There is no way of giving 6 doses per year to everyone. We're using COVID vaccines since roughly one year and according to WHO we've given one dose per capita (unequal: some people got 3 some got 0, some got them unwillingly, some still wanting them). It's not like we've not tried. The efforts to produce, distribute, advertise and dispense COVID-19 vaccines has been enormous, even reducing the capability for other medecines. Even if there's room for improvement, we're not getting 6 doses per year. Not even 3.
They want rich countries to vaccinate often because (pharma wants money and) that keeps people with high levels of antibodies, and that helps somewhat to prevent infection and therefore transmission. Once time passes without seeing the vaccine or virus, the body may keep memory of how to produce antibodies, but it makes little sense to keep "doped" with lots of antibodies for a single antigen. So the body waits until it sees the virus and then builds up a new arsenal of antibodies (when the vaccine works). This buildup time may be short enough to prevent hospitalization and death, but long enough to allow transmission. (there're other means of immunity besides antibodies, but the studies measure antibodies more easily).
But stopping transmission by having rich people constantly high on antibodies doesn't work, because we don't have the capacity to do it with the whole world, so the virus mutates on unvaccinated people and scapes the antibodies of the vaccinated people. To adapt vaccines they claim they need 2 or 3 months, but it should really be longer with proper trials, so new versions take longer than the infection protection from one vaccine version lasts. So we have recently vaccinated people spreading mutated variants if they escape the vaccines, people vaccinated since longer than two months spreading both old and new variants and unvaccinated people spreading everything and filling hospitals and graveyards.
We need to stop transmission with restrictions (for everyone), contact limitation, masks, soap, ventilation, etc. and use the time to vaccinate all who want to worldwide. The less viral load circulating the fewer mutations. It's basically 0-COVID policies worlwide until we get better vaccines and treatments or the virus disappears (unlikely).
They want rich countries to vaccinate often because (pharma wants money and) that keeps people with high levels of antibodies, and that helps somewhat to prevent infection and therefore transmission. Once time passes without seeing the vaccine or virus, the body may keep memory of how to produce antibodies, but it makes little sense to keep "doped" with lots of antibodies for a single antigen. So the body waits until it sees the virus and then builds up a new arsenal of antibodies (when the vaccine works). This buildup time may be short enough to prevent hospitalization and death, but long enough to allow transmission. (there're other means of immunity besides antibodies, but the studies measure antibodies more easily).
But stopping transmission by having rich people constantly high on antibodies doesn't work, because we don't have the capacity to do it with the whole world, so the virus mutates on unvaccinated people and scapes the antibodies of the vaccinated people. To adapt vaccines they claim they need 2 or 3 months, but it should really be longer with proper trials, so new versions take longer than the infection protection from one vaccine version lasts. So we have recently vaccinated people spreading mutated variants if they escape the vaccines, people vaccinated since longer than two months spreading both old and new variants and unvaccinated people spreading everything and filling hospitals and graveyards.
We need to stop transmission with restrictions (for everyone), contact limitation, masks, soap, ventilation, etc. and use the time to vaccinate all who want to worldwide. The less viral load circulating the fewer mutations. It's basically 0-COVID policies worlwide until we get better vaccines and treatments or the virus disappears (unlikely).