Thousands of cases of e-cigarette-related lung disease have occurred in the United States in recent months, and at least 34 people have died, foreign media CNET reported. Clearly, people are beginning to realize the dangers of e-cigarettes. E-cigarettes entered the U.S. market about a decade ago and have been touted as safer alternatives to traditional tobacco cigarettes. But it wasn’t until 2015, when Juul Labs first launched its USB-sized e-cigarettes and quickly became an industry leader, that such products really got attention.
The result has been a significant increase in the use of e-cigarette products, especially among adolescents and young people. In 2016, the U.S. Food and Drug Administration (FDA) finalized a rule that expanded its authority to regulate all tobacco products, including e-cigarettes, and its effects are still at work today.
Below, we look at how U.S. health officials and the e-cigarette industry have tried to adapt over the past year to a rapidly changing regulatory environment.
October 28, 2019 – Juul announces it will cut 500 jobs as death toll from e-cigarette-related lung disease rises to 34
The Wall Street Journal quoted sources as saying juul would cut 500 jobs by the end of the year. As of October 22, there were 34 deaths and 1,604 cases of lung damage, the CDC said.
October 17, 2019 – Deaths reach 33, most lying to THC
The Centers for Disease Control and Prevention (CDC) announced on October 17 th, as of October 15, 33 people had died and 1,479 cases of lung damage had been reported in 24 U.S. states. With the exception of Alaska and the District of Columbia, every state has cases of lung damage.
Most cases are thought to be related to e-cigaretteproducts containing THC, especially those purchased on the street or from illegal dealers.
Speaking to the House Appropriations Subcommittee on October 16, a CDC official said the disease was “fatal or potentially fatal, and half of these cases require intensive care,” CNBC reported. As the flu season approaches, evaLI, the lung damage caused by the use of “e-cigarettes or e-cigarettes,” is also getting worse, the report quoted CDC Chief Deputy Director Anne Schuchat as saying.
October 9, 2019 – Washington state bans the sale of flavored e-cigarettes, according to reports
The Washington State Health Board has reportedly voted to temporarily ban the sale of nicotine and THC e-cigarettes, two weeks after Governor Jay Inslee called for emergency rules in an executive order. Q13Fox reported that the board voted unanimously to rule on the ban, which will take effect this week and last for four months.
The Washington Department of Health did not immediately respond to a request for comment.
October 7, 2019 – Massachusetts reports the first e-cigarette-related death; The death toll in the U.S. rises to 18.
Massachusetts health officials report that a 60-year-old woman has died from lung disease linked to e-cigarettes. It was the first e-cigarette-related death in the state, the Boston Globe reported. The Department of Public Health is still investigating what products she used and where they came from. The woman’s identity has not been disclosed to the public.
As of October 1, the CDC had reported 18 deaths in 15 states.
September 27, 2019 – Juul is investigated in San Joaquin County; FDA Commissioner Tweets About E-Cigarette Investigation
San Joaquin County District Attorney Tori Verber Salazar, near the San Francisco Bay Area, told CNET that her office has launched an investigation into e-cigarette giant Juul because “too many minors are using” the company’s products. She says a quarter of high school students now use e-cigarettes, noting that a minor’s lungs are “like the lungs of a 70-year-old man.”
Verber Salazar says Juul is marketing it to young people through its colorful advertising and fun tastes. She added that the company was “built on damage to the heart, lungs and brain” because of its highly addictive drugs on young people. She called Juul’s actions an “organized crime” and said her office would investigate civil and criminal actions against the company, including potential class-action lawsuits.
On Friday afternoon, a company spokesman said in an emailed statement that Juul agreed with Verber Salazar’s “concerns about smoking among young people.” The spokesman added: “We welcome the opportunity to collaborate and share information about our commitment to eliminating combustible cigarettes and our positive, industry-leading action to combat the use of young people.” He noted that Juul had closed his social media accounts and stopped selling flavored cigarettes.
FDA Director Ned Sharpless also said in a speech Friday that e-cigarette investigations are “a priority” for the FDA, the CDC and state and local health organizations. “We’re trying to figure out what’s causing people to get sick and follow the source of the supply chain,” Sharpless said on Twitter. The FDA is prepared to make the most of our authority based on what has been discovered. “
According to the CDC’s latest survey, “THC products played a role in the outbreak.” The CDC report found that 77 percent of the 514 patients surveyed used products containing THC, 36 percent used only e-cigarettes containing THC, and 16 percent used nicotine-only e-cigarettes.
September 26, 2019 – 805 lung cases linked to e-cigarettes, with at least 12 known deaths, CDC says
According to the CDC’s latest information, the number of cases of mysterious lung disease, attributed to e-cigarettes, has soared by 52% in the past week, bringing the total number of cases to 805. So far, 12 people have died in 46 states.
The deaths included two in California, two in Kansas, one each in Georgia, Florida, Illinois, Indiana, Minnesota, Missouri, Mississippi and Oregon. The median age of the patients was 23 years old, and two-thirds of the patients were male.
September 25, 2019 – Juul CEO resigns, and the e-cigarette company suspends all U.S. advertising
Kevin Burns, who co-founded Juul, will be replaced by KC Crosthwaite, chief executive of tobacco company Altria. Juul also said it would suspend all radio, print and digital advertising in the United States and promised to “prohibit lobbying” the Trump administration’s proposal to ban e-cigarettes.
September 24, 2019 – California warns of “sudden lung damage”
The California Department of Public Health has issued a health advisory warning citizens that “the use of any product may pose a public health risk.” The department said it had received reports from 90 people in California who had been hospitalized since June for “severe respiratory problems and lung damage” related to e-cigarettes.
The state’s public health department says two people have died in California. It added that everyone should stop using e-cigarettes “regardless of substance or source.” The health department said e-cigarettes appeared to cause “sudden lung damage.” Symptoms that may be associated with e-cigarettes include coughing, chest pain, dyspnea, nausea, vomiting, diarrhea, abdominal pain, fatigue, fever and weight loss.
Teenagers and young people account for nearly half of hospital admissions, according to the health department. Thirty percent of patients hospitalized in California were treated with mechanical ventilators in the intensive care unit – in other words, they received life support.
September 20, 2019 – Wal-Mart stops selling e-cigarettes
According to cNBC’s latest report, Wal-Mart cited the “regulatory complexity” and “uncertainty” of e-cigarettes and said it would stop selling the product. Earlier this year, the company raised the age for buying tobacco products to 21 and stopped selling fruit and nicotine flavors.
September 19, 2019 – FDA announces that the number of cases of related lung diseases has risen to 530.
In 38 states, cases of e-cigarette-related lung disease have risen to 530, CDC health officials said. The FDA disclosed the outbreak of the disease. So far, seven people have died from the disease. The FDA has collected more than 150 samples from patients across the country and is currently analyzing whether they contain other substances.
September 16, 2019 – Washington state confirms three cases of severe lung disease linked to e-cigarettes
The Washington state health department has confirmed two new cases of severe lung disease linked to e-cigarettes, bringing the state’s confirmed cases to three. Of the two new cases, one was in his teens and the other was in his 20s. Although the investigation is ongoing, the department has not identified a common product, device or additive in all three.
“The symptoms of these patients are related to the CDC’s requirement that all state and local health districts conduct national surveys,” said Kathy Lofy, a Washington state health official. It was a nationwide outbreak. “
September 12, 2019 – Photos of severe lung injuries emerge, and Juul continues to run ads despite FDA warning
A collection of photos obtained by Business Insider from doctors and researchers suggests that this is believed to be a serious consequence of lung damage associated with e-cigarettes. These images include photos of California teenagers. Other photos show patterns that researchers have noticed, including inflammation, damage to the alveoli, and fat particles in lung tissue. The article quoted surgeons as saying they could not confirm that the injuries and illness sat were caused by e-cigarettes.
Despite the FDA’s warning letter last week, a spokesman for Juul told CNBC that the company will continue its “Make the Switch” advertising campaign, which positions e-cigarettes as a safer alternative to cigarettes. CNBC said it had to get FDA approval before asserting that the product was safer than cigarettes, but had not filed an application.
September 9, 2019 – FDA expresses concern over Juul’s claim that e-cigarettes are safer than other tobacco products
In some questionable marketing campaigns, the FDA has expressed concern about Juul’s claim that e-cigarettes are safer than other tobacco products. To make matters worse, high school students claimed before testifying before Congress that a company representative told them Juul was “absolutely safe.”
September 6, 2019 – 2 more dead and CDC warnings
Minnesota health officials confirmed that a 65-year-old man died In August after being hospitalized for long-term lung injuries. The person has a history of potential lung disease, but lung damage is linked to illegal THC products for e-cigarettes. ABC 5 reported Friday that lung injuries have developed into other diseases. The Minnesota Department of Health told the station that 17 patients in the state have so far been confirmed as confirmed or probable. Another 15 cases are under investigation.
The CDC also issued a statement about its investigation and said it had not determined that any product was related to all lung diseases. Many patients reported recent use of products containing THC, while some reported using both THC and nicotine-containing products.
Illinois Senator Dick Durbin tweeted a letter to Ned Sharpless, acting director of the FDA Administration, asking for action. Durbin said the FDA should send letters to all U.S. schools warning them of the health consequences associated with e-cigarettes. He also called on the agency to ban flavorings of e-cigarettes other than tobacco and to ban devices that are not approved by the FDA.
“If Dr. Sharples does not take any action within the next 10 days, I plan to call for his resignation. Durbin tweeted.
September 5, 2019 – Indiana reports e-cigarette-related deaths
The Wall Street Journal confirmed that severe lung damage linked to e-cigarettes claimed three lives. After news of the death broke, federal health authorities urged people to stop using e-cigarettes, and they investigated about 450 cases of mysterious diseases in 33 states.
September 4, 2019 – Second e-cigarette-related death occurred
According to the New York Times, serious lung disease linked to smoking has taken its lives. The New York Times reported that an unidentified person was hospitalized after using a product purchased at a recreational marijuana store in Oregon to extract tetrahydrocannabinol.
August 30, 2019 – CDC: Don’t buy e-cigarettes on the street, don’t modify them
According to the New York Times, the CDC “took the unusual step of issuing recommendations for e-cigarettes and e-cigarette products.” The CDC’s e-cigarette recommendations cover the public, clinicians and public health officials. In a recommendation to the public: “No one using e-cigarette products should purchase these products on the street (e.g., e-cigaretteproducts with DHC) and should not modify e-cigarette products or add products that the manufacturer does not intend to use in them.” The CDC also said, “Young people, pregnant women, and adults who do not currently use tobacco products should not use e-cigaretteproducts.” “
August 29, 2019 – FTC investigates Juul’s marketing practices
The Federal Trade Commission has begun investigating whether Juul engaged in deceptive marketing, including targeting minors, and may seek monetary damages, the Wall Street Journal reported.
August 28, 2019 – Juul CEO says respiratory disease cases are ‘worrying’
Kevin Burns, chief executive of Juul, said recent lung diseases that could be linked to “use of e-cigarettes” were “worrying” and urged nonsmokers to avoid using Juul. “If there are any signs of ill health associated with our products, I think we will act quickly,” Burns said in an interview. “
August 23, 2019 – Illinois reports death of a patient after using e-cigarette products
The Illinois Department of Public Health said “people who have recently been hospitalized for severe respiratory diseases due to the use of e-cigarettes” have died. The death may be the first e-cigarette-related death in the United States, the Associated Press reported.
August 20, 2019 – Juul Labs withdraws from e-cigarette technology association
Six days after the VTA filed a lawsuit against the FDA, Juul Labs announced that it would not renew the industry’s membership, citing differences on “key policy issues.”
August 19, 2019 – Health officials report more than 150 hospitalizations
State and federal health officials report that 153 people, many of them young people, from 16 states have been treated for respiratory diseases that occur after e-cigarette use.
August 19, 2019 – Juul Labs is indicted
A 19-year-old user of Juul sued the company for targeting minors and using deceptive marketing practices that they said led to nicotine addiction. The lawsuit also names tobacco giant Philip Morris and its parent company, Altria, an investor in Julia.
August 17, 2019 – CDC begins investigation into e-cigarette-related lung diseases
State and federal health officials have joined forces to investigate whether e-cigarettes cause serious lung disease in 153 people.
August 16, 2019 – Investors remain bullish on Juul Labs
According to regulatory filings, Juul Labs raised an additional $325 million from investors, despite growing health and legal problems.
August 14, 2019 – E-cigarette industry group sues FDA
The E-cigarette technology association, which represents hundreds of e-cigarette companies, filed a lawsuit against the FDA, asking regulators to delay regulators’ review of e-cigarettes on the market.
August 7, 2019 – FDA says it has received 127 reports of atomized-related seizures
The FDA said in a statement that it has received 127 reports of epilepsy or other neurological symptoms, such as fainting or tremors, between 2010 and 2019.
26 July 2019 – WHO releases global tobacco epidemic report
In a report, the World Health Organization called for more research and regulation of e-cigarettes and specifically appointed Juul as one of the new industry participants in “continuing to disrupt tobacco control.”
July 24, 2019 – Facebook, Instagram restrict e-cigarette content
Facebook has released a new policy that will restrict the sale and restrictions on alcohol and tobacco products, including e-cigarettes, on Facebook and Instagram.
July 23, 2019 – FDA launches anti-e-cigarette ad to educate teens about the risks of using e-cigarettes
The FDA has launched a new anti-smoking ad as part of the agency’s nearly $60 million campaign to prevent smoking as part of the “real cost.” In tv commercials, street magicians use techniques to educate teenagers about the risks of using e-cigarettes.
July 12, 2019 – E-cigarette marketing application filing deadline set
A U.S. District Court judge in Maryland allowed e-cigarette companies to file a premarket tobacco application with the FDA for approval by May 12, 2020.
June 25, 2019 – E-cigarettes are banned in San Francisco
San Francisco, where Juul is headquartered, became the first U.S. city to ban the sale of e-cigarettes.
April 3, 2019 – FDA announces investigation into potential link between seizures and e-cigarettes
The FDA has informed the public that it has received reports of seizures following the use of e-cigarettes.
March 27, 2019 – Health experts sue FDA overethe e-cigarette review
When the agency gave e-cigarette companies more time to submit their products for review, seven public health and medical groups, as well as several pediatricians, sued the FDA on the grounds that they had failed to comply with appropriate requirements.
March 13, 2019 – FDA restricts the sale of flavored tobacco products
The FDA has issued new guidelines restricting the sale of most flavored tobacco products, including e-cigarettes, at convenience stores, gas stations and pharmacies. The FDA also requires all e-cigarette manufacturers to submit an application by August 8, 2021 to indicate that their products comply with existing regulations.
November 18, 2018 – Juul Labs closes social media accounts
After the FDA expressed concern about Juul’s attraction to underage users, the company shut down its Facebook and Instagram accounts and restricted its Twitter behavior to “non-promotional sexual transmission.”
September 31, 2018 – FDA inspectors seize documents from Juul Labs headquarters
The FDA conducted a surprise inspection of Juul Labs’ San Francisco headquarters to seek more information about the company’s sales and marketing practices. The agency said inspectors collected “more than a thousand pages of documents.”
September 12, 2018 – FDA calls teen use of e-cigarettes an “epidemic”
Dr. Scott Gottlieb, the FDA commissioner at the time, issued a statement calling the use of e-cigarettes by teenagers an “epidemic” and urging the e-cigarette industry to address the problems or risks of removing its flavored products from the market.