As of August 19, 2019, multiple states have reported cases of severe pulmonary disease requiring hospitalization and respiratory support among previously healthy children and adults.  A common exposure reported among these patients is that they have been vaping (i.e., use of e-cigarette devices to aerosolize substances for inhalation) nicotine and/or tetrahydrocannabinol (THC)-containing products.

GA Department of Public Health (DPH) is currently investigating possible cases reported in Georgia. Clinicians who see or have recently seen cases similar to those described above will soon be reporting them to Georgia Poison Center (GPC) at 1-800-282-5846.


  • Read this letter from DPH regarding the vaping concerns, symptoms expected. This topic will be covered clinically at the August staff meeting.
  • Review this letter from the Rapid Coding Response team regarding the substance coding of these cases.
  • If you receive a call from a healthcare professional (HCP) reporting a patient with a hx of vaping and symptoms that match the current concerns, create an exposure call, document all information deemed necessary for the exposure chart, consider contacting TOX ON-CALL for management advice or if requested by the HCP.
  • Code the specific vaping substance if known along with: “e-Cigarette Associated Pulmonary Illness”Product ID: ‪7322608Generic Code 0310094: e-Cigarettes: Nicotine Device Flavor Unknown
  • Code the SPECIAL CALL DESIGNATION “VAPING CONCERNS.”    Cases will be pulled from ToxSentry periodically and sent to DPH as long as the cases are coded with the SCD “Vaping Concerns.”
  • Email the case to DPH via ToxSentry.   Watch the video below on how to do this.