JACKSON, Miss. (WTVA) - There are now 21 confirmed human cases of West Nile virus in Mississippi for 2018.

So far this year, cases have been reported in Adams (2), Calhoun, Copiah, Forrest (2), Hinds (8), Itawamba, Jones, Madison, Marion, Oktibbeha, Pearl River, and Washington counties.

In 2017, Mississippi had 63 WNV cases and two deaths.

Symptoms of WNV infection are often mild and may include fever, headache, nausea, vomiting, a rash, muscle weakness or swollen lymph nodes. In a small number of cases, infection can result in encephalitis or meningitis, which can lead to paralysis, coma and possibly death.

The MSDH suggests the following precautions to protect yourself and your family from mosquito-borne illnesses:

· Use a mosquito repellent with an EPA-registered ingredient such as DEET while you are outdoors.

· Remove all sources of standing water around your home and yard to prevent mosquito breeding.

· Wear loose, light-colored, long clothing to cover the arms and legs when outdoors.

· Avoid areas where mosquitoes are prevalent.