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All Middlesex County buildings will remain closed to the general public until further notice due to COVID-19. Only select County services are available on an appointment basis.
September 23, 2021 County Commissioner Meeting Notice: Due to the severe weather warning the meeting will now take place virtually; click here for more details.


Symptoms of Lung Injury Reported by Some Patients in This Outbreak​

Patients in this investigation have reported symptoms such as:
  • cough, shortness of breath, or chest pain
  • nausea, vomiting, or diarrhea
  • fatigue, fever, or abdominal pain​
Some patients have reported that their symptoms developed over a few days, while others have reported that their symptoms developed over several weeks. A lung infection does not appear to be causing the symptoms.

Electronic cigarettes (e-cigarettes), also called vapes, e-hookahs, vape pens, tank systems, mods, and electronic nicotine delivery systems (ENDS), are electronic devices that produce an aerosol by heating a liquid typically containing nicotine, flavorings, and other additives; users inhale this aerosol into their lungs (1). E-cigarettes also can be used to deliver tetrahydrocannabinol (THC), the principal psychoactive component of cannabis (1). Use of e-cigarettes is commonly called vaping. Lung injury associated with e-cigarette use, or vaping, has recently been reported in most states (2–4). CDC, the Food and Drug Administration (FDA), state and local health departments, and others are investigating this outbreak. This report provides data on patterns of the outbreak and characteristics of patients, including sex, age, and selected substances used in e-cigarette, or vaping, products reported to CDC as part of this ongoing multistate investigation. 

​To view New Jersey's updated report of vaping associated illness, click here.

To view the CDC's nationally updated report of vaping associated illness, click here.


  • Information for Parents, Health Educators and Health Care Providers
  • Talk with Your Teens About E-Cigarettes: A Tip Sheet for Parents
  • Electronic Cigarettes: What's the Bottom Line?
  • E-Cigarettes and Youth: What Parents Need to Know
  • How much do you know about this epidemic?

                           ​ Join the Fight and Help End the Epidemic

​​​​​​​​​​​​​​​​​                                American Lung Association



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