Injuries and poisonings associated with e-cigarettes and vaping substances, electronic Canadian Hospitals Injury Reporting and Prevention Program, 2011-2019

Health Promot Chronic Dis Prev Can. 2020 Aug;40(7-8):250-254. doi: 10.24095/hpcdp.40.7/8.05.
[Article in English, French]

Abstract

Electronic cigarettes are devices that deliver nicotine to the user by heating an e-liquid. In Canada, the Tobacco and Vaping Products Act became law on May 23, 2018. The purpose of this study was to describe the cases of injuries and poisonings associated with e-cigarette and vaping substances that presented to Canadian emergency departments within the electronic Canadian Hospitals Injury Reporting and Prevention Program network between 2011 and 2019. A total of 68 cases were retrieved (54.4% males). Of the 68 cases, 8 occurred between 2011 and 2014, while 35 (51.5%) occurred in 2018 or 2019. Ingestions, inhalations and burns were observed.

La cigarette électronique est un dispositif qui, lorsque le liquide à vapoter qu’il contient est chauffé, relâche de la nicotine dans l’organisme de l’utilisateur. Au Canada, la Loi sur le tabac et les produits de vapotage a été adoptée le 23 mai 2018. L’étude dont on rend compte dans cet article avait pour but de décrire les cas de traumatismes et d’intoxications associés à la cigarette électronique et aux substances de vapotage des personnes qui se sont présentées dans un service des urgences du Canada entre 2011 et 2019, cas enregistrés dans la base de données électronique du Système canadien hospitalier d’information et de recherche en prévention des traumatismes (eSCHIRPT). On a extrait au total 68 cas (dont 54,4 % de sexe masculin). Parmi eux, 8 pour la période 2011 à 2014 et 35 (51,5 %) en 2018 et 2019. On a relevé des ingestions, des inhalations et des brûlures.

Keywords: eCHIRPP; electronic cigarette; injury; surveillance; vaping.

Plain Language Summary

Of 68 cases of injury or poisoning due to e-cigarette use or vaping between 2011 and 2019, 54.4% involved males. Of the 68 cases, 8 occurred between 2011 and 2014 while 35 (51.5%) occurred in 2018 or 2019. The annual percent change (APC) was 50.7% (95% CI: 15.9–96.1). Children under 5 years of age who either ingested the e-juice or vaping liquid or inhaled from the device accounted for 52.9% of incidents. In two cases, the device’s battery exploded in the pocket of an adult male, causing a burn to the thigh. There were 3 traumatic brain injuries as a result of a fall subsequent to vaping.

MeSH terms

  • Adolescent
  • Adult
  • Canada
  • Child
  • Child, Preschool
  • Electronic Nicotine Delivery Systems*
  • Emergency Service, Hospital / statistics & numerical data
  • Female
  • Humans
  • Infant
  • Male
  • Middle Aged
  • Poisoning / epidemiology*
  • Vaping / adverse effects*
  • Wounds and Injuries / epidemiology*
  • Young Adult