The state department of health confirms ther are 23 vaping cases as of Thursday. All of the confirmed cases have a history of using e-cigarettes or vapor products while three are from those using only THC products. Most are in Western Washington but two are in Yakima County and three in Spokane County. No vaping deaths have been reported in Washington state. Nationwide more than 2,600 people are suffering vaping-related lung illnesses.