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HOUSTON — A nurse has been charged with murdering five patients at a clinic in Lufkin, Texas, by injecting bleach into their veins while they were undergoing kidney dialysis, authorities said Thursday.

The arrest of the nurse, Kimberly Saenz, 35, this week appeared to resolve the mystery surrounding a spike in deaths at the DaVita Dialysis clinic a year ago. State records show 19 people died at the clinic in the five months before Saenz was fired in April 2008, well above the state’s average rate.

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