On August 30, 2024, the Albany County Department of Health received its first notification, a cluster of severe respiratory cases at a senior living facility on Northern Boulevard in Albany, New York. By the time the investigation began, the facility had already been placed under water restrictions.

New Jersey is taking a proactive step to improve drinking water safety in public schools with the introduction of Senate Bill S4632, a measure designed to support the installation of filtered drinking water systems across school facilities.

New York City is tightening oversight of cooling towers in an effort to control Legionnaires’ disease. City officials have adopted Local Law 159 of 2025, introducing stricter Legionella testing requirements for building owners.