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> The earliest strains of Covid were by far the most severe ones. It's not that surprising to me that the very first patients contracted a strain more likely to put them in the hospital.

No, the only SARS-Cov-2 strain with (likely) decreased mortality is Omicron, see https://en.wikipedia.org/wiki/Variants_of_SARS-CoV-2 The fact that Covid (as an illness) has become milder is due to the hosts adapting, not the virus being milder.

> The severity also depends a lot on viral load.

Yes, that is a factor.




Not only the hosts, but also the hospitals. Treatments became available, and we learned what worked well and what didn't. The care a person who is infected today gets is very different from what people in the first months of the pandemic got and that's improved outcomes.




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