Here's with all the recent seasons (COVID-19 era) -- all of the spikes on this were COVID-19, not influenza since 2020. You can see the 2023-24 Season had a big spike in December./January, which is when the last big COVID-19 went through (XBB.1.5) -- which hit hard in Dec/Jan but then tailed off rapidly, one of the omicron variants. Haven't seen a spike since then (cross fingers). The blue/purple line with a lot of spikes was 2019-2020 season when COVID-19 first appeared in the US. #ILI#influenza#disease#tracking