Anne Schuchat, a senior official with the Centers for Disease Control and Prevention (CDC), told reporters: "We're aware of a handful of individuals who have been readmitted for clinical care after discharge for lung injury".
IN now has two more deaths of severe lung injuries linked to a history of e-cigarette use.
"I am very concerned that we continue to see new cases of vaping-related lung injury and this outbreak of illnesses and deaths appears to be far from over", said DPH Commissioner Renée D. Coleman-Mitchell.
Most of the 573 patients whose data was available-76%-said they used THC-containing products, with or without nicotine. The majority of cases have occurred in people between 16 and 29 years old. About 80 per cent of patients were under age 35.
Symptoms of the vaping-related lung illnesses include shortness of breath, cough and chest pain, and in some cases, nausea, vomiting, fever and weight loss after vaping.
In Utah, health officials said the victim was under 30, and had also "vaped THC prior to their death".
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Anyone who has used an e-cigarette in the last 90 days who is experiencing these symptoms should stop vaping immediately and visit their healthcare provider. Cases of lung injury have been reported in 49 states, the District of Columbia and one US territory.
Schuchat advised physicians and other clinicians to incorporate advice on discouraging use of e-cigarettes with cannabis and nicotine when patients are hospitalized and after discharge.
Several states have already banned flavored vaping products.
The CDC says people should consider refraining from vaping, especially with products including THC. However, the ISDH said some individuals have reported vaping only nicotine.
With the outbreak picking up in pace, some states - including New York, Michigan and Rhode Island - have banned the sale of flavoured e-cigarettes.