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By Felicia Gans
GLOBE STAFF
The majority of the vaping-
related illnesses in Massachu-
setts remain tied to marijuana,
but state health officials said
Wednesday that they still can’t
say whether the vapes making
people sick are from regulated
stores or the illicit market.
“We don’t have all of those
details yet, because as the inves-
tigation is ongoing, that’s one of
the questions we hope to be
able to better explain, and we’ll
bring that back to you when we
have that,” Dr. Monica Bharel,
the state’s public health com-
missioner, told reporters
Wednesday.
Bharel said researchers have
been performing “investigatory
work” that includes interview-
ing patients and reviewing their
records.
Federal authorities, mean-
while, said Wednesday that
most of the mysterious illnesses
nationwide linked to vaping
THC, the psychoactive com-
pound of marijuana, have been
traced to the illicit market.
“For the lung injury out-
break, while the vast majority
reportusingTHC-containing
pre-filled cartridges, they re-
port getting them from infor-
mal sources or off the street,
not necessarily from licensed
dispensaries,” Anne Schuchat,
of the Centers for Disease Con-
trol and Prevention, told a
House subcommittee.
Massachusetts officials have
reported 29 cases of vaping-re-
lated illnesses to the CDC, and
20 of the cases have involved
patients who vaped THC. Thir-
teen of those 20 patients said
they used marijuana vaporizers
only. The other seven reported
using marijuana and nicotine
vaporizers.
Of the 29 cases, 10 are con-
firmed and 19 are probable.
The state has received 123 oth-

er reports of vaping-related ill-

nesses since Sept. 11. Sixty have

been ruled out as confirmed or

probable vaping-related illness-

es. Even in the cases that were

ruled out, Bharel said, the pa-

tients were “still having some

symptoms related to using the

products.”

Some of the cases may have

occurred before Sept. 11, when

Bharel mandated that clini-

cians report suspected vaping

illnesses to the state.

State investigators are using

the CDC’s definition of “proba-

ble” and “confirmed” cases, em-

ploying chest X-rays, the pa-

tient’s symptoms, and the pa-

tient’s reported vaping behavior

to determine whether vaping

was a likely cause.

One person has died in Mas-

sachusetts from a vaping-relat-

ed illness: a Hampshire County

woman in her 60s. When offi-

cials announced her death in

early October, they said initial

reports indicated she had vaped

nicotine. Across the country, at

least 31 vaping-related deaths

have been reported by state offi-

cials, 26 of which have been

confirmed by the CDC.

In Massachusetts, vaping-re-

lated illnesses have affected

people of all ages. Of the cases

reported to the CDC, nine were

under age 20, seven from 20 to

29, seven from 30 to 49, and six

50 or older.

Governor Charlie Baker last

month instituted a four-month

ban on the sale of vaping prod-

ucts. Bharel said the ban is “ab-

solutely” still the right move.

“Right now, we do not know

what is causing this,” Bharel

said. “And the ban allows us a

pause, so we can do these inves-

tigations and further under-

stand and put in regulatory

framework to protect all of us,

and especially our youth.”

Felicia Gans can be reached at

[email protected].

MostvapingillnessesinMass.remaintiedtomarijuana

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