AbstractKeywordsCOVID-19biasGet full access to this articleView all access options for this article.Get accessReferences1. Okoro EO Ikoba NA Okoro BE , et al. Paradoxical increase in global COVID-19 deaths with vaccination coverage: World Health Organization estimates (2020–2023). Int J Risk Saf Med 2025; 9246479251336610. DOI: 10.1177/09246479251336610.