The Duval County Health Department said there are four more confirmed cases of West Nile virus in Duval County, bringing this year's total to nine.

Health Department spokesman Charles Griggs said the patients range in age from a 46 year old man to a 70 year old woman, but there are no reports of any deaths.

Griggs said the illness is being contracted across the county.

"We will continue to monitor those situations for the locations of mosquito-borne illnesses," Griggs said.

Symptoms of West Nile virus may include fever, headache, fatigue, dizziness, weakness and confusion.

The Health Department says to remember to "Drain and Cover."

DRAIN standing water to stop mosquitoes from multiplying.

• Drain water from garbage cans, house gutters, buckets, pool covers, coolers, toys,flower pots or any other containers where sprinkler or rain water has collected.
• Discard old tires, drums, bottles, cans, pots and pans, broken appliances and otheritems that aren't being used.
• Empty and clean birdbaths and pet's water bowls at least once or twice a week.
• Protect boats and vehicles from rain with tarps that don’t accumulate water.
• Maintain swimming pools in good condition and appropriately chlorinated. Empty plasticswimming pools when not in use.

COVER skin with clothing or repellent

• CLOTHING - Wear shoes, socks, and long pants and long-sleeves. This type ofprotection may be necessary for people who must work in areas where mosquitoes arepresent.
• REPELLENT - Apply mosquito repellent to bare skin and clothing.
•  Always use repellents according to the label. Repellents with DEET, picaridin, oilof lemon eucalyptus, and IR3535 are effective.
•  Use mosquito netting to protect children younger than 2 months old.

COVER doors and windows with screens to keep mosquitoes out of your house

• Repair broken screening on windows, doors, porches, and patios.
•  Always read label directions carefully for the approved usage before you apply arepellent. Some repellents are not suitable for children.
• Products with concentrations of up to 30 percent DEET are generally recommended.  Other EPA-approved repellents contain Picaridin, oil of lemon eucalyptus, or IR3535.These products are generally available at local pharmacies. Look for active ingredientsto be listed on the product label.
• Apply insect repellent to exposed skin, or onto clothing, but not under clothing.
• In protecting children, read label instructions to be sure the repellent is age-appropriate.  According to the CDC, mosquito repellents containing oil of lemon eucalyptus should notbe used on children under the age of 3 years. DEET is not recommended on childrenyounger than 2 months old.
•  Avoid applying repellents to the hands of children. Adults should apply repellent first totheir own hands and then transfer it to the child’s skin and clothing.
• If additional protection is necessary, apply a permethrin repellent directly to yourclothing.  Again, always follow the manufacturer’s directions.