Hospitals in the Italian region of Tuscany are on high alert following a deadly outbreak of a superbug.

Figures show the antibiotic-resistant NDM-1 has infected at least 75 people in the tourist hot spot since November 2018.

The bacterial infection is believed to have killed at least 31 people in 17 different hospitals in that time.

More than 30 cases of infection have been reported in Pisa, home to the famous leaning tower.

More than 30 cases of the New Delhi superbug have been reported in Pisa since November 2018 as the region faces a deadly outbreak

Superbug NDM-1 sparked a global panic when it was found in the Indian capital in 2010. It is immune to our ‘last resort’ antibiotics, called carbapenems

The European Centre for Disease Prevention and Control issued a rapid risk assessment in June after the outbreak in Tuscany.

It warned of possible cross-border infections, 'especially since the affected area is a major tourist destination.'

More than 100million visitors flock to the beloved region - home to the Renaissance art of Florence and gothic architecture of Siena - every year.

Tuscany's health authority said 'the ability to resist antibiotics makes these bacteria dangerous, especially in vulnerable patients, already affected by serious pathologies or immunosuppressed'.

As a result, hospitals in the region have 'stepped up procedures for the prevention and control of infections in health facilities,' it said.

More than 100million visitors flock to the beloved region - home to the Renaissance art of Florence and gothic architecture of Siena - every year

Superbug NDM-1 - named after New Delhi - sparked a global panic when it was found in the Indian capital in 2010.

WHAT IS THE NEW DHELI SUPERBUG? The so-called superbug NDM-1 sparked a global panic when it was found in the Indian capital in 2010. NDM-1 is an enzyme - a mutant piece of DNA - that turns ordinary bacteria into lethal bugs which our best medicines bounce off. These mutant bacteria are known to have killed more than 20 people in Britain and infected hundreds, if not thousands of Britons. No one knows the true toll. The bacteria known already to carry it include mutant versions of common and usually harmless gut bugs — Klebsiella and E.coli. The bug showed resistance even to carbapenems, a group of antibiotics often reserved as a last resort in fighting infections. NDM-1 breaks down these drugs, rendering them useless. It is also immune to most other antibiotics, including penicillins. Advertisement

NDM-1 is an enzyme - a mutant piece of DNA - that turns ordinary bacteria into lethal bugs which our best antibiotics bounce off.

These mutant bacteria are known to have killed more than 20 people in Britain and infected hundreds, if not thousands of Britons. No-one knows the true toll.

Public Health England said that the number of laboratory-confirmed cases of bacteria carrying NDM-1 had rose from just five in 2006 to more than 600 in 2013.

The bacteria known already to carry it include mutant versions of common and usually harmless gut bugs — Klebsiella and E.coli.

According to Public Health England, the NDM-1 enzyme has made them immune to our ‘last resort’ antibiotics — called carbapenems — which medics use to beat infections when other antibiotics have failed.

NDM-1 breaks down these drugs, rendering them useless. It is also immune to most other antibiotics, including penicillins.

Experts at the U.S. Centres for Disease Control say that it contributes to the death of up to half of patients who become infected.

Every year, thousands of Britons travel to the Indian capital for cheap operations, often cosmetic surgery, but also organ transplants that NHS surgeons have declared too hazardous to perform.

Hospitals on the subcontinent may charge only one-fifth of what a UK private hospital asks.

However, India effectively acts as a vast petri dish for growing new antibiotic-resistant superbugs. Poor sanitation and healthcare hygiene spread bacteria rapidly.

Moreover, antibiotics can be bought cheaply, easily and frivolously at chemists on the subcontinent.