Lung Injury Associated with E-Cigarette Use



The Centers for Disease Control and Prevention (CDC), the Food and Drug Administration (FDA), and state and local health departments, including the Vermont Department of Health, are investigating a multistate outbreak of e-cigarette or vaping product use-associated lung injury (EVALI). The investigation is ongoing and a cause has not been identified, but all reported cases have a history of using e-cigarette products. Many patients report using e-cigarette products with liquids that contain cannabinoid products, such as tetrahydrocannabinol (THC). Get the most recent case counts and information from CDC.


  • Do not use e-cigarette or vaping products that contain THC.
  • Do not buy any type of e-cigarette or vaping products off the street, especially anything containing THC.
  • Do not modify or add any substances to e-cigarettes or vapes that are not intended by the manufacturer, including products purchased through retail establishments.
  • See a health care provider immediately if you develop symptoms associated with this outbreak and have recently used an e-cigarette or vaping product.
  • If you are an adult using vaping products to quit cigarette smoking, do not go back to smoking cigarettes. Use evidence-based treatments to quit.
  • Youth, young adults and people who are pregnant should never use e-cigarettes or vaping products.


  • All patients who have experienced these lung injuries reported using e-cigarette or vaping products.
  • Most patients report a history of using vaping products that contain THC.
  • The latest data from the nationwide investigation suggests that products containing THC play a major role in the outbreak.


  • We don’t yet know what specific chemical exposure(s) are causing these lung injuries.
  • No single product or substance has been linked to all lung injury cases, and there may be more than one cause.
  • While most people who have gotten sick reported using products containing THC, we cannot exclude the possibility that nicotine may play a role.


People should immediately stop using products with THC, and should consider refraining from using nicotine-containing vaping products.

  • Young adults and teens can text “VtVapeFree” to 88709 to get help and support for quitting e-cigarettes and vaping.
  • If you need help quitting nicotine, including e-cigarettes, visit 802Quits.
  • If you want to stop using marijuana and need help, call 2-1-1 or go to to find treatment options near you.

Learn more about e-cigarettes and vaping


Format: Online Resource
Publisher: Vermont Department of Health, CDC
Online Resource: Click Here

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