140:. on September 26, 2018, when a child developed symptoms of a respiratory ailment in the pediatric ventilator unit, followed by a second child misdiagnosed as having respiratory ailments. At the time, Wanaque did not have enough space to isolate the ill children from others. The parents of ill patients were notified on October 19, 2018, and that day as well the NJ health department was notified of a "cluster of respiratory illnesses." Two children had died at that point while twenty overall had showed symptoms. On October 10, 2018, the state Health Department sent a communicable disease specialist to the center. The outbreak proved to be the type 7 adenovirus. Not typically dangerous, it can be deadly to vulnerable patients.
258:. The resultant state bill, A5527, was based on the report and faced no opposition when passing both houses of the state legislature in late June 2019. On August 15, 2019, Murphy cited the 11 dead children of the Wanaque Center outbreak when signing the bill into law. Among other regulations, A5527 requires certain long-term facilities to provide outbreak response plans to the state within 180 days of signing. Other new requirements involve promptly notifying residents, families, staff, and visitors of an outbreak. At the time the bill was signed, Wanaque remained under state and federal investigation for how it handled the outbreak.
184:(CMS) blamed the outbreak on the center's response, particularly management for lack of planning and slow responses, leading to delays "in identifying, reporting and controlling the outbreak." The pediatric medical director, for example, was not informed what exactly his job was, and was not informed of the number of infected patients until after the fourth death. Wanaque Center strongly contested the findings, calling the report flawed and appealing the report to dispute "unfounded allegations." Several lawsuits concerning the outbreak were filed against the center in late 2018.
119:, from September to December 2018, resulting in deaths in both states. At least 35 people contracted the disease in each location of the outbreak. In New Jersey, the ill ranged in age from toddlers to adults, and eleven children died. It was "one of the nation's deadliest long-term-care outbreaks" and "one of the nation's worst recorded outbreaks of the virus." The adenovirus outbreak led to the passage of new legislation in 2019 concerning the containment of outbreaks in long-term care centers in New Jersey.
27:
180:." Federal inspectors also visited the center, from November 13 through 17, giving the center six "immediate jeopardy violations" for systemic deficiencies in care. Inspectors initially blamed poor hygiene for the outbreak. However, later, federal inspectors also implicated poor planning by management. A November 17 report by the New York office of the
169:
adult patients in the facility. On
November 19, 2018, it was reported that The Wanaque Center had separated its medically fragile patients from those with adenovirus symptoms. The dropping number of patients had allowed enough space to separate beds, whereas previously patients were being cared for in close proximity.
250:
called for new legislation that would require New Jersey's long-term care centers to submit outbreak response plans to the state. Other recommendations included quickly separating sick residents and designated staff, as well as quickly notifying guardians when outbreaks occur. The issue was included
242:
A hearing on the outbreak was held by the NJ Senate Health
Committee on December 3, 2018. At the hearing, the NJ health department head announced that state health policy had been changed as a result of the outbreak, requiring the health commissioner to be notified immediately when outbreaks result
168:
On
November 14, the center was ordered by the state to isolate sick patients by November 21 and curtail all new admissions. By November 16, there were 43 children on the first-floor ventilator unit where the virus was spreading. 19 children were in a second-floor unaffected pediatric unit, with 125
159:
and claimed that "senior administrators delayed sending kids to the hospital" to keep the pediatric unit as full as possible, maximizing funds amounting to $ 519.46 from
Medicaid per patient per day. After the report, the state health commissioner sent inspectors to the facility. After November 12,
172:
From
October to November 2018, the virus infected 35 people at the Wanaque Center, including 23 children. Ultimately, 36 residents and one staff member were diagnosed with the adenovirus. The ill ranged in age from toddlers to teens, and eleven children died. It was "one of the nation's deadliest
143:
The commissioner of the New Jersey
Department of Health was notified about the outbreak on October 19, when five children had died. The state sent inspectors on October 21 in a surprise inspection, concluding that the center had yet to "establish and maintain an infection prevention and control
196:. The college learned about the first case of adenovirus on November 1, and by mid-December, 35 cases involving the same strain of the virus had been reported at the university. Among those cases, 18-year old freshman Olivia Paregol, who was "immunosuppressed because of medication for
151:
On
October 24, 2018, a government inspection report cited Wanaque for several deficiencies from 2015 to 2018. Elnahal, head of the state health department, asserted the issues had been corrected and that the state would permanently surveil the facility.
211:
In
January 2019, the University of Maryland began a weeks-long effort to have a contracted cleaning company disinfect all surfaces in the dorms where the outbreak occurred. The death of Paregol prompted Maryland Governor
303:
696:
463:
560:
624:
507:
972:
950:
833:
581:
484:
880:
235:
requesting an investigation of claims that "the facility delayed sending children for treatment for non-medical reasons" relating to the collection of
641:
800:
1037:
710:
133:
279:
1022:
410:
181:
741:
818:
144:
program." Six employees were observed inadequately washing their hands, continued in inspections on
November 9, 11, and 13.
599:
348:
193:
724:
326:
192:
At the height of the outbreak in New Jersey, an outbreak of the same strain of the virus occurred among students at the
990:
204:
exists but not generally available to the public. It has been proposed that the
Maryland outbreak was connected to a
759:
898:
1027:
777:
247:
176:
Over three visits in early November, state inspectors gave the Wanaque Center the worst rating possible, "
229:
924:
671:"Federal Investigators Find Critical Failings at Health Center Where 11 Children Died in Virus Outbreak"
973:"Deaths of 11 children at nursing home sparks new law demanding faster, better response to outbreaks"
145:
925:"Governor Murphy Signs Legislation Requiring Outbreak Response Plans at Long-Term Care Facilities"
725:"N.J. dispatches inspection team to pediatric center after workers allege delays in hospital care"
697:"Wanaque facility where seven children died from virus outbreak has been cited for deficiencies"
225:
1032:
670:
508:"After 11 died at Wanaque nursing home, Murphy signs law to prevent future deadly outbreaks"
760:"A Maryland college student died from the same adenovirus causing death toll in New Jersey"
173:
long-term-care outbreaks" and "one of the nation's worst recorded outbreaks of the virus."
854:
8:
464:"'I knew we had a problem after the 4th death': Failures led to 11 Wanaque center deaths"
308:
252:
137:
834:"Wanaque virus outbreak: Legislators ask attorney general to investigate delays in care"
148:
inspections of the facility in 2016 and 2017 had also found "infection control issues."
951:"New owners to take over Wanaque nursing home where 11 children died in virus outbreak"
201:
197:
177:
881:"Adenovirus NJ outbreak deaths of 11 children lead to policy changes at nursing homes"
485:"Virus outbreak: Families of Wanaque children attend hearing, but not center's owners"
372:
625:"Adenovirus outbreak: Health Department orders admissions at Wanaque center to cease"
582:"State calls for infection control plans following child deaths at nursing facility"
26:
858:
156:
711:"State surveillance underway at NJ facility where 7 children died from adenovirus"
561:"Adenovirus victim's parents: Shut down Wanaque center where 10 children died"
1016:
251:
through $ 2.5 million in competitive grant funding by the proposed budget of
232:
205:
801:"Adenovirus strain that killed a college student may be growing more common"
642:""Breakdown in protocols" led to deadly adenovirus outbreak, official says"
411:"Deadly viral outbreak that killed 11 kids at Wanaque appears to be over"
255:
213:
304:"Three new cases of adenovirus reported at U-Md.' s College Park campus"
246:
In direct response to the Wanaque outbreak, a June 2019 report from the
136:, a care facility for those with short-term rehab or long-term needs in
200:", died on November 18, 2018. In its coverage, the press noted that an
116:
108:
70:
60:
349:"University of Maryland freshman dies from adenovirus-related illness"
646:
534:"The Wanaque Center for Nursing and Rehabilitation, Passaic County"
236:
112:
56:
31:
Map showing the two outbreak locations, in Maryland and New Jersey
187:
533:
155:
Reported on November 9, 2018, two anonymous employees spoke to
899:"After 11 Children Died, NJ Has Plan to Avoid Future Outbreak"
665:
663:
661:
659:
657:
636:
634:
555:
553:
280:"University of Maryland student dies in adenovirus outbreak"
855:"Response plans required after fatal outbreak under NJ law"
654:
619:
617:
615:
613:
373:"State Health Department calls for requiring outbreak plan"
631:
550:
917:
610:
132:
In September 2018, an adenovirus outbreak began at the
689:
600:"11th child dies in adenovirus outbreak in New Jersey"
736:
734:
592:
327:"Adenovirus cases at University of Maryland up to 35"
983:
479:
477:
475:
473:
458:
456:
454:
452:
450:
448:
446:
444:
366:
364:
362:
360:
358:
228:
representing the affected district sent a letter to
819:"Cleaning Underway At UMD To Get Rid Of Adenovirus"
742:"Wanaque Center separates patients with adenovirus"
703:
576:
574:
442:
440:
438:
436:
434:
432:
430:
428:
426:
424:
731:
502:
500:
498:
219:
163:
127:
991:"Wanaque Fatal Virus Outbreak Prompts New NJ Law"
965:
770:
470:
355:
1014:
943:
849:
847:
571:
526:
421:
107:was an occurrence in which an unusual number of
717:
495:
321:
319:
208:outbreak on the campus during the same period.
160:2018, the outbreak was reported under control.
753:
751:
844:
188:Nov-Dec 2018: University of Maryland outbreak
134:Wanaque Center for Nursing and Rehabilitation
111:cases were reported at two locations, one in
873:
316:
216:to address the matter as "very concerning".
748:
182:Centers for Medicare and Medicaid Services
25:
627:. North Jersey Record. November 16, 2018.
831:
370:
347:Holcombe, Madeline (November 21, 2018).
346:
301:
408:
1038:Disease outbreaks in the United States
1015:
891:
105:2018 United States adenovirus outbreak
20:2018 United States adenovirus outbreak
832:Washburn, Lindy (November 20, 2018).
466:. NorthJersey.com. February 27, 2019.
342:
340:
273:
271:
224:On November 20, 2018, members of the
16:Disease outbreak in the United States
757:
404:
402:
400:
398:
396:
394:
302:Hedgpeth, Dana (November 27, 2018).
297:
295:
293:
194:University of Maryland, College Park
1023:2018 disasters in the United States
979:. August 19, 2019. August 16, 2019.
798:
699:. NorthJrsey.com. October 24, 2018.
333:. Fox Baltimore. December 13, 2018.
277:
13:
758:King, Bailey (November 21, 2018).
409:Sherman, Ted (December 11, 2018).
337:
268:
14:
1049:
821:. CBS Baltimore. January 7, 2019.
799:Fox, Maggie (December 24, 2018).
391:
290:
278:Fox, Maggie (November 21, 2018).
953:. NorthJersey.com. July 1, 2019
825:
811:
792:
744:. NJTV News. November 19, 2018.
371:Catalini, Mike (June 6, 2019).
220:2018-2019: New Jersey responses
164:Nov-Dec 2018: Wanaque aftermath
128:Sept. 2018: New Jersey outbreak
1:
261:
40:October 2018 to December 2018
248:New Jersey Health Department
7:
727:. NJ.com. November 9, 2018.
243:in the deaths of children.
230:New Jersey Attorney General
10:
1054:
713:. Pix11. October 25, 2018.
122:
93:
85:
77:
66:
52:
44:
36:
24:
780:. CNN. November 9, 2018
1028:2018 disease outbreaks
840:. North Jersey Record.
226:New Jersey Legislature
606:. November 19, 2018.
538:www.wanaquerehab.com
650:. December 5, 2018.
567:. November 2, 2018.
491:. December 3, 2018.
309:The Washington Post
253:New Jersey Governor
138:Wanaque, New Jersey
21:
202:adenovirus vaccine
178:immediate jeopardy
94:Non-fatal injuries
19:
997:. August 16, 2019
931:. August 15, 2019
861:. August 15, 2019
514:. August 15, 2019
101:
100:
1045:
1007:
1006:
1004:
1002:
987:
981:
980:
969:
963:
962:
960:
958:
947:
941:
940:
938:
936:
921:
915:
914:
912:
910:
895:
889:
888:
877:
871:
870:
868:
866:
859:Associated Press
851:
842:
841:
829:
823:
822:
815:
809:
808:
796:
790:
789:
787:
785:
774:
768:
767:
755:
746:
745:
738:
729:
728:
721:
715:
714:
707:
701:
700:
693:
687:
686:
684:
682:
667:
652:
651:
638:
629:
628:
621:
608:
607:
596:
590:
589:
578:
569:
568:
557:
548:
547:
545:
544:
530:
524:
523:
521:
519:
504:
493:
492:
481:
468:
467:
460:
419:
418:
406:
389:
388:
386:
384:
368:
353:
352:
344:
335:
334:
323:
314:
313:
299:
288:
287:
275:
157:NJ Advance Media
29:
22:
18:
1053:
1052:
1048:
1047:
1046:
1044:
1043:
1042:
1013:
1012:
1011:
1010:
1000:
998:
989:
988:
984:
971:
970:
966:
956:
954:
949:
948:
944:
934:
932:
923:
922:
918:
908:
906:
897:
896:
892:
887:. June 6, 2019.
885:NorthJersey.com
879:
878:
874:
864:
862:
853:
852:
845:
830:
826:
817:
816:
812:
797:
793:
783:
781:
776:
775:
771:
756:
749:
740:
739:
732:
723:
722:
718:
709:
708:
704:
695:
694:
690:
680:
678:
677:. March 4, 2019
669:
668:
655:
640:
639:
632:
623:
622:
611:
598:
597:
593:
588:. June 6, 2019.
580:
579:
572:
565:NorthJersey.com
559:
558:
551:
542:
540:
532:
531:
527:
517:
515:
512:NorthJersey.com
506:
505:
496:
489:NorthJersey.com
483:
482:
471:
462:
461:
422:
407:
392:
382:
380:
369:
356:
345:
338:
325:
324:
317:
300:
291:
276:
269:
264:
222:
198:Crohn's disease
190:
166:
130:
125:
32:
17:
12:
11:
5:
1051:
1041:
1040:
1035:
1030:
1025:
1009:
1008:
982:
964:
942:
916:
890:
872:
843:
824:
810:
791:
769:
747:
730:
716:
702:
688:
653:
630:
609:
591:
570:
549:
525:
494:
469:
420:
390:
354:
336:
315:
289:
266:
265:
263:
260:
221:
218:
189:
186:
165:
162:
129:
126:
124:
121:
99:
98:
95:
91:
90:
87:
83:
82:
79:
75:
74:
68:
64:
63:
54:
50:
49:
46:
42:
41:
38:
34:
33:
30:
15:
9:
6:
4:
3:
2:
1050:
1039:
1036:
1034:
1031:
1029:
1026:
1024:
1021:
1020:
1018:
996:
992:
986:
978:
974:
968:
952:
946:
930:
926:
920:
905:. 6 June 2019
904:
900:
894:
886:
882:
876:
860:
856:
850:
848:
839:
835:
828:
820:
814:
806:
802:
795:
779:
773:
765:
761:
754:
752:
743:
737:
735:
726:
720:
712:
706:
698:
692:
676:
672:
666:
664:
662:
660:
658:
649:
648:
643:
637:
635:
626:
620:
618:
616:
614:
605:
601:
595:
587:
583:
577:
575:
566:
562:
556:
554:
539:
535:
529:
513:
509:
503:
501:
499:
490:
486:
480:
478:
476:
474:
465:
459:
457:
455:
453:
451:
449:
447:
445:
443:
441:
439:
437:
435:
433:
431:
429:
427:
425:
416:
412:
405:
403:
401:
399:
397:
395:
378:
374:
367:
365:
363:
361:
359:
350:
343:
341:
332:
328:
322:
320:
311:
310:
305:
298:
296:
294:
285:
281:
274:
272:
267:
259:
257:
254:
249:
244:
240:
238:
234:
233:Gurbir Grewal
231:
227:
217:
215:
209:
207:
203:
199:
195:
185:
183:
179:
174:
170:
161:
158:
153:
149:
147:
141:
139:
135:
120:
118:
114:
110:
106:
96:
92:
88:
84:
80:
76:
72:
69:
65:
62:
58:
55:
51:
47:
43:
39:
35:
28:
23:
1033:Adenoviridae
999:. Retrieved
994:
985:
976:
967:
955:. Retrieved
945:
933:. Retrieved
928:
919:
907:. Retrieved
902:
893:
884:
875:
863:. Retrieved
838:North Jersey
837:
827:
813:
804:
794:
782:. Retrieved
772:
763:
719:
705:
691:
679:. Retrieved
674:
645:
603:
594:
585:
564:
541:. Retrieved
537:
528:
516:. Retrieved
511:
488:
414:
383:September 1,
381:. Retrieved
376:
330:
307:
283:
245:
241:
223:
210:
191:
175:
171:
167:
154:
150:
142:
131:
104:
102:
48:Three months
764:PhillyVoice
256:Phil Murphy
214:Larry Hogan
115:and one in
1017:Categories
1001:August 19,
957:August 19,
935:August 19,
865:August 19,
784:August 22,
681:August 22,
543:2019-05-06
518:August 19,
262:References
239:payments.
117:New Jersey
109:adenovirus
71:Adenovirus
61:New Jersey
995:Patch.com
778:"Lawsuit"
586:NJTV News
909:June 13,
805:NBC News
647:CBS News
284:NBC News
237:Medicaid
146:Medicare
113:Maryland
73:outbreak
57:Maryland
53:Location
45:Duration
377:AP News
123:History
81:Unknown
977:NJ.com
929:NJ.gov
903:NJ1015
415:nj.com
351:. CNN.
86:Deaths
78:Cause
1003:2019
959:2019
937:2019
911:2019
867:2019
786:2019
683:2019
675:TIME
520:2019
385:2020
379:. AP
331:WBFF
206:mold
103:The
67:Type
37:Date
604:CNN
97:70+
1019::
993:.
975:.
927:.
901:.
883:.
857:.
846:^
836:.
803:.
762:.
750:^
733:^
673:.
656:^
644:.
633:^
612:^
602:.
584:.
573:^
563:.
552:^
536:.
510:.
497:^
487:.
472:^
423:^
413:.
393:^
375:.
357:^
339:^
329:.
318:^
306:.
292:^
282:.
270:^
89:12
59:,
1005:.
961:.
939:.
913:.
869:.
807:.
788:.
766:.
685:.
546:.
522:.
417:.
387:.
312:.
286:.
Text is available under the Creative Commons Attribution-ShareAlike License. Additional terms may apply.
