Nine children were reported dead in a nursing home in New Jersey last week, at least eight of viruses that cause respiratory disease
The ninth victim, described as "medically fragile with respiratory disease" "Disease" by the Wanaque Center for Nursing and Rehabilitation at Haskell, died late Saturday in a hospital, the State Health Department said in a statement. It is awaiting confirmation of the adenoviruses in a child who died on Friday.
The viruses are known to exist on unclean surfaces and medical instruments and can not be eliminated by standard disinfectants, but rarely cause serious illness in healthy people. However, those with a weakened immune system are at greater risk for serious illness and may remain contagious long after recovery, say the US Centers for Disease Control and Prevention. They are distributed in places with large groups of children, such as child care, schools and summer camps.
Wanaque confirmed 25 cases of pediatric adenovirus, including eight childhood deaths. The confirmed cases fell between the 26th of September and the 22nd of October. An employee also fell ill, but recovered, said the Ministry of Health.
The Ministry of Health said this week that the facility had been "instructed not to accept new patients the outbreak ends, and they are in full compliance."
The timing of deaths is not clear. The health department was informed on 9 October about the respiratory disease in the center. Wanaque sent parents of children in the plant letters about the infection on October 1
The department said it is an active outbreak investigation and laboratory tests could confirm more cases.
A team at the facility on Sunday found minor hand wash failures.
The department continues to work very closely with the facility to ensure that all infection control measures are adhered to, "Wanaque's statement said Wednesday.
Children's ages are not published for privacy Protecting patients, said Nicole Kirgan, a spokeswoman for the Department of Health, ranging from "a toddler to young adults, but most are under the age of 18."
Adenovirus type 7 outbreak "is medically sensitive Children with severely weakened immune systems. The strain was particularly linked to illness in community living arrangements and may be stricter, "according to the Health Department.
In a statement, the institution said it" promptly notified all appropriate government agencies when the virus was first identified. "
" The Wanaque Center continues to work closely with these authorities and sought their medical advice on the virus, "the facility said." Therefore, the facility's staff have carefully implemented all available infection prevention and prevention measures to: to protect the health and safety of the residents of the Wanaque Center. "
The nurses at the facility had previously reported a lack of nursing staff and supplies, according to a statement from the union representing the nursing staff, health workers and Allied employees (HPAE) said the shortage could have led to "poor infection control practices."
The union said it represented the 70 nurses working in Wanaque.
In a review by the government centers for Medicare and Medicaid Services Wanaque was above average in overall quality but received a below-average health inspection. Based on an inspection conducted in August, CMS reported that "it has been found that the facility does not provide a clean and comfortable environment for its residents.
" Environmentally hardy
"produce adenoviruses Mostly flu-like illnesses with a cough and runny nose, and feel bad, but you get better, "Dr. William Schaffner, specialist in infectious diseases at Vanderbilt University, told CNN before," but they can also cause conjunctivitis and especially in children diarrhea. "
In rare cases, in immunocompromised individuals, the viruses can cause pneumonia or inflammation of the brain and surrounding tissues, and in extremely unusual cases, adenovirus infection can lead to death.
Most adenovirus infections are mild, with symptoms, usually about 10 days after CDC, and for most patients only home remedies and over-the-counter medicines are needed to relieve symptoms
Unlike flu, viruses are not seasonal and can cause disease year-round. And while a vaccine exists, it is only available to military recruits.
The viruses themselves are also "resistant to many common disinfectants and can remain infectious on environmental surfaces and medical instruments for a long time," says the CDC. They tend to cough and sneeze, making direct contact with an infected person, or touching objects and surfaces, such as door handles and light switches, where the virus can live and remain infectious for days or weeks.
The viruses can "stand stable at room temperature for weeks" on unclean surfaces. Alex Valsamakis, Director of Clinical Virology and Molecular Microbiology and Professor of Pathology, Johns Hopkins University School of Medicine.
She described this family of viruses as "ecologically robust."
"Wash your hands frequently and avoid touching your face," she told CNN before. "It's the easiest way to prevent something from being accidentally carried into the nose or mouth by your fingers."
The infections "usually appear sporadically – here a case, there a case -, so outbreaks are quite rare," said Schaffner.
From 2003 to 2016, the two most commonly reported adenovirus types in the US were Type 2 and 3, although four additional types – 1, 4, 7, and 14 – also caused disease, according to a National Center report from 2017 for immunization and respiratory disease of the CDC. These six types accounted for 85.5% of 1,497 laboratory confirmed specimens reported during the period.
This small number of cases is considered as an underrepresentation of the actual number, since most people who become ill do not go to a doctor or their doctors do not test for this virus.
And the viruses are still difficult to diagnose, as they typically are not included in a series of tests to identify specific viruses, Schaffner said. He said that this is changing and for this reason he believes that the number of cases will increase.
Schaffner does not believe that people have to worry about adenoviruses.
"They cause mainly a whole range of minors to spread annoying infections from children, often from children to adults," he said. "But they are not nearly as serious as influenza."