Palawan provincial health officials are putting the death toll due to a diarrhea outbreak in Balabac to 10, according to a Palawan News report. The number of people affected in this current outbreak is about 300.

This outbreak follows one just a couple of months ago that sickened some 200.

Tainted drinking water has been blamed for the outbreak, which has tested positive for E. coli from human or animal waste.

Last fall, Palawan officials declared a “state of emergency” in the municipality of Quezon where hundreds were sickened.