WANAQUE — An eight child has died at the Wanaque Center for Nursing and Rehabilitation as the number of patients who have been diagnosed with adenovirus climbed to 23.

The eighth "medically fragile" child to die since the outbreak lost their life Friday afternoon, hours after state health officials said the number of children with confirmed adenovirus infections had climbed by four.

Officials, however, said the latest victim had not been among the 23 confirmed cases.

All those affected, whose age range from infant to young adult, became ill between Sept. 26 and Oct. 22. The center has stopped admitting new patients until the outbreak ends.

Adenoviruses commonly cause respiratory illness. They can result in mild to severe illness, produce cold-like symptoms and cause illnesses such as sore throats, bronchitis, pneumonia, diarrhea, pink eye, fever, bladder inflammation or infection, inflammation of the stomach and intestines and neurologic diseases.

The strain of adenovirus in this outbreak is associated with communal living arrangements and is known to cause severe illness—especially in those with compromised immune systems. The Centers for Disease Control and Prevention is also involved with the investigation.

State health officials continued investigating how adenovirus became present and spread at the 227-bed facility.

The DOH said it is possible that lab tests will reveal additional cases and a representative remains on site for the duration of the outbreak. A DOH inspection team on Sunday found minor hand-washing deficiencies. Health officials said they continued to work with the center on infection control issues.

State Health Commissioner Shereef Elnahal told NorthJersey.com on Thursday the facility did not have any place to quarantine children once they were diagnosed. He said that with all the vulnerable patients at Wanaque, it was the worst place for such an outbreak to occur.

The deaths have prompted attention from Gov. Phil Murphy and lawmakers.

"I am calling on the Wanaque Center to take immediate appropriate measures to address this tragic situation and to ensure that infection-control practices are strictly followed," Assembly Speaker Craig Coughlin, D-Middlesex, said Friday. "I await the Department of Health’s report following its investigation and will consider the need to take any necessary action.”

Contact reporter Dan Alexander at Dan.Alexander@townsquaremedia.com or via Twitter @DanAlexanderNJ