The affected children had severely compromised immune systems, including respiratory problems, before the outbreak began, the DOH said.
The U.S. Centers for Disease Control was assisting state health officials with testing for the respiratory virus. The outbreak was reported to authorities October 9, the state health department said. Both facilities are not accepting any new patients until the investigation is complete.
On Wednesday health officials said preliminary tests appear to have ruled out any connection between the Wanaque outbreak and one affecting children at Voorhees Pediatric Facility in Voorhees.
"We are working closely with the facility to conduct respiratory illness surveillance and ensure all infection control protocols are continuously followed", New Jersey Health Commissioner Dr. Shereef Elnahal said. But, the department says, that's not a surprise since the disease has a long incubation period of up to two weeks.
Adenoviruses frequently cause mild to severe illness with cold-like symptoms, particularly in young children. The team will visit University Hospital, Wanaque Center for Nursing & Rehabilitation in Haskell, Voorhees Pediatric Facility in Voorhees, and Children's Specialized Hospital in Toms River and Mountainside. But it can be serious in people with weakened immune systems, like those at the centre.
The CDC cited a 2001 scientific paper that reported a 1998 outbreak of type 7 at a facility in Chicago that left eight patients dead.
One staff member at Wanaque also became ill and has since recovered, the department said.
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