New serious lung disease linked to daily vaping

Robie de Guzman   •   November 22, 2019   •   520

Toronto, Canada – A group of Canadian researchers announced Thursday the discovery of what they consider a new type of lung injury linked to vaping.

The disease, similar to bronchiolitis obliterans, is different from lung disease, known as EVALI, connected to the use of electronic cigarettes recently detected in the United States, the researchers said.

The research, which was published Thursday in the Canadian Medical Association Journal, was based on a 17-year-old boy who uses daily electronic cigarettes and THC, the main psychoactive in cannabis, who developed a persistent cough and was eventually taken to hospital.

The patient’s condition worsened in hospital and he had to be placed on life support with lung lesions similar to a disease called bronchiolitis obliterans, known as “popcorn lung” because it has been observed in workers exposed to diacetyl, a chemical used as a flavoring in popcorn factories.

The young man’s situation worsened and doctors referred him to a transplant center because of the possibility he would need a double-lung transplant.

After ruling out other causes, Canadian researchers identified the liquids used to flavor the cartridges of electronic cigarettes consumed by the teenager as the most likely cause of the lesions.

Dr. Karen Bosma said the new model of airway injury disease associated with vaping that causes chronic obstruction appears to be different from the alveolar lesion seen in recent EVALI cases in the US and seven confirmed or probable cases in Canada.

She added that the case of acute bronchiolitis was a diagnostic and therapeutic challenge.

She said the patient had extensive exposure to flavored liquids for electronic cigarettes and the negative diagnosis for other causes of bronchiolitis.

Researchers suspect bronchiolitis obliterans may have been developed in the same way as that of popcorn factory workers exposed to inhalation of harmful chemicals, she continued.

The young man managed to avoid a lung transplant but researchers said he suffers from chronic lung damage and is recovering from his long stay in the intensive care unit.

The study authors noted that statistics indicate around 272,000 Canadians aged between 15 and 24 have used electronic cigarettes in the past 30 days. EFE-EPA

jcr/rb

Police to still arrest people who vape in public —NCRPO

Maris Federez   •   December 10, 2019

MANILA, Philippines— The National Capital Region Police Office (NCRPO) will still continue arresting people who vape in public places.

NCRPO acting director PBGen. Debold Sinas said that around 98 vapes had been confiscated and 98 had also been arrested.

He added that 812 vape stores have voluntarily closed down and 297 were urged by the NCRPO to stop selling.

Sinas also welcomed the report that the ban on the importation of vapes is now in effect, although he admitted that they have not received any directive on the matter.

“Wala pa kaming natanggap na directive so yung campaign namin ay tuloy tuloy lang po yun. Napansin mo medyo humina na nga ang nahuhuli eh. At tsaka kumukonti na rin kasi parang nasanay na rin. So sana tuloy tuloy na ito,” Sinas said.(from the report of Lea Ylagan) /mbmf

DOH-FDA receives first report of vape-associated lung injury case in Phl

Maris Federez   •   November 15, 2019

MANILA, Philippines – The Department of Health (DOH) on Friday (November 15) announced that it has received an official report on the first case of E-cigarette or Vape-Associated Lung Injury (EVALI) from a private pediatric pulmonologist based in the Visayas.

Based on the DOH information released to the media, the patient is a 16-year old female who had been using e-cigarettes for six months while concurrently consuming combustible cigarettes, referred to as “dual-use.”

It said the patient, who was admitted last October 21, initially presented sudden-onset of severe shortness of breath which required them to administer her with oxygen and be admitted to the ICU.

The report also said the clinical impression was initially considered to be infectious in nature, but after further evaluation, the patient met the case criteria for EVALI based on the guidelines of the US Centers for Disease Control (CDC).

The patient, however, was subsequently discharged after receiving appropriate care from the attending pulmonologist who is now in continuous communication with the DOH regarding the condition of the patient.

Health Undersecretary Rolando Enrique Domingo said, “all e-cigarette users should seek immediate medical help, and ask their doctors for ways to quit these harmful products.”

“No e-cigarette product should be accessible to young children and adolescents, who are uniquely susceptible to the harms of e-cigarettes and nicotine. I urge non-users not to even try e-cigarettes at all,” he added.

The health department urges the public to report suspected EVALI cases to ecigarettesurveillance@doh.gov.ph. /mbmf

DOH pushes for total ban on e-cigarettes

Robie de Guzman   •   October 30, 2019

MANILA, Philippines – The Department of Health (DOH) on Wednesday called for a total ban on electronic cigarettes (e-cigarettes), stressing that it has no proven positive effect on the user’s health.

According to Health Undersecretary Eric Domingo, the use of e-cigarettes or vaping is not a proven replacement therapy for nicotine addiction.

“If the DOH had its way, we would go for an outright ban,” Domingo told reporters in a press briefing in Malacañang.

He also noted that a proposal is now being crafted in an aim to ban e-cigarettes and other similar devices.

“And I think there is possible legal legislation that will be proposed sa Senate and the House, and we will support it,” he said.

Domingo said there are more than one million Filipinos, mostly youth, using e-cigarettes in the country.

The health official said they are now monitoring case reports of injuries and illnesses documented arising from the use of these devices amid a rising number of such cases in other countries.

The Philippine Food and Drug Administration earlier advised hospitals under the DOH to report any vaping-related cases in line with the emerging report of such cases from Europe and North America as reported by the U.S. Centers for Disease and Control and Prevention (USCDC).

The USCDC in August issued an advisory, cautioning the public against the purchase and use of vaping ingredients from the street and to stop modifying either nicotine or cannabis e-cigarette in an effort to curb the reportedly rising cases of vaping-related sicknesses in 25 U.S. states.

“Based on reports from several states, patients have experienced respiratory symptoms (cough, shortness of breath, or chest pain), and some have also experienced gastrointestinal symptoms (nausea, vomiting, or diarrhea) or non-specific constitutional symptoms (fatigue, fever, or weight loss). Symptoms typically develop over a period of days but sometimes can manifest over several weeks,” the advisory read.

The USCDC has recommended some steps for clinicians, including the reporting of cases of severe pulmonary disease of unclear etiology and history of e-cigarette use within the past 90 days, to help determine the cause of these sicknesses.

READ: WHO: Tobacco kills 8 million each year, e-cigarettes not a proven alternative

The World Health Organization (WHO) earlier said the use of e-cigarettes should be regulated as there is no evidence proving they were a safer alternative to cigarettes, warning that it normalizes smoking and hooks young people. – RRD (with details from Correspondent Rosalie Coz)

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