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                                                                                                 U.S. NEWS Saturday 7 december 2019
            Officials list pot vape brands reported in U.S. outbreak




            By MIKE STOBBE                                                                                                      THC  product.  Last  month,
            AP Medical Writer                                                                                                   CDC officials said they had
            NEW  YORK  (AP)  —  Health                                                                                          narrowed  in  on  a  culprit
            officials investigating a na-                                                                                       —  a  chemical  compound
            tionwide  outbreak  of  vap-                                                                                        called  vitamin  E  acetate
            ing  illnesses  have  listed,                                                                                       that  has  been  commonly
            for  the  first  time,  the  vape                                                                                   found  in  the  lungs  of  sick
            brands  most  commonly                                                                                              patients  and  in  the  prod-
            linked to hospitalizations.                                                                                         ucts they vaped.
            Most  of  the  nearly  2,300                                                                                        Vitamin  E  acetate  is  a
            people  who  suffered  lung                                                                                         thickening   agent   that's
            damage  had  vaped  liq-                                                                                            been  added  to  illicit  THC
            uids  that  contain  THC,  the                                                                                      vaping  liquids.  But  it's  pos-
            high-inducing part of mari-                                                                                         sible it also may have been
            juana.                                                                                                              added  to  vaping  liquids
            In a report released Friday,                                                                                        containing  CBD,  another
            the U.S. Centers for Disease                                                                                        cannabis extract, King said.
            Control  and  Prevention                                                                                            About  1%  of  the  patients
            listed  the  products  most                                                                                         said  they  had  vaped  CBD
            often  cited  by  patients,                                                                                         products only.
            noting  that  some  of  them                                                                                        The agency is recommend-
            said they vaped more than                                                                                           ing that people do not use
            one.                                                                                                                any electronic cigarettes or
            Dank Vapes was the brand                                                                                            vaping  products  that  con-
            used by 56% of the hospital-                                                                                        tain  THC,  especially  those
            ized patients nationwide.                                                                                           obtained from friends, fam-
            Dank is not a licensed prod-                                                                                        ily  members  or  black  mar-
            uct coming from one busi-                                                                                           ket dealers.
            ness, it is empty packaging                                                                                         However,  13%  of  patients
            that  can  be  ordered  from                                                                                        said they vaped only nico-
            Chinese internet sites. Illicit                                                                                     tine. CDC officials are con-
            vaping  cartridge  makers                                                                                           tinuing to look at nicotine-
            can  buy  the  empty  pack-                                                                                         containing  vapes,  and  to
            ages and then fill them with                                                                                        advise  caution  about  all
            whatever they choose.                                                                                               types  of  vaping  products
            Other  product  names  at    In this Aug. 28, 2019, file photo, a man exhales while smoking an e-cigarette in Portland, Maine.   until  the  investigation  is
            the top of the list from CDC                                                                      Associated Press  concluded, King said.q
            were TKO (15%), Smart Cart
            (13%) and Rove (12%).        ficials  said.  Investigators
            "It's  not  likely  that  a  single   want more data until they
            brand is responsible for this   feel  certain  the  outbreak
            outbreak,"  said  Brian  King,   is waning. If it is, there may
            a senior CDC official on the   be more than one reason,
            investigation.               including  growing  public
            Some  of  the  brands  cited   caution  about  vaping  or
            by  the  CDC  are  sold  in   perhaps a change in what
            states  with  legalized  mari-  cartridge  makers  are  put-
            juana.  But  counterfeits  of   ting into them, King said.
            those  legitimate  brands    But  cases  are  still  coming
            have  flooded  the  market   in,  with  2,291  reported  this
            around  the  country,  forc-  year  —  including  176  that
            ing  some  to  redesign  their   joined  the  tally  in  late  No-
            packaging.                   vember. Every state has re-
            Bill  Loucks,  co-founder  of   ported cases, and 25 states
            TKO Products, said his com-  and  the  District  of  Colum-
            pany  sells  only  to  licensed   bia  have  reported  a  total
            dispensaries  in  California,   of 48 deaths.
            but  the  company  gets      Symptoms  include  trouble
            emails  asking  about  TKO-  breathing,  chest  pain,  fa-
            branded  cartridges  pur-    tigue and vomiting. About
            chased elsewhere.            half  the  patients  are  peo-
            "If  you  bought  them  out-  ple  in  their  teens  or  early
            side of California ... you are   20s. The outbreak appears
            the proud owner of fakes,"   to  have  started  in  March.
            Loucks said in an email.     CDC  officials  have  gradu-
            The  CDC  also  said  Friday   ally  come  to  focus  their
            that  the  worst  of  the  out-  investigation on black-mar-
            break  may  be  over.  Pre-  ket THC cartridges.
            liminary   data   indicates   An analysis of about 1,800
            hospitalizations  peaked  in   of  the  hospitalized  pa-
            mid-September  and  have     tients  found  about  80%
            been  declining  since,  of-  said they used at least one
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