Vitamin E acetate in products used by the first cases of EVALI in New York State

A new research study released on 24 January 2020 in the journal Toxics offers crucial insight into the current lung intoxication epidemic described as “e-cigarette or vaping product use-associated lung injury” (EVALI). The research study provides, for the first time, a thorough analysis of products used by EVALI clients. Vitamin E acetate was the primary finding in cannabinoid liquids. No substance that might be connected to EVALI was discovered in the 2 nicotine products evaluated.

Researchers from the Wadsworth Center of the New York State Department of Health, the State University of New York at Albany and Albany Medical Center carried out untargeted in addition to targeted analyses of 38 liquid samples supposedly used by the first 10 cases of EVALI in New York State to recognize possible offenders for the severe lung illness epidemic. 2 of the samples were nicotine-containing liquids, while the rest were illegal cannabinoid liquids. The latter included fairly low cannabinoid material compared to common marijuana oil vaporizer liquids, and some had uncommon Δ9-/Δ8-tetrahydrocannabinol (THC) ratios. A range of pesticide residues, such as myclobutanil and bifenthrin, were found in some samples. Nevertheless, the most striking finding was the recognition of vitamin E acetate as a significant diluent in 64% of the samples, at levels varying from 16% to 57% by mass. No unidentified substance that might possibly trigger EVALI was discovered in the 2 nicotine products evaluated.

“Our laboratory was the first to identify vitamin E acetate in vaporizer fluids recovered from pulmonary injury patients, which we promptly reported to officials of the U.S. Centers for Disease Control and Prevention (CDC), the U.S. Food and Drug Administration (FDA) and public health officials from numerous states via conference call and via e-mail on August 19, 2019,” stated David C. Spink, Ph.D., Chief of the Laboratory of Organic Analytical Chemistry at Wadsworth and matching author of the research study.

“Based on our work, the New York State Department of Health issued a press release on September 5, 2019 indicating that vitamin E acetate was a key focus of the Department’s investigation of potential causes of vaping-associated pulmonary illnesses. To investigate potential sources of the vitamin E acetate in the illicit vaporizer fluids, the Department purchased six products marketed as cannabis oil diluents or thickeners via the internet. Three of these were found to be essentially pure vitamin E acetate,” Spink stated.

According to the newest CDC information, there have actually been 1979 hospitalizations and 57 deaths from EVALI in the United States. While the specific cause for the condition is still under examination, there is a strong association in between EVALI and the usage of THC-containing vaporizer liquids, and vitamin E acetate has actually been discovered in item samples evaluated by the FDA and state labs and in bronchioalveolar lavage fluids recuperated from the lungs of clients evaluated by the CDC. While no particular substances present in nicotine-containing e-cigarette products have actually been connected to the illness, the contributing cause or causes of disease for people reporting usage of just nicotine-containing products warrants additional research study.


For more info, you can call the visitor editors of the unique problem entitled “Current knowledge of E-cigarettes and Heated Tobacco Products”, released by the journal Toxics.

Konstantinos Poulas, e-mail: [email protected]

George Lagoumintzis, e-mail: [email protected]

Konstantinos Farsalinos, e-mail: [email protected]

Notes to Editors

The research study is entitled “Analysis of Cannabinoid-Containing Fluids in Illicit Vaping Cartridges Recovered from Pulmonary Injury Patients: Identification of Vitamin E Acetate as a Major Diluent”.

Corresponding author: David Spink;

Email: [email protected]

Corresponding Author’s Institution: Laboratory of Organic Analytical Chemistry, Wadsworth Center, New York State Department of Health, Albany, NY 12201, USA

Disclosures: No monetary disclosures were reported by the authors of this paper.

About Toxics: Toxics (ISSN 2305-6304) is a global, peer-reviewed open gain access to journal released quarterly online by MDPI, led by the EiC Professor Alistair Boxall from University of York. Toxics has actually been indexed by Science Citation Index Expanded (SCIE), Scopus and PubMed. The journal is interested in publishing documents that provide a large range of point of views on the direct exposure of human beings and the natural surroundings to toxicants, the impacts of toxicants on human and community health, and approaches to handle or alleviate these impacts. To find out more, please describe

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