(Farmington) The Missouri Department of Health and Senior Services is reporting the state’s second death from a vaping-related illness.

The woman in her mid-50s with a long-standing underlying chronic lung condition died this week.

Health officials concluded that vaping was a contributing factor to her death.

State Health Department Director Randall Williams said, “we encourage Missourians to follow the CDC guidance to refrain from using e-cigarette products if you are concerned about these specific health risks, especially while the investigation is ongoing.”

The state of Illinois confirmed its fourth death from e-cigarette use or vaping Thursday.