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Evolving pandemic becoming pandemic of the unvaccinated

To the editor: There are two ways to reach herd immunity. One, vaccinate those at risk until a critical mass is reached (60-70% of the population) and two, achieve natural immunity via infection. The evolving pandemic is essentially the pandemic of the unvaccinated. The unvaccinated are those that allow for variants to occur and to expose the vaccinated to the variants. Hospitalization and deaths due to COVID-19 are increasing and are due, in over 95% of those infected, to infection in the unvaccinated. Infection to the vaccinated does occur (no vaccine is 100% effective at preventing disease) but the disease is milder and hospitalization or death are unlikely to occur.

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