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Covid-19: Why some nations have deadlier outbreaks with the same vaccines

A number of countries -- mostly developing economies with less capable healthcare systems -- relied on Chinese or Russian vaccines that have proven less effective than the mRNA shots used in the US

vaccination, vaccine, coronavirus, covid-19
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Jinshan Hong, Lisa Du and Yasufumi Saito | Bloomberg
It’s one of the great puzzles of the pandemic. Most developed economies are now highly vaccinated with some of the most effective shots on offer, so why are the latest Covid-19 outbreaks more deadly in some places than in others? 
While it’s clear vaccines led to a drop in fatalities during the most recent delta variant-driven waves compared with earlier bouts with the virus, some countries saw deaths fall to a greater degree than others, an outcome scientists still don’t have answers for. 

Countries like Germany, Denmark and the U.K. have seen Covid deaths fall to roughly a tenth of previous