India’s covid spike took place over a matter of months. It really started to increase beginning of March, peaked beginning of May, and returned back towards a reasonable rate in July. When you are at 400k+ cases/day (reported, likely much higher actuality) the number of available hosts decreases drastically, even in India. Not to mention they were vaccinating quite a few people at that time. I don’t know all that occurred there but it seems that their healthcare system collapsed in several places. So yes I suppose we disagree as I believe they reached a point of rock bottom and changed behavior. It’s human nature in that situation.
At every latitude the flu goes away every year. Covid does not. Their patterns are not very similar. I’m sure there is a latitude that has a similar pattern but I don’t see it. I would be open to data but I was looking directly at his book from 40 years ago or whatever and I see a definitive seasonal virus with the flu that disappears in the summer. Not so much with covid. Some of that may be due to viral behavior but there is human impact on both and most likely due to ventilation.
Iceland has done a great job jabbing at over 90% vaccination rate ages 16+. Hospitalizations have been minimal and they’ve had 1 death in 2021. I do not know enough details about their cases but I do find it ironic you use their case number as an example yet months ago question the cases due to CT values. Check out the CT values in Iceland and see who they are testing and I think you may change your tune on them.
The disease
burden remains driven by the unvaccinated without natural immunity. Note I did not just say “unvaccinated” as I do believe those with natural immunity are not driving the burden of disease. By burden, I mean hospitalizations, death, cost, etc. Viral loads are high in those without prior immunity, natural or vaccinated, and when viral load is higher there is more transmission. I am seeing this in real life in a sample size that is reasonable. Many households have couples where one chooses to vaccinate and the other does not. So far 100% of the symptomatic breakthrough infections I have seen this week have likely come from the unvaccinated spouse or household member. That is why I believe vaccination would end this if it were possible to get everyone on board. When the antibody titers are high, we do not see infection or transmission.
Here is more data to support that from Moderna.