Nearly all (96%) THC-containing products reported have been packaged, Vape Clearance Sale prefilled cartridges, and 89% have been primarily acquired from informal sources (e.g., Vapor E-Liquids friends, members of the family, illicit sellers, or off the road). The questionnaire asked detailed questions about e-cigarette use, Vapes Deals including the names of e-cigarette, Online Vape Store or vaping, merchandise and devices, frequency of use, and product sources in the three months previous sickness onset.
Given the variety of products reported and frequency of patients utilizing both THC- and nicotine-containing e-cigarette merchandise, additional strategies akin to product testing and Vape Shop traceback could assist identify the precise trigger of this outbreak. A variety of e-cigarette and vaping gadget sorts (6) were utilized by patients to aerosolize THC- or nicotine-containing products. Patients reported frequent every day use of e-cigarette products; amongst 75 users of THC-containing merchandise, 49 (65%) reported using these merchandise at least every day, and forty five (74%) of 61 nicotine-containing product customers reported at least every day use of these merchandise.
Although no single brand name was reported by all patients, a prefilled THC cartridge sold below the model name Dank Vapes Deals (https://www.vapehave.com) was reported by 57 (66%) patients (Figure). Urinary toxicology screens have been positive for substances apart from THC (and for other substances that could not be explained by the medical therapy these patients had acquired) in six of 31 patients, together with two patients who tested constructive for benzodiazepines and opioids, one for benzodiazepines alone, one for opioids alone, one for amphetamines, and one for unspecified narcotics.
However, urinary THC screens were obtained for 32 patients who reported using THC-containing products, 29 (91%) of which had been constructive for THC; two patients who didn’t report using THC-containing e-cigarette products, out of 4 tested, additionally had positive urinary THC screens; one of these patients reported smoking combustible marijuana.