D.C. health officials on Thursday reported the city’s first death associated with vaping.

In a statement, the D.C. health department confirmed the fatality, saying more than 1,600 cases of lung injury related to e-cigarettes or vaping have been reported to the Centers for Disease Control from all states but Alaska.

The victim was not identified by D.C. authorities.

The health department’s statement urged D.C. residents to avoid all e-cigarette and vaping products until further notice and said cannabis vape products obtained “off the street” may be most dangerous.

Symptoms of vaping-related lung injury include cough, shortness of breath and chest pain, the statement said.

Anyone seeking further information about vaping-related injuries can visit the CDC’s website.