The city of Denton has opted to not be included in aerial spraying for mosquitoes.
At a meeting Monday morning, the Denton City Council voted 4-1 against aerial spraying of adulticide over the city.
Flower Mound, Cross Roads and Pilot Point have already opted in, while Little Elm and Providence Village have voted against aerial spraying.
Denton County health officials said Carrollton, Dallas and Coppell also opted out because they participated in Dallas County's aerial spraying.
The city of Lewisville will hold an emergency meeting on aerial spraying at 6 p.m. Monday.
County officials hoped to hear from all 44 municipalities by Tuesday afternoon.
Denton County has confirmed nearly 120 cases of West Nile virus this summer, including two fatalities.
NBC 5's Frank Heinz contributed to this article.