(CNN) — Health officials in New York City say a cluster of Legionnaires’ disease in Central Harlem has grown to 90 cases, including three deaths.

The update comes days after New York City’s health department proposed new regulations for the testing of cooling towers, which they suspect are linked to the outbreak.

Cooling towers are rooftop devices that release mist into the air as they cool large buildings. If the water inside becomes too warm, stagnant, or isn’t properly disinfected, Legionella bacteria can grow and infect people who inhale the mist.

A Department of Health spokesperson told CNN the proposed rules “were in development well before the Legionnaires’ cluster in Central Harlem.”

Under New York City law, building owners are responsible for registering and maintaining the

See Full Page