toxics Article Analysis of Cannabinoid-Containing Fluids in Illicit Vaping Cartridges Recovered from Pulmonary Injury Patients: Identification of Vitamin E Acetate as a Major Diluent Bryan Duffy 1, Lingyun Li 1, Shijun Lu 1,2, Lorie Durocher 1, Mark Dittmar 1, Emily Delaney-Baldwin 1, Deepika Panawennage 1, David LeMaster 3, Kristen Navarette 4,5 and David Spink 1,2,* 1 Laboratory of Organic Analytical Chemistry, Wadsworth Center, New York State Department of Health, Albany, NY 12201, USA; bryan.duff
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[email protected] (D.P.) 2 Department of Environmental Health Sciences, School of Public Health, University at Albany, State University of New York, Rensselaer, NY 12144, USA 3 Laboratory of Molecular Diagnostics, Wadsworth Center, New York State Department of Health, Albany, NY 12201, USA;
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[email protected]; Tel.: +1-518-486-2530 Received: 3 December 2019; Accepted: 17 December 2019; Published: 24 January 2020 Abstract: Beginning in June of 2019, there was a marked increase in reported cases of serious pulmonary injury associated with vaping. The condition, referred to as e-cigarette or vaping product use-associated lung injury (EVALI), does not appear to involve an infectious agent; rather, a chemical adulterant or contaminant in vaping fluids is suspected.