An outbreak of Legionnaires' disease on Manhattan's Upper East Side has sickened dozens, with health officials linking the cases to contaminated cooling towers. The cluster has prompted an aggressive testing and disinfection response, though officials differ on the sufficiency of actions taken.
At least 23 cases have been confirmed by the New York City health department, with some sources reporting up to 46 cases Source: AP, BBC. Hospitalizations range from 17 to 22, including some in intensive care, but no deaths have been recorded Source: AP, BBC. The likely source is one or more cooling towers in the area, which spread Legionella bacteria through mist Source: BBC.
Health Commissioner Alister Martin said the city has taken an "aggressive" approach, testing 160 cooling towers and ordering at least 19 buildings to drain and disinfect their units Source: Guardian. However, Council Speaker Julie Menin expressed concern that the city has not required proactive disinfection of all towers, and residents at a town hall sought clearer guidance on personal protection Source: BBC.
Dr. Martin noted that climate change is increasing the risk of such outbreaks, as warmer temperatures favor bacterial growth Source: Guardian. Legionnaires' disease, which can be fatal in about 10% of cases, is caused by Legionella pneumophila and was first identified after a 1976 outbreak at an American Legion convention Source: AP.
“"There is quite a level of concern in the community," Kirby said. "I'm the sort of person who likes to say that the risk may be small, but until the [cleaning and disinfecting] is done, I don't see much downside in taking these extra measures."”
“"This is now a subtropical climate," said Dr Alister Martin, the commissioner of the New York City health department. "It is absolutely true that climate change is worsening our exposure and increasing the propensity for legionnaires' disease clusters like we're seeing today."”
“Symptoms usually develop two days to two weeks after exposure and include cough, fever, headaches, muscle aches and shortness of breath, according to the U.S. Centers for Disease Control and Prevention.”
“But Julie Menin, the speaker of the New York City Council, said she was worried not enough action had been taken.”