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firmed cases this year. Both are women in their 60s from the Chicago suburbs. Both were hospitalized and are receiving further care in rehabilitation centers.
• "The risk is high and people need to listen," said Linn Haramis, an entomologist with the Illinois Department of Public Health. "This thing could put you in a wheelchair at age 60 for the rest of your life."
• Most people infected with West Nile virus won't get sick, but approximately one in 150 people will develop the severe form of the illness. Symptoms include headache, high fever, neck stiffness, disorientation, coma, tremors, convulsions, muscle weakness and paralysis.
• The best advice? Wear insect repellent containing DEET, picaridin or oil of lemon eucalyptus. Avoid being outdoors between dusk and dawn, when mosquitoes are

biting. Install or repair screens to keep mosquitoes outside. Drain standing water to eliminate breeding habitat.
• Haramis notes that in Illinois the rate of infected mosquitoes is the highest in a decade and higher than in 2002 when 67 people died. But he won't make predictions because a streak of cool weather or heavy rain could "knock the legs out of this thing."
• Minnesota's first human case came in late May, much earlier than in previous years. The Minnesota man got sick with West Nile encephalitis and meningitis after traveling in the south-central part of the state. He's recovering after being hospitalized.
• In Texas, 111 people have fallen ill with West Nile infection, more than double the 10-year average for cases reported before August. Most of the cases were serious and one person has died, according to Texas Department of State Health Services spokeswoman Christine Mann.
• To be sure, some states -- Iowa, Wisconsin and South Dakota among them -- are seeing normal numbers of infected mosquitoes and no human cases.
• "We're still warning cities that they have to do mosquito control," said Lon Kightlinger, state epidemiologist at the South Dakota Department of Health. "We don't want people to be fooled by the drought."
• What's deceptive about the drought is the scarcity of pesky floodwater mosquitoes. The absence of the larger, bolder mosquito variety makes people think mosquitoes aren't a problem and gives the Culex mosquito a chance to sneak up and feed. Health officials are urging people to wear insect repellent even though they may not notice any biting mosquitoes.
• Culex mosquitoes are secretive in their behavior, approaching quietly from be

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