Here are what the editors at HealthDay consider to be the most important developments in Pulmonology for September 2019. This roundup includes the latest research news from journal articles, as well as the FDA approvals and regulatory changes that are the most likely to affect clinical practice.

Washington State Bans Sale of Flavored Electronic Cigarettes

MONDAY, Sept. 30, 2019 (HealthDay News) — Washington has become the fourth state to ban flavored vaping products, joining Michigan, New York, and Rhode Island, CBS News reports.

CBS News Article

CDC Says People Can Contract Tuberculosis From Deer

MONDAY, Sept. 30, 2019 (HealthDay News) — According to the U.S. Centers for Disease Control and Prevention, humans can contract a rare type of tuberculosis, called bovine tuberculosis, from deer.

CNN Article
More Information: CDC

CDC: THC May Be to Blame for Most Vaping-Related Illnesses

FRIDAY, Sept. 27, 2019 (HealthDay News) — Products containing the marijuana chemical tetrahydrocannabinol (THC) appear to be a main driver behind the hundreds of U.S. cases of serious respiratory illness related to vaping, health officials announced Friday.

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Cases of Legionnaires’ Disease Tied to NC State Fair Rise to 25

FRIDAY, Sept. 27, 2019 (HealthDay News) — The number of cases of Legionnaires’ disease tied to the North Carolina Mountain State fair has risen to 25, with one death, according to the state division of public health.

CNN Article
More Information: CDC

ASCO: More Than One in Five Millennials Use E-Cigarettes

FRIDAY, Sept. 27, 2019 (HealthDay News) — One in eight U.S. adults report using electronic cigarettes regularly, according to the American Society of Clinical Oncology’s 2019 Cancer Opinions Survey.

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More Than 800 Cases of Vaping-Linked Illness Reported in 46 States

THURSDAY, Sept. 26, 2019 (HealthDay News) — The number of confirmed or suspected severe lung illnesses linked to vaping has now climbed to 805 cases across 46 states and the Virgin Islands, U.S. health officials reported Thursday.

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Average Annual Premium for Workers Increased in 2019

THURSDAY, Sept. 26, 2019 (HealthDay News) — In 2019, the average annual health insurance premium for workers increased slightly for single coverage and family coverage, according to a report published online Sept. 25 in Health Affairs.

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Deep Learning Models Classify Disease From Medical Imaging

THURSDAY, Sept. 26, 2019 (HealthDay News) — Early evidence suggests that diagnostic performance of deep learning models is equivalent to that of health care professionals for interpreting medical imaging, according to a study published online Sept. 25 in The Lancet Digital Health.

Abstract/Full Text
Editorial

E-Cigarette Maker Juul Stops All Advertising, Replaces CEO

WEDNESDAY, Sept. 25, 2019 (HealthDay News) — Amid a national outbreak of vaping-linked illnesses and deaths, vape device maker Juul Labs said Wednesday it is stopping all print, digital, and television advertising, and its CEO, Kevin Burns, is stepping down.

AP News Article

Step-Up Strategy May Differ in Black Children With Asthma

WEDNESDAY, Sept. 25, 2019 (HealthDay News) — In contrast to findings in black adolescents and adults, almost half of black children with poorly controlled asthma have a superior response to an increased dose of an inhaled glucocorticoid and almost half have a superior response to the addition of a long-acting beta-agonist (LABA), according to a study published in the Sept. 26 issue of the New England Journal of Medicine.

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Risk for Developing Idiopathic Pulmonary Fibrosis Up in IBD

WEDNESDAY, Sept. 25, 2019 (HealthDay News) — Patients with inflammatory bowel disease (IBD), especially male patients, have an increased risk for development of idiopathic pulmonary fibrosis (IPF), according to a study published online Aug. 16 in the Journal of Gastroenterology and Hepatology.

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Teens Not Receiving Evidence-Based Treatment Options to Quit Smoking

WEDNESDAY, Sept. 25, 2019 (HealthDay News) — Use of evidence-based treatment for nicotine use disorder (NUD) is extremely limited among adolescents and young adults with Medicaid coverage, according to a research letter published online Sept. 23 in JAMA Pediatrics.

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Racial/Ethnic Disparities in Mortality Persist in the U.S.

WEDNESDAY, Sept. 25, 2019 (HealthDay News) — There are still racial and ethnic disparities in mortality, and these disparities are widening for some age groups, according to a study published online Sept. 24 in the American Journal of Preventive Medicine.

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Vaping-Related Death in Kansas Brings National Total to Nine

TUESDAY, Sept. 24, 2019 (HealthDay News) — A 50-year-old man has become the second patient in Kansas to die from lung damage tied to electronic cigarette use. That brings the national total of deaths from this illness to nine, CNN reported.

CNN Article
More Information: CDC

Percentage of Women in Internal Med Residencies Increasing

TUESDAY, Sept. 24, 2019 (HealthDay News) — From 1999 to 2016, the percentage of women in internal medicine residencies increased, but the percentage in subspecialty fellowships decreased, according to a research letter published online Sept. 23 in JAMA Internal Medicine.

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E-Cig Use Up in Young Adults, Stable or Down in Older Adults

TUESDAY, Sept. 24, 2019 (HealthDay News) — From 2014 to 2018, current and daily electronic cigarette use increased among U.S. young adults but declined or remained stable in older age groups, according to a research letter published online Sept. 16 in the Journal of the American Medical Association.

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Protected Health Info Breaches Compromise Sensitive Data

MONDAY, Sept. 23, 2019 (HealthDay News) — Most protected health information (PHI) breaches compromise sensitive demographic and/or financial information, according to a research letter published online Sept. 23 in the Annals of Internal Medicine.

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Polysomnographic Thresholds of Limited Use in Pediatric OSA

MONDAY, Sept. 23, 2019 (HealthDay News) — Polysomnographic resolution of obstructive sleep apnea (OSA) and changes in polysomnographic severity of OSA in children account for a small but significant proportion of changes in symptoms and disease-specific quality of life, according to a study published online Sept. 18 in Pediatrics.

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Timely Palliative Care After Lung Cancer Diagnosis May Up Survival

MONDAY, Sept. 23, 2019 (HealthDay News) — For patients with advanced lung cancer, palliative care is associated with increased survival when it is received 31 to 365 days after cancer diagnosis, according to a study published online Sept. 19 in JAMA Oncology.

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Editorial (subscription or payment may be required)

Rate of Vaping Has Doubled Since 2017 Among U.S. Adolescents

MONDAY, Sept. 23, 2019 (HealthDay News) — Vaping is increasing among adolescents, with significant increases seen from 2018 to 2019, according to a research letter published online Sept. 18 in the New England Journal of Medicine.

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Vaping-Linked Lung Illness Claims Eighth Life

FRIDAY, Sept. 20, 2019 (HealthDay News) — A Missouri man in his 40s is the eighth person in the United States to die from complications of a lung injury tied to using electronic cigarettes, the Missouri Department of Health and Senior Services reported.

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Marijuana Use Common Among Adults With Medical Conditions

FRIDAY, Sept. 20, 2019 (HealthDay News) — Marijuana use is common among adults with medical conditions, especially younger people, according to a study published online Sept. 20 in JAMA Network Open.

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CDC: Asthma Visit Rates Decreased From 2001 to 2016

FRIDAY, Sept. 20, 2019 (HealthDay News) — Asthma is a common reason for physician visits, although the rate of asthma visits decreased from 2001 through 2016, according to a report published Sept. 20 by the U.S. Centers for Disease Control and Prevention National Center for Health Statistics.

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CDC: Cases of Vaping-Linked Lung Illness Rise to 530 Across 38 States

THURSDAY, Sept. 19, 2019 (HealthDay News) — The number of confirmed or suspected severe lung illnesses linked to vaping has risen to 530 cases across 38 states and the Virgin Islands, U.S. health officials reported Thursday.

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Skipping Cancer Referral Appointments Linked to Earlier Death

THURSDAY, Sept. 19, 2019 (HealthDay News) — Cancer diagnosis is less likely in patients not attending referral appointments for suspected cancer, but these patients have worse early mortality outcomes than attending patients, according to a study published online Sept. 11 in Cancer Epidemiology.

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Medical Students Not Ready to Provide Nutritional Care

THURSDAY, Sept. 19, 2019 (HealthDay News) — Medical education does not equip students to provide high-quality, effective nutrition care, according to a review published in the September issue of The Lancet Planetary Health.

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Editorial

New York State Institutes Ban on Flavored E-Cigarettes

WEDNESDAY, Sept. 18, 2019 (HealthDay News) — Using his executive powers, New York Governor Andrew Cuomo is banning flavored electronic cigarettes in the state.

AP News Article

12.6 Million in U.S. Could Benefit From Tx to Prevent Active TB

WEDNESDAY, Sept. 18, 2019 (HealthDay News) — An estimated 12.6 million persons in the United States could benefit from treatment to prevent active tuberculosis (TB), according to a report published in the October issue of Emerging Infectious Diseases, a publication of the U.S. Centers for Disease Control and Prevention.

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Electronic Nose Analysis May Predict Response to Anti-PD-1 Therapy in NSCLC

WEDNESDAY, Sept. 18, 2019 (HealthDay News) — For patients with non-small cell lung cancer (NSCLC), responders and nonresponders can be differentiated by a metal oxide semiconductor electronic nose (eNose) analysis of exhaled breath before starting antiprogrammed death ligand 1 (anti-PD-1) therapy, according to a study published online Sept. 17 in the Annals of Oncology.

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Nonphysician Providers Rarely Interpret Diagnostic Images

WEDNESDAY, Sept. 18, 2019 (HealthDay News) — Despite increasing roles of nonphysician providers (NPPs) in health care (nurse practitioners and physician assistants), they still rarely interpret diagnostic imaging studies, according to a study published online Sept. 11 in the American Journal of Roentgenology.

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Vaping-Linked Lung Illness Claims Seventh Victim

TUESDAY, Sept. 17, 2019 (HealthDay News) — A 40-year-old California man is the seventh person to die from a severe respiratory illness brought on by using electronic cigarettes.

Tulare County Health & Human Services Agency
Kansas Department of Health and Environment
More Information: CDC

Pulegone Levels in Mint, Menthol E-Cigarettes May Be Unsafe

TUESDAY, Sept. 17, 2019 (HealthDay News) — Users of mint- and menthol-flavored electronic cigarettes and smokeless tobacco are exposed to pulegone levels higher than what the U.S. Food and Drug Administration considers acceptable for intake of synthetic pulegone in food, according to a research letter published online Sept. 16 in JAMA Internal Medicine.

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New York State to Ban Flavored E-Cigarettes

MONDAY, Sept. 16, 2019 (HealthDay News) — Using his executive powers, New York Governor Andrew Cuomo has ordered a ban on most flavored electronic cigarettes in the state.

CNN Article

CDC Revises Number of Vaping-Linked Lung Illnesses to 380

FRIDAY, Sept. 13, 2019 (HealthDay News) — U.S. health officials have revised downward the number of cases of severe lung injury linked to vaping, from more than 450 cases cited last week to the total of 380 cases announced late Thursday.

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Prevalence of Apnea High in Individuals With Resistant HTN

FRIDAY, Sept. 13, 2019 (HealthDay News) — Individuals with resistant hypertension (RH) have a high prevalence of obstructive sleep apnea (OSA), with a dose-response association observed between the severity of OSA and blood pressure (BP) values, according to a study published online Sept. 13 in the Annals of the American Thoracic Society.

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Cancer Survival Increasing in High-Income Countries

THURSDAY, Sept. 12, 2019 (HealthDay News) — Cancer survival is continuing to increase across high-income countries, although there are international disparities, according to a study published online Sept. 11 in The Lancet Oncology.

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Allergy Immunotherapy May Decrease Asthma Progression

THURSDAY, Sept. 12, 2019 (HealthDay News) — Allergy immunotherapy (AIT) is associated with a decreased risk for asthma progression, particularly in younger patients, according to a study published online Aug. 13 in Allergy.

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EPA to Phase Out Chemical Testing on Mammals

WEDNESDAY, Sept. 11, 2019 (HealthDay News) — The eventual elimination of chemical testing on mammals was announced Tuesday by the U.S. Environmental Protection Agency.

The New York Times Article
More Information: EPA

President Pushing for Nationwide Ban on Flavored E-Cigarettes

WEDNESDAY, Sept. 11, 2019 (HealthDay News) — As concern grows over hundreds of lung illnesses tied to vaping, the Trump administration on Wednesday said it would move to ban flavored versions of electronic cigarettes.

The New York Times Article

Users of Flavored E-Cigarettes Report Greater Satisfaction

WEDNESDAY, Sept. 11, 2019 (HealthDay News) — Use of flavored electronic cigarettes is associated with greater satisfaction and self-perceived addiction than use of nonflavored e-cigarettes, according to a study scheduled to be published in the December print issue of Addictive Behaviors.

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Spending Up With Treatment in Hospital-Owned Practices

WEDNESDAY, Sept. 11, 2019 (HealthDay News) — Financial integration between physicians and hospitals raises patient spending but does not impact care quality, according to a study published online Sept. 3 in the Journal of General Internal Medicine.

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Poverty Rate Drops, but Fewer Americans Have Health Insurance

TUESDAY, Sept. 10, 2019 (HealthDay News) — The percentage of Americans living in poverty declined in 2018, but the rate of those without health insurance increased, according to a U.S. Census Bureau report.

The New York Times Article
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AMA: Do Not Use Electronic Cigarettes

TUESDAY, Sept. 10, 2019 (HealthDay News) — Americans should not use electronic cigarettes while health officials investigate cases of severe lung illness that may be linked to the devices, according to a statement issued by Patrice A. Harris, M.D., president of the American Medical Association.

AMA Statement
NBC News Article

FDA Warns Juul About Illegal Marketing Claims, Pitch to Youth

MONDAY, Sept. 9, 2019 (HealthDay News) — A warning letter has been sent to Juul Labs Inc. about illegal claims that its electronic cigarettes are safer than tobacco cigarettes, including statements made in a presentation to students, the U.S. Food and Drug Administration says.

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Studies Look at E-Cigarette Use Linked to Pulmonary Illness

MONDAY, Sept. 9, 2019 (HealthDay News) — Electronic cigarette use has been associated with severe pulmonary illness, according to three studies published online Sept. 6 in the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report and the New England Journal of Medicine.

Abstract/Full Text – Schier
Abstract/Full Text – Davidson
Abstract/Full Text – Layden
Editorial

Model Estimates Effect of Probiotics on Costs for Flu-Like Illnesses

MONDAY, Sept. 9, 2019 (HealthDay News) — Probiotics could reduce the health care and economic burden of flu-like respiratory tract infections (RTIs), according to a study published online Aug. 28 in Frontiers in Pharmacology.

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World Trade Center Site Exposure Linked to Lasting CVD Risk

FRIDAY, Sept. 6, 2019 (HealthDay News) — Greater exposure to the World Trade Center (WTC) site is associated with increased long-term cardiovascular disease (CVD) risk, according to a study published online Sept. 6 in JAMA Network Open.

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ATS Guideline Outlines Lab Tests for Diagnosis of Fungal Infections

FRIDAY, Sept. 6, 2019 (HealthDay News) — Rapid and accurate diagnosis of fungal infections relies on appropriate use of diagnostic testing, according to the official American Thoracic Society clinical practice guideline published in the Sept. 1 issue of the American Journal of Respiratory and Critical Care Medicine.

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Racial, Ethnic Underrepresentation Found in Med School Matriculants

FRIDAY, Sept. 6, 2019 (HealthDay News) — Among medical school matriculants, black, Hispanic, and American Indian or Alaska Native (AIAN) students are underrepresented, according to a study published online Sept. 4 in JAMA Network Open.

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Editorial

Majority of U.S. Doctors Believe ACA Has Improved Access to Care

THURSDAY, Sept. 5, 2019 (HealthDay News) — Sixty percent of U.S. physicians believe that the Affordable Care Act (ACA) has improved access to care and insurance after five years of implementation, according to a report published in the September issue of Health Affairs.

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Health Officials Close in on Culprit in Vaping Lung Injury Cases

THURSDAY, Sept. 5, 2019 (HealthDay News) — Lab tests have found a chemical derived from vitamin E in samples of vaping products that have sickened people in 25 states.

The Washington Post Article

Underused Drug Combo May Up Survival in Lung Transplant

THURSDAY, Sept. 5, 2019 (HealthDay News) — A little used immunosuppression regimen may substantially improve survival following lung transplant, according to a study published online Aug. 28 in JAMA Network Open.

Abstract/Full Text

Postictal Serotonin Levels Associated With Periictal Apnea

WEDNESDAY, Sept. 4, 2019 (HealthDay News) — Seizure-related increases in serum serotonin (5-HT) levels are associated with a reduced incidence of seizure-related breathing dysfunction, according to a study published online Sept. 4 in Neurology.

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Second Possible Death Reported in U.S. From Vaping-Related Lung Illness

WEDNESDAY, Sept. 4, 2019 (HealthDay News) — A second death in the United States from severe respiratory illness possibly associated with vaping is being investigated by health officials.

CNN Article
The Washington Post Article

Higher Risk for Noncommunicable Diseases Seen in Cerebral Palsy

TUESDAY, Sept. 3, 2019 (HealthDay News) — Adults with cerebral palsy (CP) have an increased risk for noncommunicable disease, particularly cardiovascular and respiratory disease, according to a study published online Aug. 28 in Neurology.

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Pediatric Flu Vaccine Guidelines Updated for 2019-20 Season

TUESDAY, Sept. 3, 2019 (HealthDay News) — In a policy statement published online Sept. 2 in Pediatrics, updated recommendations are presented regarding influenza vaccines for children, with no preference for any one product or formulation over another.

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