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time and above Ohio's five-year baseline average (see graph on page 7). Ohio Outpatient Influenza-like Illness Network (ILINet) also reported a percentage of total outpatient visits were for ILI at a rate significantly higher than the five-year baseline average for the same time period(see graph on page 8). ILI is defined as a fever AND cough and/or sore throat without another known cause. According to this in o ra chic on COVID-19 symptoms from ODH, some of these symptoms overlap. Is it possible this increase in ILI visits was due to COVID-19? I hope public health officials are exploring the possibility. Cuyahoga County also saw increases in hospital ED visits for ILI and fever symptoms beginning in MMWR Week 4, with numbers well above the five-year median (see graph on page 5 of the County's weekly flu surveillance report for MMWR Week 15, the most recent available). School absenteeism in Cuyahoga County due to any illness also was well above the five-year median for MMWR Weeks 4-8 (week ending January 25, 200 through week ending February 22, 2020). Several schools in Northeast Ohio closed around the same time due to illness. While I realize this year's flu season has been especially hard on children, particularly Influenza B, is it possible COVID-19 was also circulating at that time? Anecdotally speaking, I know several people, both children and adults, who were sick in December and January. In its.weeklv influenza surveillance reports, CCBH includes maps displaying the rate offever and ILI complaints per 100,000 by ZIP code and the rate of congestion and cough complaints per 100,000 by ZIP code. The data reflect emergency department chief complaints. I compiled the data below for Lakewood from the maps published in their weekly reports, highlighting timeframes with the highest rates. Rate of Fever and ILI Complaints per 100,000 or ZIP Code 44107 MMWR Week Date Range Rate per 100,000 MMWR Week 4 Januar 19-25, 2020 11.66-26.04 MMWR Week 5 Januar 26-February 11 2020 34.62-54.58 MMWR Week 6 February 2-8, 2020 18.54-35.33 MMWR Week 7 February 9-15, 2020 26.45-46.61 MMWR Week 8 February 16-22, 2020 16.00-28.23 MMWR Week 9 Februar 23-29, 2020 30.64-40.82 MMWR Week 10 March 1-7, 2020 42.47-84.43 MMWR Week 11 March 8-14, 2020 58.43-99.39 MMWR Week 12 March 15-21, 2020 29.29-45.06 MMWR Week 13 March 22-28, 2020 24.27-31.98 MMWR Week 14 March 29-April 4, 2020 24.27-31.98 MMWR Week 15 Aril 5-11, 2020 7.23-14.12 Rate of Congestion and Cough Complaints per 100,000 or ZIP Code 44107