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Photo: Richard Baker / In Pictures via Getty Images

68 people have died from a lung injury associated with e-cigarette use in 29 states and the District of Columbia, the Centers for Disease Control and Prevention reports as of Feb. 18.

What's new: Because of the consistent declines in new EVALI cases since Sept. 2019, as well as the identification of vitamin E acetate as a primary cause of EVALI, Tuesday's report will be the final CDC update on the number of hospitalized EVALI cases and deaths nationally.

CDC explains the steady drop in cases as likely multifactorial and possibly related to:

  • Public awareness of the risk associated with THC-containing e-cigarettes, vaping and product use.
  • The elimination of vitamin E acetate from some products.
  • Law enforcement response related to illicit products.

Details: CDC, FDA and individual state health officials "have made progress in identifying the cause of EVALI," CDC reports.

  • Nationally, most vaping-related patients with data on how they sourced products reported obtaining THC-containing products from "informal sources," per the CDC. The agency recommends users should consider no longer vaping THC products, rather than its original claim to refrain from e-cigarettes.
  • Vitamin E acetate has been found in product samples tested by FDA and state labs and patient lung fluid samples tested by CDC across the country.
  • Vitamin E acetate is not present in the lung fluid of those who do not have EVALI.
  • Based on several studies, federal health officials found in late 2019 vitamin E acetate in a sample of illicit products in select states and the additive also caused lung fluid in 48 patients out of 51 diagnosed with the vaping illness.

By the numbers: Data as of Feb. 18 showed the median age of patients who died was 49.5 years old and the ages of those who died ranged from 15 to 75.

The impact: The CDC and states' individual health departments have data on where EVALI-related deaths occurred:

  • The Henry Ford Hospital in Detroit announced in mid-November that a 17-year-old boy faced "imminent death" from vaping injuries unless he underwent a double lung transplant. It was the first transplant performed on a patient with the vaping-related illness.
  • In New York, the first teenager died after being hospitalized twice in September with a vaping-related illness.
  • In Massachusetts, the death of a woman in her 60s was reported on Oct. 7 as the state's first vaping-related death. The state currently has a four-month ban on all vaping products, the harshest in the U.S.
  • In Georgia, a patient with a history of heavy nicotine vaping, but no reported background of vaping THC, died, Georgia's Department of Health said.
  • A man and woman in Kansas, both over the age of 50 with "underlying health conditions," died from a pulmonary illness linked to vaping, according to Kansas Gov. Laura Kelly.
  • A Missouri man in his mid-40s died from the illness, according to the state's Department of Health and Senior Services.

The big picture: The CDC reported 2,807 confirmed hospital cases of severe respiratory illnesses as of Feb. 18, among those who vaped nicotine or cannabis products in 50 states, D.C. and two U.S. territories.

  • The rate of reported cases each week has slowed considerably since August.

Go deeper:

Go deeper

Schumer vows to confirm Breyer replacement "with all deliberate speed"

Chuck Schumer. Photo: Alex Wong/Getty Images

Senate Majority Leader Chuck Schumer responded Wednesday to reports that Supreme Court Justice Stephen Breyer will retire, commending his time on the bench and promising to confirm President Biden's nominated replacement "with all deliberate speed."

Why it matters: The opportunity to appoint a new Supreme Court justice will be one of the longest-lasting pieces of Biden's legacy and could energize Democrats ahead of the midterms.

35 mins ago - World

Scoop: Israel's "top priority" mission to discredit UN probe

Israeli Prime Minister Naftali Bennett addresses the UN. Photo: John Minchillo/Pool via Getty

Israel is planning a campaign to discredit a UN commission formed to investigate the violence in Gaza last May and the root causes of the protracted conflict in the occupied West Bank and Gaza, according to an Israeli Foreign Ministry cable seen by Axios.

Why it matters: Israeli officials say they are highly concerned that the commission’s report will refer to Israel as an "Apartheid state" and that its findings could damage Israel's reputation, particularly among progressives in the West. The report is expected in June.

Updated 36 mins ago - Politics & Policy

Liberal Supreme Court Justice Stephen Breyer to retire: reports

Justice Stephen Breyer. Photo: MANDEL NGAN / AFP via Getty Images

Supreme Court Justice Stephen Breyer will retire, NBC news first reported and multiple outlets confirmed on Wednesday, giving President Biden his first — and maybe only — chance to put a stamp on the high court.

What’s next: Appointing a new Supreme Court justice will be one of the longest-lasting pieces of Biden’s legacy — and could give Democrats a jolt of energy ahead of next year's midterms.

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