Year: 2019

07 Sep 2019

After Epstein, it’s time for the Valley to find a moral view on capital

Is capital moral or amoral?

In the predominant view held in Silicon Valley today, capital is amoral — cash is cash, and regardless of where it comes from, once it leaves the hand of its investor or donor, it no longer has that individual’s taint. That money might have previously been spent on acquiring access to underage girls, or murder, or espionage, but now it is being spent on something productive, something useful. Isn’t that ultimately a net win for society?

That culture of fundraising is under an exacting microscope this week after the MIT Technology Review reported that Nicholas Negroponte, the founder of the famed MIT Media Lab, would have continued to take convicted sex offender Jeffrey Epstein’s donations to the research center.

[… He] said he had recommended that [Joichi Ito, the lab’s current director] take Epstein’s money. “If you wind back the clock,” he added, “I would still say, ‘Take it.’” And he repeated, more emphatically, “‘Take it.’”

The comments, made during a meeting of the lab’s staff, shocked many of the participants, with some angrily replying in the heat of the moment. As the Review noted, “Kate Darling, a research scientist at the MIT Media Lab, shouted, ‘Nicholas, shut up!’ Negroponte responded that he would not shut up and that he had founded the Lab, to which Darling said, ‘We’ve been cleaning up your messes for the past eight years.’”

Epstein funded projects widely in the tech world through the Edge Foundation and other initiatives, and his acquaintances read like a who’s-who of tech luminaries.

Yet, this week’s controversy over fundraising is hardly novel. Just last year, SoftBank’s Vision Fund was dealing with the fallout in its own fundraising after Saudi Arabia — the fund’s largest limited partner with a $45 billion commitment to the $93 billion fund — murdered journalist Jamal Khashoggi in its consulate in Istanbul.

These two singular cases also connect to the larger story about the U.S. government’s active shutdown of Chinese venture capital dollars flowing into the Valley for fear of foreign intelligence espionage. Through the modernization of legal tools like CFIUS, to the Pentagon’s creation of a Trusted Capital Marketplace, to reversals of acquisitions like the unwinding of Chinese company Kunlun’s purchase of gay dating app Grindr, the government has repeatedly been telling entrepreneurs: it matters where your capital comes from.

Indeed, that’s the very quandary that Silicon Valley is facing these days. Its amoral view of capital is increasingly clashing with the reality that it matters a whole heck of a lot where that capital comes from. And it is about time that founders and investors take responsibility for cleaning up a capital base that has become more and more squalid over time.

Why can’t capital just be immoral? Well, Epstein’s web of donations provided him with a philanthropic sheen that eased access to the highest echelons of society while he committed his crimes. Saudi Arabia is the largest investor in Silicon Valley not only because it drives a return and diversifies its oil-dependent economy, but also because it can Valley-wash the horrific rights abuses and atrocities it commits against all of its citizens, including women, LGBT people, and immigrants.

(But hey, women can drive now, just in time for autonomous vehicles.)

This amoral versus moral view of capital is just the classic debate in philosophy between utilitarianism versus deontological duties, but Silicon Valley has almost exclusively chosen the former rather than the latter. My bank asks me more questions about my $50 deposits than many founders ask about where that $500 million check comes from.

That’s perhaps understandable in context. Founders — as with non-profit leaders — fundraise around-the-clock. When a check finally arrives, they don’t bother to ask a bunch of due diligence questions. They just want that money to hit the bank and get back to building what they were intending to the entire time.

It’s a mode of operating that continues to the present day. I was chatting with a founder this week, and during demo day last week, he got an emailed check for $50,000 from an investor in the audience. It was amazing, he said with exclamation points to me, and it sounded like he just added the check to the pile he had accumulated. Who is this person? Do we know where his capital comes from? Is there going to be some scandal that shocks the startup in a couple of years? Yet the excitement was palpable — the round was closed, and it was the easiest $50,000 ever fundraised.

Those diligence questions probably didn’t need to be asked a decade or two in the Valley, back when a few dozen firms mostly raised from blue-chip university and non-profit endowments as well as state pension funds.

Today though, there are all kinds of sources of capital, with little clarity about where the capital is coming from. Take, for instance, Carlos Ghosn, who once headed Nissan Motors and is currently on trial in Japan for a variety of financial crimes. He has been accused of embezzling millions of dollars for a VC fund run by his son by running a kickback scheme through a Nissan distributor in Lebanon. As the Wall Street Journal reported a little more than a week ago:

In March 2015, the Ghosns set up in Delaware an investment vehicle called Shogun Investments, which Mr. Ghosn described as a fund that would invest in Silicon Valley startups. Mr. Ghosn was majority owner while his son, Anthony, held a stake, according to people familiar with the matter. The younger Mr. Ghosn, who was about to graduate from Stanford University, was working at the time as chief of staff for Silicon Valley venture capitalist Joe Lonsdale, providing the elder Mr. Ghosn a close-up view of the tech investment world. The lofty returns had stunned him, according to one of the people.

That fund would go on to fund some of the most well-known unicorns in the world:

“Following our phone conversation, I ordered a transfer of $3 million,” Carlos Ghosn wrote in a December 2017 email to his son, who was 22 years old at the time.

Of that amount, $2 million was for an investment in Grab, a Southeast Asian competitor to Uber Technologies Inc., Mr. Ghosn wrote, adding that he was sending “$1 million for the company of your friend that you think will do very well.” It wasn’t clear which company Mr. Ghosn was referring to.

I would love a world in which founders asked all the right due diligence questions. I would love for them to inquire about limited partners, about how wealth was created, and how it has been invested. But I am also aware that in what can be a desperate search for funds, those questions may well never get asked in the first place.

If you want to stop the capital laundering taking place every day in the Valley, you have to create active, real-time antidotes. That means stopping it at every point of contact, every single opportunity where it can infect the ecosystem.

And so, we need better systems as a community and as an ecosystem to cleanse ourselves of this dirty money. We need “know-your-capital” processes that are standardized, robust, and accurate so that every check can be verified before it hits the bank. We need tools to verify that a startup or non-profit has actually followed those KYC processes, so that employees don’t suddenly show up at work and realize they are making money for a bunch of murderers. It’s “trust but verify.”

Systematization and process are key to execution, but that doesn’t disclaim the responsibility for the Valley’s leaders to take a moral stance here. Utilitarianism only takes you so far — it does matter that you take capital from a bad actor. Negroponte is wrong to say that he would still take Epstein’s money, regardless of what that capital might have funded at the MIT Media Lab.

Taking responsibility for your capital is part of being a leader of an organization today. Hopefully, the next generation of founders will take a look at Epstein, and Khashoggi, and China, and Ghosn, and the Sacklers, and a whole host of other case studies and learn from them and change their fundraising practices. A moral view on capital isn’t a cost of doing business — it’s simply the right thing to do.

07 Sep 2019

Original Content podcast: Amazon’s ‘Carnival Row’ mixes fairies, politics and murder

“Carnival Row” offers an unlikely mix of genres, laying out a murder mystery in a world of fairies and other mythical creatures, while also delivering a healthy dose of allegorical politics.

And as we explain in the latest episode of the Original Content podcast, the show (recently released on Amazon Prime Video) does take some getting used to. There’s a certain clumsiness in the way the opening episode insists on its grittiness and adult themes — and most viewers will probably need some time before they stop gawking at the fairy sex and focus instead on the story and characters.

Once they do, though, “Carnival Row” offers plenty of rewards. Orlando Bloom and Cara Delevingne star as Philo and Vignette — a police investigator and a “fae” refugee, respectively, who have a complicated romantic past together. Bloom and Delevingne may not be entirely up to the task of creating complex and memorable characters, but the world that creators Travis Beacham and René Echavarria have built around them is rich, detailed and strange.

The pair is also surrounded by a strong supporting cast that includes Jared Harris (“The Crown”) and Indira Varma (“Game of Thrones”) — and ultimately, the fantasy, the politics and the mystery do come together in satisfying ways.

In addition to reviewing “Carnival Row,” we also discuss YouTube’s settlement with the FTC and listener response to last week’s review of “The Dark Crystal: Age of Resistance.”

You can listen in the player below, subscribe using Apple Podcasts or find us in your podcast player of choice. If you like the show, please let us know by leaving a review on Apple. You can also send us feedback directly. (Or suggest shows and movies for us to review!)

And if you want to skip ahead, here’s how the episode breaks down:
0:00 Introduction
2:11 “Dark Crystal: Age of Resistance” listener response
15:03 “Carnival Row” review (minor spoilers for the first episode)
33:47 “Carnival Row” spoiler discussion

07 Sep 2019

Wikipedia blames malicious DDOS attack after site goes down across Europe, Middle East

Wikipedia was forced offline in several countries Friday after a cyber attack hit the global encyclopedia.

Users across Europe and parts of the Middle East experienced outages shortly before 7pm, BST, according to downdetector.com.

Wikimedia’s German Twitter account posted: “The Wikimedia server…is currently being paralysed by a massive and very broad DDOS [distributed denial of service] attack.”

The site issued the following statement:

Today, Wikipedia was hit with a malicious attack that has taken it offline in several countries for intermittent periods. The attack is ongoing and our Site Reliability Engineering team is working hard to stop it and restore access to the site.

As one of the world’s most popular sites, Wikipedia sometimes attracts “bad faith” actors. Along with the rest of the web, we operate in an increasingly sophisticated and complex environment where threats are continuously evolving. Because of this, the Wikimedia communities and Wikimedia Foundation have created dedicated systems and staff to regularly monitor and address risks. If a problem occurs, we learn, we improve, and we prepare to be better for next time.

We condemn these sorts of attacks. They’re not just about taking Wikipedia offline. Takedown attacks threaten everyone’s fundamental rights to freely access and share information. We in the Wikimedia movement and Foundation are committed to protecting these rights for everyone.

Right now, we’re continuing to work to restore access wherever you might be reading Wikipedia in the world. We’ll keep you posted.”

The site was reported to be down in large parts of the UK as well as Poland, France, Germany and Italy.

07 Sep 2019

What top enterprise VCs are thinking, using data effectively, ethics, Light, and Flipkart

Top VCs on the changing landscape for enterprise startups

TechCrunch had our debut confab for enterprise types this week at Yerba Buena Center in SF, where we heard from Aaron Levie, CEO of Box, Apple VP Susan Prescott of Apple, and Microsoft Azure CTO Mark Russinovich. We were sold out, which perhaps isn’t all that surprising given the amount of interest in enterprise these days. Expect more events to come.

Our Silicon Valley editor Connie Loizos hosted a panel with leading enterprise VCs, and she selected the most interesting points from that conversation and from her calls with them for Extra Crunch members. Hear a bit from Jason Green of Emergence Capital, Rebecca Lynn of Canvas Ventures and Maha Ibrahim of Canaan Partners and what they are investing in these days.

And if you want to hear even more from Jason Green and yours truly, head over to TechCrunch’s VC podcast Equity, where we shot live from Yerba Buena along with host Kate Clark with a special focus on enterprise startups.

Maha Ibrahim: I feel like people are focusing too much on metrics and not as much on [the total addressable market]. We make money [when a startup strikes on a] huge, huge market.

But there’s [also] so much correlation between consumer and enterprise startups in that we want customers that love the product. We want customers that come back and come back and come back to us, without us having to pay for them to come back. So the equivalent in a consumer company would be me having to spend advertising dollars to acquire that customer again, as opposed to that customer just coming back because he or she loves what I’m doing. The same goes for the enterprise.

How early-stage startups can use data effectively

Silicon Valley may be obsessed with using data to improve startup outcomes, but the reality is quite a bit more nuanced. Koen Bok, co-founder of interactive design tool Framer, has put together an extensive guide here on how to to use data — and when not to.

07 Sep 2019

Uber has surveyed some drivers on small loans, suggesting financial products are coming

Back in June Uber went on a hiring spree in New York, hiring at least 100 fintech-oriented tech workers to ostensibly look at creating products to increase loyalty and engagement among users and drivers, including things like banking. Cue a flurry of speculation. It now looks like Uber is taking baby-steps towards building such a raft of products out, potentially by offering loans directly to drivers, according to a report from Recode/Vox.

The story is based on the emergence of an in-app survey which was sent to some drivers talking about a “new financial product” aimed at drivers “in a time of need.” The survey then went on to question drivers’ use of financing loans of $1,000 or less in the last three years. It asked “what amount are you most likely to request?” It then gave them options top pick from “Less than $100,” “Between $100 and $250,” “Between $250 and $500” and “More than $500.”

At this time there’s no indication of timing on a small loans product offering to drivers, and Uber has not publicly commented on the emergence of the survey’s existence.

However, Uber already has form in this space. It has offered cash advance programs to drivers in California and Michigan, although the company was criticised for what some called “pay-day loans”. It’s also offered leases on new cars to drivers in the past and currently offers a co-branded credit card with Visa and an Uber Cash digital wallet for riders.

Uber would not be alone in rolling out small cash loans to its workers, given given that large companies such as Walmart and others already offer lucrative payroll advances and loans to employees.

But the fact that it now has a very large FinTech team suggests this won’t the end of us hearing about Uber’s tentative moves into this space.

07 Sep 2019

Startups Weekly: Stripe’s grand plan

Hello and welcome back to Startups Weekly, a weekend newsletter that dives into the week’s noteworthy startups and venture capital news. Before I jump into today’s topic, let’s catch up a bit. Last week, I noted Peloton’s secret weapons. Before that, I wrote about a new e-commerce startup, Pietra.

Remember, you can send me tips, suggestions and feedback to kate.clark@techcrunch.com or on Twitter @KateClarkTweets. If you don’t subscribe to Startups Weekly yet, you can do that here.

The big story

In one fell swoop, Stripe may disrupt the entire financial services ecosystem.

The $22 billion payments behemoth announced Stripe Capital this week, a provider of quick and easy to obtain loans for internet businesses. The company is expected to launch a card as well, according to TechCrunch’s Ingrid Lunden. What does that mean for recent upstarts like Clearbanc, a business that provides revenue-share agreements to help startups forgo selling equity to VCs, or Brex, which has created a credit card tailored for startups? Stiff competition ahead.

Led by brothers Patrick and John Collison, Stripe is known for developing payment processing software to facilitate online purchases. Doubling down on financial services, the company seeks to become the go-to capital provider to its millions of customers. In a vacuum, it’s no threat to Brex, which has quickly become a fintech darling (with a multibillion-dollar valuation to prove it) — but coupled with Stripe’s massive network, resources and the soon-to-be-announced card, it’s worth concern.

I reached out to both Brex and Clearbanc. Here’s what they had to say.

Clearbanc: “Stripe is one of our close partners because we’re both deeply committed to empowering founders. There’s a huge demand amongst founders for flexible funding that allow them to grow while retaining equity in their company, so it’s encouraging to see the growth of alternative funding options. We’re seeing this first hand — we’re investing an average of $100,000 of growth capital per brand, with other companies taking up to $10 million. New funding alternatives not only open more doors for more businesses, but data-driven platforms can also help to reduce bias and promote entrepreneurship outside of VC capitals like Silicon Valley and New York.”

Brex CEO Henrique Dubugras: “We have created a new financial stack for tech companies, and this has resulted in a very innovative product experience with lots of adoption, so it makes sense that Stripe would also pursue this fast-growing opportunity.”

We’ll share more details on the card as soon as possible.

WeWork slashes expectations

The Wall Street Journal reported this week that the company formerly known as WeWork is considering slashing its valuation as it looks to woo public market investors. The co-working biz may hit the public markets at a valuation of somewhere in the $20 billion range for its initial public offering, a figure that’s far less than the $47 billion valuation it received when it raised its last round of private funding. Yikes…

TechCrunch Disrupt

We are just weeks away from our flagship conference, TechCrunch Disrupt San Francisco. We have dozens of amazing speakers lined up. In addition to taking in the great line-up of speakers, ticket holders can roam around Startup Alley to catch the more than 1,000 companies showcasing their products and technologies. And, of course, you’ll get the opportunity to watch the Startup Battlefield competition live. Past competitors include Dropbox, Cloudflare and Mint… You never know which future unicorn will compete next.

You can take a look at the full agenda here. Here’s a look at the panels I personally will be onstage moderating.

Deals, deals, deals

Listen

This week, we recorded Equity on location at TechCrunch Sessions: Enterprise in San Francisco. Our special guest was Emergence Capital founder Jason Green, who joined us to talk about the firm’s specialty: enterprise investments! Danny Crichton, the esteemed leader of TechCrunch’s Extra Crunch, was on hand to co-lead the episode with me. Listen here. And remember, Equity drops every Friday at 6:00 am PT, so subscribe to us on Apple PodcastsOvercastSpotify, Pocket Casts, Downcast and all the casts.

07 Sep 2019

PrimaryBid closes $8.6M round for its platform aimed to help retail investors

PrimaryBid, a UK-regulated platform connecting publicly listed companies with everyday investors for discounted share issuances has previously raised $3M. It’s now upped those stakes with an $8.6M funding round, led by UK VCs Pentech and Outward VC with participation from new and existing investors. Craig Anderson, a partner at Pentech, will join the PrimaryBidBoard of Directors with Outward VC having a Board Observer seat.

This investment is representative of the trend towards unpacking complex financial investment products for the average person, especially in the UK.

The FCA-regulated platform recently made a long-term commercial agreement with Euronext, the leading pan-European exchange in the Eurozone. The partnership gives the company access to nine new geographies, with the first new site launching in France later this year.

Commenting, Anand Sambasivan, co-founder and CEO of PrimaryBid, said: “Everyday investors are a vital part of the stock market and yet unable to buy discounted share deals – a longstanding imbalance in the public markets. This is true whether it is a government selling down its holding in a large company or a quoted company is raising growth capital. Our platform addresses this challenge, giving small investors the same access as traditionally afforded to large institutional investors.”

Investors can tap into PrimaryBid’s centralizing infrastructure that allows access to everyday investors as part of a share issuance, including block sales. The inclusion of retail investors can improve pricing and liquidity outcomes for their clients. The company’s solution allows private investors to participate, at the same time and the same price, delivering open access regardless of the size of their investment. The service is free of charge for investors, from £100 upwards.

PrimaryBid doesn’t have competitors because Retail investors have not previously had access to discounted equity offerings run by investment banks. This is because the retail investment market is too fragmented, and these deals are highly time-sensitive. As a result, only clients of Investment Banks (i.e. institutional investors) could previously access these attractive deals.

So now, listed companies that want to raise more capital on the stock exchange by issuing new shares can now connect with retail investors and offer these retail investors these shares at the same discounted rates as those offered to institutional investors. “In the past, these retail investors just couldn’t access these attractive deals for these new shares,” explains Sambasivan.

Craig Anderson of Pentech said: “We believe equity capital markets infrastructure is dominated by an institutional focus and is not geared for retail investors, which unfairly restricts consumer access to the primary equity markets. PrimaryBid addresses this problem by using technology to democratize the equity capital markets to provide a new asset class to retail investors.”

Kevin Chong of Outward VC said: “By bringing publicly listed companies directly to ordinary investors, PrimaryBid addresses increasing frustrations felt by equity issuers and potentially expands global equity markets to the benefit of all players – investors, issuers and investment bank advisers.”

Pentech previously invested in Nutmeg (which recently closed a £45m funding round led by Goldman Sachs) . Outward VC has previously backed Monese, Curve and Bud.

07 Sep 2019

Roku expands its TV licensing program to Europe

Roku TV today represents more than 1 in 3 smart TVs sold in the U.S. Now, the company is bringing its TV licensing program to European markets. At the consumer tech show IFA in Berlin, Roku announced it will now allow manufacturers to license its TV reference designs and use its Roku OS to build smart TVs for sale in Europe. It also said Hisense would be its first European Roku TV partner.

Today, the connected TV market is no longer limited to just the dongles, sticks, and streaming media players that plug into the HDMI ports of consumers’ TV sets.

Top companies like Roku, Google and Amazon are also making their operating systems and reference designs available to TV makers themselves, in a battle to gain consumer market share. Apple has been rumored to be working on its own television set powered by tvOS, as well.

Roku, to date, done well on this front in its home market, after first introducing the Roku TV platform at the Consumer Electronics Show in 2014. Hisense was then one of its first partners on the effort. Fast-forward to 2019, and there are now over 100 models available from over 10 brands in North America, and the company estimates that Roku TV is now the No. 1 selling smart TV OS in the U.S.

Roku isn’t alone in targeting Europe with its TV platform. Amazon this week announced more than 20 new Fire TV devices, 15 of which were TVs licensing its Fire OS. Many of these were also aimed at European consumers through partnerships with local brands and retailers.

The new Hisense Roku TV models will support 4K Ultra HD resolutions and HDR, and will come in sizes ranging up to 65 inches, Roku says. The models will launch in the U.K. in the fourth quarter.

“While consumers love Roku TV’s simplicity and advance features, TV manufacturers benefit from the low manufacturing cost, a variety of technology options, and support from Roku,” said Roku CEO and Founder Anthony Wood, in a statement. “The ability to quickly bring to market a leading smart TV experience that is regularly updated by Roku and is packed with entertainment gives TV manufacturers an edge in the competitive TV business. We are pleased to bring the Roku TV licensing program to Europe and look forward to the first Hisense Roku TVs in market this year,” he said.

 

07 Sep 2019

India loses contact with spacecraft during historic moon landing attempt

India’s attempt to become the first nation to soft land a robotic spacecraft at the moon’s South Pole, an unexplored region, has ended in failure, the space agency said Saturday.

Less than two miles above the lunar surface, the Vikram lander (named after Vikram Sarabhai, the father of India’s space program) lost communications with the mission control.

A live broadcast from ISRO, India’s equivalent of NASA, showed scientists grow tense as the control station struggled to get a signal from the lander.

India’s Prime Minister Narendra Modi, who was watching the landing attempt, offered words of encouragement to the scientists and children, who had accompanied him at the ISRO campus.

“Be courageous. Our faith in ISRO has not lost. I can proudly say that the effort was worth it and so was the journey. We are full of confidence that when it comes to our space program, the best is yet to come,” he said.

Space is hard. The lunar surface is filled with debris of spacecrafts that have attempted and failed to land in one piece. Because there is little to no atmosphere on the moon, parachutes can’t be used, leaving landers to rely completely on thrusters to modulate the speed.

Chandrayaan-2, a roughly $140 million mission, is, in part, intended to study moon craters that are believed to contain water deposits, something Chandrayaan-1 found in 2008.

A successful touchdown would have made India the fourth country to successfully complete a soft landing on the lunar surface. So far, only the former Soviet Union, the U.S., and China have accomplished it.

GettyImages 1165864210

Photo by Pallava Bagla/Corbis via Getty Images

The 142-foot tall spacecraft that blasted off Satish Dhawan Space Centre, Sriharikota in Andhra Pradesh on July 15, carried an orbiter, a lunar lander, and a six-wheeled rover. The lander and rover were expected to operate for just a couple of weeks, but the orbiter, which detached from the lander earlier this week, will continue to operate for at least one year.

ISRO has come a long way and specialized in low-cost space launches since the early 1960s, when components of rockets were transported by bicycles and assembled by hand in the country.

In 2013, ISRO also launched an orbiter to Mars in its maiden $74 million interplanetary mission — a fraction of the $671 million NASA spent for a Mars mission in the same year. In 2017, ISRO also deployed a record 104 satellites into space in just 18 minutes.

Earlier this year, ISRO said it intends to have its own space station in the future and conduct separate missions to study the Sun and Venus. It will begin working on its space station following its first manned mission to space, called Gaganyaan (which means “space vehicle” in Sanskrit), in 2022 — just in time to commemorate 75 years of the country’s independence from Britain. The government has sanctioned Rs 10,000 crores ($1.5 billion) for the Gaganyaan mission.

06 Sep 2019

CDC says stop vaping as mystery lung condition spreads

Vape lung is spreading and the CDC is warning people not to use vaping products while they are investigating the cause. In a media briefing, the public health agency said that some 450 people are now thought to be affected, and as many as five have died.

The CDC’s incident manager for this issue, Dana Meaney Delman, summed up the situation as follows:

CDC, states, and other partners are actively investigating, but so far, no definitive cause has been established. No specific e-cigarette device or substance has been linked to all cases, and e-cigarette include a variety of chemical and additives; consumers may not know what these products contain.

Based on the clinical and laboratory evidence to date, we believe that a chemical exposure is likely associated with these illnesses. However, and I really want to stress this, more information is needed to determine which specific products or substances are involved

Reports earlier this week suggested that Vitamin E acetate, a byproduct of the vitamin complex formed during the vaporization process, may be to blame. Delman downplayed this, saying that although they are working with the labs that made that connection, nothing has been established as yet.

One trend worth noting, however, is that very few of the cases involve only nicotine products; Most of the afflicted users reported using THC exclusively or as well as nicotine. This could be the result of many factors, however, so take it with a grain of salt.

The first death was reported in late August in Indiana, but other suspected cases have turned fatal in Illinois, Minnesota, California, and Oregon — as reported by the Washington Post, though the CDC said three are confirmed and one is under investigation. The number of reported cases has skyrocketed, though this is likely a consequence of better information coming from state health authorities and hospitals, rather than a sudden epidemic.

In the meantime the only advice they have is to avoid e-cigarette and vape device usage, especially modified devices or homebrew material. The fact is no one really knows what chemicals are formed in the conditions created by these devices and some of them could be toxic.

While the investigation is ongoing, CDC has advised that individuals consider not using e-cigarettes because as of now, this is the primary means of preventing this type of severe lung disease. And of course e-cigarette use is never safe for youth, young adults, or pregnant women.

People who do use e-cigarette products should monitor themselves for symptoms (e.g., cough, shortness of breath, chest pain, nausea, vomiting, or others) and promptly seek medical attention for any health concerns. Regardless of the ongoing investigation, people who use e-cigarette products should not buy these products off the street and should not modify e-cigarette products or add any substances that are not intended by the manufacturer.

The CDC is working with numerous state authorities and the FDA to identify the cause of this malady, and will soon publish a report in the New England Journal of Medicine detailing the first 53 cases identified. This should help doctors and other health workers tell if they are dealing with a case of vape lung or something else.

Daniel Fox from WakeMed Hospitals in North Carolina characterized the condition as they had encountered it, with a preliminary diagnosis of “lipoid pneumonia”:

What we wanted to report and what we have seen has been a cluster of five cases that will be reported later today. Each of these cases featured a pulmonary illness in a relatively young person. Ranging in age from 18-35 from what we saw here in North Carolina. The symptoms that these patients were experiencing were being short of breath, having some GI or gastrointestinal symptoms of nausea and vomiting and fevers.

One of the things that was found in common with all of these cases is that all patients were using vaped substances in e-cigarettes. They all had abnormal chest x-rays and developed a need for a lot of oxygen.

All of our patients underwent evaluation, and after the clinical evaluation we found a certain type of pneumonia that was noninfectious. It’s called lipoid pneumonia. Basically, can be, it can occur when either oils or lipid-containing substances enter the lungs.

That is consistent with the Vitamin E acetate hypothesis, as that substance is oily and could enter the lungs mixed with the vapor and then stay there. But none of the doctors or experts on the call made that connection officially.

Some patients are being misdiagnosed as having bronchitis or a viral infection. If you are or anyone you know is getting sick and uses vaping products a lot, it’s worth mentioning this if you get checked out.

Delman concluded her briefing with an assurance that everything that can be done is being done:

Please know that CDC, FDA, state, and clinical partners are working hard to understand why people are getting sick. We will continue to share what we know and what we don’t know to help health departments, clinicians, and the public respond to this outbreak.

If you are concerned about your health or the health of a loved one who is using an e-cigarette product, contact your health care provider, or your local poison control center at 1-800-222-1222.