Japan, Korea, Cambodia are three of the most vaccinated nations on Earth (80% fully vax). Yet each has had their largest "wave" post-mass vaccination; more interestingly, there has been no "de-coupling" of cases & deaths evident in Asia.
Do vaccines not reduce severity in Asia?
More to the point - severity has always been so inconsequentially low in eastern Asia that vaccination was unnecessary in this region and likely redundant of immunity from prior exposure to similar viruses.
There are 560 million people living in this region of Asia, none of whom, apparently, ever faced a significant mortality risk from covid-19.
Do masks magically work in Asia but not Europe or America?
While east Asia is thin, it is not young, so there should have been significant risk. What has protected them?
Perhaps prior exposure to similar coronaviruses? Bats harboring related virus have been found in China, Thailand, and Cambodia:
Whatever the cause, east Asia has been spared from significant mortality.
We do know that it wasn't track-and-trace, or masks, or vaccines that saved them because these interventions have failed everywhere else they've been tried.
These nations are not immune to all respiratory viruses, either - many prior pandemics have taken a terrible toll in east Asia and the flu visits this region just as it does any other (despite widespread use of masks):
So, east Asia has been spared from covid-19, in particular, not from respiratory viruses in general, and it has nothing to do with any human intervention.
There is a natural cause for their immunity; either genetic, or prior exposure, or happenstance (BCG vaccination?).
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Indonesia, the 4th largest country on Earth (278 million people), has recorded essentially zero cases & deaths for three straight months:
Cases in Indonesia disappeared at the end of September, despite continued high testing rates.
The share of tests returning positive fell to below 0.4% and has remained there for months.
Obviously, the disappearance of covid in Indonesia can no be credited to vaccination, since less than 6% of the population was vaccinated when cases peaked in mid-July (and we have numerous examples of high vax countries with skyrocketing cases).
Israel: first to initiate mass vaccination & first to require boosters. Now, after 3-5 months, boosters are clearly failing to prevent infection/transmission, as well.
Israel is left with a choice: mandate a 4th dose or throw in the towel on mandatory vaccination.
With nearly all adults full vaccinated and the majority of adults boosted, Israel has seen a new seasonal wave begin with infections almost exclusively found amongst the vaccinated.
This is not what was promised one year ago when vaccines were approved.
In Israel, 70% of the population has been vaccinated, 64% fully vaccinated, but only 45% boosted.
This drop-off occurred despite the national vaccine passport mandating booster doses.
Why have 36% of those who initiated vaccination chosen not to get boosted?
a. Omicron intrinsically mild
b. Mildness specific to southern Africa
c. High immunity from prior infection
d. Testing catching more mild infections
e. Seasonality (Summer)
1 billion people live in central Africa and less than 5% have been fully vaccinated. Somehow, there have been fewer than 43K covid deaths reported in this region, total, since the beginning of the pandemic.
Has any modeler, PH official, or epidemiologist explained this?
The median age in this region is ~18 and obesity is low to moderate, so part of the answer is a lack of susceptible population.
But, based upon flu patterns, the covid pandemic lasted only a few months in this region - and the flu has been a larger concern for over a year.
Lack of testing doesn't explain this, either, as Rwanda has performed nearly as many tests per capital as Moldova, for instance, with 25 times fewer deaths.