JACKSON (AP) — A fifth victim of West Nile virus has died in Mississippi.

The Mississippi State Department of Health said someone who had earlier been infected in Madison County has died, bringing the state’s 2012 death total to five.

The state also reported 14 new cases Monday, pushing the year’s total to 200. That’s the largest number of cases in the state ever confirmed by laboratories. In 2011, Mississippi had 52 cases and five deaths.

There have been 147 deaths reported nationwide as of Sept. 25, according to the Centers for Disease Control and Prevention, in one of the worst-ever years for West Nile in the United States. Mississippi is ranked third per capita among the states for infections this year, behind only South Dakota and North Dakota. It’s No. 7 for deaths per capita.