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Jan 25 12 tweets 4 min read
With 214 million people, Nigeria is the 7th largest nation on Earth but has never reported any significant mortality from Covid.

What explains the enduring success of Nigeria during the covid pandemic?
For context, Nigeria and Brazil each have 214M residents - but while Brazil has reported 623K deaths from Covid, Nigeria has had only 3K people die, thus far.

Why was covid 200 times more deadly in South America than in West Africa?
While Omicron cases are setting records in nations across the West, Nigeria's omicron wave actually had the fewest total infections among their four seasonal waves.

Why were so few Nigerian's susceptible to Omicron?
The Omicron wave in Nigeria had a high peak but also a rapid decline and a low CFR - indicating that, if anything, a higher share of cases were detected during Omicron.

Why has Omicron spread like wildfire in the West but petered out harmlessly in Nigeria?
With only 2.4% of the population vaccinated, could negative VE explain why heavily vaccinated Europe/Americas are setting records while Nigeria saw their smallest wave of infections during Omicron?

Certainly, vaccines don't explain why covid mortality passed Nigeria by...
FYI, the 4th wave in Nigeria was nearly exclusively Omicron infection. Why did it infect so few Nigerians, if it is inherently more infectious?
Seroprevelance surveys have found that >50% of Nigeria's population had already recovered from Covid prior to the emergence of Omicron (most of whom were unaware of their infection).

Perhaps prior infection provides immunity?

medrxiv.org/content/10.110…
Masks are also close to non-existent in Nigeria, as is any sense "social distancing" (which would be impossible in the dense urban centers where 1/2 the population reside).

Back in November, the press noticed that Africa had avoided "disaster", but they still clung to the narrative that vaccines were needed to forestall the next wave.

Well, Nigeria didn't vaccinate anyone and the next wave came and went harmlessly.

abcnews.go.com/Health/wireSto…
It should be plainly obvious by now, that sub-Saharan Africa doesn't need our vaccines.

Continuing to our push to 'vaccinate the world' speaks to Western hubris and neurosis, not to Africa's needs or wants.

What Africa needs is for the West to regain its sanity.
So, what saved Nigeria? Obvious factors: no old people (median age 19), no fat people (8% obesity), perhaps exposure to / treatment for other endemic disease.
BTW, WHO flunet data indicates that the covid pandemic lasted for just a few months in 2020 in sub-Saharan Africa.

The pandemic came to a close before in this region before a single person was vaccinated.

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More from @Humble_Analysis

Jan 25
Through October, the amplitude of cases detected was similar in South Africa and the EU, just with different seasonal waves.

At that point, 63% of EU fully vaccinated compared to just 14% South Africa.

You might assume that vax'd EU did better than S. Africa this fall... Image
Instead, while South Africa saw an omicron peak of just 10% higher than Delta, the EU's omicron wave is already 500% higher - and still rising.

Why is omicron spread much worse in Europe than in South Africa? Image
The same pattern is playing out everywhere with high natural immunity from infection: India, Nepal, Namibia, Botswana, Nigeria all have seen very mild waves from Omicron compared to prior waves of infection. Image
Read 4 tweets
Jan 21
Israel: first to vaccinate; first to panic and turn to boosters; when that didn't work, first to panic again and try 4th doses.

Now, once again, Israel has the highest rate of infection in the entire world.
With 80% of the eligible population fully vaccinated AND boosted (as well as the 10% most vulnerable double-boosted) critically ill covid patients are returning to the levels seen with Delta.
"Israeli researchers... admit that a COVID policy based almost entirely on shots is proving ineffective."

"Israel’s decision to administer a fourth dose was based on expert opinion and not robust data, because there was no robust data."

ijn.com/israel-fourth-…
Read 4 tweets
Jan 21
With the advent of mass vaccination in Europe, why have more young adults died during the second half of 2021 than had died in 2020 (or 2017, 2018, 2019)?

Shouldn't the vaccines have caused a return to normal levels of mortality?
Why is young adult mortality in the euromomo region accelerating at the end the 2021 with nearly everyone in this age group fully vaccinated?
Contrast this to the very elderly, where excess mortality remains high, but is down significantly compared to 2020. Why are deaths falling amongst the very old but accelerating in young adults?
Read 5 tweets
Jan 12
Isle of Man: 77% vaccinated, 55% boosted. Highest case rate in the world on January 10th. Image
Iceland: 77% fully vaccinated, 56% boosted. Image
Gibraltar: 100% full vaccinated, 81% boosted. 10th highest case rate in the world. Image
Read 8 tweets
Jan 10
WA state (where I live) publishes cases & deaths by date of symptom onset, making accurate CFR trends possible.

For the elderly population, CFRs declined steadily in 2020 before stabilizing in early 2021 at ~7%.

Why didn't mass vaccination reduce CFR for the elderly in 2021?
The answer is not that fewer elderly people are dying: between August and November in WA there were 1376 deaths in 2020 but 2181 deaths in 2021.

In other words, there were 1.6X as many deaths in a highly vaccinated population.

Why didn't mass vaccination prevent death in 2021?
WA states does produce a report which claims that the death rate is 15X higher amongst the 18% of elderly who are unvaccinated.

Does this seem believable, given the raw data (produced by WA state) presented in the graphs above?

doh.wa.gov/Portals/1/Docu…
Read 6 tweets
Jan 5
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?
Read 7 tweets

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