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Appendix A: <br /> SNS Update:9/18/19 <br /> Full Scale Exercise on October 25'at Southern Lee High School <br /> Severe Lung Disease across the US. Linked to vaping including nicotine, marijuana <br /> oils/extract/concentrates. 28 cases confirmed in NC ages ranging 16 to 72. <br /> Patients experienced severe respiratory symptoms including cough and shortness of breath. Patients <br /> also reported experiencing fever,fatigue, chest pain, nausea,vomiting, and diarrhea. Most cases have <br /> been hospitalized and have required respiratory support. No deaths have been reported in NC. <br /> Across the US there are 380 cases of lung illness reported across 36 states and 1 territory. 6 deaths <br /> across 6 states have been confirmed. Most patients have reported a history of using e-cigarette <br /> products containing THC. Many patients have reported using THC and nicotine.Some have reported the <br /> use e-cigarette products containing only nicotine. <br /> The CDC is not sure of the specific cause of the illnesses.The investigation has not identified any specific <br /> e-cigarette or vaping product (devices, liquid, refill pods, and/or cartridges) or substance that is linked to <br /> all cases. <br />