For the first time in four years, Romanian health officials are reporting a West Nile virus related fatality, according to a local media report. The victim is a 79-year-old woman from Ialomita County with underlying health conditions.

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“The woman was admitted to the hospital on July 28 with a complex pathology, and died a few days later,” Health Ministry spokesman Laurentiu Colintineanu said.

In addition, the third travel-associated Zika virus case in a 36- year-old man who lives in Cluj-Napoca and traveled to the Dominican Republic between July 6 to July 13, according to a health ministry news release (computer translated).  He also traveled to the US from July 13 to July 20.

He returned home on Jul. 21. A day later, he went to the Infectious Diseases Hospital Cluj-Napoca with symptoms of fever and generalized skin eruption. On July 25 samples from the patient were sent for analysis at the Cantacuzino Institute, and on July 27 , Zika virus was confirmed.