Deaths and Death Rates from an Unusual Event –By Sex...Sep 01, 2019  · Deaths 154 709 863 Death...

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Female Male Total Persons at risk 462 851 1,313 Survivors 308 142 450 Deaths 154 709 863 Death rate (%) 33.3 83.3 65.7 Deaths and Death Rates from an Unusual Event – By Sex

Transcript of Deaths and Death Rates from an Unusual Event –By Sex...Sep 01, 2019  · Deaths 154 709 863 Death...

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Female Male Total

Persons at risk 462 851 1,313

Survivors 308 142 450

Deaths 154 709 863

Death rate (%) 33.3 83.3 65.7

Deaths and Death Rates from an Unusual Event – By Sex

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Child Adult Total

Persons at risk 83 1,230 1,313

Survivors 52 398 450

Deaths 31 832 863

Death rate (%) 37.3 67.6 65.7

Deaths and Death Rates from an Unusual Event – By Age

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Female Male

High SES Middle SES Low SES High SES Middle SES Low SES

Persons at risk 143 107 212 179 173 499

Survivors 134 94 80 59 25 58

Deaths 9 13 132 120 148 441

Death rate (%) 6.3 12.1 62.3 67.0 85.5 88.4

Deaths and Death Rates from an Unusual Event –By Sex and Socioeconomic Status (SES)

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Epidemiology 101: Applying Outbreak Investigation Principles to Understand Vaping-

Associated Respiratory Illness

Michael Siegel, MD, MPHProfessor, Boston University School of Public Health

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Source: New England Journal of Medicine, September 6, 2019

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Location of Reported Cases

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Source: New England Journal of Medicine, September 6, 2019

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Source: CDC

Demographics of Electronic Cigarette Use among High School Students

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Demographics of Electronic Cigarette Use among Adults

Source: Annals of Internal Medicine, September 6, 2019

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Demographics of Electronic Cigarette Use among Adults

Source: Annals of Internal Medicine, September 6, 2019

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Internet Recruitment of Marijuana Vapers

Source: Drug and Alcohol Dependence, December 30, 2015

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The Key Facts• 90% of cases report having used black market THC

vaping cartridges• In one case, a THC vaping product from an Oregon

dispensary was used• A new thickening agent was recently introduced

(vitamin E acetate oil)• Vitamin E acetate oil was found in every New York

sample• No abnormalities in any nicotine e-liquid tested

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Key Points

1. Because of timing, outbreak is extremely unlikely to be due to any legal electronic cigarette product or e-liquid.

2. Confirmed under-reporting of illicit marijuana vaping by teenagers.

3. Widespread counterfeit products on the market may contain THC oils.

4. CDC is not recommending testing for THC so cannot state that a single case was unassociated with the use of marijuana vaping cartridges.

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The CDC’s Story

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“Until we know more, if you are concerned about these specific health risks, CDC recommends that you consider refraining from using e-cigarette or vaping products.”

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“Most patients have reported a history of using e-cigarette products containing THC. Many patients have reported using THC and nicotine. Some have reported the use of e-cigarette products containing only nicotine. No consistent e-cigarette or vaping product, substance, or additive has been identified in all cases, nor has any one product or substance been conclusively linked to lung disease in patients.”

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Cannabis Concentrate

Source: https://marijuana-science.com/cannabis-extracts-and-concentrates/

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New Cutting Agent (Thinning and Thickening Agent)

Source: Rolling Stone

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Source: Leafly

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Trends in Youth Vaping vs. Smoking, 2011-2019

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Relationship between Youth Vaping Prevalence and Youth Smoking Prevalence, 2011-2019

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Ever vaped marijuana Current e-cigarette useSource: Bill Godshall, Smokefree Pennsylvania

Youth Marijuana Vaping vs. E-Cigarette Use, 2016-2018

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Slide courtesy of Dr. Konstantinos Farsalinos

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Three Major Effects of Flavored E-Cigarette Ban

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1. Tens of Thousands of Ex-Smokers Will Return to Smoking

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2. There Will Be a New Black Market for Flavored E-Liquids

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3. Tens of Thousands of Youth Will Switch to Vaping THC

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