It's not just antibiotics, but some types of vaccines are creating evolutionary pressure and new strains of the pathogen. E.g. for pertussis
> it is thought that B. pertussis is adapting under acellular vaccine mediated immune selection pressure, towards vaccine escape [1]
> an increase in asymptomatic infection with concomitant increases in transmission and increased selection pressure for Bordetellapertussis variants that are better able to evade vaccine-mediated immunity than older isolates [2]
>> some types of vaccines are creating evolutionary pressure...
Wouldn't it be nice if we had more eradication programs? Evolution is going to work around every vaccine eventually unless we eradicate the disease. Yes, this is a hard problem but I think long term its worth it. Eventually we might get good at it.
Eradication is absolutely possible. High enough vaccination rates would help prevent further evolution of viruses, eventually containing them and then removing them provided there aren't alternative vectors like animals or pets.
Unfortunately, certain other efforts are compromising this.
> it is thought that B. pertussis is adapting under acellular vaccine mediated immune selection pressure, towards vaccine escape [1]
> an increase in asymptomatic infection with concomitant increases in transmission and increased selection pressure for Bordetellapertussis variants that are better able to evade vaccine-mediated immunity than older isolates [2]
[1] https://academic.oup.com/femspd/article/73/8/ftv064/2467598
[2] https://www.sciencedirect.com/science/article/pii/S156713481...