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Multiple children infected in 'severe' viral outbreak (Adenovirus #7) at N.J. facility- 11 dead; 35 cases - outbreak over

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  • Shiloh
    replied
    Source: https://wcbs880.radio.com/articles/a...fficially-over


    Adenovirus Outbreak At New Jersey Rehab Center Is Officially Over
    December 11, 2018 - 6:25 pm

    WANAQUE, N.J. (WCBS 880) ? The adenovirus outbreak at the Wanaque Center for Nursing and Rehabilitation is official over as of Tuesday.

    New Jersey health officials made the announcement exactly 11 weeks after it began.

    In total, 36 children at the center were infected by the virus and 11 of them died...

    Leave a comment:


  • Shiloh
    replied
    Source: https://nj.gov/health/news/2018/appr...0181114c.shtml
    NJ Department of Health Takes Enforcement Action Against Wanaque Center for Nursing and Rehabilitation

    The New Jersey Department of Health took enforcement action against the Wanaque Center for Nursing and Rehabilitation today, prohibiting all new admissions to the entire facility and requiring the hiring of a certified Infection Control Practioner (ICP) and the services of a Department approved physician or physician practice with board certification in infectious disease. This decision comes as a result of serious infection control deficiencies cited in ongoing inspections.
    The curtailment of admissions to the pediatric respiratory unit takes effect immediately and will remain in effect until Wanaque demonstrates that the facility is able to fully comply with directives provided by the Department?s Communicable Disease Service on separating medically fragile residents without symptoms in the pediatric respiratory unit?where the adenovirus outbreak has spread?from those who have the virus, including grouping residents by laboratory testing status and symptoms experienced by residents. Wanaque may request Department approval to re-admit a former pediatric respiratory patient at the facility.
    Previously, the expectation was that the pediatric facility would not accept new admissions until the end of the outbreak. Now, this is a formal curtailment until they are able to make the facility comply with a Department directive to separate pediatric patients without symptoms from those who have the adenovirus.
    The curtailment of new admissions to the rest of the facility also takes effect immediately and remains in effect until the Department lifts the curtailment.
    The curtailment of admissions action, detailed in an enforcement letter to the facility, requires Wanaque to hire a Department approved ICP; and the services of a Department approved physician or physician practice with board certification in infectious disease. The ICP will work with Wanaque, the infectious disease physician or group practice and the Department of Health to review the facility?s practices and implement the Department and the ICP?s recommendations. Wanaque is required to submit weekly reports to the Department.
    ?This enforcement action will require the facility to be able to safely separate medically fragile children before they can accept any new admissions to the respiratory unit,? said Health Commissioner Dr. Shereef Elnahal. ?The fact that we are continuing to see new, confirmed cases at this point, despite all efforts toward strict adherence to protocols, has made the facility?s layout limitations clear. This action is required to keep patients safer in the future.?
    The curtailment of admissions and plan of correction will remain in place until lifted by the Department. Failure to comply could result in civil monetary penalties and/or suspension or revocation of the facility?s license. These actions also lay the groundwork for possible further enforcement actions, if ongoing investigations reveal major deficiencies.
    There have been 33 pediatric cases of adenovirus associated with this outbreak including 10 deaths of severely ill children. One staff person at the facility also was confirmed with adenovirus but has since recovered.
    The strain of adenovirus that has sickened so many children at Wanaque is a type (#7) that is common to communal settings such as nursing homes and military bases. It is known to cause severe illness. These immune-compromised children are not eligible for the vaccine that was developed for this strain of the virus.
    The Department will continue its ongoing work with the facility to contain the current outbreak.



    For Release:
    November 14, 2018
    Shereef Elnahal
    Commissioner

    For Further Information Contact:
    Office of Communications
    (609) 984-7160

    Leave a comment:


  • Shiloh
    replied
    Source: https://nj.gov/health/cd/topics/adenovirus.shtml
    Adenovirus

    Adenoviruses are common viruses that can cause a range of illnesses. They can cause cold-like symptoms, sore throat, bronchitis, pneumonia, diarrhea, and pink eye (conjunctivitis). You can get an adenovirus infection at any age. People with weakened immune systems or existing respiratory or cardiac disease are more likely than others to get very sick from an adenovirus infection.
    The New Jersey Department of Health is actively investigating two outbreaks at the Wanaque Center for Nursing and Rehabilitation in Haskell and Voorhees Pediatric Facility that appear to be unrelated at this time.

    Strain typing has confirmed the adenovirus cases at Voorhees are Type 3. This is a different strain from the one that caused a severe outbreak at the Wanaque Center (Type 7). Type 3 is typically associated with a milder illness than Type 7, however it is still sometimes associated with severe illness and even death.

    Ongoing adenovirus outbreaks (last updated 11/12/2018)
    Cases associated with outbreak Wanaque Center for
    Nursing and Rehabilitation
    Voorhees Pediatric Facility
    Illness onset range 9/26 - 11/9 10/20 - 11/9
    Residents 33 8
    Staff 1 0
    Total 34 8
    Deaths 10 0
    Educational Materials


    Leave a comment:


  • Shiloh
    replied
    Source: https://nj.gov/health/cd/topics/adenovirus.shtml
    Adenovirus

    Adenoviruses are common viruses that can cause a range of illnesses. They can cause cold-like symptoms, sore throat, bronchitis, pneumonia, diarrhea, and pink eye (conjunctivitis). You can get an adenovirus infection at any age. People with weakened immune systems or existing respiratory or cardiac disease are more likely than others to get very sick from an adenovirus infection.
    The New Jersey Department of Health is actively investigating two outbreaks at the Wanaque Center for Nursing and Rehabilitation in Haskell and Voorhees Pediatric Facility that appear to be unrelated at this time.

    Strain typing has confirmed the adenovirus cases at Voorhees are Type 3. This is a different strain from the one that caused a severe outbreak at the Wanaque Center (Type 7). Type 3 is typically associated with a milder illness than Type 7, however it is still sometimes associated with severe illness and even death.

    Ongoing adenovirus outbreaks (last updated 11/9/2018)
    Cases associated with outbreak Wanaque Center for
    Nursing and Rehabilitation
    Voorhees Pediatric Facility
    Illness onset range 9/26 - 11/8 10/20 - 11/8
    Residents 31 7
    Staff 1 0
    Total 32 7
    Deaths 10 0

    Educational Materials


    Leave a comment:


  • Shiloh
    replied
    Source: https://nj.gov/health/news/2018/appr...0181105b.shtml Total of 30 adenovirus cases at Wanaque Center for Nursing and Rehabilitation

    Laboratory tests have confirmed another medically fragile child with adenovirus as part of an ongoing outbreak investigation at the Wanaque Center for Nursing and Rehabilitation in Haskell.
    To date, a total of 29 pediatric adenovirus cases have been associated with this outbreak. In addition, a staff member at the facility ? who has since recovered ? also became ill as part of the outbreak. There have been 10 deaths associated with this outbreak.
    The most recent date of illness onset was on Nov. 5.
    To date, the individuals associated with the outbreak became ill between Sept. 26 and Nov. 5. The affected children had severely compromised immune systems ? including respiratory problems ? before the outbreak began.
    Unless there is another death associated with this outbreak, the Department will begin updating case counts and dates of illness onset on our adenovirus webpage.
    Adenovirus has an incubation period of two to 14 days, meaning that symptoms typically appear two to 14 days after exposure to the virus. This later onset of illness is not unexpected due to the long incubation period of adenovirus. The Department will not consider the outbreak over until four weeks after the last illness onset.
    The facility will not admit new residents for the duration of the outbreak.
    This is an active investigation of an outbreak of adenovirus so it is possible that lab tests will confirm additional cases. A Department of Health Communicable Disease Service staff member is on site at the facility and monitoring the outbreak. The Centers for Disease Control and Prevention (CDC) is assisting with lab testing and expertise.
    A Department of Health team of infection control experts and epidemiologists are visiting University Hospital and four pediatric long-term care facilities ? including Wanaque ? this month to conduct training and assessments of infection control procedures, Commissioner Elnahal announced last week. The team so far visited the Wanaque Center on Nov. 1 and University Hospital on Nov. 2.
    Adenovirus is a respiratory virus which can cause mild or serious illness, though serious illness is less common. Symptoms may include common cold, sore throat, bronchitis, pneumonia, diarrhea, pink eye, fever, bladder inflammation or infection, inflammation of the stomach and intestines and neurological disease.
    On Oct. 30, the Department released the final report from the Oct. 21 unannounced inspection of the Wanaque Center for Nursing and Rehabilitation in Haskell.
    Click here for Frequently Asked Questions about adenovirus.



    For Release:
    November 5, 2018
    Shereef Elnahal
    Commissioner

    For Further Information Contact:
    Office of Communications
    (609) 984-7160

    Leave a comment:


  • Shiloh
    replied
    Total of 28 adenovirus cases at Wanaque Center for Nursing and Rehabilitation

    Laboratory tests have confirmed another medically fragile child with adenovirus as part of an ongoing outbreak investigation at the Wanaque Center for Nursing and Rehabilitation in Haskell.
    To date, a total of 28 confirmed pediatric cases have been associated with this outbreak. In addition, a staff member at the facility ? who has since recovered ? also became ill as part of the outbreak. There have been 10 deaths associated with this outbreak.
    The most recent date of illness onset was on Oct. 30.
    To date, the individuals associated with the outbreak became ill between Sept. 26 and Oct. 30. The affected children had severely compromised immune systems ? including respiratory problems ? before the outbreak began.
    Adenovirus has an incubation period of 2-14 days, meaning that symptoms typically appear 2-14 days after exposure to the virus. This later onset of illness is not unexpected due to the long incubation period of adenovirus. The Department will not consider the outbreak over until four weeks after the last illness onset.
    The facility will not admit new residents for the duration of the outbreak.
    This is an active investigation of an outbreak of adenovirus so it is possible that lab tests will confirm additional cases. A Department of Health Communicable Disease Service staff member is on site at the facility and monitoring the outbreak. The Centers for Disease Control and Prevention (CDC) is assisting with lab testing and expertise.
    ?The loss of these young lives is heartbreaking, and our thoughts are with the families who are affected,? Health Commissioner Dr. Shereef Elnahal said. ?We are working closely with the facility to conduct respiratory illness surveillance and ensure all infection control protocols are continuously followed. We are also engaging in discussions with the Centers for Medicare & Medicaid Services (CMS) on standards for these facilities.?
    A Department of Health team of infection control experts and epidemiologists will visit University Hospital and four pediatric long-term care facilities ? including Wanaque ? in November to conduct training and assessments of infection control procedures, Commissioner Elnahal announced earlier this week.
    Adenovirus is a respiratory virus which can cause mild or serious illness, though serious illness is less common. Symptoms may include common cold, sore throat, bronchitis, pneumonia, diarrhea, pink eye, fever, bladder inflammation or infection, inflammation of the stomach and intestines and neurological disease.
    On Oct. 30, the Department released the final report from the October 21, 2018 unannounced inspection of the Wanaque Center for Nursing and Rehabilitation in Haskell.
    Click here for Frequently Asked Questions about adenovirus.

    Source: https://nj.gov/health/news/2018/appr...0181101b.shtml



    For Release:
    November 1, 2018
    Shereef Elnahal
    Commissioner

    For Further Information Contact:
    Office of Communications
    (609) 984-7160

    Leave a comment:


  • Shiloh
    replied
    Source: https://nj.gov/health/news/2018/appr...0181031e.shtml
    NJ Department of Health confirms 10th death of Wanaque Center for Nursing and Rehabilitation Resident

    A 10th medically fragile child confirmed to have the adenovirus infection has passed away. The child had been a resident of the Wanaque Center for Nursing and Rehabilitation in Haskell.
    To date, a total of 27 pediatric cases have been associated with this outbreak. In addition, a staff member at the facility ? who has since recovered ? also became ill as part of the outbreak. The child had become ill before Oct. 22.
    To date, the individuals associated with the outbreak became ill between Sept. 26 and Oct. 29. The affected children had severely compromised immune systems ? including respiratory problems ? before the outbreak began.
    Adenovirus has an incubation period of two to 14 days, meaning that symptoms typically appear two to 14 days after exposure to the virus. This later onset of illness is not unexpected due to the long incubation period of adenovirus. The Department will not consider the outbreak over until four weeks after the last illness onset.
    The facility will not admit new residents for the duration of the outbreak.
    This is an active investigation of an outbreak of adenovirus so it is possible that lab tests will confirm additional cases. A Department of Health Communicable Disease Service staff member is on site at the facility and monitoring the outbreak. The Centers for Disease Control and Prevention (CDC) is assisting with lab testing and expertise.
    ?The loss of these young lives is heartbreaking, and our thoughts are with the families who are affected,? Health Commissioner Dr. Shereef Elnahal said. ?We are working closely with the facility to conduct respiratory illness surveillance and ensure all infection control protocols are continuously followed. We are also engaging in discussions with the Centers for Medicare & Medicaid Services (CMS) on standards for these facilities.?
    A Department of Health team of infection control experts and epidemiologists will visit University Hospital and four pediatric long-term care facilities ? including Wanaque ? in November to conduct training and assessments of infection control procedures, Commissioner Elnahal announced earlier this week.
    Adenovirus is a respiratory virus which can cause mild or serious illness, though serious illness is less common. Symptoms may include common cold, sore throat, bronchitis, pneumonia, diarrhea, pink eye, fever, bladder inflammation or infection, inflammation of the stomach and intestines and neurological disease.
    On Oct. 30, the Department released the final report from the Oct. 21 unannounced inspection of the Wanaque Center for Nursing and Rehabilitation.
    Click here for Frequently Asked Questions about adenovirus.



    For Release:
    October 31, 2018
    Shereef Elnahal
    Commissioner

    For Further Information Contact:
    Office of Communications
    (609) 984-7160

    Leave a comment:


  • Emily
    replied
    Deficiencies in infection control, as state questions whether federal long-term care standards for medically fragile children are "optimal."

    Surprise inspection reveals problems at N.J. facility where 9 kids died in viral outbreak
    Updated October 31, 2018 at 7:32 AM; Posted October 30, 2018 at 6:58 PM

    Unconfirmed allegation:


    Bad work enviorment

    Therapist (part-time) (Current Employee) ? Haskell, NJ ? June 10, 2018
    ...

    Dirty environment staff regularly comes down with various infections...

    Leave a comment:


  • Shiloh
    replied
    Source: https://nj.gov/health/news/2018/appr...0181031c.shtml
    Total of 27 adenovirus cases at Wanaque Center for Nursing and Rehabilitation

    Laboratory tests have confirmed another medically fragile child with adenovirus as part of an ongoing outbreak investigation at the Wanaque Center for Nursing and Rehabilitation in Haskell.

    To date, a total of 27 confirmed pediatric cases have been associated with this outbreak. In addition, a staff member at the facility ? who has since recovered ? also became ill as part of the outbreak. There have been nine deaths associated with this outbreak.

    The most recent date of illness onset was on Oct. 29.
    To date, the individuals associated with the outbreak became ill between Sept. 26 and Oct. 29. The affected children had severely compromised immune systems ? including respiratory problems ? before the outbreak began.
    Adenovirus has an incubation period of 2-14 days, meaning that symptoms typically appear 2-14 days after exposure to the virus. This later onset of illness is not unexpected due to the long incubation period of adenovirus. The Department will not consider the outbreak over until four weeks after the last illness onset.
    The facility will not admit new residents for the duration of the outbreak.
    This is an active investigation of an outbreak of adenovirus so it is possible that lab tests will confirm additional cases. A Department of Health Communicable Disease Service staff member is on site at the facility and monitoring the outbreak. The Centers for Disease Control and Prevention (CDC) is assisting with lab testing and expertise.
    ?The loss of these young lives is heartbreaking, and our thoughts are with the families who are affected,? Health Commissioner Dr. Shereef Elnahal said. ?We are working closely with the facility to conduct respiratory illness surveillance and ensure all infection control protocols are continuously followed.?
    A Department of Health team of infection control experts and epidemiologists will visit University Hospital and four pediatric long-term care facilities ? including Wanaque ? in November to conduct training and assessments of infection control procedures, Commissioner Elnahal announced earlier this week.
    Adenovirus is a respiratory virus which can cause mild or serious illness, though serious illness is less common. Symptoms may include common cold, sore throat, bronchitis, pneumonia, diarrhea, pink eye, fever, bladder inflammation or infection, inflammation of the stomach and intestines and neurological disease.
    On Oct. 30, the Department released the final report from the October 21, 2018 unannounced inspection of the Wanaque Center for Nursing and Rehabilitation in Haskell.
    Click here for Frequently Asked Questions about adenovirus.


    For Release:
    October 31, 2018
    Shereef Elnahal
    Commissioner

    For Further Information Contact:
    Office of Communications
    (609) 984-7160

    Leave a comment:


  • Shiloh
    replied
    Source: https://nj.gov/health/news/2018/appr...0181028a.shtml
    NJ Department of Health confirms 9th death of Wanaque Center for Nursing and Rehabilitation Resident

    Another medically fragile child with respiratory illness at the Wanaque Center for Nursing and Rehabilitation in Haskell unfortunately passed away at a hospital late last night, bringing the total deaths among facility residents to nine. This latest death was an individual who had a confirmed case of adenovirus and had become ill before Oct. 22.

    A total of 25 pediatric cases have been associated with this outbreak. A staff member at the facility ? who has since recovered ? also became ill as part of the outbreak. Among the 25 confirmed adenovirus cases among residents, there have been eight pediatric deaths confirmed with adenovirus. The Department of Health does not have laboratory confirmation of adenovirus in the individual who passed away on Friday afternoon.

    ?This is a tragic situation, and our thoughts are with the families who are grieving right now,? Health Commissioner Dr. Shereef Elnahal said. ?We are working every day to ensure all infection control protocols are continuously followed and closely monitoring the situation at the facility.?

    October 22 remains the most recent date of illness onset. To date, the individuals associated with the outbreak became ill between Sept. 26 and Oct. 22. The affected children in the facility?s pediatric ventilator unit had severely compromised immune systems ? including respiratory problems ? before the outbreak began.

    This is an ongoing outbreak investigation and lab tests could confirm additional cases. When the Department receives additional test results, we will provide an update. The type of adenovirus virus involved in this outbreak (#7) is associated with communal living arrangements and is known to cause severe illness ? especially in those with compromised immune systems.

    ?As part of an ongoing effort to ensure all infection control measures are followed, we are taking extra steps to monitor residents and staff for any signs of infectious illness,? Dr. Elnahal explained.? Not all viruses are adenovirus. Often people become ill for many reasons, especially these medically fragile children who had respiratory problems as part of their underlying medical conditions.?

    The facility will not admit new residents for the duration of the outbreak.

    The Department of Health Communicable Disease Service is on site monitoring the outbreak. The Centers for Disease Control and Prevention (CDC) is assisting with lab testing and expertise.

    The affected children range in age from toddlers to young adults. The vast majority are under the age of 18.

    The Wanaque Center established a 24/7 hotline for affected families and is offering professional grief counseling to those impacted.

    Adenovirus is a respiratory virus which can cause mild or serious illness, though serious illness is less common. Symptoms may include common cold, sore throat, bronchitis, pneumonia, diarrhea, pink eye, fever, bladder inflammation or infection, inflammation of the stomach and intestines and neurological disease.



    For Release:
    October 28, 2018
    Shereef Elnahal
    Commissioner

    For Further Information Contact:
    Office of Communications
    (609) 984-7160

    Leave a comment:


  • Shiloh
    replied
    Source: https://www.nj.com/news/index.ssf/20...j_pediatr.html


    More cases of deadly virus confirmed at N.J. pediatric facility
    Updated 8:31 PM; Posted 8:28 PM
    By Nick Falsone
    For lehighvalleylive.com

    The number of confirmed case of adenovirus that has plagued a pediatric, long-care health facility in Passaic County has risen.

    Eight children have died from the outbreak at Wanaque Center for Nursing and Rehabilitation in Haskell. Others who have contacted it at the facility have survived.

    When the outbreak was first reported, the number of confirmed cases of the virus stood at 18, but state health officials since then have upped the number twice. On Friday, 23 cases were confirmed.

    On Saturday, Dr. Shereef Elnahal, commissioner of the state's Department of Health, placed the number of confirmed cases at 26...

    Leave a comment:


  • Shiloh
    replied
    Source: https://www.nj.com/news/index.ssf/20...s_to_8_mo.html

    8 kids are now dead in N.J. virus outbreak, and more were sickened than first thought
    Updated 6:25 PM; Posted 5:28 PM
    By Spencer Kent and Ted Sherman
    NJ Advance Media for NJ.com

    An eighth child has died in the wake of a deadly viral outbreak that has already claimed the lives of seven at a pediatric long-term healthcare facility in New Jersey, state officials confirmed on Friday.

    The name and age of the child was not disclosed. The state Department of Health said it did not yet have laboratory confirmation of adenovirus in the child, but had respiratory illness.

    Meanwhile, health department officials said more children were infected in the outbreak than originally thought, based on new lab results...

    Leave a comment:


  • Shiloh
    replied
    Source: https://www.ctvnews.ca/health/4-more...ntre-1.4150571

    4 more cases confirmed in viral outbreak at pediatric centre
    adenovirus, a common cold virus
    Mike Catalini, The Associated Press
    Published Friday, October 26, 2018 6:55AM EDT
    Last Updated Friday, October 26, 2018 1:09PM EDT

    TRENTON, N.J. - New Jersey health officials say they've confirmed four more infected patients in a viral outbreak at a pediatric rehabilitation centre that killed seven people.

    That brings the total number of adenovirus cases to 24.

    The Health Department said Friday in a statement that all the new patients at the Wanque Center for Nursing and Rehabilitation were already ill...

    Leave a comment:


  • Shiloh
    replied
    Source: https://www.kolotv.com/content/news/...498569291.html


    19th case confirmed in viral outbreak that killed 7
    By MIKE CATALINI, Associated Press |
    Posted: Thu 1:00 PM, Oct 25, 2018 |
    Updated: Thu 1:56 PM, Oct 25, 2018

    TRENTON, N.J. (AP) ? New Jersey health officials said Thursday tests confirmed a 19th patient has been infected in a viral outbreak at a pediatric rehabilitation center that has killed seven people.

    The unidentified person had already been ill so the diagnosis does not necessarily mean the virus is still spreading, according to Health Department spokeswoman Donna Leusner.

    The outbreak won't be declared over until the Wanaque Center for Nursing and Rehabilitation can go four weeks without any new cases of people being infected with a type of germ called adenovirus 7, Health Commissioner Dr. Shereef Elnahal said this week...

    Leave a comment:


  • Shiloh
    replied
    Source: https://pix11.com/2018/10/24/7th-chi...partment-says/

    7th child dies in ?severe? adenovirus outbreak at NJ facility, Health Department confirms
    Posted 8:45 AM, October 24, 2018, by PIX11 News, Updated at 08:59AM, October 24, 2018

    ...The Health Department confirmed on Wednesday that another child passed away Tuesday night during the adenovirus outbreak.

    ?The New Jersey Department of Health learned last night that unfortunately another child who was hospitalized due to adenovirus passed away yesterday. The young child?s death was the seventh death associated with the outbreak at the Wanaque Center for Nursing and Rehabilitation. The child?s death is among 18 confirmed cases of adenovirus among medically fragile children at the facility. The strain of adenovirus seen in this outbreak is associated with communal living arrangements and known to cause severe illness. The Department continues to work very closely with the facility to ensure that all infection control measures are being followed. An outbreak investigation, with assistance from the CDC, is ongoing.?...


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