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Seven children have died as a result of adenovirus at the Wanaque Center for Nursing and Rehabilitation in Haskell, New Jersey.The Wanaque facility has been "instructed not to admit any new patients until the outbreak ends and they are in full compliance," according to the health department.The timing of the deaths is not clear. The health department was notified of respiratory illness at the center on October 9 and Wanaque sent parents of children at the facility letters about the infection on October 19 according to Nicole Kirgan at the New Jersey Department of Health.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 pediatric death.The New Jersey Department of Health said it's an ongoing outbreak investigation and workers were at the facility Tuesday. A team at the facility on Sunday found minor handwashing 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 exact ages of the children are not being released to protect patient privacy, Nicole Kirgan, a spokeswoman for the department of health said, adding that the age ranges for the deceased children was "from a toddler through young adults - but most are under 18."Adenoviruses can cause mild to severe illness, though serious illness is less common. People with weakened immune systems or existing respiratory or cardiac disease are at higher risk of developing severe illness from an adenovirus infection, according to the Centers for Disease Control and Prevention.This 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 statement.In a statement Tuesday, 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 had previously reported a shortage of nursing staff and supplies, according to a statement from the union that represents the nursing staff which was posted online Tuesday. 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 the Wanaque Center for Nursing and Rehabilitation.In a review by the government's Centers for Medicare and Medicaid Services the Wanaque Center 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. " 3335

Special counsel Robert Mueller's team last year made clear it wanted former Trump campaign deputy Rick Gates' help, not so much against his former business partner Paul Manafort, but with its central mission: investigating the Trump campaign's contact with the Russians. New information disclosed in court filings and to CNN this week begin to show how they're getting it.In a court filing earlier this week, the public saw the first signs of how the Mueller team plans to use information from Gates to tie Manafort, the former Trump campaign chairman, directly to a Russian intelligence agency. Mueller's team alleges that Gates was in contact with a close colleague of Manafort's who worked for a Russian intelligence agency -- and that Gates knew of the spy service ties in September and October 2016, while he worked on the Trump campaign. Gates would have to talk about the communication with the man if prosecutors wanted, according to his plea deal.That's in line with what prosecutors told Gates months ago during high-stakes negotiations, CNN has learned. They told him they didn't need his cooperation against Manafort, according to a person familiar with the investigation, and instead wanted to hear what he knew about contact between the Trump campaign and Russians.The extent of Gates' knowledge about any such contact or what he told prosecutors hasn't been made public.As part of Gates' agreement to cooperate with the special counsel a month ago, he earned a vastly reduced potential sentence and had several charges dropped in two criminal cases against him.Gates' plea also adds to mounting pressure on his co-defendant Manafort -- who so far the government is making a central player in the investigation -- to change his plea and potentially help investigators. Under his plea agreement, Gates still could be called to testify against Manafort.Mueller's court filing Tuesday night, in a separate case for a lawyer whose firm did legal work for Gates and Manafort, made public the most direct effort yet by Mueller's team to draw a line between Manafort and the Trump campaign to Russian operatives. Prosecutors called the details of Gates' contact with the Russian intelligence officer during the campaign "pertinent to the investigation." 2268

Special counsel Robert Mueller has filed a charge against a lawyer for lying to investigators about his interaction with former Trump campaign aide Rick Gates in September 2016.The filing is further evidence of Mueller's investigation of former Trump campaign chairman Paul Manafort and Gates and their work for Russian-allied clients.Alex Van Der Zwaan, who is expected to plead guilty Tuesday afternoon, is also accused of lying about the failure to turn over an email communication to the special counsel's office. He was speaking with investigators about his work with international law firm Skadden Arps in 2012, when Manafort arranged for the firm to be hired by the Ukrainian Minister of Justice to prepare a report on the trial of Yulia Tymoshenko.  770

Some city and state governments across the country have made wearing masks in public mandatory. Now, businesses are finding they also need to develop policies for face coverings."No pun intended but there’s no one size fits all here. Employers need to be looking at the state and local laws to determine whether masks are mandatory. I know that several states have mandatory mask requirements in public spaces, so of course they’ll want to look at those laws to make sure they're complying with them," says Amber Clayton, Knowledge Center Director for the Society for Human Resources Management.Clayton says employers will also need to consider employees who may not be able to wear a mask, whether it be for medical or other reasons."Employers may have to potentially provide a reasonable accommodation in those situations. That might look like allowing the person to work from home, taking leave or modifying their workspaces where they're working within an area that is maybe not as much public facing," says Clayton.For medical reasons, employers could require a doctor's note. Whether it's an employee handbook or company-wide email, employers should have some type of documentation so employees and any customers coming into the office are aware of expectations when it comes to wearing face coverings. Valerie Keels, who heads up her HR department at Gavi in Washington, DC, has developed a mask-wearing policy for her office."The building has imposed those restrictions, as well, in the common areas so when people come into the building they have to wear a mask. When they go into the elevator they have to wear a mask. So it's just consistent with what's going in the building," says Keels.Keels has what they call a "Code Red" which means people can come into the office if they register online. It helps them keep track of the number of people in the office space. Once they get to the office, their temperature is taken and they're given a mask to wear for when it's needed.When you're in an enclosed office space, you can take off your mask. "And even when you're at your own work space because we're also respecting social distancing," says Keels.As for enforcing a mask policy, some businesses could come across people who disagree with a face covering policy."Employers have the responsibility to keep the workplaces safe for their employees and if this is something that's required and the employee refused to wear it, then there needs to be something in place to address that - whether it's sending the employee home or providing leave, or making modifications to the worksite," says Clayton.It's important for employers to work with people and their individual situations before resorting to reprimands. Keeping the lines of communication open so everyone's working environment is safe. 2814

Sound on! ??Check out this video of an adult male black bear vocalizing in a tree! Bears can produce a wide repertoire of sounds, typically when defensive, afraid, distressed, or aggressive. We're not sure what prompted this unscheduled a capella concert...#KeepBearsWild pic.twitter.com/2PZZtUHJHs— Yosemite National Park (@YosemiteNPS) October 16, 2020 362

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