Thanks for the "influence" reference, someone pointed that out to me the other day...your explanation makes that clearer.
Note the CDC changed the defiinition of Influenza Like Illness in 2021!
" Effective October 3, 2021 (week 40), the ILI definition (fever plus cough or sore throat) no longer includes “without a known cause other than influenza.” see under graph "Outpatient Respiratory Illness Visits"