Legionnaires' Disease - NYC Health

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Legionnaires’ Disease

Legionnaires’ disease is a type of pneumonia. It is caused by bacteria (Legionella) that grow in warm water. Legionnaires’ disease causes flu-like symptoms, and complications from the disease can be fatal.

People who inhale mist that contains Legionella bacteria can get sick. Sources of water with Legionella contamination may include cooling towers, showers and hot tubs. Most people who are exposed to the bacteria do not develop Legionnaires’ disease, and it is not contagious — you cannot get it from someone else. You cannot get Legionnaires’ disease by drinking the water.

You are at a high risk for Legionnaires’ disease if you:

Are 50 years old or older

Smoke

Have a chronic lung disease

Have a weakened immune system

Take medicines that weaken your immune system

Symptoms

Legionnaires’ disease symptoms include fever, chills, muscle aches and a cough. You may also have headaches, fatigue, loss of appetite, confusion or diarrhea.

If you have these symptoms, seek medical attention right away. You are especially at risk if you are a smoker or have a medical condition that affects your breathing. Tell your health care provider you are worried about Legionnaires’ disease.

Prevention

There is no vaccine or medicine that can prevent Legionnaires’ disease. The best way to prevent it is through the proper maintenance of water systems where Legionella may grow.

In NYC, building owners are required to register cooling towers. They also need to routinely test the water for the presence of Legionella. You can look up results of Health Department inspections of cooling tower systems by building address or building identification number (BIN).

The Health Department investigates clusters of Legionnaires’ disease cases to find the source of the contamination in order to prevent other people from getting sick. When two or more confirmed cases of Legionnaires’ disease within a 12-month period are associated with the same building with a shared hot water system, the Health Department will conduct a building evaluation.

Legionnaires’ Disease and Building Evaluations (PDF)

Copper Silver Ionization Water Treatment and Health (PDF)

Additional Resources

Legionnaires’ Disease: What You Need to Know Poster (PDF)

Other Languages: Español | Русский | 繁體中文 | 简体中文 | বাংলা | Kreyòl ayisyen | Français | العربية | 한국어 | Italiano | Polski | ײִדיש | فارسى

Legionnaires’ Disease: What You Need to Know Postcard (PDF)

Other Languages: Español | Русский | 繁體中文| 简体中文 | বাংলা | Kreyòl ayisyen | Français | العربية | 한국어 | Italiano | Polski | ײִדיש | فارسى

Legionnaires' Disease Annual Surveillance Report (PDF)

CDC Toolkit: Developing a Water Management Program to Reduce Legionella Growth and Spread in Buildings

Water Management Program Template (PDF)

Cooling Towers: Learning from Legionnaires’ disease Outbreak Investigations, April 2019 (PDF)

Other Languages: Español | Русский | 繁體中文 | 简体中文 | বাংলা | Kreyòl ayisyen | Français | العربية | 한국어 | Italiano | Polski | ײִדיש

More Information

Cooling Tower Registration and Maintenance