Q. Have there been any cases of West Nile virus in Hawai'i?

A. There has been no evidence of West Nile in Hawai'i. The state Department of Health is working with federal, state and local agencies to prevent the introduction of West Nile to the Islands.

Q. What are the symptoms?

A. Most people who are infected with West Nile virus have no symptoms. Those who do become ill usually have mild symptoms, such as fever, headache and body aches. Ill people also may develop skin rash and swollen lymph glands.

Rarely, infection can result in West Nile encephalitis, a sometimes fatal illness. Encephalitis may be marked by headaches, high fever, stiff neck, stupor, disorientation, coma, tremors, convulsions, muscle weakness and paralysis.

Q. Is there a cure for WNV infection?

A. No, although supportive care is important.