The number of North Carolina cases of severe lung injury associated with e-cigarette use or vaping continues to rise with 61 cases in people ranging in age from 13 to 72. The North Carolina cases are among a rising outbreak reported by the Centers for Disease Control and Prevention of 1,604 cases and 34 deaths in the United States and the US Virgin Islands as of Oct. 22. The acute lung injury cases have occurred in the context of a rapid rise of e-cigarette use by young people.