Health commissioner Dr Shereef Elnahal said the first symptoms showed at the centre on 26 September, and the state was notified of an outbreak 9 October.
Her mother says she was not made aware of the outbreak until Monday, the day before her daughter died and nearly three weeks after she was admitted to St. Joseph's Medical Center, NorthJersey.com reports. The department can not confirm that the death of an individual who died Friday afternoon was related to the outbreak, officials said.
The facility has been told not to admit any new patients until the outbreak ends.
Those affected range in age from toddlers to young adults, with the vast majority under age 18.
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The highly contagious adenovirus poses little to risk to healthy people. Some strains also cause diarrhea and pinkeye.
A health department spokesman said: "The strain of adenovirus seen in this outbreak is associated with communal living arrangements and known to cause severe illness".
The individuals associated with the outbreak became ill between September 26 and October 22, the Health Department said.
The child died at the Wanaque Center for Nursing and Rehabilitation in Passaic County late Saturday.
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The agency says the most recent individual became sick on or before October 22, which remains the last day when a patient showed new symptoms.
The 227-bed, for-profit facility, which is closed to new patients, has a pediatric center and also cares for elderly residents. The baby had the bacterium and was transferred to another facility, where it died. "Often people become ill for many reasons, especially these medically fragile children who had respiratory problems as part of their underlying medical conditions", he said.
The bacterium can cause pneumonia or serious blood or wound infections.
Rowena Bautista, the administrator of the Wanaque Center for Nursing and Rehabilitation, said Thursday in a statement the community "feels a tremendous sense of loss".
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