There is an RSV outbreak in my state. If I remember correctly, RSV is also a coronavirus so in theory it would cause a positive pcr test (I think?), driving up already falsely inflated numbers. I know from experience (sick toddler last October) that the pediatricians in my area AND the children's hospital are not interested in any diagnosis other than COVID and any non covid testing they do is a last resort after covid tests come back negative.

Edit: also, I truly believe our state officials pull the daily numbers out of their butts. I don't think they test, diagnose, hospitalize, or vaccinate the numbers they say they do.