Since the first reports of a mysterious lung illness surfaced in August, the latest numbers from the Centers for Disease Control and Prevention are 530 cases, including six in Colorado. Seven deaths have also been associated with this condition, known as a 鈥渧aping related pulmonary injury.鈥�
Researchers still don鈥檛 understand what鈥檚 causing it, just that the patients in question all have a history of using e-cigarettes or vape pens. And while these devices can be used for tobacco, the CDC says most cases of lung illness have reported vaping a marijuana product.
At his lab in Denver, Wonderleaf co-founder Kelby Cross pops the lid off a set of jars, each filled with an opaque, amber syrup. Wearing a pair of black latex gloves, he pulls the golden goo with a metal probe.
鈥淎t room temperature a high-quality oil like this will flow like warm honey,鈥� he said.
Wonderleaf specializes in marijuana concentrate, the stuff inside a vape cartridge, i.e. the small plastic tube that fits into a vape pen. The stuff Cross is showing off looks like honey but smells like a citrusy IPA (turns out pot and hops are ). It has the same flavor as marijauna flower, but it鈥檚 easier to inhale and produces less odor than smoking. That鈥檚 in part why this past year, marijuana vape products were one of the hottest items on the Colorado market. And Cross says Wonderleaf has found a niche: a concentrate that has nothing extra in it.
鈥淭here is no cut, no filler, no non-cannabinoid containing oils that we ever use,鈥� he said.
Cross uses CO2 extraction to separate the marijuana compounds, like THC and cannabinoids, from the organic plant material. A similar process is used to remove caffeine from coffee. In the simplest of terms, liquid CO2 is washed over the marijuana plant in a special machine, and then the CO2 is converted back to gas, breaking down the plant and separating out the marijuana concentrate (here鈥檚 ato learn more about the process).
Cross says CO2 extraction can take more time and the equipment requires upfront costs. He says other manufacturers might opt for a quicker route, like distilling marijuana with ethanol, which creates a THC concentrate. But that has to be mixed with a thickening agent 鈥� typically oils like vegetable glycerin or propylene glycol.
鈥淚t takes a lower quality product and makes it look better for longer,鈥� Cross says.
At Wonderleaf, Cross said they have a strict policy of 鈥渘o additives ever鈥� because there鈥檚 not enough research on the effects of these ingredients once inhaled. And while the CDC has not identified any one ingredient responsible for the illnesses, these additives are being closely examined 鈥� they鈥檙e commonly found in both tobacco and marijauna vape products.
To be clear, federal and state investigations still have a lot to pin down. The CDC doesn鈥檛 even know if this is a new outbreak of a disease or if we鈥檝e just started to detect it, and it鈥檚 been around essentially since vapes hit the U.S. market in the mid-2000s.
Many experts point to the general lack of research and oversight when it comes to vaping. The Food and Drug Administration has postponed regulating many tobacco vape products until 2021.
In Colorado, the Marijuana Enforcement Division says that while they regulate how the marijuana concentrate is made, their rules don鈥檛 apply to vaping products
That鈥檚 led many in the marijuana industry to call for legalization at the federal level. This would allow federal research and oversight on all marijauna products says, Morgan Fox with the National Cannabis Industry Association.
鈥淔ederal prohibition obstructs research,鈥� Fox said. 鈥淚t prevents the FDA and similar federal agencies from researching and developing safety protocols and guidelines for cannabis and cannabis products.鈥�
Guidelines that he says manufacturers welcome. In fact, legalization would replace the illegal marijuana market in many states, where some of the affected patients reportedly bought their vape products.
Many in the marijuana industry have been quick to place blame on illicit dealers, who operate with zero oversight and perhaps less regard for consumer safety. But Daniel Shodell, the medical director of disease control at the Colorado Department of Public Health and Environment, says it doesn鈥檛 matter where you buy your vape products 鈥� so little is known about the potential dangers.
鈥淚 don鈥檛 think the most important distinction is legal versus illegal,鈥� he said.
In fact Shodell, along with the CDC, suggests people discontinue vaping until more is understood. Meanwhile, he says one emerging theory has to do with lipids, for example those oils that are sometimes added in the vape liquid. Shodell says bringing oil into the lungs causes them to shut down.
鈥淭his is something that鈥檚 been known to science for a very long time,鈥� he said.
As investigations continue, manufacturers like Kelby Cross are waiting for more information. As soon as it鈥檚 determined what鈥檚 wrong, he says the industry is prepared to adapt.
鈥淭his all is very uncharted territory. The industry has to be very reactive, very nimble and so far we've demonstrated that we are,鈥� Cross said.
