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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 game will be the second edition of the Frisco Bowl. The former Miami Beach Bowl was relocated to 17,200-seat Toyota Stadium last year. 138

The garden got its initial funding from a USDA grant. The kids who take the class say it changes the way they think about food and the environment. 147
The Long Beach rapper said his call for black players to form their own league makes a larger point that goes beyond sports: If the administration doesn't represent the African American community, its members should band together. 230
The president was driven by Secret Service agents in protective gear who could have potentially been exposed to the disease that has swept through the White House in recent days. WATCH RECAP:Dr. Sean Conley said Sunday that Trump is doing well enough that he might be sent back to the White House on Monday — even as he announced the president was given a steroid drug that’s only recommended for those who are very sick. Conley also backtracked on whether the president has been given oxygen, confusing experts, and raising questions about his credibility.His comments added a new layer of confusion to the president's health status even as the doctor sought to clarify contradictory statements from the day before.Conley also told reporters that Thursday into Friday morning, Trump was doing well and only had mild symptoms, with his oxygen levels in the high 90s.He added that Trump had a high fever Friday morning and his oxygen saturation dipped below 94%, which prompted the move to Walter Reed."Given these developments, I was concerned for progression of the on this," Conley said. "I recommended that we try some supplemental oxygen to see how he would respond. He was adamant that he did not need it, he was not short of breath. He was tired and had the fever and that was about it. After one minute when only two liters, his levels were back over 95%. He stayed on that for about one hour maybe and was off and gone. Later that day, when the team was at the bedside, the President had been out of bed and moving about with only mild. Despite this, everyone agreed the best course of action was to move to Walter Reed for evaluation and monitoring."Dr. Sean Dooley added that Trump's vital signs are stable, he remains on room air, and he is not complaining of shortness of breath."He is ambulating himself without limitation or disability," Dooley said. "Our monitoring of his cardiac, liver, and kidney function demonstrates normal findings or improving findings."Dr. Brian Garibaldi stated that the President completed his second dose of Remdesivir Saturday night and he has not had any side effects. Garibaldi said they are continuing their five-day course in response to "transient low oxygen levels.""We initiated Dexamethasone and he received his first dose yesterday," Garibaldi said. "Our plan is to continue that for the time being. Today he has been up and around and our plan is to have him eat and drink and be up out of bed as much as possible, and if he continues to look and feel as well as he does today, our hope is that we plan for discharge as early as tomorrow to the White House where he can continue his treatment course."Trump's chief of staff said Saturday that the president faces "critical" coming days after a "very concerning" period in his fight against COVID-19 at a military hospital, in contrast to a rosier assessment from Trump's doctors. 2885
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