The CDC continues to insist that we have no idea what is causing this “mystery illness” and that “no single product” has been identified that explains all of the cases. This statement, which violates basic principles of epidemiological outbreak investigations, is the single communication that has confused policy makers and the public and hindered the ability of state health agencies to issue appropriate recommendations to the public to actually curtail this epidemic of life-threatening respiratory failure.
Contrary to what the CDC seems to be insisting, this outbreak is not going to be solved by identifying a single product common to every patient. Like all outbreak investigations, it is going to be solved by identifying a type of product that is common to an overwhelming majority of patients. And frankly, we already have that and it’s called marijuana. There is just far too high a proportion of case patients who have admitted to using THC or CBD oils for this to be merely a coincidence. …
… why aren’t the CDC and in turn, state health authorities issuing very clear warnings to the public to stop vaping marijuana, especially THC vape pens or vape carts that are purchased on the street? It’s because the CDC keeps repeatedly issuing the irresponsible mantra of this botched investigation: “No single product” has been linked to all cases. …
… for a youth to admit that they were using illicit marijuana vaping carts purchased off the street from drug dealers could have substantial consequences, not only legal ones but stigma-related ones as well as affecting their relationships with their parents. …
… The CDC itself admits that about 80% of the outbreak patients admit to using THC oils. My count from media reports puts that figure closer to 90%. How high does that proportion have to go before the CDC issues a clear recommendation not to vape THC and stops undermining its own findings by emphasizing the failure to find a common product in every single case? Apparently, it’s 100% before they will take the appropriate actions and enable health authorities to put an end to the tremendous morbidity and mortality this outbreak is causing. …
… The CDC has been insisting that a small proportion of cases have occurred among patients who did not use THC. The truth is that they have no way of knowing that. Unless the patients have been tested for THC, it simply cannot be said that cases have occurred among patients who only used nicotine-containing e-liquids. This is why I believe it is so irresponsible that the CDC has repeatedly given the impression that it knows that a substantial proportion of cases do not involve THC. They actually have no way of verifying their contention that “no single product” ties together all the cases. It is entirely possible that a single product - marijuana and counterfeit vapes - does tie together all the cases. …
… why the CDC is failing to recommend THC testing of every case patient. There is no legitimate public health justification for this failure. The only explanation is that the CDC does not actually want to tie all the cases together by detecting marijuana use in a large proportion of patients who reported using only nicotine-liquids because that would let legally sold, store-bought nicotine-containing e-cigarettes off the hook. The CDC’s actions tell me that they actually desire to be able to tie these cases to traditional e-cigarette use. They are apparently going to hold out as long as possible before admitting clearly that THC carts are playing a major role in this epidemic. …
… The CDC’s irresponsibility is perhaps best demonstrated by the testimony of a CDC deputy director at this week’s Congressional hearing. She testified that one possible cause of the outbreak is something about the act of vaping itself. In other words, she testified that something about the process of vaping itself may be causing this outbreak, rather than the specific products that are being vaped.
Sorry - I hate to have to use this type of language but my conscience does not allow me to express it any other way:
This is complete bullshit.
People have been vaping for the past 12 years without any problems. Millions of smokers who quit smoking by switching to vaping have experienced dramatic improvement in their respiratory health, not rapid progression to respiratory failure. The act of vaping is not causing this outbreak. It is something in the e-liquid or that results from the heating of the e-liquid that is responsible.
Source: The very informative to follow, always prolific Epidemiologist Dr Michael Siegel (Sept. 27, 2019):
“CDC’s Failure to Demand Urine THC Testing of All Outbreak Patients is Inexcusable and is Putting the Entire Nation at Risk”
From: https://tobaccoanalysis.blogspot.com/2019/