Just the Facts - Juuling

Juuling is the act of vaping from a device known as a Juul, which resembles a flash drive. They can even be plugged into a laptop’s USB slot to recharge. It is relatively small and discreet, making it easier for teens to hide it and use at school.
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Latest Outbreak Information

  • This complex investigation spans almost all states, involves over 2,000 patients, and a wide variety of brands and substances and e-cigarette, or vaping, products.
  • As of December 4, 2019, 2,291* cases of hospitalized e-cigarette, or vaping, product use associated lung injury (EVALI) have been reported to CDC from 50 states, the District of Columbia, and 2 U.S. territories (Puerto Rico and U.S. Virgin Islands).
  • Forty-eight deaths have been confirmed in 25 states and the District of Columbia (as of December 4, 2019):
    • Alabama, California, Connecticut, Delaware, District of Columbia, Florida, Georgia, Illinois, Indiana, Kansas, Louisiana, Massachusetts, Michigan, Minnesota, Mississippi, Missouri, Montana, Nebraska, New Jersey, New York, Oregon, Pennsylvania, Tennessee, Texas, Utah, and Virginia
    • The median age of deceased patients was 52 years and ranged from 17 to 75 years (as of December 4, 2019).
  • More deaths are under investigation.
  • The EVALI cases and EVALI deaths reported as of December 4, 2019, include data from a two-week period, November 17th to November 30th.
  • As of December 4, 2019, CDC will only report hospitalized EVALI cases and EVALI deaths regardless of hospitalization status. CDC has removed* nonhospitalized cases from previously reported cases counts.
  • Among the 2,016 cases of e-cigarette, or vaping, product use associated lung injury (EVALI) reported to CDC with available data on hospitalization status (as of November 5, 2019):
    • 95% were hospitalized, and 5% were not hospitalized.
    • 68% were male (among 1,905 patients with data on sex)
    • 77% were under 35 years old, with a median age of 24 years and age range from 13 to 78 years (among 1,906 patients with data on age)
    • By age group category:
      • 15% of patients were under 18 years old;
      • 38% of patients were 18 to 24 years old;
      • 24% of patients were 25 to 34 years old; and
      • 23% of patients were 35 years or older.
  • 1,184 patients had complete information** on substances used in e-cigarette, or vaping, products in the 3 months prior to symptom onset, of whom (as of November 5, 2019):
    • 83% reported using THC-containing products; 35% reported exclusive use of THC-containing products.
    • 61% reported using nicotine-containing products; 13% reported exclusive use of nicotine-containing products.
    • 48% reported both THC- and nicotine-containing product use.
    • 4% reported no THC- or nicotine-containing product use.

* Due to only reporting hospitalized EVALI cases as of December 4, 2019, CDC removed 175 nonhospitalized cases from previously reported national case counts.

** Based on complete reports received.

See CDC’s Lung Injury cases map and bar chart of dates of symptoms onset and hospital admission for Patients with e-cigarette, or vaping, product use associated lung injury (EVALI) for more details.

Visit the CDC website for the most up-to-date information (updated every Thursday).

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