Your physician will first take a medical history to assess your risk for West Nile Virus. People who live in or traveled to areas where West Nile Virus activity has been identified are at risk of getting West Nile Encephalitis; persons older than 50 years of age have the highest risk of severe disease. If you are determined to be at high risk and have symptoms of West Nile Encephalitis, your provider will draw a blood sample and send it to a commercial or public health laboratory for confirmation.