According to the Idaho Department of Health and Welfare, there have been 10 reported severe respiratory illnesses associated with vaping since August.

“The Idaho Division of Public Health is currently working with local public health districts statewide to investigate reports and identify cases of severe pulmonary illnesses associated with e-cigarette use, also known as vaping, Juuling, or dabbing,” states a department update from Nov. 1.

Nationwide, e-cigarette users have reportedly experienced respiratory symptoms including coughing, shortness of breath and chest pain from products used that contain THC, CBD, nicotine, flavors and other chemicals.

Thirty-nine vaping-related deaths have been confirmed in 24 states and the District of Columbia as of Nov. 5, according to the Centers for Disease Control and Prevention.

No single substance has been consistently associated with the illnesses but the CDC continues to work closely with the Federal Drug Administration, states and public health partners to investigate.

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