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JAMA. 2000;284:1643-1644.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

MMWR. 2000;49:820-822

Surveillance data reported to CDC indicate intensified transmission and geographic expansion of the West Nile Virus (WNV) outbreak in the northeastern United States. Increasing reports of WNV infections in American crows, other avian species, and mosquitoes are being accompanied by reports of neurologic disease caused by WNV in humans, horses, and other mammals. This report updates human data through September 12 and animal data through September 8, 2000.

Since July 20, 12 persons have been hospitalized with serious central nervous system infections caused by WNV; eight had encephalitis, and four had meningitis. Patients ranged in age from 40 to 87 years; seven were men. Eight resided in Richmond County (Staten Island), New York, two in Kings County (Brooklyn), New York, and one in Hudson County, New Jersey. One person spent substantial time both in Brooklyn, New York, and Bergen County, New Jersey. Diagnoses were confirmed by ELISA for . . . [Full Text of this Article]

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