Quote Originally Posted by Mike T View Post
It can be both! R does not tell you how many have got it/have had it - it simply tells you how many are infected by the average person with infection.

Most have not had it because most have not yet been exposed to it; when exposed, most get it. Of those, all are asymptomatic to start with, yet can spread it; some never develop significant symptoms, a % never develop any symptoms. Of course some unlucky ones end up in hospital, some very unlucky ones die.
Out of curiosity what is the evidence that most get it when exposed to it?