“…The use of weekly case counts, an interval comprising more than two generation times, may lead to some bias in the estimation of the growth rate and thus R e , although this bias was estimated at 5% for six-day time aggregation for the epidemic growth method, with a generation time function and reproduction number similar to our study ( Obadia et al, 2012 ). Epidemic dynamics may vary by influenza A subtype and B lineage ( Kwok et al, 2017 ;Nyirenda et al, 2016 ;Xu et al, 2015 ;Yang et al, 2018aYang et al, , 2018b ), but we were unable to estimate R e by subtype or lineage because the information is in-complete for many countries in FluNet. FluNet data are sourced from only one or a few WHO-certified influenza centers located in major cities in each country ( WHO, 2020 ) and so, our findings may be more representative of epidemic dynamics in populations of major cities.…”