Six inmates at the San Quentin State Prison in California tested positive for Legionnaires’ disease on Sunday morning. Five of them have been sent to outside hospitals for treatment. Fifty-one others are under observation for symptoms of respiratory illness, Reuters reports.

The Legionnaires’ disease scare hit San Quentin State Prison after an inmate tested positive for the disease on Thursday, prompting prison officials to carry out measures to prevent the spread of the disease. Water was shut off, including showers and toilets. The kitchen was also closed to get rid of steam and mist during cooking, and boxed meals are now being distributed to inmates, LA Times reports. After consulting with health experts and ensuring that toilets are not the source of the disease, state prison officials allowed the use of toilets within the housing units to resume Friday afternoon. However, taps and showers are still closed.

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