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Supervisor Nathan Fletcher identified 13 "triggers" that could cause the county to take industry-specific actions, pause all reopening efforts or even dial back reopenings. These triggers are divided into three categories: epidemiology and public health, with four triggers each -- and healthcare, with five. 308

State health officials have said the outbreak can be declared over only once four weeks pass without an additional case. Symptoms may appear two to 14 days after being exposed to the virus, the state health department said.The children affected by the outbreak became ill between September 26 and November 12, according to the health department. The number has risen from 18 cases, including six deaths, announced last month by the health department.A staff member was also affected by the outbreak but has recovered.The outbreak in the Wanaque facility was caused by adenovirus type 7. This type is "most commonly associated with acute respiratory disease," according to the US Centers for Disease Control and Prevention."This is an extremely severe strain of adenovirus that couldn't have occurred in a worse place," Elnahal said Friday.Other types of adenovirus infections can cause flu-like symptoms, pinkeye and diarrhea.Eight cases of adenovirus have also been found among children at a second New Jersey facility, Voorhees Pediatric Facility. However, tests suggest that the culprit is adenovirus type 3, a different strain than the one in Wanaque.Patients at the Voorhees facility became ill between October 20 and November 9. A previous inspection by the state health department found no infection control problems and issued no citations.Health officials say they are stepping up efforts to strengthen infection control at such facilities in the state. The health department announced plans last month to deploy a team of infection control experts to visit University Hospital and four pediatric long-term care facilities this month, including the Wanaque and Voorhees facilities, where experts will train staffers and evaluate how these facilities prevent and control infections."Facility outbreaks are not always preventable, but in response to what we have seen in Wanaque, we are taking aggressive steps to minimize the chance they occur among the most vulnerable patients in New Jersey," Elnahal said in a statement.Adenoviruses are often spread by touching a contaminated person or surface, or through the air by coughing or sneezing. They are known to persist on unclean surfaces and medical instruments for long periods of time, and they may not be eliminated by common disinfectants, but they rarely cause severe illness in healthy people. However, people with weakened immune systems have a higher risk of severe disease, and they may remain contagious long after they recover, according to the CDC.The infections and deaths come amid questions -- from former Wanaque Center employees, the mothers of children who got sick at the facility, and Elnahal himself -- about whether facility standards are high enough and whether more could have been done to prevent this from happening.Elnahal said in a statement that the findings of a recent unannounced health inspection at the Wanaque facility "raise questions about whether these general longterm care standards are optimal for this vulnerable population of medically fragile children."In statements last month, the Wanaque facility said that it's working alongside health experts to investigate the outbreak and that it "promptly notified all appropriate government agencies when the virus was initially identified." According to state health department spokeswoman Nicole Kirgan, health officials were notified of respiratory illness at the facility on October 9, and the facility notified parents 10 days later, on October 19.The facility has declined multiple requests for comment. 3555

That's why they're included among well-known and forgotten historic sites on the National Trust's 2019 list of America's 11 Most Endangered Historic Places.The 32nd annual list includes a mix of historic and culturally important US sites threatened by forces from deferred maintenance and insensitive public policies to devastation wrought by natural disasters."We have published the annual 11 Most Endangered Historic Places list every year since 1988 to encourage people to get involved in saving threatened and irreplaceable historic treasures across America," said Katherine Malone-France, interim chief preservation officer of the National Trust for Historic Preservation."This year, we're proud to include historic places that range from the archaeologically rich canyons of southeast Utah to iconic Post-Modern skyscrapers in downtown Chicago to the increasingly threatened National Mall Tidal Basin in America's Front Yard," she said."As it has since the first list, we look forward to how this 11 Most Endangered List will inspire Americans all over the country to get active, save these and other places in their communities, and not let today's historic treasure become tomorrow's profound regret."The National Trust picks its sites carefully, looking for non-profit and community support working together to save importance places in their areas.It's got a strong record: More than 300 places have been included on the list over the past three decades, and less than 5% of the list's sites have been lost during that time.America's Most Endangered Historic Places (in alphabetical order):Ancestral places of Southeast Utah. Located between Bears Ears and Canyons of the Ancients, this part of Southeast Utah is home to irreplaceable artifacts that are thousands of years old. It's threatened by oil and gas extraction.Bismarck-Mandan Rail Bridge, Bismarck, North Dakota. Built in 1883, this rail bridge was the first to span the Upper Missouri River. Advocates want it to be refurbished as a pedestrian bridge.The Excelsior Club, Charlotte, North Carolina. A private social club for African Americans after it opened in 1944, the club once hosted luminaries like Nat King Cole and Louis Armstrong. It needs significant repairs and perhaps new ownership.Hacienda Los Torres, Lares, Puerto Rico. Already on the National Register of Historic Places, this 1846 site was built at the height of Puerto Rico's flourishing coffee industry.Industrial Trust Company Building, Providence, Rhode Island. Nicknamed the "Superman Building" because it looks like the Daily Planet building from Superman comics, this iconic Art Deco tower is vacant and has no plans for redevelopment.James R. Thompson Center, Chicago, Illinois. Chicago's best example of Post-Modernism on a grand scale, the Helmut Jahn-designed Thompson Center may be sold and demolished.Mount Vernon Arsenal and Searcy Hospital, Mount Vernon, Alabama. Used for over 200 years as an arsenal, a prison and later a mental hospital for African Americans, it closed in 2012 and is currently vacant.Nashville's Music Row, Nashville, Tennessee. More than 200 music-related businesses produced hits across genres, but this neighborhood dating back to the late 19th century is attracting new development --- which has translated into 50 demolitions since 2013.National Mall Tidal Basin, Washington, DC. Part of "America's Front Yard" is facing multiple threats: unstable sea walls, rising sea levels and outdated infrastructure.Tenth Street Historic District, Dallas, Texas. This is one of America's rare remaining Freedmen's towns, communities built by former slaves who were emancipated. This historic district is shrinking due to large numbers of demolitions.Willert Park Courts, Buffalo, New York. A notable example of Modern design and the first public housing project in the state of New York made available to African American residents, this historic complex is vacant and awaiting redevelopment plans. 3966

Thanks to surveillance video from the crime scenes and help from a witness, Henson was identified by investigators as the suspect in the thefts. 144

SpaceX did attempt -- unsuccessfully -- to recover the rocket's "fairing," or nosecone, using a large ship dubbed Mr. Steven, which is outfitted with a large netting. The company attempted such a recovery during a February launch, but the fairing missed the net by "a few hundred meters." The fairing did land intact in the ocean, thanks to parachutes that slowed its descent. 381