI patients have reported a history of using e-cigarette, or vaping, products.
- Vitamin E acetate has been identified as a chemical of concern among people with e-cigarette, or vaping, product use associated lung injury (EVALI).
- THC is present in most of the samples tested by FDA to date, and most patients report a history of using THC-containing e-cigarette, or vaping, products.
- The latest national and state findings suggest THC-containing e-cigarette, or vaping, products, particularly from informal sources like friends, family, or in-person or online dealers, are linked to most of the cases and play a major role in the outbreak.
- CDC has analyzed national data on use of THC-containing product brands by EVALI patients.
- Overall, 152 different THC-containing product brands were reported by EVALI patients.
- Dank Vapes, a class of largely counterfeit THC-containing products of unknown origin, was the most commonly reported product brand used by patients nationwide, although there are regional differences. While Dank Vapes was most commonly reported in the Northeast and South, TKO and Smart Cart brands were more commonly reported by patients in the West and Rove was more common in the Midwest.
That being said, CDC has not yet made a final determination of the precise cause of cases and is advising that youth and adults cease using any kind of vaping product, especially products containing THC. 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.
All of the states in New England are being impacted by this urgent public health crisis. Refer to the map below which provides the number of lung injury cases in each state:
Vaping Health Advisories, Toolkits, and Information Resources from New England States:
- Maine responds to a national outbreak of e-cigarette-related illness
- Electronic Nicotine Delivery Systems Toolkit ~ Not a Harmless water vapor
- Severe Lung Disease/Injuries Associated with Vaping - Page from New Hampshire Dept. of Health and Human Services which includes a 3-minute news story from WMUR, interviewing NH State Epidemiologist, Dr. Benjamin Chan.
- Breathe NH: Vaping Unveiled - Resources
- Vermont Department of Health Advisory
- Addressing the Dangers of Vaping in Vermont Schools - An Electronic Vapor Product Education Toolkit for Schools
- Clinical Advisory on Vaping Associated Lung Injury Reporting
- Governor Charlie Baker Declares Public Health Emergency, Announces Temporary Four-Month Ban on Sale of All Vape Products
- Make Smoking History - Toolkit for Schools
- Connecticut State Department of Health Tobacco Control Program Resources for Vaping Prevention and Cessation
- DPH Commissioner Recommends CT Residents Consider Not Using E-Cigarette and Vaping Products Pending Outcome of National Investigation into Severe Lung Disease
Federal agencies and national associations provide the following resources related to vaping:
- Combating the Epidemic of Youth E-Cigarette Use with Plan to Clear Market of Unauthorized, Non-Tobacco-Flavored E-Cigarette Products The U.S. Food & Drug Administration (FDA) intends to finalize a compliance policy in the coming weeks that would “clear the market of flavored e-cigarettes to reverse the deeply concerning epidemic of youth e-cigarette use that is impacting children, families, schools and communities,” according to HHS Secretary Alex Azar. The announcement comes as preliminary numbers from the National Youth Tobacco Survey show a continued rise in the disturbing rates of youth e-cigarette use, especially through the use of non-tobacco flavors that appeal to kids. Learn more here.
- CDC: Outbreak of Lung Illnesses Associated with Using E-cigarette Products
- CDC: For the Public: What You Need To Know
- SAMHSA: Tips for Teens: E-Cigarettes Fact Sheet
- Surgeon General's Advisory on E-cigarette Use Among Youth
- The National Hispanic and Latino PTTC/Partnership for Drug-Free Kids has just released a guide to vaping in Spanish:
- Vapear: Lo Que Ud. Necesita Saber y Como Hablarle A Sus Hijos Acerca de Vapear
Tobacco and Vaping Prevention Toolkits:
Stanford University Tobacco Prevention Toolkit - Modules for tobacco and nicotine education. Includes modules on e-cigs and vapes
The Real Cost Campaign - Messaging campaign and associated tools and fact sheets from the U.S. Food and Drug Administration (FDA)
Tips for Teens: E-Cigarettes - Resource from SAMHSA: This fact sheet for teens provides facts about vaping. It describes short- and long-term effects and lists signs of vaping. The fact sheet helps to dispel common myths about vaping. Access sources and references cited in this fact sheet.
Journal & Research Articles:
E-Cigarettes and Vaping-Related Disease - collection of articles and other resources on e-cigarettes and vaping-related disease, including clinical reports and commentary.
Additional resources from the PTTC and ATTC Networks:
Mid-America PTTC: E-Cigarettes and Vaping
National Hispanic & Latino PTTC: Webinar: Vaping 101: and Latino Youth: Devices, risks, prevention efforts, and solutions
Pacific Southwest PTTC: Webinar Resources and References: E-Cigarettes and Vaping: A Public Health Epidemic
Central East ATTC: Marijuana & Vaping - The Triangulum: The Future is Now