Sick People in New York City

A2

Sick People in New York City

紐約市出現病例


Introduction

Health workers in New York City are looking for the cause of a sickness called Legionnaires' disease. Some people in the Upper East Side are sick.

紐約市的衛生人員正在尋找一種稱為「軍團症」的疾病原因。上東區有一些人染病了。

Main Body

Eighteen people have this sickness. Health workers think the bacteria come from a cooling tower on a building. They are testing the water in these towers now. The Mayor says the drinking water in homes is safe.

有 18 人患有這種疾病。衛生人員認為細菌來自一座大樓的冷卻塔。他們目前正在檢測這些塔中的水。市長表示住家的飲用水是安全的。

In 2025, many more people got sick in Harlem. Seven people died then. Because of this, the city wanted more tests for cooling towers. They wanted to check the towers every 30 days.

在 2025 年,哈林區有更多人染病。當時有 7 人死亡。因此,市政府希望對冷卻塔進行更多檢測。他們希望每 30 天檢查一次冷卻塔。

Old people and smokers are at high risk. People with lung problems are also at risk. If you visited Central Park in June and have a fever or a cough, go to a doctor.

年長者和吸菸者風險較高。肺部有問題的人也面臨風險。如果您在六月造訪過中央公園,且目前有發燒或咳嗽,請就醫。

Conclusion

The city is still looking for the source of the sickness. The city water is safe to drink.

市政府仍在尋找疾病的來源。城市的自來水是可以安全飲用的。

Vocabulary Learning

⚡️ Focus: The 'State' of Things (The Verb To Be)

In this story, we see how to describe people and things using am/is/are. For A2 learners, this is the foundation of every sentence.

1. Describing People

  • Some people... are sick.
  • Old people... are at high risk.

2. Describing Objects/Places

  • The water... is safe.
  • The city... is still looking.

🛠 Quick Pattern: Person → State

When you want to say how someone feels or what their status is, use this simple map:

  • I \rightarrow am (I am sick)
  • He/She/It \rightarrow is (The water is safe)
  • They/We/You \rightarrow are (People are at risk)

Note: Use is for one thing (The Mayor) and are for many things (Eighteen people).

Vocabulary Learning

cause (n.)
The reason why something happens
Example:The police are looking for the cause of the fire.
bacteria (n.)
Very small living things that can sometimes make people sick
Example:You should wash your hands to kill bacteria.
safe (adj.)
Not dangerous
Example:It is safe to walk in this park during the day.
risk (n.)
The possibility of something bad happening
Example:Smoking increases the risk of heart disease.
fever (n.)
When your body temperature is too high because you are sick
Example:The child has a high fever and needs to rest.
cough (n.)
The sound you make when air comes quickly out of your throat
Example:He has a bad cough and a sore throat.
source (n.)
The place where something starts
Example:The river is the source of the water for the city.
B2

Investigation of Legionnaires' Disease Cluster in Upper East Side Manhattan

調查曼哈頓上東區軍團病集群病例


Introduction

Health authorities in New York City are currently investigating a group of Legionnaires' disease cases located in specific neighborhoods of the Upper East Side.

紐約市衛生部門目前正在調查上東區特定社區出現的一組軍團病病例。

Main Body

There are currently 18 confirmed cases across the Carnegie Hill and Yorkville areas. Although the Department of Health has not found the exact source yet, they believe a cooling tower in the area is likely spreading the bacteria through the air. Consequently, officials began testing all local cooling towers over the July 4th holiday weekend. Mayor Zohran Mamdani emphasized that the outbreak is not linked to home plumbing or indoor air conditioning, asserting that drinking water and residential systems are safe.

目前在 Carnegie Hill 和 Yorkville 地區共有 18 例確診病例。雖然衛生局尚未找到確切源頭,但他們認為該地區的冷卻塔很可能透過空氣散播細菌。因此,官員在 7 月 4 日假期週末開始測試當地所有冷卻塔。市長 Zohran Mamdani 強調,此次爆發與家居水管或室內空調無關,並稱飲用水和住宅系統是安全的。

This situation follows a much larger outbreak in Central Harlem during the summer of 2025, which resulted in 114 cases and seven deaths. Following that event, the previous administration proposed stricter rules for cooling tower management. These measures included hiring more inspectors, requiring tests every 30 days instead of 90, and introducing heavier fines for owners who did not follow the rules. These changes were designed to support existing laws that require building owners to register their towers and maintain them properly.

此次情況發生在 2025 年夏天中哈林區一次更大規模的爆發之後,當時導致 114 例病例及 7 人死亡。在那次事件後,前任政府提出了更嚴格的冷卻塔管理規定。這些措施包括聘請更多檢查員、要求每 30 天而非每 90 天進行一次檢測,以及對未遵守規定的業主處以更高額的罰款。這些變更旨在支持現有法律,要求建築業主登記其冷卻塔並妥善維護。

Certain people are at a higher risk of becoming seriously ill, including those aged 50 or older, smokers, and people with weak immune systems or chronic lung diseases. According to the CDC, untreated cases have a 10% mortality rate. Therefore, health officials advise anyone who visited the east side of Central Park between East 76th and East 97th Streets since late June to see a doctor if they have a fever, cough, or difficulty breathing.

某些人群病情嚴重化的風險較高,包括 50 歲或以上者、吸煙者,以及免疫系統較弱或患有慢性肺病的人。根據美國疾病控制與預防中心 (CDC) 的數據,未經治療的病例死亡率為 10%。因此,衛生官員建議任何自 6 月底起曾造訪中央公園東側(東 76 街至東 97 街之間)的人,若出現發燒、咳嗽或呼吸困難,應立即就醫。

Conclusion

The New York City Department of Health is continuing its search for the source of the infection while confirming that the city's water supply remains safe.

紐約市衛生部門將繼續尋找感染源,同時確認城市的供水系統依然安全。

Vocabulary Learning

⚡ The 'Cause & Effect' Leap

To move from A2 to B2, you must stop using "so" for everything. A2 students say: "It rained, so I stayed home." B2 students use Logical Connectors to show a professional relationship between two ideas.

🔍 The 'Power Words' from the Text

Look at how the article connects events without using basic words:

  1. Consequently \rightarrow "Consequently, officials began testing..."

    • The B2 Shift: Use this when one action is the direct result of a previous fact. It is the formal version of "as a result."
  2. Therefore \rightarrow "Therefore, health officials advise..."

    • The B2 Shift: Use this to introduce a logical conclusion or a recommendation based on evidence.

🛠️ Practical Application: The Swap

Instead of using a simple sequence, try these structural upgrades:

  • A2 Style: The water was dirty, so people got sick.

  • B2 Style: The water was contaminated; consequently, a number of residents became ill.

  • A2 Style: I have a fever, so I will go to the doctor.

  • B2 Style: I am experiencing a high fever; therefore, I must seek medical attention.

💡 Pro Tip: Punctuation Matters

Notice that these words often follow a comma or a semicolon. They act as a "bridge" that tells the reader: "Pay attention, the next part is the result of the first part."

Vocabulary Learning

investigating (v.)
Examining a crime, problem, or situation in detail to discover the truth.
Example:The police are currently investigating the cause of the accident.
consequently (adv.)
As a result of something that has happened.
Example:The company lost a lot of money; consequently, they had to lay off several employees.
emphasized (v.)
Gave special importance or prominence to something in speaking or writing.
Example:The teacher emphasized the importance of arriving on time for the exam.
asserting (v.)
Stating a fact or belief confidently and forcefully.
Example:The lawyer continued asserting that his client was innocent of all charges.
proposed (v.)
Suggested a plan or course of action for consideration.
Example:The committee proposed a new set of guidelines to improve office safety.
chronic (adj.)
Continuing or recurring over a long period of time; persistent.
Example:He suffers from chronic back pain that requires regular physical therapy.
mortality rate (n.)
The number of deaths in a given population during a specific period.
Example:Improvements in healthcare have significantly lowered the infant mortality rate.
C2

Investigation of Legionella Pneumonia Cluster in Upper East Side Manhattan

曼哈頓上東區軍團病肺炎集群調查


Introduction

Municipal health authorities in New York City are currently investigating a cluster of Legionnaires' disease cases concentrated in specific Upper East Side neighborhoods.

紐約市市政衛生部門目前正在調查集中在上東區特定社區的軍團病病例集群。

Main Body

The current epidemiological event involves 18 identified cases across ZIP codes 10028, 10128, and 10075, encompassing the Carnegie Hill and Yorkville sectors. While the Department of Health has not yet isolated a definitive point of origin, the operational hypothesis posits that a cooling tower within the affected perimeter is the primary vector for the aerosolized Legionella bacteria. Consequently, systematic sampling and laboratory analysis of all regional cooling towers were commenced over the July 4th holiday weekend. Mayor Zohran Mamdani has explicitly dissociated the outbreak from domestic plumbing systems and internal air conditioning units, asserting that potable water and residential climate control systems remain uncontaminated.

目前的流行病學事件涉及郵遞區號 10028、10128 及 10075 區內的 18 例確診個案,涵蓋 Carnegie Hill 和 Yorkville 地區。雖然衛生局尚未隔離出確定的來源,但操作假設認為受影響範圍內的一個冷卻塔是氣溶膠軍團菌的主要傳播媒介。因此,在 7 月 4 日假期週末,當局已開始對區域內所有冷卻塔進行系統性採樣與實驗室分析。市長 Zohran Mamdani 已明確表示,此次爆發與家用 plumbing 系統及室內空調設備無關,並斷言飲用水與住宅氣候控制系統仍未受污染。

This incident follows a significant historical antecedent in July and August 2025, during which a Central Harlem outbreak resulted in 114 cases, 90 hospitalizations, and seven fatalities. In the wake of that event, the administration of former Mayor Eric Adams proposed a regulatory intensification of cooling tower oversight. These proposed measures included the augmentation of inspection personnel, a reduction of the mandatory testing interval from 90 to 30 days, and the imposition of more stringent penalties for non-compliance. Such measures were intended to supplement existing mandates requiring building owners to register towers and adhere to rigorous maintenance protocols.

此次事件繼 2025 年 7 月及 8 月發生的一起重大歷史前例之後,當時中哈林區的爆發導致 114 例個案、90 人住院及 7 人死亡。在該事件後,前市長 Eric Adams 的政府提出強化冷卻塔監管的法規。這些擬議措施包括增加檢查人員、將強制檢測間隔從 90 天縮短至 30 天,以及對違規行為處以更嚴厲的處罰。此類措施旨在補充現有指令,要求建築物業主登記冷卻塔並遵守嚴格的維護協定。

Clinical risk is stratified by age and preexisting comorbidities; individuals aged 50 or older, current or former smokers, and those with compromised immune systems or chronic pulmonary conditions are categorized as high-risk. The Centers for Disease Control and Prevention (CDC) indicates a 10% mortality rate for untreated cases. Health officials have advised individuals who frequented the east side of Central Park between East 76th and East 97th Streets since late June to seek medical evaluation should they exhibit symptoms such as pyrexia, cough, or dyspnea.

臨床風險依據年齡及既有共病進行分級;50 歲或以上、現正或曾吸菸者,以及免疫系統受損或患有慢性肺病者被歸類為高風險群。美國疾病控制與預防中心(CDC)指出,未經治療的個案死亡率為 10%。衛生官員建議,自 6 月底以來經常出沒於中央公園東側(東 76 街至東 97 街之間)的民眾,若出現發燒、咳嗽或呼吸困難等症狀,應尋求醫療評估。

Conclusion

The New York City Department of Health continues its investigation into the source of the cluster while maintaining that municipal water supplies are safe.

紐約市衛生局將繼續調查集群的來源,同時維持市政供水安全之說法。

Vocabulary Learning

The Architecture of Nominalization: Bridging the Gap to C2

To ascend from B2 to C2, a student must pivot from narrative prose (describing actions) to conceptual prose (describing states and systems). The provided text is a masterclass in Nominalization—the process of turning verbs or adjectives into nouns to create a high-density, objective academic tone.

◈ The 'Action-to-Entity' Shift

Observe how the text avoids simple subject-verb-object structures in favor of complex noun phrases. This removes the 'human' element and replaces it with 'institutional' authority.

  • B2 Level: The city is investigating a cluster of cases. (Simple action)
  • C2 Level: The current epidemiological event involves 18 identified cases...

By transforming the act of investigating into an epidemiological event, the writer elevates the register from a news report to a formal clinical record.

◈ Precision Lexis & Collocational Density

C2 mastery is not about "big words," but about precise collocations—words that naturally co-occur in high-level discourse. Note these clusters:

  1. The Hypothesis Chain: Operational hypothesis \rightarrow Primary vector \rightarrow Aerosolized bacteria.
  2. The Regulatory Chain: Regulatory intensification \rightarrow Mandatory testing interval \rightarrow Stringent penalties.

Analysis: The word intensification is far more precise than increase. It implies a deliberate, systemic strengthening of a process.

◈ Semantic Nuance: 'Dissociated' vs. 'Denied'

A B2 student might write: "The Mayor denied that the pipes were the problem."

The text uses: "Mayor Zohran Mamdani has explicitly dissociated the outbreak from domestic plumbing systems..."

Why this is C2: Dissociate functions here as a cognitive operation. It doesn't just deny a claim; it intellectually separates two variables. This is the hallmark of scholarly English: using verbs that describe the logical relationship between ideas rather than just the action of the speaker.

◈ Syntactic Compression via Prepositional Phrases

Notice the lack of "because" or "so." Instead, the text uses Consequently and In the wake of, which function as logical pivots for entire conceptual blocks:

"In the wake of that event, the administration... proposed a regulatory intensification..."

This structure allows the writer to embed the cause (the event) as a prepositional modifier, keeping the focus on the result (the intensification). This is the essential 'compression' required for C2 professional writing.

Vocabulary Learning

posits (v.)
To put forward as a basis of argument; to suggest or assume the existence, fact, or truth of something as a basis for reasoning.
Example:The lead researcher posits that the sudden temperature drop triggered the chemical reaction.
vector (n.)
An organism or vehicle that transmits an infectious agent from a reservoir to a susceptible host.
Example:Stagnant water in the cooling system acted as the primary vector for the bacteria's spread.
dissociated (v.)
To disconnect or separate one thing from another; to deny a connection between two entities or events.
Example:The spokesperson dissociated the company's brand from the controversial statements made by the employee.
antecedent (n.)
A preceding event, circumstance, or ancestor that serves as a precursor to something else.
Example:The economic crash of 2008 served as a grim antecedent to the current financial instability.
augmentation (n.)
The action or process of making something greater in size, amount, or intensity.
Example:The city council approved the augmentation of the police force to ensure safety during the festival.
stratified (v.)
Arranged or classified into different groups or layers, often based on specific characteristics.
Example:The patient population was stratified by age and severity of symptoms to determine the drug's efficacy.
comorbidities (n.)
The simultaneous presence of two or more diseases or medical conditions in a patient.
Example:The risk of severe complications increases significantly when the primary infection is paired with comorbidities like diabetes.
pyrexia (n.)
A medical term for fever; an abnormal increase in body temperature.
Example:The patient presented with acute pyrexia and chills, suggesting a systemic infection.
dyspnea (n.)
Difficult or labored breathing; shortness of breath.
Example:Severe dyspnea is a common clinical sign of pulmonary edema or acute pneumonia.
Practice All words in a crossword