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The thing is, even in those areas where river blindness or elephantiasis is endemic and ivermectin is used, it’s only taken one time, once per year, sometimes twice per year.

For maps where it is taken, vs Covid rates see here:

https://freerepublic.com/focus/news/4015279/posts?page=30#30

Yes, I agree about the sunshine and younger population. Also, fewer people in climate-controlled buildings and shopping at outdoor markets. And no nursing homes.

I agree that "nothing lasts forever" and especially in terms of adaptation to preventatives and cures in medicine, but one factor in the "Africa" question is that it is perfectly arguable that there has essentially been no pandemic there. Period.

As posted on this thread: ( 6,631,158 global deaths / 7,935,827,098 global population ) x 100 = 0.0836 percent mortality rate over almost three years."

It may well be that the whole "event" and rush to ventilate and inject $3K per patient with remdesivir contributed significantly to death rates in the US, something obviously absent in sub-Saharan Africa. After all, pre-pandemic, medical error was seen as the third highest cause of mortality.

https://www.cnbc.com/2018/02/22/medical-errors-third-leading-cause-of-death-in-america.html

https://www.plasticstoday.com/medical/medical-error-third-largest-cause-death-united-states-according-johns-hopkins-researchers

https://www.bmj.com/content/353/bmj.i2139

It may turn out the "we" -- in our government's handling, warp-speed nonsense, NIAID hospital protocols and more -- are contributory problems worth adding to the picture of the whole.