West Nile virus cases are up 40 percent since last week and may rival the record years of 2002 and 2003, federal health officials said Wednesday.

So far this year, 1,590 cases of the mosquito-borne disease have been reported to the Centers for Disease Control and Prevention, and 66 deaths.

About half of the cases are serious illnesses, and the CDC considers those the best indicator of West Nile activity because many mild cases do not get reported and their symptoms may not even be recognized.

Typical symptoms are fever, headache and body aches, and most people get better on their own in a few days. Less than 1 percent develops neurological symptoms such as stiff necks and even coma and paralysis.

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