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Monday, January 27, 2020

Vaping Induced Lung Disease Epidemic by Peyton Bluitt


Image result for vaping        
Vaping. What was once known as the so called “healthier” alternative to smoking cigarettes has now become an epidemic.  In recent days, it has been the topic of discussion as a result of the numerous lung disease cases that have been linked to vaping. Doctors have yet to figure out what pathogens in vape devices are responsible for these diseases, but there is definitely something lethal present. The puzzling part about these cases is the fact that vaping devices were initially promoted as healthy and safe. Imagine thinking that you are taking a step in the right direction by switching to a vaping device rather than smoking cigarettes only to realize that the both of them are equally as dangerous… how unfortunate. Vaping is now a widespread epidemic that is extremely dangerous, disease ridden, and misleading. 
        The history of vaping and electronic cigarettes dates all the way back to the 1930s. Joseph Robinson is responsible for the first ever documented reference of an electronic cigarette, though, it was never commercialized (“Historical Timeline of Electronic Cigarettes” 1). In the 1960s, Hebert A. Gilbert created the first vaping device similar to the modernized ones we have now. Gilbert created prototypes for vaping, but contrary to devices now, his prototypes did not contain nicotine. Similar to Robinson, Gilbert also failed to commercialize his prototypes. The first commercialized variation of electronic cigarette was created by Phil Ray along with the help of his personal physician, Norman Jacobson (Historical Timeline of Electronic Cigarettes” 1). This variation of the e-cigarette was not actually electronic, but rather relied on the evaporation of the nicotine. For this reason, the word “vape” came into play when describing these new electronic cigarettes. By the 1990s, though devices still were not exactly similar to modern vaping devices, more and more of these e-cigarettes moved toward commercialization. In the early 2000s, each year, vaping devices got closer and closer to our present day, modernized e-cigarette devices. In the earlier years of vaping history, vaping had not yet become an epidemic. Recently, though, the use of vaping has increased as well as the number of vaping induced lung disease (“Outbreak of Lung Injury Associated with E-Cigarette Use, or Vaping” 1). The epidemic happened very quickly hence the reason for the sudden awareness of the dangers of vaping. In school, in grades as young as middle school, you can find fliers around the hallways that read “Do Not Vape!” When you are seeing signs about vaping in schools, it is apparent that there is a problem or in this case, an epidemic. In conclusion, vaping was a new and emerging invention until recently when it became an epidemic.
         The social effects that vaping has on society are really prevalent amongst the youth. Patients range from the ages of 13-75 years old and 79% of patients are under 18 years old (Christiani, 1). In high school, many of my peers were expelled from school because they were caught vaping in the restroom stalls! It happened so often that it eventually got to the point where students were given awards for catching their peers vaping. It seems like vaping (before this epidemic) was normalized for kids and that is sad. My peers would always speak about the abundance of flavors that a specific vaping device called “JUUL” had available. JUUL flavors include: Pineapple, mint, watermelon, strawberry milk, and many other flavors that children may be attracted to. Vaping companies such as JUUL intentionally use the flavors to attract young people because we are easily influenced in many aspects.
       Vaping is extremely dangerous and presents great health risks, but why exactly is that? Unfortunately, the answer to this question is unknown; In fact, doctors are still working to answer this question. Considering the most recent vaping induced lung disease outbreak, it does not take much to realize that something is very wrong with vaping devices. Despite not knowing what the exact causes of these lung diseases are, doctors have performed numerous studies to contribute to a possible cause. Ninety eight percent of vaping patients have respiratory symptoms such as: dyspnea in 87%, chest pain in 55%, cough in 83%, and hemoptysis in 11% (Christiani 1). Statistics like this can be extremely helpful in finding the causes of these illnesses. Based on this study alone, we can all conclude that vaping does affect one’s breathing. Another vital statistic found in the various studies of this epidemic is as follows: eighty one percent of patients had gastrointestinal symptoms such as diarrhea and vomiting. According to Layden 2019, ninety four percent of patients reported the use of vaping within a week of symptom onset. The symptoms mentioned in these 2 studies were amongst the most common presenting symptoms of these patients whom all vaped within days of these symptoms. These studies further validate the fact that these lung illnesses are indeed caused by vaping: “Forty-nine states, the District of Columbia, and one U.S. territory have reported 1,299 cases of lung injury associated with the use of electronic cigarette (e-cigarette), or vaping, products,” (“Update: Interim Guidance for Health Care Providers Evaluating and Caring for Patients with Suspected E-Cigarette, or Vaping, Products Use Associated Lung Injury- United States, October 2019| MMWR” 1).  This epidemic outbreak of vaping- induced lung disease has recently been given a name, “EVALI” (“Update: Interim Guidance for Health Care Providers Evaluating and Caring for Patients with Suspected E-Cigarette, or Vaping, Product Use Associated Lung Injury- United States, October 2019|MMWR” 1). Health care providers diagnose EVALI based on symptoms and the history of the patient specifically their vaping history, since patients experience relatively the same symptoms. It has actually been reported that most patients diagnosed with EVALI have reported using THC (tetrahydrocannabinol) containing vaping products (“Outbreak of Lung Injury Associated with E-Cigarette Use, or Vaping” 1). This means that vaping devices that contain THC are most likely the causes of these lung illnesses, however, there is no certain evidence of this. According to CDC, health care providers recommend refraining from the use of all vaping products as they all seem to cause some type of damage to the lungs (Shemerling 1).
Image result for vaping stats
          Vaping is terribly misleading. For many years, vaping has been portrayed as a healthier alternative to cigarette smoking. Vaping companies insist that their products can help people to stop smoking, but there is no real evidence to this. In fact, according to heart.org, research shows that users are more likely to smoke cigarettes and vape simultaneously also called dual use. Despite beliefs, there is more evidence to prove that vaping is just as dangerous as cigarette smoking. For example, the vast majority of vaping devices contain nicotine which is extremely addictive and cause damage to developing brains of teens, young children, and fetuses. Vaping devices are disease ridden, so it is quite unfortunate that vaping is generally considered safe. Vaping devices contain a plethora of harmful chemicals and pathogens that cause lung related illnesses; most of these harmful pathogens and chemicals are unknown (“Is Vaping Better Than Smoking?” 1).
As of today, there are many possible solutions to end this deadly vaping epidemic. With the growing number of research being done on these vaping induced lung disease cases, we may be getting closer to a solution! Honestly, the best solution would be to just cut the use of vaping as a whole; realistically, though, these solutions are a little more intricate.
         One possible solution to this epidemic would be to cut out the chemical in which is most likely the cause of these lung illnesses. Tetrahydrocannabinol or THC has been a present chemical in most of the vaping devices that were used by EVALI patients (“Outbreak of Lung Injury Associated with E-Cigarette Use, or Vaping” 1). For that reason, many doctors and researchers believe THC may be a possible cause for these lung illnesses, though they are not certain. Fortunately, there are many other assortments of vaping devices that do not contain THC traces. Even though I want to believe that this solution will work, it most likely will not. There are plenty of other vaping devices out there that may not contain THC, but still brings about illness such as the JUUL  (Shmerling 1).
         Another possible solution to this epidemic would be to simply spread more awareness. The more people are aware of the negative effects that vaping has on the body, the more people will stop using it. In recent days, the vaping epidemic has been widely talked about on outlets such as: news channels, commercials, and articles just to name a few (“Is Vaping Better Than Smoking?” 1).  Evidently, this vaping epidemic has been widely publicised, but unfortunately not enough to put a stop to this issue!
        Camus was a very intricate thinker and thought in ways many people would not understand. He was a philosopher who had views that lead to the well known philosophy, absurdity (Itani 1). Now, some people may argue that vaping induced lung disease or EVALI is not absurd, but in many ways it is. Absurdity is defined as something that is essentially meaningless or just overall ridiculous (Maguire 1). Specifically, what is truly absurd about vaping is that their portrayed in such a positive light. Initially, vaping was supposed to be a healthier alternative to smoking cigarettes as cigarettes were known to be disease ridden and unhealthy. The real question now is, what is the difference between cigarettes and vaping devices? They are both proven to be equally as dangerous (Outbreak of Lung Injury Associated with E-Cigarette Use, or Vaping”). Camus would agree that vaping is absurd as he already believed that nothing in life served true meaning (Maguire 1). Camus’s approach to absurdity was a bit dark, but it does serve a true purpose and surely relates to vaping. People need to hold on to the truth and realize that vaping literally serves no purpose. Vaping is absurd… meaningless and ridiculous.
        Vaping. What was once considered a healthier alternative to smoking has now become an epidemic. With the amount of vaping related cases, it is obvious that vaping has become an epidemic and needs to be taken seriously. Though, doctors are still not aware of what exact chemicals and pathogens are present in these devices that are causing these illnesses. It is apparent that these unknown pathogens are causing these lung diseases. As many health providers have said, it is best to not use vaping devices as they are evidently very dangerous (“Outbreak of Lung Injury Associated with E-Cigarette Use, or Vaping.”1). It is very much possible for this epidemic to end, but it starts by getting educated on the true effects of it. People still do not seem to understand the effects that vaping has on the body, but a little bit of research can go a long way. Vaping is not at all worth it and hopefully people will realize it before this epidemic becomes even more widespread!
                                                                                                                 
          
Works Cited
Christiani, D.C., et al. “Imaging of Vaping-Associated Lung Disease: NEJM.” New England Journal of Medicine, 6 Sept. 2019, https://www.nejm.org/doi/full/10.1056/NEJMc1911995.
Farkas, Josh. “Vaping Associated Pulmonary Injury (VAPI).” EMCrit Project, 19 Aug. 2019, https://emcrit.org/ibcc/vaping-associated-pulmonary-injury/.
 Maguire, Laura. “Camus and Absurdity.” Philosophy Talk, 27 Feb. 2015, https://www.philosophytalk.org/blog/camus-and-absurdity.
Shmerling, Robert H. “Can Vaping Damage Your Lungs? What We Do (and Don't) Know.” Harvard Health Blog, 15 Oct. 2019, https://www.health.harvard.edu/blog/can-vaping-damage-your-lungs-what-we-do-and-dont-know-2019090417734.
“For the Public: What You Need to Know.” Centers for Disease Control and Prevention, Centers for Disease Control and Prevention, https://www.cdc.gov/tobacco/basic_information/e-cigarettes/severe-lung-disease/need-to-know/index.html.
 “Historical Timeline of Electronic Cigarettes.” CASAA, 18 Oct. 2018, http://www.casaa.org/historical-timeline-of-electronic-cigarettes/.
“Is Vaping Better Than Smoking?” Www.heart.org, https://www.heart.org/en/healthy-living/healthy-lifestyle/quit-smoking-tobacco/is-vaping-safer-than-smoking.
 “Outbreak of Lung Injury Associated with E-Cigarette Use, or Vaping.” Centers for Disease Control and Prevention, Centers for Disease Control and Prevention, 15 Oct. 2019, https://www.cdc.gov/tobacco/basic_information/e-cigarettes/severe-lung-disease.html.
 “Update: Interim Guidance for Health Care Providers Evaluating and Caring for Patients with Suspected E-Cigarette, or Vaping, Product Use Associated Lung Injury - United States, October 2019 | MMWR.” Centers for Disease Control and Prevention, Centers for Disease Control and Prevention, 11 Oct. 2019, https://www.cdc.gov/mmwr/volumes/68/wr/mm6841e3.htm.

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