State health officials have confirmed the first death of an Indiana resident tied to e-cigarette use, or vaping, according to a news release from the Indiana State Department of Health.

The health department confirmed the death Sept. 5 and reports the individual, who was at least 18 years of age, died from severe lung injury related to a history of e-cigarette use. No additional details could be provided because of privacy laws.

“The tragic loss of a Hoosier and rising number of vaping-related injuries are warnings that we cannot ignore,” said State Health Commissioner Kris Box in the release. “We know that these products typically contain nicotine, which is highly addictive, and many cases report inhaling THC and other substances not available in commercial products. While it is unclear what substances are causing injury, when you use these products with other chemicals, you may not know everything that you’re inhaling and the harm it can cause.”

The state is now investigating 30 cases of vape-related injuries and illnesses, eight of which have been confirmed so far, the release said. More than 215 cases have been reported nationally with more under investigation, according to the Centers for Disease Control and Prevention.

The release reports the health department is working with affected Hoosiers and their families to obtain the products used by the patients and send them to the Food and Drug Administration for testing. No common substance has been found in each of the cases.

The 2018 Indiana Youth and Tobacco Survey, released last week, showed a 387 percent increase in vaping among high school students and a 358 percent hike among middle school students since 2012. Nearly 35,000 Indiana teenagers began using e-cigarettes between 2016 and 2018, the survey also found.

Box urged anyone who has vaped in the past 90 days and experienced respiratory symptoms to stop using immediately and see a healthcare professional.