New York City health officials have identified 56 Upper East Side buildings whose cooling towers tested positive for living Legionella bacteria before a Legionnaires' disease outbreak in the area. The finding focuses new attention on the systems that can spread contaminated water droplets through the air.

According to the reported test results, active bacteria were present in cooling towers at dozens of properties on the Upper East Side. The city Health Department's identification of those buildings helps outline the scope of the investigation and the locations that drew concern before the outbreak was recognized.

Legionella in cooling towers is a major public health issue because the bacteria are associated with Legionnaires' disease. The latest disclosure suggests officials were able to trace multiple sites where live bacteria were detected, rather than relying only on routine indicators or inactive samples.

The report adds detail to New York City's response on the Upper East Side, where investigators have been working to understand how the outbreak developed and which buildings had contaminated cooling systems. As more information emerges, the list of affected towers is likely to remain central to questions about oversight, cleanup, and disease prevention.