Diagnosis of EVALI in the COVID-19 era

As of Feb 18, 2020, a total of 2807 cases of e-cigarette, or vaping, product use-associated lung injury (EVALI) and 68 attributed deaths have been reported to the US Centers for Disease Control and Prevention.

Diagnostic criteria for EVALI consists of a mixture of non-specific systemic symptoms (eg, fever, chills, and vomiting) and respiratory symptoms (eg, shortness of breath, cough, chest pain, pnoea, and hypoxia), along with detection of lung opacities on imaging. Diagnosis also depends on identifying a history of vaping and careful exclusion of alternative conditions.
A urine drug screen positive for tetrahydrocannabinol, although non-specific for the disease, might be helpful in this aspect by identifying marijuana-containing electronic cigarettes and vape use.





Associations Between Prenatal Cannabis Exposure and Childhood Outcomes Results From the ABCD Study

Question  Is prenatal exposure to cannabis associated with child outcomes?

Findings  This cross-sectional analysis of 11 489 children (655 exposed to cannabis prenatally) found that prenatal cannabis exposure after maternal knowledge of pregnancy was associated with greater psychopathology during middle childhood, even after accounting for potentially confounding variables.

Meaning  Prenatal cannabis exposure may increase risk for psychopathology; consistent with recent recommendations by the Surgeon General of the United States, these data suggest that cannabis use during pregnancy should be discouraged by clinicians and dispensaries.

To view study click here.

Mobile Marijuana Advertisements - Not good for youth!

Mobile marijuana advertisements are prohibited under California law. Licensees operating in the state are required to affix their advertising and marketing to a building or permanent structure. That’s because the law stipulates any “advertising or marketing placed in broadcast, cable, radio, print, and digital communications shall only be displayed where at least 71.6% of the audience is reasonably expected to be 21 years of age or older".

San Diegans can take action against illegal party buses and other forms of mobile marijuana advertisements, including ads on pedicabs, shuttle buses and sign spinners:let your voices be heard by filing a resident complaint with the BCC:

Instructions on how to file a complaint:

How to file a complaint with the Bureau of Cannabis Control 1. Go to

2. Click on Licensees & Consumers in the ribbon near the top of the page 

3. Click on File a Complaint 

4. Click on File a complaint Electronically Using Our Online Licensing System 

5. Read the General Disclaimer and check the box agreeing to the terms (located right above the green Continue Compliant box 

6. Click the Continue Complaint box 

7. Read through the complainant information and then decide if you would like to provide contact information. Select choice and press Continue Complaint. 

8. If you decide to enter your contact information – fill out the form and decide if you would like them to remember your contact information. If you choose to have them remember your information fill out the form and press Save and Close. Then press Continue. 

9. If your address is correct, press Continue Complaint 

10. Fill out the Complaint Details page. If you have a photo or other supporting document, upload it to the page. If you attach a photo or document you must press the save button. Once attached, press Continue Complaint 

11. Review details to ensure accuracy and press continue complaint. 

12. Take a photo of the final screen showing that your complaint has been submitted.

E-Cig Clouds Aren't 'Vapour', Scientists Warn. That Word Just Makes Them Sound Safer

Emissions from e-cigarettes are not harmless and calling them vapour is purposefully misleading, scientists argue. While the puffs from e-cigs aren't exactly smoke, the term 'vapour' often brings to mind an innocuous cloud of water. As such, public health experts argue 'aerosol' is a more accurate description, as e-cigarette clouds have been shown to contain harmful chemicals that may hang in the air and settle on nearby surfaces.

To view article click here.

Cannabis-Induced ‘Scromiting’ Syndrome Shouldn’t Be a Mystery

Scromiting” is the popular name for cannabis hyperemesis syndrome, or CHS. A recent article in the Washington Post’s popular medical mysteries series highlighted the case of a woman’s uncontrolled vomiting.The article chronicled the effects of cannabinoid hyperemesis and the challenge patients and doctors face when attempting to make an accurate diagnosis. Yet the syndrome should not be a mystery. In fact, it is a daily diagnosis here in San Diego. Ask any emergency room physician or nurse.

To view full article click here.