biostudies-literatureUnknown19(1)Katchmar A<h4>Introduction</h4>In August 2019, an outbreak of "e-cigarette or vaping product use-associated lung injury" (EVALI) prompted many states and health organizations to warn against the use of electronic cigarettes, or e-cigarettes, due to the presumed link between e-cigarette use and the illness. However, it was later shown that vitamin E acetate, a component of some illicit vaporizable THC products, was the causative agent in this outbreak.<h4>Methods</h4>We conducted a series of cross-sectional surveys of the websites of all state departments of health to determine how they communicated the risk of e-cigarette use during and after the EVALI outbreak. We then paired this analysis with data from the 2016 through 2020 Behavioral Risk Factor Surveillance System to measure changes in cigarettHarm reduction journal112https://www.ebi.ac.uk/biostudies/studies/S-EPMC9535934biostudies-literatureAnalysis of state portrayals of the risks of e-cigarette use and the cause of the EVALI outbreak.PMC9535934Katchmar ASiegel MShafer PfalseAnalysis of state portrayals of the risks of e-cigarette use and the cause of the EVALI outbreak.<h4>Introduction</h4>In August 2019, an outbreak of "e-cigarette or vaping product use-associated lung injury" (EVALI) prompted many states and health organizations to warn against the use of electronic cigarettes, or e-cigarettes, due to the presumed link between e-cigarette use and the illness. However, it was later shown that vitamin E acetate, a component of some illicit vaporizable THC products, was the causative agent in this outbreak.<h4>Methods</h4>We conducted a series of cross-sectional surveys of the websites of all state departments of health to determine how they communicated the risk of e-cigarette use during and after the EVALI outbreak. We then paired this analysis with data from the 2016 through 2020 Behavioral Risk Factor Surveillance System to measure changes in cigarett2022-01-01T00:00:00Z2022 Oct2025-04-04T08:44:57.245Z2025-04-04T08:44:57.245ZS-EPMC95359343619911210.1186/s12954-022-00694-6