What’s EVALI Condition From Vaping? | E-Cigarette Lung Injuries

Drue Seigerman LPC, LCADC

Executive Director — Houston, TX

Drue Seigerman is a Licensed Professional Counselor and a Licensed Clinical Drug Counselor. He received his first master’s degree in Human Services from Cappella University and his second master’s degree in Marriage and Family Therapy.

As the Executive Director of Virtue Recovery Houston, Drue has developed and implemented numerous programs to meet the needs of the mental health and addiction community. For over 20years Drue has been an expert in the field of addictions and has presented at numerous national conferences on how to work with oppositional clients in the group setting. Drue has also been a guest speaker on several radio shows including NBC discussing various behavioral health topics.

As an Adjunct Professor Drue brings his knowledge in the field of mental health and addictions to students seeking to obtain certification as an alcohol and drug counselor in the state of NJ. As a former New York City Police Officer, Drue brings a unique background to the field in helping those in need.

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Key Takeaways

  • EVALI is a serious lung condition caused by vaping or using e-cigarettes, especially those containing THC or vitamin E acetate.
  • Symptoms often look like pneumonia or the flu and can become life-threatening if ignored.
  • The Centers for Disease Control and Prevention (CDC) first identified the condition in 2019.
  • EVALI patients often require hospitalization and treatment like oxygen support or steroids.
  • Avoiding vaping and getting help to quit smoking or e-cigarettes can protect your health.

Introduction

Vaping has grown quickly, especially among young people. Many believe e-cigarettes are safer than traditional cigarettes. But that’s not always true. A serious illness called EVALI started making headlines in 2019. It shocked doctors and public health experts. EVALI, short for E-cigarette or Vaping product use-Associated Lung Injury, has caused thousands of people to get sick—and some have died. This article will help you understand what EVALI is, how it’s connected to vaping, and what you can do to protect yourself or a loved one.

What Is EVALI and How Is It Linked to Vaping?

EVALI is a type of severe lung disease linked to vaping. It was first discovered when hospitals started seeing young, healthy people with lung problems. Many of them had one thing in common—they had recently used vaping products or electronic cigarettes. The CDC quickly stepped in. They found that EVALI was caused by chemicals in certain vape products. Many of these products were used for cannabis vaping or had been bought off the street. While vaping may seem harmless, the risk of EVALI shows that it can be much more dangerous than people think.

What Causes EVALI?

The exact cause of EVALI is still being studied, but experts believe a major factor is vitamin E acetate. This oily substance is sometimes added to vaping liquids—especially those with THC. When heated, it can create a harmful chemical called pulmonary toxic ketene, which damages the lungs. Tests of fluid in the lungs—called bronchoalveolar-lavage fluid—from many EVALI patients found vitamin E acetate present. Other factors, like poor-quality vape pens and unregulated products, may also play a role. This is why using e-cigarettes or cannabis carts from unknown sources is especially risky.

Symptoms of EVALI

EVALI symptoms can show up slowly or come on fast. They may seem like the flu, pneumonia, or even COVID-19. This makes it hard to spot at first. Common symptoms include:
  • Trouble breathing or shortness of breath
  • Chest pain
  • Cough
  • Fever or chills
  • Nausea or vomiting
  • Abdominal pain
  • Tiredness or weakness
If you or someone you love uses vaping products and has these symptoms, it’s important to see a doctor right away.

Who Is Most at Risk?

Anyone who uses e-cigarettes and vaping products is at risk, but certain people are more likely to develop EVALI. These include:
  • Teenagers and young adults
  • People who use THC vapes or cannabis carts
  • Users of unregulated or homemade vape liquids
  • People who vape frequently or in large amounts
The EVALI outbreak mostly affected people under age 35, and many had been vaping for a short time before getting sick. That means new EVALI cases can still happen—especially when people aren’t aware of the risks.

How Is EVALI Diagnosed and Treated?

Doctors diagnose EVALI by first ruling out other illnesses like infections or heart problems. They may take chest X-rays, CT scans, or look at lung fluid. Because symptoms are similar to other lung conditions, a full health history—especially about e-cigarette use—is very important. Treatment usually includes:
  • Oxygen therapy or breathing support
  • Hospital care
  • Steroids to reduce inflammation in the lungs
  • Antibiotics (in case of infections)
In many cases, patients get better with medical care, but some may suffer long-term lung damage.

Outcomes and Long-Term Impact of EVALI

While many people recover from EVALI, the condition can have lasting effects. Some report chronic breathing problems or reduced lung function. Others develop anxiety or depression from the trauma of being so sick. According to the Centers for Disease Control and Prevention, over 2,800 EVALI cases and deaths were reported in the United States during the 2019 outbreak. These numbers show how serious the condition can be. Even those who survive may need ongoing care to fully heal from the damage.

Preventing EVALI and Promoting Smoking Cessation

The best way to prevent EVALI is simple: stop using e-cigarettes and vaping products, especially those with THC or vitamin E acetate. Here are some smart steps to reduce your risk:
  • Don’t use vape products from unknown or street sources
  • Avoid THC vaping and homemade vape liquids
  • Watch for signs of lung problems and seek care early
  • Get help to quit smoking or vaping
Smoking cessation programs can help you quit safely and for good. Places like Virtue Recovery Center offer treatment that addresses both addiction and physical health problems like EVALI.

Conclusion

EVALI is a serious and sometimes deadly condition. It affects the lungs, harms young people, and is tied directly to vaping and e-cigarette use. The scary part is, many people don’t realize the danger until it’s too late. If you or someone you love is struggling with addiction, don’t wait. Get educated. Get support. And if you’re ready to quit, we’re here to help with comprehensive treatment options. Call Virtue Recovery Center today at 866-461-3339 for treatment, support, and a healthier future.

FAQs About Causes of EVALI, Risks of Vaping, and Treatment for EVALI

What is EVALI and how is it related to vaping?

EVALI stands for e-cigarette or vaping product use–associated lung injury. It refers to a range of lung injuries that are associated with the use of e-cigarettes or vaping products. The condition emerged during an outbreak of EVALI, primarily linked to the use of products containing THC and vitamin E acetate.

What are the symptoms of EVALI?

Symptoms of EVALI may include cough, shortness of breath, chest pain, nausea, vomiting, diarrhea, fatigue, fever, and weight loss. These symptoms can develop over a few days to weeks following the use of e-cigarettes or vaping products.

How can I recognize a case of EVALI?

A case of EVALI is typically recognized by the presence of respiratory symptoms along with a history of e-cigarette or vaping product use. Healthcare providers may also consider imaging tests, such as chest X-rays or CT scans, to assess lung injury.

Who is at risk for developing EVALI?

Patients with EVALI often include individuals who are regular users of e-cigarettes or vaping products, particularly those who use products containing THC. However, anyone who uses vaping products can potentially be at risk.

Is EVALI reversible, and how can I quit smoking or vaping?

The lung injury associated with EVALI may be reversible with cessation of vaping products. Quitting smoking or the use of e-cigarettes is crucial for recovery. Support programs and counseling can assist individuals looking to quit.

How can I protect myself from EVALI?

To protect yourself from lung injury associated with vaping, it is advisable to avoid the use of e-cigarettes and vaping products, especially those containing THC or other additives. Awareness of the health risks is essential for informed choices.

What should I do if I suspect I have EVALI?

If you suspect you have EVALI, it is important to seek medical attention immediately. Healthcare providers can evaluate your symptoms, provide necessary tests, and recommend appropriate treatment.

Are there long-term effects of EVALI?

Long-term effects of EVALI are still being studied, but some patients may experience lasting lung damage or respiratory issues even after cessation of e-cigarette use. Ongoing monitoring by healthcare professionals is recommended.

What is the connection between EVALI and traditional tobacco use?

The connection between EVALI and traditional tobacco use lies in the fact that some individuals who have a history of tobacco product use may also engage in e-cigarette or vaping product use, which can increase the risk of lung injury. It is essential to recognize the dangers of both tobacco and vaping products.

Is White Knuckle Sobriety Related to Lung Injuries from Vaping?

Understanding white knuckle sobriety often highlights the struggles individuals face when overcoming addictions. As more people switch to vaping, concerns arise about potential lung injuries. These injuries can complicate recovery, making it essential to address both substance habits and overall health when seeking sobriety and emotional resilience in the healing process.

Resources

https://www.lung.org/lung-health-diseases/lung-disease-lookup/evali https://www.ncbi.nlm.nih.gov/books/NBK560656/ https://archive.cdc.gov/www_cdc_gov/tobacco/basic_information/e-cigarettes/severe-lung-disease.html https://www.cdc.gov/mmwr/volumes/69/wr/mm6925a5.htm

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