The first case of West Nile has been declared, not in Rockaway, but on Staten Island. While there are no human cases in any of the five boroughs (yet!), the Department of Health says the virus has been detected in Eltingville, where they will now have increased mosquito surveillance and mosquito larvae control efforts, the SI Advance reports.

Health commish Dr. Thomas Farley says, “West Nile virus has returned to New York City, but simple precautions can help protect you and your family. Be sure to wear mosquito repellent when you’re outdoors, and cover your arms and legs if you’re outside at dawn or dusk. People over 50 should be especially cautious, as they are more likely to develop serious illness if they contract the virus.”

Symptoms include neck stiffness, disorientation, coma, paralysis, and all sorts of terrible things.