FREETOWN — The tenth human case of Eastern Equine Encephalitis in Massachusetts has killed a man in his 70’s from Freetown.

The wife of 78-year-old James Longworth told WCVB her husband was in a coma for three days before passing away on Thursday.

The Massachusetts Department of Public Health (DPH) announced Friday that lab tests have confirmed the case. The hospital has reported to DPH that the patient died as a result of his illness.

DPH has also confirmed a second human case of West Nile virus, a man in his 50s from Plymouth County.

There are 35 communities now at critical risk, 40 at high risk, and 128 at moderate risk for the EEE virus in Massachusetts. A map of the state’s current EEE risk levels can be found here.

“We continue to emphasize the need for people to protect themselves from mosquito bites,” said Public Health Commissioner Monica Bharel, MD, MPH.

“The unusually warm weather expected this weekend will increase outdoor activity among people and mosquitoes. It is absolutely essential that people take steps to avoid being bitten by a mosquito.”

In addition to the 10 human cases of EEE this season in Massachusetts, there have also been eight confirmed cases of EEE this year in animals - seven horses and a goat. Two people have died from EEE.

State officials continue to remind residents throughout the Commonwealth to take personal precautions to prevent mosquito bites. Residents can learn more about EEE and ways to protect themselves on DPH’s website.

EEE is a rare but serious and potentially fatal disease that can affect people of all ages. EEE occurs sporadically in Massachusetts with the most recent outbreak years occurring from 2004-2006 and 2010-2012. There were 22 human cases of EEE infection during those two outbreak periods with 14 cases occurring among residents of Bristol and Plymouth counties.

EEE virus has been found in 421 mosquito samples this year, many of them from species of mosquitoes capable of spreading the virus to people. An additional 76 mosquitos have tested positive for WNV.

As previously announced, the Massachusetts Department of Agricultural Resources (MDAR) is conducting aerial spraying for mosquitoes tonight and through the weekend in parts of Bristol and Plymouth counties. As always, aerial spraying is weather and equipment dependent and falling evening temperatures will affect the ability to conduct an effective spraying operation.

Residents are encouraged to visit the DPH website at www.mass.gov/eee for the latest updates on spraying in their communities.

The DPH offers these tips to the public to avoid EEE or West Nile Virus infection:

Avoid Mosquito Bites

Apply Insect Repellent when Outdoors. Use a repellent with an EPA-registered ingredient (DEET (N, N-diethyl-m-toluamide), permethrin, picaridin (KBR 3023), oil of lemon eucalyptus [p-methane 3, 8-diol (PMD)] or IR3535) according to the instructions on the product label. DEET products should not be used on infants under two months of age and should be used in concentrations of 30% or less on older children. Oil of lemon eucalyptus should not be used on children under three years of age.

Be Aware of Peak Mosquito Hours

The hours from dusk to dawn are peak biting times for many mosquitoes. Consider rescheduling outdoor activities that occur during evening or early morning in areas of high risk.

Clothing Can Help Reduce Mosquito Bites

Wearing long-sleeves, long pants and socks when outdoors will help keep mosquitoes away from skin.

Mosquito-Proof Your Home

Drain Standing Water. Mosquitoes lay their eggs in standing water. Limit the number of places around your home for mosquitoes to breed by draining or discarding items that hold water. Check rain gutters and drains. Empty unused flowerpots and wading pools and change the water in birdbaths frequently.

Install or Repair Screens. Keep mosquitoes outside by having tightly-fitting screens on all of your windows and doors.

Protect Your Animals

Animal owners should reduce potential mosquito breeding sites on their property by eliminating standing water from containers such as buckets, tires, and wading pools – especially after heavy rains. Water troughs should be flushed out at least once a week during the summer months to reduce mosquitoes near paddock areas. Horse owners should keep horses in indoor stalls at night to reduce their risk of exposure to mosquitoes. Owners should also speak with their veterinarian about mosquito repellents approved for use in animals and vaccinations to prevent WNV and EEE. If an animal is suspected of having WNV or EEE, owners are required to report to DAR, Division of Animal Health by calling 617-626-1795 and to the Department of Public Health (DPH) by calling 617-983-6800.

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