Seasonal influenza is the worst it’s been nationwide in nearly 30 years. That is, in terms of the percentage of outpatient and emergency department visits involving patients with influenza-like illness (ILI). ILI symptoms include fever and cough or sore throat, not necessarily representing laboratory-confirmed flu. Meaning, some patients included in ILI records may have another respiratory illness such as COVID-19 or respiratory syncytial virus (RSV).