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BISMARCK, N.D. — North Dakota's Department of Health has confirmed one case of severe vaping-related lung illness in the state and is investigating six more "probable" cases.

All of the cases involve people with a history of using a vaping device or an e-cigarette, the agency said Wednesday. Officials did not release details about the individual cases.

“As the department receives reports, we will continue to gather and analyze the data to help identify the potential cause or causes of these illnesses,” department epidemiologist Kodi Pinks said.

Thirty-six states and one U.S. territory have reported more than 380 potential cases of severe vaping-related lung illness, according to the federal Centers for Disease Control and Prevention. A total of seven deaths have been reported in six states.

No consistent e-cigarette or vaping product, substance, or additive has been identified in all cases, nor has any one product or substance been conclusively linked to the illness.

“We are working closely with the CDC as this illness continues to be investigated," Pinks said. "We will continue to provide updates to the public as more information becomes available."

The health department is asking health care providers to continue to watch for cases of the illness and to ask about recent vaping and e-cigarette use. People with a history of e-cigarette use or vaping who experience symptoms should call the reporting hotline at 866-207-2880 or visit ndhealth.gov to take a confidential survey. 

Reported symptoms of severe respiratory illness include cough, fatigue, dizziness, headache, diarrhea, vomiting, chest pain and difficulty breathing. Some patients have required medical treatment and supplemental oxygen, according to the CDC.

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