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Neglected HVAC Systems Likely Cause of Legionnaires' Outbreaks

Facilities News Desk
Published
September 2, 2025

A Legionnaires' disease outbreak in Harlem, linked to contaminated cooling towers, has resulted in four deaths and nearly 100 illnesses.

Credit: Terraxplorer

Key Points

  • A Legionnaires' disease outbreak in Harlem, linked to contaminated cooling towers, has resulted in four deaths and nearly 100 illnesses.

  • New York City's Health Department identified eleven cooling towers with high levels of Legionella bacteria, highlighting a failure in city oversight.

  • The outbreak underscores the importance of regular HVAC maintenance and effective enforcement of health regulations.

  • Nationwide, Legionnaires' cases have been rising, with inadequate building maintenance posing significant health risks.

A deadly Legionnaires' disease outbreak in Harlem that killed four people and sickened nearly 100 is being blamed on contaminated cooling towers, highlighting a significant breakdown in city oversight as first reported by Facilities Dive.

  • The bacterial breeding ground: New York City’s Health Department traced the outbreak to eleven commercial cooling towers containing high concentrations of Legionella bacteria. The pathogen occurs naturally in water but turns deadly when it concentrates in building systems, thriving in conditions like "biofilm, favorable water temperatures, inadequate levels of disinfectant, scale and sediment, and water stagnation," according to the CDC.

  • Under-inspected: The outbreak reveals a collapse in city oversight. Local reporting from Gothamist found the city’s enforcement has cratered, with health department inspections this year at less than half their 2017 levels and violations on track for a record low. This stands in sharp contrast to 2017, when the department conducted over 5,000 inspections and issued nearly 50,000 violations.

  • Beyond the five boroughs: The problem isn't confined to New York, as the CDC has tracked a steady, two-decade climb in Legionnaires' cases nationwide. Industry groups like ASHRAE publish risk management standards, but the recent outbreak underscores that regulations are only as good as their enforcement.

The tragic Harlem outbreak is a stark reminder that basic, unglamorous building maintenance has life-or-death consequences, especially when public oversight fails. The conversation around building safety is much broader, as HVAC systems can host a variety of other pathogens and contribute to "sick building syndrome." The threat is a specialized concern in other sectors, with the food processing industry facing unique risks from systems like misters and humidifiers. For those on the front lines, preventative maintenance remains key, with experts outlining actionable steps that also deliver significant energy savings.

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