(Indianapolis, Ind.) – Indiana has its second death from the mosquito-transmitted West Nile virus.

The Indiana State Department of Health said Monday that a 44-year-old Indianapolis resident died of the disease on Saturday. The victim’s name and exact location were not released.

Earlier this month, an Evansville-area resident died from West Nile.

Locally, the illness has been found in mosquitoes in Ohio and Ripley counties. Two human cases were confirmed last western Hamilton County, Ohio.

According to the state health department, West Nile virus usually causes West Nile fever, a milder form of the illness. It can include fever, headache, body aches, swollen lymph glands or a rash. Some individuals will develop a more severe form of the disease with encephalitis or meningitis and other severe syndromes, including flaccid muscle paralysis.

Health officials recommend the following to avoid being bitten by a West Nile-carrying mosquito:

Avoid places where mosquitoes are biting;

Apply insect repellent containing DEET, picaradin or oil of lemon eucalyptus to clothes and exposed skin;

Install or repair screens on windows and doors to keep mosquitoes out of the home; and,

When possible, wear pants and long sleeves, especially if walking in wooded or marshy areas.