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Medicine Science

Cases of Vaping-Related Lung Illness Surge, Health Officials Say (nytimes.com) 115

Medical experts and federal health officials on Friday warned the public about the dangers of vaping and discouraged using the devices as the number of people with a severe lung illness linked to vaping has more than doubled to 450 possible cases in 33 states. The New York Times reports: The number of deaths linked to vaping rose to four from two on Friday. The Indiana Department of Health announced the third death, saying only that the victim was older than 18. Hours later, officials in Minnesota confirmed that a fourth person had died. The patient, who was 65, had a history of lung disease, but state officials said his acute lung injury was linked to vaping illicit T.H.C. products.The Los Angeles County Department of Public Health was investigating a possible fifth death, saying on Friday afternoon that the fatality was associated with the use of e-cigarettes, also known as vaping. "There is clearly an epidemic that begs for an urgent response," Dr. David C. Christiani of the Harvard T.H. Chan School of Public Health wrote in an editorial published on Friday in The New England Journal of Medicine. The editorial called on doctors to discourage their patients from using e-cigarettes and for a broader effort to increase public awareness about "the harmful effects of vaping." Officials from the Centers for Disease Control and Prevention echoed that call in a briefing. "While this investigation is ongoing, people should consider not using e-cigarette products," said Dr. Dana Meaney-Delman, who is leading the C.D.C.'s investigation into the illness.
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Cases of Vaping-Related Lung Illness Surge, Health Officials Say

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  • This is all about the taxes. Banning online sales is next, bet me.

    • This is all about the taxes. Banning online sales is next, bet me.

      Plausibly. Tobacco-generated sin taxes have dropped off slightly [statista.com] in recent years, although they're still a fairly significant revenue stream.

      One usual suspect appears to be without motive. Big tobacco is either already vested [opensecrets.org] in vaping, or spending heavily [theverge.com] to get there.

      • by BlueStrat ( 756137 ) on Saturday September 07, 2019 @02:11AM (#59168272)

        Plausibly. Tobacco-generated sin taxes have dropped off slightly [statista.com] in recent years, although they're still a fairly significant revenue stream.

        One usual suspect appears to be without motive. Big tobacco is either already vested [opensecrets.org] in vaping, or spending heavily [theverge.com] to get there.

        Your first link only shows *federal* tobacco taxes, not State. State taxes make up the lion's share of the tax on tobacco and in many States account for the majority of the price of a pack of cigarettes exceeding even the manufacturer's cut. As much profit as Big Tobacco makes every year from sales, States make more in many cases if not most.

        There's also Big Pharma and Big Healthcare that stand to lose on smoking cessation drugs like Chantix and a chunk of money no longer being spent in the healthcare system on treating smoking-related illnesses.

        Big Tobacco makes enough money to afford the additional costs of compliance of heavy vape regulation and fines, their vape competitors can not.

        You must understand, Big Tobacco has been so heavily regulated for so many decades by a bunch of politicians & bureaucrats that have been heavily lobbied, revolving-doored, and bribed that they are effectively one entity. The power, control, and money are what matters to them most, the people matter only as much as they must for now to maintain power.

        Fewer smokers means less money, power, and control for a lot of interests and removes a group that's OK to focus public hate on (damned dirty smokers!).

        None of them deep down give a single shit about anyone's health and well being except themselves.

        Vaping has already been shown to be less harmful than tobacco, yet some States are already enacting bans on things like flavored vape liquids (nearly all) in a 'think of the children!' crusade and/or enacting other onerous regulations that heavily discourages *all* vaping, not just underage. That's (intentionally IMHO) throwing the baby out with the bath water and forcing many former smokers and current vape users to switch or switch back to tobacco and removing the option for current smokers. Problem solved, danger averted? I think not. Sounds more like the Tobacco Man, the Tax Man, and the Cancer Doctor are protecting their money, power, and jobs.

        Hell, it would be worth it to start a government program to give every medically-verified smoker a government-subsidized vape and reward payments for remaining tobacco free. The savings in lives, health, and the overall societal good generated would be tremendous.

        Strat

        • Your first link only shows *federal* tobacco taxes, not State. State taxes make up the lion's share of the tax on tobacco and in many States account for the majority of the price of a pack of cigarettes exceeding even the manufacturer's cut. As much profit as Big Tobacco makes every year from sales, States make more in many cases if not most.

          A downward trend [taxfoundation.org] in State revenue from tobacco taxes is statistically indicated, too, although like the federal tax, it can be reversed by a legislative tax rate increase.

          It seems likely tobacco tax revenue is a questionable gain for state and federal governors. The burden of under- and uninsured medical patients falls to hospitals and taxpayers... represented by state and federal governments. Hospitals generally receive nontaxable status for some of this charitable, uncompensated care, but the burden added

          • A downward trend [taxfoundation.org] in State revenue from tobacco taxes is statistically indicated, too, although like the federal tax, it can be reversed by a legislative tax rate increase.

            However, this can't be done indefinitely. As the Laffer curve predicts, at some point revenues will drop if you increase the taxes even more. New York state and city, for example, has probably passed this point because their taxes are so high that smuggling cigarettes is a major business, over half [nypost.com] of cigs smoked there are smuggled in to avoid the taxes.

            Premature death is another matter. Government mandated retirement programs like social security are the real winner.

            You're probably right here. I originally read about it in a freakonomics expose thing. It turns out that smoking doesn't actually add that much to medic

  • by LarryRiedel ( 141315 ) on Friday September 06, 2019 @08:47PM (#59167740)
    4 deaths "linked to" vaping, up from 2. Time to declare a National Emergency?
    • Re: (Score:3, Interesting)

      Way more people died from tainted romaine lettuce last year as I recall.
    • I was expecting a lot more.
      • by goombah99 ( 560566 ) on Friday September 06, 2019 @11:28PM (#59168086)

        With smoking you pretty much have wait half your life for the bad news. Here we have sudden spike of injuries showing up in a new product and also in a segment of the population that normally can ingest anything and recover.

        The sudden onset of this is remarkable. It suggests something specific might be happening. A specific recently introduced ingedient? and basic ingredient that was contaminated at the factory?

        Or mor worrying were just now noticing a pattern that was overlooked before.

        Oe even more worrying, the usage is exponetial so there wasn't a cluster of cases till now simply because there are more people using un the last year that there were in the prvious decade.

        Anyhow it's nothing to scoff at. None of these scenarios are good.

        To me the liklely cause is not a bad chemical but the use of organic non-combusted materials like organic oils. Shove that shit in your lung and it's asking for a bacteria party. Share your device and a particularly viruelent lung specialist will spread through the community. Ironically, cigarettes and smokable marijuana are combusted so no so much bacteria food in the lungs. Nasty chemicals yes but no food.

        • >The sudden onset of this is remarkable. It suggests something specific might be happening.

          Like an entity with an axe to grind decided to put out a bunch of scare stories in quick succession to achieve legislative goals.

        • by Calydor ( 739835 )

          When sudden spikes happen I start wondering whether they're mixing up causation and correlation.

          I mean, these guys probably all drank water, drove in cars, breathed air etc. - but it's the VAPING they had in common and therefore they died BECAUSE of vaping.

          We are told nothing of how the "over 18" guy died, and the other died after vaping "illicit THC products" which suggests he may have been burning and inhaling stuff not intended to be burned and inhaled in the first place. Marijuana oil used as vaping liq

        • by sg_oneill ( 159032 ) on Saturday September 07, 2019 @04:47AM (#59168380)

          I'm convinced its diacetyl thats the culprit. "Popcorn lung". The vaping community has long known Diacetyl is a massive no-no. Its a butter flavoring thats perfectly harmless as a food additive, but heated up and inhaled can cause severe lung damage. So the rule has always been never use diacetyl as a flavoring, and to be on the safe side avoid buttery flavors in general (ie dont trust butterscotch etc).

          I would not be surprised if some idiotic manufacturers are ignoring this and using diacetyl flavors.

          And potentially getting a product that could save millions of intractable nicotine addicts from emphysema or worse, banned.

          • by LostMyAccount ( 5587552 ) on Saturday September 07, 2019 @07:00AM (#59168504)

            I think the industry as a whole dropped diacetyl as a flavoring several years ago because of the popcorn lung risk, although from what I understand it wasn't likely the amount and concentration of diacetyl in vaping products was much of a risk.

            It seems like there's such a spike in problems in so many states that maybe the supplies of VG or other common bulk ingredients got contaminated. It wouldn't surprise me if the THC vapes that seem to be connected to nearly every vaping case were all using a common supply chain, maybe even with non-USP ingredients from overseas.

            • Sounds vaguely familiar.

              From China To Panama, A Trail Of Poisoned Medicine That Killed Thousands 2007-05-05 17:14:33 Posted By: Intellpuke (Read 419 times || 0 comments) Submit to Digg The kidneys fail first. Then the central nervous system begins to misfire. Paralysis spreads, making breathing difficult, then often impossible without assistance. In the end, most victims die. Many of them are children, poisoned at the hands of their unsuspecting parents. The syrupy poison, diethylene glycol, is an indisp

        • It has been reported that residue of vitamin E oil was detected in vape products used by something like 80% of the cases that are being currently investigated across multiple states. No causality has been determined as yet, but it is a high degree of correlation with a contaminant.

          The scary part is that this contaminant has been found in commercial products (pre-made vape cartridges) as well as bulk and grey-market vape products. That makes it sound like a supply chain problem - somewhere way up the chain

          • breeathing any organic oil will make you susceptible to bacterial or fungal infections in your lung. You are just wating for the wrong microbe to show up.

        • The sudden onset of this is remarkable. It suggests something specific might be happening. A specific recently introduced ingedient? and basic ingredient that was contaminated at the factory? Or mor worrying were just now noticing a pattern that was overlooked before.

          There are other even more likely explanations. The first is simply statistical fluctuations: with only 4 deaths and 450 illnesses "linked" (which BTW is a correlative linking at this point, i.e. someone had a lung issue sometime after they vaped something, which is pretty meaningless in and of itself, especially given many vapers are former smokers likely to have lung issues already) out of a population of a few million users, a raw increase could very easily simply be statistical fluctuations. If on averag

    • by Anonymous Coward

      Vaping is what got me to quit smoking 10 years ago. The people behind this FUD piece can go fuck themselves.

    • Re: (Score:2, Flamebait)

      Comment removed based on user account deletion
    • by hey! ( 33014 )

      Vaping is a smaller business than opiates.

    • 4 deaths "linked to" vaping, up from 2. Time to declare a National Emergency?

      If Slashdot had a gawd, you'd have to ask "How in gawd's name is that sniglet worth an insightful mod?" It also has mod points as flamebait and interesting. None of the above. And of course I remain most disappointed by the lack of earned "funny" anywhere in the discussion. (There is one funny-modded post, but not really, even in context.)

      Can an insight be obvious? I remember an old friend (and stellar programmer) who said a revelation was always obvious--AFTER someone pointed it out to you.

      What we have her

  • This must be a serious crisis! 37'000 traffic deaths per year are _nothing_ in comparison.

    • >"So 5 deaths"

      Of which at least one we know is THC and street-bought. What about the others? This type of "reporting" is incredibly irresponsible.

      • by gweihir ( 88907 )

        Indeed. THC is pretty benign, but if you overdo it, it is still a serious issue. Just like anything (including sugar, salt, fat, etc.) if you overdo it. I would say that 5 deaths so far probably indicate this stuff is unexpectedly safe and for sure much safer than smoking. And since people want their drugs (and there is really nothing wrong with that, unless you believe there should be no fun in life except prayer) making them safer is hugely desirable.

        • Re:So 5 deaths (Score:4, Insightful)

          by sjames ( 1099 ) on Friday September 06, 2019 @09:11PM (#59167802) Homepage Journal

          It's probably not the THC itself but whatever God awful solvent the amateur pharmacists used to extract it into the liquid.

          • My money is on this. Huffing oil vapor will suffocate you.

          • If I recall correctly there's one method which involves some pressure equipment or something but the solvent is butane. So now you have THC gel or whatever the hell it's called and you have to get the solvent out. This is all about taxes and tobacco companies who don't like the fact that now some amateur chemist can go mix up his own nicotine.

            Next up? Tax the crap out of it, ban online sales, require "real ID," maybe "comprehensive background checks," and whatever else. Maybe you have to have your nicotin

            • by Anonymous Coward

              THC is an organic molecule. Perhaps you meant the various alkanes, cycloalkanes, alcohols, ketones, and so on used in practice, when not discussing supercritical CO2 extraction?

              But in principle, I agree. People with your level of knowledge know just enough to be dangerous, but not enough to do it correctly.

          • It's probably not the THC itself but whatever God awful solvent the amateur pharmacists used to extract it into the liquid.

            My uncle had a weed pen the other day, said it taste like it had Anbesol . Then he offered me some, I said "nah , i'm good"

          • by gweihir ( 88907 )

            Might well be the case, yes.

    • Re:So 5 deaths (Score:5, Interesting)

      by No Longer an AC ( 4611353 ) on Saturday September 07, 2019 @12:55AM (#59168178) Journal

      Driving is a known risk and is highly regulated. Legally, you need a license and a car that is registered with the state and meets some minimum standards of safety. Many states require periodic inspections and I'm also required to have insurance or proof of financial responsibility.

      And my car has seatbelts and airbags and crumple zones.

      True, I could die in my car, but if I do the cause will probably be easily understood.

      What we have here are a very small number of very severe cases and up until tonight there wasn't much detail on what they were vaping, at least as far as I had heard. I think it was PBS Newshour where I heard many were vaping lots of different products and also getting black market THC cartridges but there was nothing to suggest the ones sold in legal stores in legal marijuana states were to blame.

      It would be nice if they all pointed to the exact same brand. Oh yeah, they did suggest it might have something to do with Vitamin E although it's not certain that's the culprit.

      That's reassuring. I should probably quit vaping altogether, but I have one e-cig and one brand of e-juice that I like and I haven't had a problem yet after several years. But they stopped making the particular cartomizers I like so I'm going to have to find something new soon and often it's hit and miss with this crap. Maybe it's not the juice, but something else which leaches toxic chemicals when heated.

      On the plus side, it doesn't seem to be affecting most vapers...that we know of anyway. Maybe it just isn't severe enough for most of us to be noticing our health problems.

      Maybe in a few more years more problems will show up.

      --

      And civilization would come to a standstill without cars and trucks, but we could all get by without vaping or cigarettes, even a nicotine addict like me.

      Personally, I could abandon driving, but I'd still have to walk along city streets and/or get on a bus which would still put me at risk of being a traffic statistic. This afternoon I saw an old guy on one of those mobility scooters in the bike lane going the wrong way on a street with a 55 MPH speed limit.

      It didn't seem very safe to me, but I guess that guy has to get around somehow too.

      • "Driving is a known risk and is highly regulated. Legally, you need a license and a car that is registered with the state and meets some minimum standards of safety. "

        783 bicyclists and 6,227 pedestrians were also killed.

      • And civilization would come to a standstill without cars and trucks, but we could all get by without vaping or cigarettes, even a nicotine addict like me.

        If we got rid of cars and trucks with a magic wand tomorrow, poof! Then yeah, civilizations would crumble worldwide. But we could definitely get rid of cars and trucks and still have a functioning civilization. We could even conceivably put all the farm vehicles on some kind of tracks, basically turning farms into gigantic CNC machines. There's nothing which physically prevents it, if you're sufficiently creative.

        More to the point, we could definitely be serving the vast majority of business needs with rail

    • by nnet ( 20306 )
      I smoked 5 cars today alone, how many did you?
  • Epidemic (Score:3, Interesting)

    by ShieldW0lf ( 601553 ) on Friday September 06, 2019 @08:48PM (#59167744) Journal

    You would think a man with his qualifications would know the meaning of the word "epidemic".

  • 14 people died yesterday because they tripped over their own foot.

    If this shit is real I want facts , not o0oo0o0oo0 vaping is bad cause you're gonna die , see look at these 4 people ... ever.

    • The CDC reports that 3,536 people die each year from swimming related incidents, but you don't see a mad rush to close all beaches and swimming pools. An average of 10 people PER DAY die and they just shrug it off as acceptable losses?

      ---
      • Actually, yeah, acceptable losses.

        People knowing how to swim actually tends to reduce drowning incidents. Have you read about the stories where a little kid or dog falls into the water and the entire rest of the family enters the water to try to save them and ends up drowning themselves? Tragic, but mostly happens to families where they don't know how to swim.

        Crazily enough, people who know how to swim can generally make a better decision(knowing how easy/hard the prospect of going into the water is) to N

  • In other news (Score:3, Interesting)

    by Powercntrl ( 458442 ) on Friday September 06, 2019 @08:58PM (#59167760) Homepage

    Seatbelts and airbags don't make vehicles perfectly safe, either.

    As long as vaping still kills less people than plain old cigarettes, it's an improvement in harm reduction. Yeah, vaping is probably not as safe as breathing only air, and traveling in a sheet metal box on wheels at 75MPH is never going to be as safe as walking, either.

    • Driving drunk is safer than walking drunk. Haven't you read Freakanomics?

      • Driving drunk is safer than walking drunk. Haven't you read Freakanomics?

        Modded down?! The truth doesn't sit well with people does it?

    • Re:In other news (Score:4, Insightful)

      by No Longer an AC ( 4611353 ) on Saturday September 07, 2019 @01:12AM (#59168200) Journal

      It's certainly my belief and general consensus that vaping is less harmful than smoking, but it's just faith right now.

      But there may be something that's being added to some vape products that is causing it to be worse.

      There was a passage in Timothy Leary's book Flashbacks where he was discussing potential harmful effects of LSD. I read it a long time ago, but IIRC he didn't really believe there were any, but if there were health risks he would certainly want to know about them since he was a frequent consumer of it.

      So he was open to the idea that there may be health risks we don't fully understand at the moment.

      Have they developed a vapable form of LSD yet?
      That's actually kind of a scary idea.

  • by iggymanz ( 596061 ) on Friday September 06, 2019 @08:59PM (#59167766)

    15 years of e-cigarettes, yet now only this year a handful of cases pop up, contrasted with the half a million deaths from burning tobacco... in the USA alone!

    What is the malfunction behind the politicians and news media and those barking like dogs in the social media kennel to think there is really any problem?

    • "What is the malfunction behind the politicians and news media and those barking like dogs in the social media kennel to think there is really any problem?"

      Taxes! The politicians have bankrolled much of their state and federal budgets from revenues generated from cigarette taxes. The recent manufactured hysteria is the setup to levy taxes on vaping to make up the shortfall they're seeing from people switching. That'll be the "compromise" for keeping vaping legal.

    • They've been looking at ways to demonize vaping for a while now. I'm not sure if it's Big Tobacco or just asshole politicians looking to score some free points, but either way this is a ridiculous knee-jerk reaction to what is obviously a bad batch of e-juice or something similar. There are what, 15 million people vaping now and a few hundred got sick. Then, 4 died - oh noes!
      The latest theory is that it's vitamin E based compounds that may be breaking down under heat into toxic components. It's no doubt

      • by deviated_prevert ( 1146403 ) on Friday September 06, 2019 @10:47PM (#59168040) Journal

        They've been looking at ways to demonize vaping for a while now. I'm not sure if it's Big Tobacco or just asshole politicians looking to score some free points, but either way this is a ridiculous knee-jerk reaction to what is obviously a bad batch of e-juice or something similar. There are what, 15 million people vaping now and a few hundred got sick. Then, 4 died - oh noes! The latest theory is that it's vitamin E based compounds that may be breaking down under heat into toxic components. It's no doubt something like that, some fucking lead-based e-juice from China or something like that.

        So, we all gotta stop ALL vaping immediately, and if anyone doesn't, the death penalty isn't strong enough! And, they can throw in a "Think of the Children!" angle too, as a bonus - you know, those irresistible "candy" flavors that children are attracted to like zombies to brains. There's just no possibility that adults might actually like something other than Boot or Ass flavored e-cigs.

        Then these assholes weakly try to tie THC into it too. Hey, they can kill 4 birds with one stone.

        Problem is the distribution of the addictive ingredient nicotine contained in vaping products is controlled by the tobacco/drug companies. So I call bullshit on the posts that claim that it is in the interest of the tobacco industry to destroy the vaping industry, which by and large is being controlled by them in the first place. If we read the facts as they emerge it is the use of oil based products in vaping products that is suspected in the fatal pneumonia cases showing up in otherwise perfectly healthy young people who vape.

        Teenagers seem to only vape at first so they can look cool to each other as they blow the smoke around. You see them doing it all the time and even blowing smoke in each others faces to show off. The cool looking clouds of smoke is created deliberately in the manufacturing process by the addition of oils into the liquid. The food safe oils then create residues in the lungs. And this is why they can add oil to the nicotine liquid, because the oils they use are considered food safe by the food and drug administration and are considered to be unregulated healthy food products. What happens when you expose your lungs to the smoke created by burning them seems to be what is occurring to the victims of this industry.

        Oil smoke residue caused pneumonia is a known hazard in industry and oil smoke of any kind is regulated in enclosed work spaces because it causes residues to form in human lungs. In this case the nicotine industry is promoting vaping as a healthy alternative to tobacco use to their prime targets which are mostly new smokers who never smoked cigarettes or if they did were told by others that vaping is a good way to quit nicotine consumption. In reality the addition of additive that create smoke is used only to appease the tactile aspect of smoking for newly hooked teenages. In my opinion this is down right criminal activity and as bad as paying doctors to do cigarette advertising on TV while extolling the benefits of filter cigarettes. The bullshit, lies and chicanery of the nicotine/drug industry has not abated it is still legally targeting children and gullible adults with a highly addictive drug and that drug is nicotine regardless of how it is ingested. They are as much of a bunch of sinister assholes as are the Latin drug cartels and going back further than that Air America under the CIA and the American Mafia.

        PS. I am an addicted cigar/cigarette smoker, 67 years of age so I remember the Marlboro Man, Yul Brynner, Steve McQueen and the great feeling of being a real man with my first package of cigarettes purchased by me at the age of 10 with money I earned delivering papers. So I will ignore any asshole coming back at me with any bullshit about nicotine not being a highly addictive substance!

        • by Mister Transistor ( 259842 ) on Saturday September 07, 2019 @02:20AM (#59168282) Journal

          I will agree that Nicotine is addictive. I was a 2 pack-a-day smoker for 37 years. I'm 57 and I remember all those things too. That's why I tried and _successfully_ used vapes to stop smoking. I have not touched a real cigarette for 5 years now.

          So, don't tell me that vaping is NOT a good way to stop or reduce smoking. I have all the proof I need, and yes I realize that is a small sample, but I know many others have done so as well. No, it's not a CURE or a guaranteed way of doing it, but many many people, myself included, have successfully used it to stop. It's not a healthy activity, but it is _healthier_ than smoking cigarettes, so it's true when they claim that. Yes, Nicotine is addictive, but without all the other combustibles in a cigarette, it is a hell of a lot better than smoking cigarettes.

          As for the kids doing it, they are not deliberately marketed to them. Have you seen a box that the commercial ones come in? They don't have cartoon characters on them, they don't have bright colors and stupid mascots, etc. (they did learn from Joe Camel) and the only reasons kids use them is to a) be cool and b) piss off their parents, which is pretty much why most children do what they do. Most of the offensive "kiddie" marketed stuff is edibles that contain cannabis products, I HAVE noticed some marketing that could be construed as "kid friendly" in that industry, but so far none of the e-cig (nicotine) makers have been dumb enough to even try to deliberately reach out to kids. They really don't need to, kids are drawn to it naturally since it's forbidden fruit.

          Finally, I mix my own e-juices. I get pure pharmaceutical grade Nicotine and VG. I make sure the flavoring agents aren't toxic oils or don't break down when heated into unsafe chemicals, and I don't buy random Chinese e-juices from a goddamned Gas Station.

          • by gringer ( 252588 )

            So, don't tell me that vaping is NOT a good way to stop or reduce smoking.

            Okay, I won't. I'll just point you at this XKCD comic about survivorship bias:

            https://xkcd.com/1827/ [xkcd.com]

          • And yet you are still smoking, so it didn't do any good did it? But now it's out there to addict children. So your so-called 'reduced smoking' isn't worth the damage it does to kids.

        • They've been looking at ways to demonize vaping for a while now. I'm not sure if it's Big Tobacco or just asshole politicians looking to score some free points, but either way this is a ridiculous knee-jerk reaction to what is obviously a bad batch of e-juice or something similar. There are what, 15 million people vaping now and a few hundred got sick. Then, 4 died - oh noes!
          The latest theory is that it's vitamin E based compounds that may be breaking down under heat into toxic components. It's no doubt something like that, some fucking lead-based e-juice from China or something like that.

          So, we all gotta stop ALL vaping immediately, and if anyone doesn't, the death penalty isn't strong enough! And, they can throw in a "Think of the Children!" angle too, as a bonus - you know, those irresistible "candy" flavors that children are attracted to like zombies to brains. There's just no possibility that adults might actually like something other than Boot or Ass flavored e-cigs.

          Then these assholes weakly try to tie THC into it too. Hey, they can kill 4 birds with one stone.

          Problem is the distribution of the addictive ingredient nicotine contained in vaping products is controlled by the tobacco/drug companies. So I call bullshit on the posts that claim that it is in the interest of the tobacco industry to destroy the vaping industry, which by and large is being controlled by them in the first place. If we read the facts as they emerge it is the use of oil based products in vaping products that is suspected in the fatal pneumonia cases showing up in otherwise perfectly healthy young people who vape.

          Teenagers seem to only vape at first so they can look cool to each other as they blow the smoke around. You see them doing it all the time and even blowing smoke in each others faces to show off. The cool looking clouds of smoke is created deliberately in the manufacturing process by the addition of oils into the liquid. The food safe oils then create residues in the lungs. And this is why they can add oil to the nicotine liquid, because the oils they use are considered food safe by the food and drug administration and are considered to be unregulated healthy food products. What happens when you expose your lungs to the smoke created by burning them seems to be what is occurring to the victims of this industry.

          Oil smoke residue caused pneumonia is a known hazard in industry and oil smoke of any kind is regulated in enclosed work spaces because it causes residues to form in human lungs. In this case the nicotine industry is promoting vaping as a healthy alternative to tobacco use to their prime targets which are mostly new smokers who never smoked cigarettes or if they did were told by others that vaping is a good way to quit nicotine consumption. In reality the addition of additive that create smoke is used only to appease the tactile aspect of smoking for newly hooked teenages. In my opinion this is down right criminal activity and as bad as paying doctors to do cigarette advertising on TV while extolling the benefits of filter cigarettes. The bullshit, lies and chicanery of the nicotine/drug industry has not abated it is still legally targeting children and gullible adults with a highly addictive drug and that drug is nicotine regardless of how it is ingested. They are as much of a bunch of sinister assholes as are the Latin drug cartels and going back further than that Air America under the CIA and the American Mafia.

          PS. I am an addicted cigar/cigarette smoker, 67 years of age so I remember the Marlboro Man, Yul Brynner, Steve McQueen and the great feeling of being a real man with my first package of cigarettes purchased by me at the age of 10 with money I earned delivering papers. So I will ignore any asshole coming back at me with any bullshit about nicotine not being a highly addictive substance!

          All well and good except for your use of the words "Smoke" and "Burn". Neither occur with vaping.

          There is no smoke, and nothing should be burning.

    • by No Longer an AC ( 4611353 ) on Saturday September 07, 2019 @01:37AM (#59168236) Journal

      We know about the dangers of smoking. We've known about them for decades. Smokers know it whether they're teens trying cigarettes for the first time or older adults who have been smoking for decades and either failed at quitting or just don't care enough to try quitting.

      One of the things we keep hearing about e-cigs is that "it's just water vapor" and it's completely safe. Most manufacturers and sellers aren't quite so bold, but it's what a lot of proponents say. The internet is full of people like that and they tend to be very vocal.

      I'm reminded of Eclipse cigarettes made by RJR. They promoted them as "A Better Way To Smoke." They had a charcoal tip and just heated the tobacco. They looked like regular cigarettes, but didn't burn down and didn't have ashes.

      Here's a promo video:

      ECLIPSE A BETTER WAY TO SMOKE. RUNNING TIME 00:08:56. [archive.org]

      They had to abandon that "A Better Way To Smoke" slogan.

      FINDINGS OF FACT, CONCLUSIONS OF LAW, AND INTERIM DECISION ON LIABILITY [ca.gov]

      The public portion of the Eclipse website repeated the advertising
      slogan that “The best choice for smokers worried about their health is to quit –
      the next best choice is to switch to Eclipse.” At one time, a version of the Eclipse
      website also repeated the phrase “Eclipse – A better way to smoke,” which was
      also found in some printed ads and other marketing materials.137 The marketing
      executive(s) who testified for RJRT in this action denied that they were making
      any claims that Eclipse was a “safer” cigarette,138 but these statements essentially
      carried that essential message, and were understood by consumers to make that
      point, see below.

      I smoked Eclipse for a few years. There was a lot less tar, but there was also more carbon monoxide (according to things I read). Obviously if you replace all your oxygen with CO, you will die but smoking an Eclipse doesn't give you that much CO, so what's the risk? I honestly don't know how the average person is supposed to assess this. I gather it has a negative effect on your circulation but that's not really well quantified...

    • I wonder if there has been a disruption lately in cheap Chinese sources for VG, PG, and maybe PEG (which is a cheap solvent used in low-end THC carts) caused by Trump's China tariffs.

      The Chinese have been major suppliers to the vaping industry. I think the better juice makers use US-sourced USP-grade ingredients, but it wouldn't surprise me if black market THC cart makers and maybe low-end vape shops have been using cheap, China-sourced versions of these ingredients. With the tariffs, maybe these product

      • No, they aren't widespread at all, that's the point. A handful of cases among tens of millions of users, of a tech that is 15 years old.

        If any major chinese supplier were the problem, we'd have hundreds of thousands of cases. but we don't. we have a rounding error of about zero cases really.

        it's all sensationalism in the news, nothing bad is happening to tens of millions of vapers.

        • Yeah, I'm not thinking a major supplier to legitimate nicotine vape shops or state-legal dispensaries, but some kind of supplier of cut-rate ingredients used by underground labs and low-quality nicotine vapes.

  • by guacamole ( 24270 ) on Friday September 06, 2019 @09:07PM (#59167786)

    There have been a large number sensationalist articles about the numbers of people who fell I'll because of vaping, and yet in almost all cases illegal or unauthorized additives were involved. THC additives and other designer drugs have always been scary shit even when smoked with marijuana, and now people are mixing them into their e-cigarettes. For some reason the additives involved are mentioned only down in 20th paragraph and never in the title.

    • Authorized by whom? There is no list of authorized additives. With the current lack of regulation, anything that is food-safe goes.

      Vitamin E is food-safe, I would assume, and therefore "authorized". But being food-safe doesn't make it inhale-safe.

      • You might not like it, but there are mainstream vape juice makers that do all the labeling they're supposed to do and use USP ingredients from reputable vendors. These vendors all dropped diacetyl years ago, too.

        Some of the flavoring side of things may have some risk, but the concentrations are pretty low. Most vape juice is pretty translucent, which says to me we're talking flavoring concentrations in the mg per decliter range, or a pretty low risk of producing acute harm. Maybe there's some, other long

      • Vitamin E is food-safe, I would assume, and therefore "authorized".

        Although it's generally dismissed as the natterings of hippie nutjobs, there is some debate over the healthfulness of synthetic vitamin E.

        But being food-safe doesn't make it inhale-safe.

        Yeah, that too. I like to drink water, but I try not to breathe much of it. Even in suspension in air (and not just floating in it as an aerosol), too much of it is annoying.

  • by n3r0.m4dski11z ( 447312 ) on Friday September 06, 2019 @10:07PM (#59167968) Homepage Journal

    "state officials said his acute lung injury was linked to vaping illicit T.H.C. products"

    Canada is about to legalize concentrates and oils such as those in vape pens. So hopefully they have some good evidence to share, and we can figure out how to make them safely. It is a bit of a wild west mentality out there, with poor quality control at the moment.

    Benefits of thc vape pens is that they generally have no smell, the number one complaint about smokers. They also do not light on fire and cause forest fires, the number two complaint. They dont make your fingers reek, or your clothes. And they are more potent so you smoke less.

    • Benefits of thc vape pens is that they generally have no smell,

      They do, it's just faint.

    • Benefits of thc vape pens is that they generally have no smell, the number one complaint about smokers.

      I don't vape juice but the people I know who do have complained that it's actually hard to find unflavored/scented stuff around where I live - ironically, that's coastal Mendocino county.

      They also do not light on fire and cause forest fires, the number two complaint.

      Unless you hot rod them with no current limiter and they blow up in your face, of course.

  • by Mal-2 ( 675116 ) on Friday September 06, 2019 @10:43PM (#59168034) Homepage Journal

    I'm not saying that just to be trollish. I made similar mistakes, trying to take long drags through the very narrow tubing of a vape cartridge.

    You *must* allow some air to come in at the same time, to keep the vacuum pressure low on your lungs. Trying too hard to inhale pulls fluid into the lungs, from which all sorts of other consequences can follow. If the cartridge is so clogged you can't really draw through it, try puffing it with your cheeks like a cigar, and then inhale the puffs. Your mouth is equipped to handle vacuum pressure, your lungs are not.

  • Way to bury the lead (Score:5, Informative)

    by sjames ( 1099 ) on Friday September 06, 2019 @11:17PM (#59168072) Homepage Journal

    After 2/3rds of TFA going on about the teen vaping "epidemic" and talking about 3 of the patients (none of them teens), they FINALLY get around to saying this is a new thing, not just vaping in general causing a problem never seen before.

  • by Anonymous Coward

    Use a dry herb vaporizer like the PAX 3, Arizer Solo 2, or on the cheaper end the Arizer Air 2.

    There are no plastic parts that come in contact with the herb or vapor, only stainless steel, ceramic, and on the PAX 3 there is a silicone mouthpiece, Arizer has a glass one.

    You put nothing in there except the herb, and clean it with the highest % rubbing alcohol.

    These are the best you can get and if cleaned regularly will serve you well and you won't be using any additives at all, just pure herb.

  • They fought CBD legalization for insisting that it can get you high and the governor vowed that it can get you high. They made themselves look like fools. In addition, despite the fact the marijuana is now fully legal in Illinois and Michigan with Ohio right behind the governor has stated he would step police efforts to prevent trafficking despite the futility. Indiana is in the heart of the Bible belt which is basically the last bastion of Christianity in America. Are they biased? No, couldn't possibly
  • by buck-yar ( 164658 ) on Saturday September 07, 2019 @08:52AM (#59168660)

    Seems to be not bacteria, but lipid laden macrophages: https://www.ksl.com/article/46... [ksl.com]
    May be related to: https://medkit.info/2019/09/06... [medkit.info]

  • Any THC product from a legal source in Ma... Assay Labels on the product with lab test. Ingredients listed. Followed from plant to customer. No insecticides, no other chemicals, no mold, etc. I'll never go back to the illegal market...any markup is worth it for the security of known product.
  • A few years ago, the Royal College of Physicians did a very extensive study of e-cigarettes and compared them to every other common form of nicotine intake (patches, inhalers, gum, etc). This study will tell you more about e-cigarettes than you would ever care to know. Even with the lack of any long term studies, they still conclude that vaping is about 95% less unhealthy than cigarettes. It's really worth a read.

    Study can be found here:
    https://www.rcplondon.ac.uk/pr... [rcplondon.ac.uk]

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