I suppose its impossible to make a 5 year plan when the game is changing month after month. With countries having 50% vaccination rate, there's always place to brew new variants that might or not be resistant to vaccines and medicine.
But muations happen all the time. Is a particular mutation viable, does it spread, then outcompete?
Thankfully emperical evidence shows thr neutralizing antibodies response, due to vaccination, reduces spread of COVID.
Is it true that new variants are more likely to evolve among more unvaccinated people? US has had significantly more cases that South Africa (per 100k people) for most of the time. I assume mutations are more likely to happen in places with more cases. Not sure if vaccine plays a selective pressure on vaccine mutation (bad or otherwise).
https://ig.ft.com/coronavirus-chart/?areas=usa&areas=zaf&are...
Vacckne resistant strains of viruses tend to evolve in unvaccinated populations.