Officials identify first Montana death of severe pulmonary disease associated with vaping

From Montana Department of Public Health and Human Services

With the report Wednesday of the first death in Montana identified as being associated with e-cigarettes, or vaping, Montana Department of Public Health and Human Services said it is continuing to work closely with federal agencies and asked for the public’s help in the investigation of e-cigarettes.

DPHHS continues to work closely with the Centers for Disease Control and Prevention, U.S. Food and Drug Administration, and local public health as this ongoing national investigation continues.

In Montana, there have been three identified cases of vaping-associated pulmonary illness, including one death. DPHHS is currently reviewing additional cases as part of the national investigation. CDC reported Oct. 10 1,299 lung injury cases associated with the use of e-cigarette, or vaping, products from 49 states, the District of Columbia, and one U.S. territory. The CDC also reported 26 deaths in 21 states last week. These numbers will be updated again today.

In addition, Gov. Steve Bullock directed DPHHS last week to enact emergency rules to temporarily ban flavored e-cigarette products. The rules will be effective Tuesday. Fruit and candy-flavored products are marketed to youth in epidemic proportions and the ban seeks to keep the addictive products out of kids’ hands as the CDC continues to investigate the cause of the national outbreak of vaping associated pulmonary illness. Reported cases have included the use of nicotine and THC products.

DPHHS State Medical Officer Dr. Greg Holzman said much is still unknown about what is causing these vaping-associated illnesses and deaths. DPHHS continues to reiterate the same message.

“During this time, we highly recommend that people refrain from any vaping products,” Holzman said.

The CDC continues to post new information and recommendations about the outbreak on its website at https://www.cdc.gov/tobacco/basic_information/e-cigarettes/severe-lung-disease.html .

The CDC and FDA have not identified the cause or causes of the lung injuries in these cases, and the only commonality among all cases is that patients report the use of e-cigarette, or vaping, products. This outbreak might have more than one cause, and many different substances and product sources are still under investigation. The specific chemical exposure or exposures causing lung injuries associated with e-cigarette product use, or vaping, remains unknown at this time. 

DPHHS State Epidemiologist Laura Williamson said she thanks all who are cooperating with the investigations that are occurring around the state. Specifically, she said it’s crucial that people who have been identified as having symptoms to save any leftover product so it can be tested.

“The assistance of the public is so important as we work to understand what is happening in order to prevent future illnesses,” Williamson said.

As part of this information-collecting effort, DPHHS will add vaping associated pulmonary illness to the list of reportable diseases and conditions to aid in the epidemiological investigation of the outbreak.

People involved in the outbreak report symptoms such as coughing, shortness of breath, chest pain and fatigue. Nausea, vomiting and diarrhea are also common. Symptoms worsen over a period of days or weeks and do not appear to be caused by a pulmonary infection. Anyone who vapes and is experiencing respiratory issues should promptly consult their provider. Health care providers treating patients with respiratory illness with no apparent infectious cause and who have a history of e-cigarette use are asked to notify their local health department.

Regardless of the ongoing investigation, health officials state that e-cigarette products should never be used by youth, young adults, pregnant women or adults who do not currently use tobacco products. 

Holzman said almost all e-cigarettes contain nicotine, which is very addictive. There are many services that are available to help Montanans quit. He urged Montanans to talk to their health care provider about help that is available.

For all Montanans, there is the Montana Tobacco Quit Line. This service is for all types of tobacco, including smokeless, cigarettes and e-cigarettes. The benefits include free nicotine replacement therapy, or NPT; reduced-cost prescription medication; free quit coaching, and a free personalized quit plan.

Several specialized programs also are available. The American Indian Commercial Tobacco Quit Line has several benefits. This program is culturally sensitive and distinguishes between commercial and traditional tobacco. Free NRT is also provided.

The My Life, My Quit Youth program is for people ages 12-17 who want to quit all forms of tobacco, including vaping. The program provides free coaching through text, chat or phone; confidential enrollment and coaching; coaches specially trained to work with teens and youth; and on-line enrollment and coaching at http://mylifemyquit.com . People can text ‘Start My Quit’ to 1-855-891-9989 or call.

The Quit Now Montana Pregnancy program provides a free personal female quit coach, cash incentives and free NRT if approved by a doctor.

More information is available on the DPHHS website at http://dphhs.mt.gov .