Another medically fragile child with respiratory illness at the Wanaque Center for Nursing and Rehabilitation died Saturday, bringing the total deaths among facility residents to nine, state officials said.
Seven other children have died and 16 others who have survived all contracted adenovirus while being treated at the Wanaque Nursing Home & Rehabilitation Center in Haskell, according to the Department of Health.
The department confirmed 25 pediatric cases have been associated with the outbreak. It said it did not have laboratory confirmation of adenovirus in the child.
Each of those who became ill had "severely compromised immune systems" before they got sick, and ranged in age from toddlers to young adults.
The illness, identified as adenovirus 7, poses the most significant risk to patients with weakened immune systems or existing respiratory and cardiac disease.
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 agency says the most recent individual became sick on or before October 22, which remains the last day when a patient showed new symptoms.
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Consulate sources said autopsy results determining the cause of the death are yet to come out and the investigation is underway. Police sketches of the two women found taped together in the Hudson River on October 24, 2018.
Health officials found minor hand-washing deficiencies at the facility during visits last week, and have been working with the center on infection-control issues, the health department said.
The US health department said the most recent individual to be diagnosed in the outbreak would have fallen ill on or before 22 October.
Health Commissioner Dr. Shereef Elnahal said in a statement Monday the teams will assess infection prevention practices and deploy beginning in November.
Teams will also be sent to the Voorhees Pediatric Facility in the state, and the Children's Specialised Hospital with locations in Toms River and Mountainside.
Symptoms include a sore throat, bronchitis, pneumonia, fever, and neurologic disease.
The Wanaque Center has established a hotline for people who have been affected, and are also offering grief counseling.