It's colder, so people got together indoors for the holidays. Plus, we have lots of nutty medical types (at least in the US--"the Great Barington Declaration") saying we protect "vulnerable" people (in some unspecified manner) and let it rip otherwise to get "herd immunity". Of course, that means the virus has more chance to mutate, and we get the new "English" strain. Still some people in the US who say "it's a hoax", too--one nurse said that she had patients die thinking that the virus wasn't real and something else was wrong with them. Many US hospitals are running out of ICU beds.. At the same time, the monoclonal antibody drugs that saved Trump are not being used extensively because doctors aren't certain which patients are candidates and because they require infusion in a hospital and most don't have a lot of space or time for that. People over 70 still account for most of the fatalities, but younger people ("long haulers") can have significant issues including psychiatric ones when the virus affects the brain. There are still people who won't wear a mask. This situation is beyond asinine.Everyone stopped giving a toss about social distancing etc as soon as the vaccine was announced?