The New York City Health Department has initiated an investigation into a cluster of Legionnaires' disease cases identified in two Upper East Side neighborhoods: Carnegie Hill and Yorkville. As of Thursday, two individuals have been diagnosed with the potentially fatal pneumonia-like illness, and additional cases are being evaluated.

Health officials are advising New Yorkers who have lived, worked, or visited these areas since late June to seek medical attention if they develop symptoms such as fever, cough, or difficulty breathing. Legionnaires' disease, if left untreated, can be fatal. The illness is caused by Legionella bacteria and is not contagious, with antibiotic treatment being effective.

Certain groups are at higher risk, including individuals over 50, smokers, and those with chronic lung conditions or compromised immune systems. The bacteria typically spreads through contaminated water supplies, often found in plumbing systems and environments like cooling towers, whirlpool spas, hot tubs, humidifiers, and large air conditioning systems.

To address the outbreak, health officials plan to sample and test cooling towers in the affected vicinity. Buildings found with Legionella bacteria contamination will be required to undertake full remediation.

This investigation follows a significant Legionnaires' disease outbreak in Harlem last summer, which affected 114 people, led to 90 hospitalizations, and resulted in seven deaths. No fatalities have been reported in connection with the current Manhattan cluster.

Despite the investigation, health officials have stated that it remains safe to use air conditioners, cooling centers, and city facilities, which are crucial during the ongoing heat wave. Doctors have also been asked to remain vigilant and promptly report any suspected cases to the health department.