At press time, eight outbreak-related deaths have occurred in the continental United States. The latest was a Missouri man in his mid 40s, according to an official statement released Friday. "No infectious diseases have been identified with the illness, meaning it doesn't spread from person to person," the Missouri Department of Health and Senior Services said in the statement. "These lung illnesses are likely associated with a chemical exposure from vaping." Missouri counts 22 cases of the illness since late August, with patients sharing a symptoms like elevated heart rate, cough, chest pain, fever, and diarrhea," according to the statement. They all reported that they had used e-cigarettes around the time they became ill .