We are in Safe Start Phase 2. Read our press release.

Questions about COVID-19? Visit our COVID-19 pages.

We suspended most in-person services. Read our blog post.

The Health Department is closed July 3 for the Fourth of July Holiday.

For more general information, see our Vaping and E-cigarettes page. 


National, state and local public health agencies are investigating a multi-state outbreak of e-cigarette or vaping associated lung injury (EVALI). CDC identified vitamin E acetate as a chemical of concern. But we don’t yet know enough to rule out other causes.

EVALI is a diagnosis of exclusion because no specific test or marker currently exists. See CDC’s updated interim guidance for evaluating and caring for patients with suspected EVALI.

Report suspected cases within 3 business days.

Call (253) 798-6534 or use the E-cigarette or Vaping Associated Lung Injury (EVALI) Evaluation Worksheet.


For providers

For patients