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On July 6, 2016, the New York State Department of Health’s final regulations applicable to all owners of buildings with cooling towers went into effect. The new regulations grew out of emergency regulations the Department adopted last summer when 138 residents of the South Bronx fell ill with legionellosis, and 16 people died. The source of the South Bronx outbreak was determined to be a cooling tower. Cooling towers are part of a recirculated water system incorporated into a building’s cooling, industrial, refrigeration, or energy production system.