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The first Nebraska death related to severe lung disease associated with e-cigarettes or vaping has been reported to the Nebraska Department of Health and Human Services.

The person was over 65 and from the Douglas County area.

Public health officials said the death occurred in May.

In addition to the death in Nebraska, there have been 12 others reported in 10 states as part of a multistate outbreak, according to the Centers for Disease Control and Prevention.

"Prior to the outbreak of lung injury associated with vaping in Wisconsin and Illinois this past August, vaping-associated lung injuries were unreported and not tracked by public health agencies," Dr. Tom Safranek, state epidemiologist, said in a news release. "Once the problem was recognized, states quickly ramped up surveillance and found current cases, but have also discovered cases that occurred before the August outbreak."

Nebraska currently has 11 cases of vaping-related illness and two under investigation. The majority are men who range in age from their late teens to 60s, the news release said. Some of those affected were hospitalized.