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The number of new West Nile Virus cases continues to rise.
The death toll from the mosquito-borne illness stands at a 186. That's up from 163 last week.
The Centers for Disease Control and Prevention say the virus has spread across 48 states including California.
The total number of cases in people so for this year is 4,249, making it the highest amount of cases since 2003. Over a third of all cases have been in Texas.
The CDC says the best way to avoid the virus is to wear insect repellant and support local programs to eradicate mosquitoes.
There is no treatment for west nile virus and no vaccine to prevent it.
