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The health department said this week the facility had been "instructed not to admit any new patients until the outbreak ends and they are in full compliance."The timing of the deaths is not clear. The health department was notified of respiratory illness at the center on October 9. Wanaque sent parents of children at the facility letters about the infection on October 19, according to the health department.On Tuesday the New Jersey Department of Health announced the death of six pediatric residents at the center and the infection of 12 additional residents. Wednesday the department announced an additional child death.The department said it is an active outbreak investigation and lab tests could confirm additional cases.A team at the facility on Sunday found minor hand-washing deficiencies."The Department continues to work very closely with the facility to ensure that all infection control measures are being followed," the Wanaque facility said in a statement Wednesday.The children's ages are not being released to protect patient privacy, said Nicole Kirgan, a health department spokeswoman. They ranged in age "from a toddler through young adults, but most are under 18."The outbreak, caused by adenovirus type 7, "is affecting medically fragile children with severely compromised immune systems. The strain has been particularly associated with disease in communal living arrangements and can be more severe," according to the health department.In a statement, the facility said it "promptly notified all appropriate government agencies when the virus was initially identified.""The Wanaque Center continues to fully cooperate with these agencies and has sought out their medical guidance with respect to the virus," the facility said. "As a result, facility staff have diligently implemented all available infection control and prevention measures in order to protect the health and safety of the Wanaque Center's residents."Nurses at the facility previously had reported a shortage of nursing staff and supplies, according to a statement from the union that represents the nursing staff. The Health Professionals and Allied Employees (HPAE) said the shortages may have led to "poor infection control practices."The union said it represents the 70 nurses that work at Wanaque.In a review by the government's Centers for Medicare and Medicaid Services, Wanaque was awarded an above-average ranking in overall quality but was given a below-average health inspection rating. Based on an inspection conducted in August, CMS reported that "it was determined that the facility failed to provide a clean and homelike physical environment for their residents. " 2671
The Japan Automobile Manufacturers Association estimates that its members built nearly 4 million vehicles in the U.S. in 2016, and employed nearly 90,000 people. The group said that 75% of Japanese cars sold in the U.S. last year were built in North America, including Mexico and Canada. 287

The incident occurred when the four-person polar bear guard team, who are always on board for these expedition cruises as required by law, prepared for a shore leave, the company said.However, they failed to spot one bear, who attacked one of the guards, the cruise line said. The other guards shot the bear after trying unsuccessfully to evict the animal, the company said."There had to be intervention for reasons of self-defense and to protect the life of the attacked person," the company said. "We are extremely sorry that this incident has happened."The incident occurred during a 10-day cruise on the MS Bremen, a ship that holds up to 155 passengers.The World Wildlife Fund lists polar bears as a vulnerable species."It's incredibly tragic," said wildlife conservationist Jeff Corwin on CNN Sunday. "When there's only 25,000 polar bears left on the planet, every one matters."When you are in this ecosystem as a tourist, as an explorer or as a scientist, you have the responsibility to follow the protocols to ensure that you stay safe and that you don't interfere with the wild behavior of polar bears."Online reaction to the episode has been highly critical."'Let's get too close to a polar bear in its natural environment and then kill it if it gets too close,' Morons," British actor-comedian Ricky Gervais tweeted."Tourism... again proving itself to be harmful to wildlife," tweeted biologist Adam Hart."Maybe cruise sightseeing tours shouldn't take place then polar bear guards wouldn't be needed to protect gawking tourists & polar bears would be left in peace & not shot dead merely to satisfy a photo op?" suggested genealogist Jane Roberts on Twitter.In its Facebook statement, Hapag-Lloyd Cruises notes that landings on Spitsbergen are only possible in a few places and these are not done for polar bear observation."Polar bears are only observed from aboard ships, from a safe distance," the company says.The Norwegian Polar Institute has no shortage of warnings about polar bears and urges visitors to Svalbard -- an island cluster in the Arctic Ocean, some 1,200 miles north of continental Norway -- to arm themselves:"Due to the risk of meeting polar bears visitors traveling in Svalbard must always have firearms and protection devices at hand, such as a big-game rifle and ammunition for self-defense, flare gun or an emergency signal flare pen for driving off polar bears and tripwire with flares for camping," its online cruise handbook states."Do remember that it is prohibited to follow, seek out or lure polar bears. This great predator has little respect for humans and dangerous situations can easily arise if people get too close," says the NPI, Norway's central governmental institution for scientific research in the Arctic. "Almost every year a polar bear is killed in Svalbard after confrontations with humans or because of safety perspective in the settlements."The 3,000 or so polar bears living on the main island of the Svalbard archipelago outnumber humans, according to the Norwegian government. 3046
The Julian Cuyamaca Fire Protection District was expected to ask Superior Court Judge Joel R. Wohlfeil on Wednesday to allow the department "to continue its operations without LAFCO or County interference." 206
The National Transportation Safety Board was sending a team to Hawaii on Saturday morning to investigate the crash.The airfield, roughly a 35-mile drive northwest of Honolulu, is a general aviation airport operated by the state Department of Transportation under a 25-year lease from the US Army, Hawaii's government 316
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