E-cigarette, or Vaping, Product Use Associated Lung Injury (EVALI)

Page updated on Feb 4, 2021 at 4:22 PM

E-cigarette, or Vaping, Product Use Associated Lung Injury (EVALI)

Since July 2019, the Centers for Disease Control and Prevention (CDC) has been investigating cases of e-cigarette, or vaping, product use associated lung injury or EVALI. Lung injury ranges in severity with most the severe cases resulting in death. All cases have reported use of e-cigarettes or vaping products with a majority reporting use of THC-containing products, but no single product has been linked to all cases.

Alexandria Health Department (AHD) is monitoring EVALI in the City of Alexandria, with the support of Virginia Department of Health (VDH). We continue to work with healthcare providers, and local and regional community partners to identify potential cases and exposures related to this emerging outbreak. We will continue to engage with healthcare providers and community partners as the situation evolves.


Interim CDC Guidance for Clinicians

AHD Disease Reporting Website for Clinicians

VDH Outbreak Website (state and regional case counts updated weekly)

CDC Outbreak Website (national case counts updated weekly)

VDH Tobacco Free Living Website


CDC Recommendations for the Public:

  • While the investigation is ongoing, people should refrain from using e-cigarette or vaping products, especially THC-containing products. Regardless of the ongoing investigation, youth, persons who are pregnant, and adults who do not currently use tobacco products should not use e-cigarette or vaping products.
  • If you recently used an e-cigarette or vaping product and you have symptoms like those reported in this outbreak, see a healthcare provider.

Smokers who are attempting to quit should use evidence-based treatments, including counseling and FDA-approved medications, rather than e-cigarettes. Free cessation counseling may be obtained by contacting the VDH Quit Line at 1-800-QUIT NOW (1-800-784-8669) or QuitNow.net/Virginia