HIS SUMMER, DALLAS, TEXAS, HAS BEEN IN THE CENTER of its worst-ever regional epidemic of West Nile virus (WNV) infection, with one-quarter of the nation's cases identified in Dallas County. 1 With a record high number of trapped mosquitoes testing positive for WNV, from June 20 to August 21 WNV infections have been confirmed in 270 county residents; 160 have been hospitalized, 51 have required intensive care unit admission, and 11 have died. 2 Given this epidemic in Dallas, which has spilled over into Fort Worth and the 14 surrounding counties, and similar WNV activity in Louisiana, Alabama, Oklahoma, and the Midwest, 2 physicians and the public should be aware of key information about WNV infection 3 to enable informed decision making in countering urban WNV epidemics.