(CNN)The Massachusetts Department of Public Health reported on Wednesday there’s been a fourth death in the commonwealth from Eastern equine encephalitis, bringing the nationwide total to 10 deaths.
An area hospital notified state officials of the death. The patient lived in Essex County.Here's how to protect yourself (and your pets) from EEE, the deadly mosquito-borne virusThere have also been three deaths in Michigan, two in Connecticut and one in Rhode Island.Eastern equine encephalitis, known as EEE, is a rare virus transmitted by mosquitoes. There are typically only 5 to 10 human cases reported in the United States each year, according to the US Centers for Disease Control and Prevention. About 30% of all cases result in death. This year there has been an uptick in the number of reported cases, nearly 30 among several states.Tests also confirmed an 11th human case of the mosquito-borne virus in Massachusetts. The patient is a man in his 70s who lives in Worcester County.Read MoreMosquito-borne virus victim went from healthy to brain dead in 9 daysWith this latest infection, Massachusetts elevated several more communities to high risk. The communities of Auburn, Charlton, Dudley, Leicester, Southbridge and Spencer are now included in the 46 communities considered to be at high risk. There are also 35 communities at critical risk and 122 at moderate risk.EEE virus has been found in 422 mosquito samples in Massachusetts this year, according to the department, many in species that are capable of spreading the virus to humans. The mosquitoes can also infect animals. There is a vaccine for horses who get EEE, but there is no vaccine for humans. “Although mosquito populations are declining at this time of year, risk from EEE will continue until the first hard frost,” said State Epidemiologist Dr. Catherine Brown. “We continue to emphasize the need for people to protect themselves from mosquito bites.”Massachusetts has done some aerial spraying to kill mosquitoes, but the state is done for this season. The spraying helps reduce the risk of EEE, but the risk will persist until that first hard frost.Get CNN Health's weekly newsletter
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The health department encourages people to wear long pants, socks and long sleeves to reduce the amount of skin exposed to the bugs. Use bug spray and limit outdoor activities to an hour before sunset up until dawn. That’s when the bugs bite the most.