Why is COVID-19 more concentrated in countries with high economic status?

Having been detected first in December 2019 in Wuhan, China, COVID-19 has infected more than 209 million people and killed 4,393,512 ones worldwide until August 17, 2021 (1). The disease, which was called pandemic on March 11, 2020 (2), has had significant social and economic effects around the world. Ecological data show that the pandemic has had a significantly higher prevalence and death in more developed and higher income countries so far (3). In this regard, using data related to COVID-19 from World meter (1) and per capita income from World Bank data bases until November 29, 2020, I analyzed the issue. Distribution of COVID-19 death and prevalence between high income countries and others, and regression of the prevalence and deaths from COVID-19 on the countries’ per capita income are performed.