Use REGEDIT.EXE and wipe out the value referencing MSBLAST.EXE at HKEY_LOCAL_MACHINE\SOFTWARE\Microsoft\Windows\CurrentVersion\Run.
Reboot. \windows\system32\msblast.exe (location may vary slightly depending on OS) should now no longer be running. Get rid of it.
Use WindowsUpdate to make sure you're patched or grab it by following the links for your OS from here: http://www.microsoft.com/technet/treeview/?url=/technet/security/bulletin/MS03-026.asp