BALTIMORE (WJZ) — Nearly 50 people in Maryland have now suffered lung injuries due to vaping and e-cigarette use, the state health department said this week.

As of Tuesday, the Maryland Department of Health has reported 49 cases of lung injury associated with vaping.

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Nationwide, the Centers for Disease Control and Prevention reports 2,172 cases of vaping-related lung injuries and 42 deaths. At least one of those deaths was in Washington, D.C.

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The CDC has identified vitamin E acetate as a “chemical of concern” related to the illnesses and recommends e-cigarette users avoid products containing THC.