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To: North Carolina Clinicians
From: Zack Moore, MD, MPH, State Epidemiologist
Subject: Severe Acute Pulmonary Disease Among People who Reported Vaping
Date: August 16, 2019
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states, including
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Recommendations are urged to take the following steps to ensure appropriate identification and clinical management
North Carolina clinicians
of cases: 1-800-222-1222 immediately to report cases and discuss treatment
1. Contact
North Carolina Poison Control at
and management for any patient presenting meeting all of the following criteria: and acute respiratory
• Severe acute pulmonary disease (including, but not limited to, pneumonitis
• distress syndrome (ARDS)); and respiratory support (including, but not limited to, high-flow
Requiring admission to a hospital
oxygen, BIPAP, or intubation with mechanical ventilation);
• No infectious etiology defined; and
2. • Recent history of vaping. respiratory symptoms and unknown etiology if they have used vaping
Ask all patients with progressive
devices within the last 3 months and which substances were used.
Reporting similar cases, or if you have questions about treatment and management of these cases, please contact North
To report any
Carolina Poison Control at 1-800-222-1222.
If you have questions about the ongoing outbreak, please contact the NC Division of Public Health at 919-695- 2662.
10 | February 2020 • Mecklenburg Medicine
