Maryland has reported its first human case of West Nile virus (WNV) of 2025, according to the state’s Department of Health. The patient was an adult resident of central Maryland, and officials said Friday that the patient was recovering from the disease. This news highlights the ongoing caution needed as mosquito season picks up across the United States.West Nile virus is transmitted primarily through bites from infected mosquitoes that have previously fed on birds carrying the virus. While rare, the disease can occasionally spread through other avenues, but mosquito transmission remains the most common pathway.The majority of individuals who contract WNV have no symptoms, but in certain instances, particularly in patients with underlying disease, the virus can result in serious disease. The Centers for Disease Control and Prevention (CDC) states that common symptoms develop 2–6 days following an infectious mosquito bite and might include high fever, headache, stiff neck, confusion, tremor, convulsions, loss of vision, weakness of muscles, numbness, or paralysis.Health authorities note that there is no antiviral treatment available for West Nile virus. The vast majority of patients recover completely, although neuroinvasive infections—where the virus invades the central nervous system—are intensive to treat and tend to have more extended recovery times.Kansas public health officials are tracking six WNV cases this year thus far. Five of these cases have been designated as neuroinvasive, illustrating the severity of the virus. There were three cases reported in north-central Kansas, and three in south-central Kansas. Non-neuroinvasive cases usually exhibit milder, flu-like illnesses, while neuroinvasive cases can include inflammation of the brain or the surrounding tissues, confusion, paralysis, and loss of vision, said Jill Bronaugh, a KDHE spokesperson.Though numbers fall short of last year's figures—64 cases and four fatalities—officials caution that mosquito activity will peak in late summer, raising the potential for more cases. To monitor developments, KDHE hosts a weekly-updated West Nile virus dashboard for the surveillance season, which runs July to September. Is This A Seasonal Surge Or A Cause Of Concern?The CDC reports that WNV activity in the United States normally begins in mid-August and lasts until early September. Around 2,000 individuals are diagnosed with the virus every year, although cases of mild or asymptomatic infections tend to be under-reported. The health authorities advise residents to use preventive strategies, such as using insect repellents, long sleeves, and pants while outdoors, and removing standing water near homes, which is a mosquito breeding site."Prevention is the key," states Dr. Emily Johnson, an infectious disease expert. "Because there's no treatment for West Nile, avoiding exposure to mosquitoes through bites is still the best way to stay safe and your family." Can Mosquito Saliva Improve West Nile Virus Treatment?In addition to prevention on a case-by-case basis, scientists are looking at new approaches to fighting mosquito-borne illnesses, such as WNV. Anita Saraf, director of the University of Kansas's Mass Spectrometry & Analytical Proteomics Laboratory, is researching mosquito saliva to determine how viruses are transferred and to discover possible therapy targets.Saliva collection from mosquitoes is technically difficult because they only produce minuscule amounts. USDA Agricultural Research Service collaborators stimulate the mosquitoes to produce saliva, which is analyzed using sophisticated mass spectrometry procedures by researchers. Saraf's research is being done on the proteome—the entire complement of proteins—in mosquito saliva and how it gives clues about how viruses such as West Nile, dengue, yellow fever, and Japanese encephalitis go about controlling the mosquito host and then impact humans.Her work utilizes shotgun proteomics in tandem with nanoscale liquid chromatography and tandem mass spectrometry (nLC-MS), methods sensitive enough to examine nano-gram levels of protein. "Without the sensitivity, we would require much larger protein samples," Saraf says. "Our strategy permits us to explore these viruses at the molecular level, which might guide future vaccine or therapeutic design."Preventive Measures For People To FollowHealth officials continue to emphasize simple prevention measures as the best defense against WNV. These are:Using EPA-approved insect repellentsWearing long-sleeved shirts and pants outsideAdding screens on windows and doors to prevent mosquitoes from enteringEliminating standing water within homes, such as flowerpots, gutters, and bird bathsBy doing these, residents will be able to drastically lower their chances of infection, particularly when it comes to the active mosquito season.While Kansas and Maryland are tracking WNV cases at present, the threat is spread throughout the U.S. and the world. The CDC reports that West Nile virus is a continued public health issue every summer, especially in areas with high mosquito populations. Rare neuroinvasive cases show the virus's ability to cause significant damage to the nervous system, highlighting awareness and prevention.The research undertaken currently at the University of Kansas demonstrates the innovative work towards understanding mosquito-borne viruses at a molecular level.