SPRINGFIELD, IL – Two new counties have reported their first human cases of West Nile disease, as the mosquito-borne disease continues to spread in the state, the Illinois Department of Public Health today announced. West Nile cases have now been identified in 45 of the state's 102 counties.

Dr. John R. Lumpkin, state public health director, said the state's two new cases of West Nile disease include one each from Adams and Kendall counties.

So far this year, Illinois has reported 38 deaths and 656 cases of the mosquito-borne disease. The state's deaths have been from Chicago (8), suburban Cook County (15), Fulton County (2), Sangamon (3) and one each from DuPage, Effingham, Jackson, Kane, Knox, Lake, Macon, Madison, Moultrie and White counties. West Nile illness cases range in age from 3 months to 97 years. The average age is 57.

Cases announced today follow:

ADAMS COUNTY: A 43-year-old man, who was hospitalized with West Nile fever.

KENDALL COUNTY: A 69-year-old man with West Nile encephalitis, whose hospital information is unknown.

A complete listing of the positive birds, mosquito batches, horses and humans identified so far in Illinois, by county, is available on the Department's Web site at <www.idph.state.il.us>. Go to the West Nile virus page and select "2002" under surveillance.

Dr. John R. Lumpkin, state public health director, reminded Illinoisans it was still important to take the following steps to reduce the chance of mosquito bites until their area experiences a hard frost:

• Avoid being outdoors at dawn, dusk and early evening when mosquitoes are most active. If outdoors at these times, wear shoes and socks, long pants and a long- sleeved shirt to cover as much of the skin as possible. Loose-fitting, light colored clothing is best.
• Use insect/mosquito repellent containing 25 percent to 35 percent DEET when outdoors when mosquitoes are biting, applied sparingly to exposed skin or clothing, as indicated on the repellent label. Consult a physician before using repellents on young children and avoid applying repellent to children less than 2 years of age.
• Check for and repair any holes or tears in residential screens, including porches and patios.
• Eliminate stagnant water in bird baths, ponds, flower pots, wading pools, old tires and any other receptacles in which mosquitoes might breed.

The Culex or house mosquito, which can carry West Nile virus or St. Louis encephalitis virus, breeds in warm, stagnant water and remains active and biting until there is a hard frost. As the temperatures begin to dip below 60 degrees at night and in early morning, the mosquitoes' feeding habits change from seeking blood meals, which they use for reproduction, to sugar meals from plants that help sustain them over winter.

Dr. Lumpkin said most people who get infected with West Nile virus have either no symptoms or mild symptoms, but a few individuals may develop a more severe form of the disease, such as encephalitis or meningitis.

Most people infected with West Nile virus have no clinical symptoms of illness, but some may become ill three to 14 days after the bite of an infected mosquito. Infections can be mild and include fever, headache and body aches, or severe and marked by headache, high fever, neck stiffness, stupor, convulsions, muscle weakness, paralysis and, rarely, death. Serious West Nile virus illness is most often present in individuals 50 years of age or older.

A total of 513 birds, 528 mosquito batches and 595 horses in 98 Illinois counties have tested positive this year for the virus since surveillance for the mosquito-transmitted virus began on May 1.

EDITOR'S NOTE: Beginning the week of Oct. 7, West Nile disease case updates will be issued on Tuesdays and Thursdays unless a human case is reported for the first time in a new county or there is a fatality.

2002 West Nile virus surveillance information can be found on the Department's Web site at www.idph.state.il.us/envhealth/wnvsurveillance_data02.htm.