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Emergency Rule: Vaping-Associated Lung Injury (VALI)

Emergency Rule: Reporting of Vaping-Associated Lung Injury (VALI)


In response to the Governor's Executive Order 19-09, effective October 9, 2019, the Oregon Health Authority has set forth an emergency rule to mandate reporting of hospitalization or death due to vaping-associated lung injury (VALI). A national outbreak of VALI was recently identified by the Centers for Disease Control and Prevention (CDC) with 1,080 cases, including 18 fatal cases reported from 48 states and one U.S. territory as of October 8. We appreciate your reporting anyone who dies or is hospitalized with VALI. It helps us to systematically identify those affected by the condition so that we can investigate potential sources of injury, assess risk to the public, and recommend appropriate preventive action.

Clinicians must report within one working day any patient who has been hospitalized or who died from radiographically or histologically demonstrated lung injury following a history of e-cigarette use or vaping in the preceding 90 days.

Reports may be made to the local public health authority; or to the Oregon Health Authority (phone 971-673-1111; fax 971-673-1100; or online).

Online Reporting Form Oregon Investigation

For more details, see the documents below:

If you would prefer a hardcopy to be sent, please send an email to

This page will be updated during rulemaking. See current reporting rules.

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