New evidence strengthens the suspected link between a substance known as vitamin E acetate and the outbreak of serious lung illnesses tied to vaping and e-cigarette use, U.S. health officials said Friday.

Researchers tested lung fluid samples from 51 patients with vaping-related illness, dubbed EVALI. They found vitamin E acetate — a sticky substance used as an additive or thickening agent in some vaping products — in 48 of the samples. They didn’t find any vitamin E acetate in lung fluid taken from healthy patients, suggesting the chemical played a role in making people sick.

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