Adenovirus is a family of viruses that typically impact young children and usually cause only mild illness, according to the Health Department. The facility has been told it can't admit any new patients until the outbreak ends.
The affected children in the facility's pediatric ventilator unit had severely compromised immune systems and respiratory problems before the outbreak began, according to the health department.
No new residents are being admitted for the duration of the outbreak, which won't be declared over until the center can go four weeks without any new cases. The health department was first notified of the outbreak on October 9, according to a statement from the agency.
The nine children who died in the outbreak that began September 26 range in age from toddler to young adult, with a lot of them under age 18.
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The Department of Health's Communicable Disease service remains on site to monitor the outbreak.
A staff member who had fallen ill has since recovered from this strain of adenovirus, but the medically fragile children are the ones most vulnerable to the virus. "The strain has been particularly associated with disease in communal living arrangements and can be more severe".
The department said it is an active outbreak investigation and lab tests could confirm additional cases.
A young adult has also succumbed to the illness at the Wanaque Centre for Nursing and Rehabilitation in Haskell, New Jersey.
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The Health Department says an inspection team found "minor handwashing deficiencies", and they continue to work closely with the nursing and rehab center on infection control issues. And while a vaccine exists, it's available only to military recruits.
The infections "usually occur sporadically - here a case, there a case - so outbreaks are pretty rare", Schaffner said. Symptoms include the common cold, sore throat, bronchitis, pneumonia, diarrhea, pink eye, and fever and bladder infections. He said this is changing, and for that reason, he believes the number of cases will rise.
"Am I angry? I think what it is I need to know information".
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