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The island's mountainous terrain was likely to act like a barrier and squeeze a lot of moisture out of Maria, he said, producing as much as 2 feet of rain in some places. That could lead to flash flooding, which Rosselló stressed often is the top cause of death following a storm like this. 290
The incident at the bridge, a concrete structure opened in 1968, occurred around noon (6 a.m. ET) Tuesday, Italian state police said.The A10, which runs across the bridge, is a major highway for residents and tourists in Genoa, connecting the city with the nearby airport, and a key route along the Mediterranean, linking the Italian coast with French coastal cities to the west.The disaster occurred during peak tourist season -- when many French tourists would have been using the highway -- and one day before a national public holiday when many Italians travel to coastal areas.Davide Di Giorgio was filming the heavy rain from the window of his office in Genoa when he saw part of the bridge crash to the ground."As soon as I turned the camera on to record the rain, we heard a loud noise and the bridge collapsed," Di Giorgio told CNN. "It took me three seconds to realize what happened.""My colleagues and I were shaking. It was frightening," he added.Eyewitness Davide Ricci told local newspaper Il Secolo XIX that he thought he saw lightning hit the bridge shortly before it crumbled. Flashes of lightning can also be seen in the footage shot by Di Giorgio."The debris from the collapsed (bridge) fell 20 meters from my car," Ricci said, adding that he was driving south along the nearby river road at the time. "The central pylon crumbled, then the rest came down."Emergency services, including the fire department, police, ambulances and mountain rescue teams including sniffer dogs, soon arrived at the site. Several hours later, around 200 firefighters were still working at the scene, according to the Italian fire service.Luca Cari, spokesman for the fire service, told Italian news agency Rai that rescuers were searching for people underneath the rubble as if it were an earthquake.Canine search-and-rescue units were deployed by the Italian Red Cross to look for victims beneath the debris, while other Red Cross teams were sent out in police boats to search for people potentially stranded in the estuary of the Polcevera River.Giorgio Larosa posted a video on Instagram showing rescuers working in heavy rain to free people from crushed vehicles in a grassy area below the viaduct.Later Tuesday, Giorgio Mascione posted a video on Twitter showing the large gap between the two remaining sections of the viaduct, and the piles of rubble beneath. 2364

The legacy of Jim Hansen, Kirk Hansen and their father Jim Hansen Sr., will be preserved and will flourish through their families and established Business Partners today, tomorrow and into the future, a statement from the family said.Kirk Hansen was described as an innovator. "When Kirk sees an opportunity, he learns new skills to make it happen," Ky?ni's website said.Jim Hansen had an attention to detail."Jim's hands-on leadership enables him to understand every nuance of the business because he works shoulder to shoulder with his employees," the website said.Saturday's plane crash took place just before noon (1 p.m. EST) as a 636
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. Other types of adenovirus infections can cause flu-like symptoms, pinkeye and diarrhea.The health department also announced Monday that a new case of adenovirus was found among kids at a second New Jersey facility, Voorhees Pediatric Facility -- bringing their total to five. However, CDC 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 29. An inspection by the state health department last week found no infection control problems and issued no citations."The Department and local health partners have been working with the facility to provide infection control recommendations and identify other possible illnesses since the [Voorhees] facility notified the Department of a case of adenovirus in a resident on October 26," New Jersey Department of Health Commissioner Dr. Shereef Elnahal said in a statement Monday.Health officials say they are stepping up efforts to strengthen infection control at such facilities in the state. The health department announced plans last week 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 staff 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 last week.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 for severe disease, and they may remain contagious long after they recover, according to the CDC.Symptoms may appear two to 14 days after being exposed to the virus, the state health department said.The infections and deaths come amid questions -- from former Wanaque Center employees, the mother of one of the children who died, and Elnahal himself -- about whether current facility standards are high enough and whether more could have been done to prevent this from happening.Elnahal previously 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.""We also need to think about whether there is more we can do as healthcare leaders to protect immunocompromised children, such as those served at Wanaque Center," he said. "Every year in the state, there are hundreds of outbreaks at healthcare facilities."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 not responded to CNN's calls and emails for further comment.The facility has been "instructed not to admit any new patients until the outbreak ends and they are in full compliance," according to the state health department. State health officials have said the outbreak can only be declared over when four weeks pass without an additional case."It can be difficult to impossible to know how the virus got to the facility, what its source was, or what its specific mechanism of spread is from person to person," Elnahal said. 4205
The president, who was on his way to deliver a speech at the Naval Academy commencement in Annapolis, Maryland, said that members of his administration remain in contact with North Korean officials despite the cancellation of the June 12 meeting in Singapore. 259
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