Baad as-Salaam,

Please note that we are currently experiencing an uptick in the number of cases of confirmed West Nile Virus in Los Angeles, including the western San Fernando Valley.  West Nile is transmitted by mosquito bites, and the best prophylaxis is to avoid mosquito exposure.  This includes staying away from, or draining, standing water (particularly non chlorinated water) as well as using mosquito spray and long sleeves. 

In some patients (particularly those with compromised immune systems), West Nile can cause swelling of the brain and neurologic effects can occur.  If you or someone you know develops fever and severe headache, particularly if associated with confusion or other change in mental status, you should proceed to the emergency room.  There is no treatment for west nile currently, and no medication to prevent it, however an affected person may benefit from timely medical care in the hospital.

Wassalam

Burhani Medical Foundation

Saifee Burhani Medical Association