what-happened
GOLD
You sound like a smart person and I get how you would get consumed by R. Using "R" makes politicians and non epidemiologists sound sciency. It's really not very precise and rests on assumptions. It really doesn't capture what's happening in a pandemic and can spike up and down when cases are low.Not quite. I believe that the chain of contagion that led to each new case contained some unmasked and unvaccinated people.
The identity of the last person in each chain is not really the point. The point is that, if more of us are masked and vaccinated, then covid will reach fewer vulnerable people. The chain will break somewhere along the way.
Yes, I do believe that R<1 eventually leads to zero cases. But it helps even without that effect. Reducing R also leads to significantly fewer cases in the short to medium term. R=.8 has about half as many cases as R=.9, for example. This is true even if you are continually importing new cases from overseas, and therefore never get to zero.
It's a good marker that can help guide mitigation efforts but it isn't as important as you make it out to be. R doesn't guide epidemiologists on how to manage virul outbreaks.