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§ 4.88b Schedule of ratings—infectious diseases, immune disorders and nutritional deficiencies.

West Nile virus infection

A viral infection transmitted by mosquitoes that may cause fever, neurological symptoms, or no symptoms.

What the rating means

West Nile virus infection is rated under the General Rating Formula for Infectious Diseases. While the disease is active, it is rated at 100%. Once the active disease has resolved, the infection itself is rated at 0%. However, any lasting effects the infection caused are not simply left at 0%. Instead, VA rates each residual disability — such as physical, functional, or cognitive problems left behind by the infection — separately under whichever body system that residual condition belongs to. West Nile virus is specifically listed in VA regulations as one of the infectious diseases whose long-term health effects must be considered, so disabilities that develop or persist after the active infection may still be connected to your service.

Evidence that helps

For the active phase, medical records confirming a diagnosis of West Nile virus infection and documenting ongoing symptoms are the core evidence. Once the active infection has resolved, the focus shifts entirely to residuals. Records showing physical symptoms — such as muscle weakness, paralysis, or tremors — functional limitations in movement or coordination, or cognitive problems like memory loss or difficulty concentrating would support rating those residuals under the appropriate body system. Neurological exam findings, imaging, and specialist notes are particularly relevant because West Nile virus is known to affect the nervous system. Statements from you or people who know you describing how these lasting symptoms affect your work and daily life can also help document the severity of each residual condition. The rating each residual receives depends on the criteria for that specific body system condition.

Secondary conditions

Conditions that are often caused or made worse by this one. If you have any of these, they may be claimable as secondary service connection.