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Many respiratory illnesses go around in the fall and winter in southwest Nebraska. During the month of November, cases of RSV (respiratory syncytial virus) and COVID-19 spiked, with an average of 30 to 60 cases of COVID per week reported to Southwest Nebraska Public Health Department (SWNPHD). Flu (influenza) rates were still low. Colds, flu, RSV, and COVID-19 can all have similar symptoms so it can be very challenging to know when it is serious or when to get medical care. For those more at risk of getting very sick, it is important to get tested so the right treatments can be given.