Two more cases of Legionnaires' Disease have been confirmed in the Stoke-on-Trent outbreak bringing the total number to nine.
The Health Protection Agency (HPA) say all of those affected are aged between their lates 40s and mid 70s and are being treated at the University Hospital of North Staffordshire.
News of the outbreak was announced on Tuesday, the HPA is also investigating a further two cases identified in early summer as being possibly linked to the current cluster.
Professor Harsh Duggal, director of the Health Protection Unit in Stafford stressed the outbreak was not related to the hospital and it remains a safe environment.
Public and environmental health experts from the HPA, the Health and Safety Executive and the NHS in Stoke and Stoke-on-Trent City Council are working together to identify and investigate possible sources.
Early symptoms include a flu-like illness with muscle aches, tiredness, headaches, dry cough and fever which can then lead to pneumonia. Patients can become very unwell but the disease can be effectively treated with a course of antibiotics.