All of this white cloudiness means there's a lot of inflammation in his lungs, and that's making it hard for him to breathe.

這些大片雲霧狀代表他的肺部有大面積發炎，這讓他難以呼吸。

So, what's making his lungs go from this to this?

所以，是什麼讓他的肺從如此變成這樣？

This patient is one in an exploding pattern of vaping-related lung illnesses.

近期因電子菸導致肺病的人數爆炸性成長，而他只是其中一個。

The exact cause of the illnesses is still unknown.

此病真正病因依然未解。

We asked Dr. Melodi Pirzada at NYU Winthrop Hospital about treating patients affected by this growing outbreak, including the patient with the inflamed lungs.

我們請教了紐約大學溫斯洛普醫院的 Melodi Pirzada 醫生關於最近這肺病的爆發狀況，包含那些有肺炎症狀的人。

This is a 18-year old.

這名病患十八歲。

At first, she didn't connect his condition to vaping.

一開始，醫生並沒有把病患的症狀連結到電子菸。

Given the fact that this is so new, how were you able to figure it out?

既然這現象這麼新，妳是如何發現的？

We were lucky to have the mom find the cartridge and bring it to us, and that's how we correlated vaping to his condition.

幸運地，一名母親找到煙彈，這就是我們把病症連結到電子煙的關鍵。

Many patients have reported vaping THC oils, which come packaged in cartridges like these.

許多病患都有吸食 THC 煙油，通常都裝在畫面裡那種煙彈。

These were given to Dr. Pirzada by her patient's family.

這些是 Pirzada 醫生的病患家屬給她的。

Do you know where the patients are getting the cartridges to begin with?

你知道病患都是從哪裡取得電子菸的嗎？

They all say that their friend gave me, or, "I was at a party and I just got my hands on it."

他們都說「我朋友給我的」或「我當時在派對上，然後就有人給我」。

We don't know where they are getting.

所以我們不知道他們從哪裡拿到的。

This cartridge tested positive for vitamin E acetate, a cutting agent some health officials suspect is behind many of the vaping-related lung illnesses.

這種電子煙含有維他命 E 油，一種衛生官員懷疑與電子菸引起的肺疾病相關的化學斷鏈劑。

TKO Products, a legal manufacturer of THC vapes in California, has learned that counterfeits like this one exist all over the country.

TKO Products 是加州一家可合法製造 THC 電子菸的廠商，它們表示假電子菸已在全美橫行。

According to TKO, even the counterfeits are being knocked off on Chinese sites and sold in the US.

據 TKO 表示，連仿冒品都被中國再次仿冒，然後再銷往美國。

Someone buying a TKO fake won't know if it was made by the same people as the last one they bought.

買 TKO 假貨的人不會知道他這次買的電子菸是不是同一批人製作的。

Our reporting shows that even in states where cannabis is fully legal, the black market is proving more resilient than expected.

報告顯示就算在大麻完全合法的州，黑市還是比預期猖獗許多。

Dr. Brian Strasnick's lab tests thousands of cannabis-containing products, including vaping oils, for substances like pesticides and bacteria before these can be sold legally in Massachusetts.

Brian Strasnick 博士的實驗室會檢測數千種含大麻的產品，如電子煙油，看其中是否含有殺蟲劑與細菌等，之後這些產品才能合法地在麻州上市。

Right now, there's a lot of interest in testing because of the current string of illnesses that have been related to vaping.

因近期一連串與電子菸相關的病症出現，有許多人對於相關的試驗感到興趣。

Can you talk a little bit about your tests in that context?

能說說相關的試驗嗎？

There's no mandate for testing once the material is already in the cartridges, so we don't know what's in the cartridges, and I don't think anybody really does.

當東西已經在煙彈裡，我們就不會去檢測它，所以我們不能確切知道煙彈裡到底有什麼，我想沒人真的知道。

Health officials are warning consumers against buying products off the street.

衛生官員警告消費者不要在街上亂買電子菸。

But according to our reporting, there's also a booming market for fakes online, on Amazon, Facebook, Instagram, and even LinkedIn.

但根據我們的報導，線上市場如 Amazon、Facebook、Instagram 甚至 LinkedIn 的假貨現象都越來越嚴重。

Why would people wanna cut a THC oil with vitamin E acetate?

為什麼人們會想用維他命Ｅ油取代 THC 菸油？

I think one of the reasons is that the consumers are under this impression that the thicker it is, the more concentrated and the more potent, which is scientifically invalid.

我想其中一個原因是，消費者傾向於認為電子菸濃度、濃縮度越高，強度就會越強，但這是沒有化學證實的。

Vitamin E acetate or propylene glycol is a thick, very viscous-type substance.

維他命Ｅ油或稱丙二醇是種濃的、黏性高的物質。

The consumer looks at it and says, "It's thick, there's a bubble there; it's gotta be more potent."

消費者看著它，說「看起來很濃，還有泡泡，吸起來效果一定很強。」

That's not the case.

但事實並非如此。

Propylene glycol and vitamin E acetate are common ingredients in products like cosmetics, processed foods, lotions, and dietary supplements.

丙二醇與維他命Ｅ油是化妝品、加工食品、乳液與營養劑中常見的物質。

But when inhaled, these substances may interfere with the way our lungs work, even resulting in death.

但當吸入這些物質，它們可能會妨礙我們的肺部運作，有時可能會導致死亡。

If they are going to continue vaping, they should really stop THC vaping ASAP.

如果他們要繼續抽電子菸，應該要停止使用 THC 煙油的電子菸。

I think it's irrational to think that people are gonna stop vaping.

認為人們會因此停止吸電子菸是不理性的。

My suggestion to people would be if you can stop, do stop.

我的建議是，如果能停止就停止。

If you haven't started, don't start.

如果還沒開始，別嘗試。

In the wake of the reported deaths, large retailers like Walmart have announced that they will stop selling all E-cigarettes, and policymakers like Governor Charlie Baker in Massachusetts have similarly responded by ordering a temporary ban on all vaping products in the most sweeping prohibition on E-cigarettes in the US.

因近期的死亡案例，大型量販店如沃爾瑪宣布停售電子菸，而官員們，如麻州市長 Charlie Baker 也下令暫時禁售電子菸，是全美最全面的禁電子菸行動。

I have a 20-year-old daughter.

我有個二十歲的女兒。

She said, "Of course, Mom, everybody is vaping."

她說：「媽，大家都在抽電子菸。」

When I said, "Why do you think that is?"

我問她：「妳認爲為什麼大家都在抽？」

Her answer was, "Because teenagers think they are invincible it's not going to happen to them.

她回答：「因為青少年都覺得他們是無敵的，所以不會有壞事發生。」

It just happened to another another person, but not to them."

「壞事只會發生在別人身上，不會是他們。」