West Nile virus is spread through mosquito bites and can cause mild to severe illness. Most people infected have no symptoms, but some experience fever, headache, body aches, and swollen lymph nodes. In rare cases it can cause encephalitis or meningitis. There is no treatment other than supportive care. Risk factors include age over 50, time spent outdoors, and blood transfusions. Prevention involves mosquito control and personal protection measures like repellent and protective clothing.