DENTON (CBSDFW.COM) – The Denton County Health Department Friday confirmed the second West Nile related death for the county this year.

Health officials say the patient was a woman in her 80s and had underlying health conditions.

So far in 2012, Denton County has reported 119 cases of West Nile.  County officials say they are seeing five to six new cases a day, which is the highest rate of infection in Texas.

Yesterday, Dr. Bing Burton, Denton County Health Director said,  “We acknowledge that is the highest incident rate in the state and it well may be the highest rate in the nation, I don’t think any other state is dealing with the magnitude of cases we have,” said.

Denton County has declared a Health Emergency in response the rapid spread of the virus.  The declaration allows the county to request state and federal aid to implement an aerial spraying program.

Denton County cities have until next Tuesday to decide if they will opt-in and the county hopes to begin spraying Thursday.

CBS 11 News has contacted municipalities in Denton County asking if they will allow aerial spraying.  So far, Flower Mound and Lake Dallas have approved aerial spraying.  Frisco and Providence Village have said no.  The Denton County portions of Coppell, Carrollton and Dallas were sprayed last week in cooperation with Dallas County’s aerial spraying efforts.

Many other cities are holding meetings to discuss aerial spraying next Monday and Tuesday.  The town of Shady Shores is meeting on Wednesday.