November 2019 - The Epidemiology Monitor

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CDC Investigations Identify Vitamin E Acetate As “Culprit Of Concern” In The Vaping Lung Injury Outbreak Discovery Called A “Breakthrough” CDC laboratory investigations of 29 samples of lung washings from patients with e-cigarette vaping product associated lung injury (EVALI) have found vitamin E acetate in all 29 samples . CDC Principal Deputy Director Anne Schuchat speaking during a telebriefing for the media called the findings “a breakthrough in the investigations”. She added that that the samples came from patients from ten different states which made the findings more robust in incriminating vitamin E acetate. Also, vitamin E acetate has been

identified in samples tested by the Food and Drug Administration and some state health department laboratories. Other Toxicants? The CDC lab investigated many other substances which might serve as potential toxicants in the vaping products such as plant oil, petroleum distillates such as mineral oil, mediumchain triglyceride oils and terpenes. No other potential toxicants were detected in the samples tested so far. - Vitamin A con't on page 2

New Study Shows How Measles Virus Infection Has Both Immediate And Lasting Impact As A Cause Of Death

In This Issue -3UK Public Health Issues Manifesto -62018 Epi Faculty Survey Launches -8Notes on People

Mortality Burden is Astonishing It is recognized from epidemiologic studies that the risk of death from measles is increased even after the acute phase of the illness. This has been perhaps most notable in African children. The mechanism for this effect has not been well understood. Now an international team of more than a November 2019

dozen researchers led by Michael Mina from Harvard’s School of Public Health has provided evidence that measles virus (MV) infection actually infects immune cells and causes immune suppression against a much wider variety of pathogens than simply - Measles cont'd on page 4 •

Volume Forty •

Number Eleven

-10Near Term Epidemiology Event Calendar -11Marketplace


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