Found a patient “Ivari” in Thailand who smoked e-cigarettes about 4 pots/day.

Thailand found a 32-year-old patient Ivari who smoked about 4 pots of e-cigarettes a day, or up to 400 cigarettes a day He only smoked while charging the e-cigarette device and while he was asleep.

Dr. Chayanan Sitthibut, Director of the Tobacco Products Control Committee Department, Disease Control Department, Ministry of Public Health (MOPH), together with Dr. Pawnee Wongprasit. Specialist doctor at Buriram Hospital He attended a press conference about the discovery of a patient with pneumonia from vaping who was admitted to Buriram Hospital.

Dr. Pawini thanked the patients and their families for allowing him to publish their stories and treatment history this time. Because electronic cigarettes are still a problem in Thailand and many countries. This patient is a 32-year-old male.

The doctor then inserted a breathing tube, but the results of the x-ray film found a white coating on the lung area. And the X-ray film changes quickly, causing the signs to go down quickly within 24-36 hours, which is not usually found often. The doctor then tested for viral and bacterial infections, including tuberculosis such as COVID-19, influenza, or RSV, etc. The test results found no infection.

During the time the patient is in the hospital The symptoms are very urgent. Including the state of redness. This led doctors to suspect that it was due to nicotine deficiency. But at first the patient was admitted and could not speak. So the doctor could not take a detailed history.

But when the patient’s condition improves, the breathing tube can be removed. A retrospective historical study found that The patient has a history of smoking e-cigarettes, up to 400 cigarettes a day, or about 4 packs a day He only smokes while charging the e-cigarette device and while while he sleeps. From the patient’s history, the doctor diagnosed pneumonia from vaping or Evali The patient was treated in the hospital for 28 days.

which is as bad as pneumonia It was found to be caused by hemp oil in e-cigarettes. But it has been found that hemp oil at 10-20 percent as a component in cigarettes also does not cause serious pneumonia. There is still no clear conclusion as to what type of liquid caused this. But it is definitely caused by e-cigarettes.

Department of Disease Control Change the surveillance system for pneumonia from electronic cigarette smoking. In September of last year, doctors are asked to take a history of e-cigarette smoking in patients suspected of having pneumonia. and report the results to the Provincial Public Health Office To record information in the monitoring system To provide information for setting policy guidelines for controlling cigarettes and e-cigarettes in Thailand.

Currently, Thailand still prohibits the importation and sale of electronic cigarettes. However, for a clear policy to control e-cigarettes, it is 1. Create youth leaders and 2. Establish management points that will be models in all provinces, such as comprehensive clinics to stop smoking. Support smoking cessation medication for patients

Dr Chayanan said that the first reported cases of Ivory disease were found in Thailand in 2019, after which the disease surveillance system focused more on COVID-19, leading to cases of it was reported But there was no official report. Now the Department of Disease Control has changed the new inspection system. This makes this patient the first of 2024, which was stressed to all hospitals. Describe the patient in detail. I believe that after this more and more cases will be reported.

For the conversation about bringing up the ghosts of Ivary To prevent the market for the sale of e-cigarettes, Dr. Chayanan said that there are criteria for judgment according to international standards in this case. by the United States Department of Disease Control A cause of lung infection was ruled out. along with a history of electronic cigarette use and a look at the issue of rapidly changing indications

Although Dr. Pawini said that in patients with Ivory disease there will be pneumonia that is different from general infections. Like this patient There were chest x-ray results that changed so quickly within 10 hours In many infectious diseases, the symptoms change so quickly.

“The art of young pneumonia If you don’t come to see a doctor or if you get in on time It will kill the patient. Then there will be a case of death from pneumonia with no known cause. For example, this patient, if he went to the doctor and was sent home, it was believed that the patient would die within the same day. Therefore, it is important to take a thorough patient history. To know that electronic cigarettes are being used,” said Dr. Pawini.

Symptoms of severe pneumonia from e-cigarettes or EVALI Abbreviation for the product of E-cigarettes or Vaping using Associated Lung Injury, Most patients with EVALI, 95 percent, have symptoms of fever, chills, cough, difficulty breathing and body aches. Like a viral or bacterial infection But it was found that 77 percent of the patients had gastrointestinal symptoms such as nausea, vomiting, and diarrhea.

If you see an electronic cigarette seller, you can call the Office of Consumer Protection Board (OCPB) hotline 1166, the Royal Thai Police 1599 and the Disease Control Department hotline 1422.