The death on Sunday at Wanaque Center for Nursing and Rehabilitation in Haskell, New Jersey, was reported over the weekend by the New Jersey Department of Health. New diagnoses bring the total number of cases to 25.
A staff member who had fallen ill has since recovered from this strain of adenovirus, but the medically fragile children are the ones most vulnerable to the virus.
New Jersey health officials say tests have confirmed a 19th patient has been infected in a viral outbreak at a pediatric rehabilitation centre that has killed seven people.
Those affected range in age from toddlers to young adults, with the vast majority under age 18. The facility has been barred from admitting new patients for the duration of the outbreak. Some strains also cause diarrhea and conjunctivitis.
The health department says the adenovirus outbreak has been particularly severe because it is affecting children with severely compromised immune systems.
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The 227-bed, for-profit facility has a pediatric center and also cares for elderly residents.
Similarly, the states' health department also ensures that it is working very closely with the facility to monitor the illness outbreak, and to ensure that all infection control measures are being followed.
Most adenovirus infections are mild, with symptoms usually lasting about 10 days, according to the CDC.
The state Department of Health Communicable Disease Service has been on site monitoring the outbreak.
The department said the exact cause of death is under investigation.
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The bacterium can cause pneumonia or serious blood or wound infections.
This remains the last day when a patient showed new symptoms.
From 2003 through 2016, the two most commonly reported adenovirus types in the USA were types 2 and 3, though four additional types - 1, 4, 7 and 14 - also caused illness, according to a 2017 report from the National Center for Immunization and Respiratory Disease of the CDC.
In the same report, the New Jersey spokeswoman Nicole Kirgan said children are particularly at risk with this virus.
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