At some point, we’ll achieve a balance that represents how much work we’re willing to do to control Covid, and how much illness and death we’ll tolerate to stay there.
in the United Kingdom. It’s an expression of this government’s priorities, maybe, a preference for the shiny big gesture, not the daily incremental grind. But endemicitybe a daily grind, whenever we get there: a painstaking repetition of frequent testing, sometimes masking, and never quite being free of the need to think about the virus, like an annoying neighbor whom you wish would move away.
This brings us to a difficult problem: the number of people who haven’t had the shot. In much of sub-Saharan Africa, vaccination rates are in single digits. As activists have argued from the start, the fate of the pandemic is governed by the vulnerability of the least protected. As complex as endemicity is going to be, we won’t even reach it without fresh attention to vaccinating the rest of the world.
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