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Covid is not nearly as high on the priority list for many third world countries as it is for the US. Here covid shuts down everything. In many African countries it is an order of magnitude less impactful than malaria.

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There's less testing, less reporting and much less transparency and awareness. Doesn't mean there's less infection or less dying.

There probably is (less infection) due to the more broad vaccines they receive compared to developed countries, which as a second effect create a little more broad immunity.

Due to the much younger population, most of Africa, India, and Pakistan has had MMR, and it's been found that the mumps vaccine provides significant immunity. In the west most over 35 had measles only, or MR combination without mumps.

DOI: 10.1128/mBio.02628-20

For some reason this hasn't been well covered in the media. I got an MMR booster in June based on preliminary findings, my GP thought I was insane.

Sure but getting 1 million units of anti-malarial drugs properly distributed is an order of magnitude more important than the same quantity of covid vaccines. Just look up their death rates.

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