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BURLINGTON, Vt. — The Vermont Health Department is asking the state’s health care providers to report cases of respiratory illnesses linked to e-cigarettes and vaping.

The state of Vermont is participating in an investigation with the Centers for Disease Control and Prevention.

The CDC says that as of Aug. 27, there have been 215 possible cases of severe pulmonary disease associated with e-cigarette products in 25 states, including one in Vermont.

There have been two deaths, one in Illinois and one in Oregon.

Last week, Vermont Health Commissioner Dr. Mark Levine requested that providers report cases of significant respiratory illness among individuals with a history of vaping or smoking any substance in the 90 days prior to symptoms.

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Patients have experienced a variety of respiratory and other symptoms.