TRENTON, N.J. (AP) — New Jersey’s health commissioner says it’s possible the source of a viral infection that killed 11 children at a long-term care facility may never be known.

Dr. Shereef Elnahal testified before a state Senate legislative committee Monday.

Elnahal said the adenovirus that led to the deaths at the Wanaque Center for Nursing and Rehabilitation in Haskell could have come from a visitor.

The children at the facility all had serious underlying health conditions.

Elnahal said his staff found “infection control deficiencies” at the facility. He also said it took the facility nearly a month to completely separate healthy and affected patients, due to a lack of space.

Representatives of the facility were invited to Monday’s hearing but didn’t attend.

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