For example Rabies has close to 100% fatality rate when untreated and has been a threat for vastly longer, but COVID more people over the last 100 years. So what’s a serious threat to an individual doesn’t necessarily mean a major threat to a larger population.
In that context there was likely significant protection offered by our aversion to the ill when we were primitive tribes with limited contact to each other. Such aversion could act as an external immune system causing most excessively deadly to burn out and pushing for ever less deadly strains over time.
“Pathogen avoidance: Uncanny stimuli may activate a cognitive mechanism that originally evolved to motivate the avoidance of potential sources of pathogens by eliciting a disgust response. "The more human an organism looks, the stronger the aversion to its defects, because (1) defects indicate disease, (2) more human-looking organisms are more closely related to human beings genetically, and (3) the probability of contracting disease-causing bacteria, viruses, and other parasites increases with genetic similarity."[8] The visual anomalies of androids, robots, and other animated human characters cause reactions of alarm and revulsion, similar to corpses and visibly diseased individuals.[9][10]” https://en.wikipedia.org/wiki/Uncanny_valley
People’s near universal aversion to the smell of rotting flesh and human shit are similar examples. Of course at the individual level this is less universal. Another possibility is heightened pain response around minor skin damage compared to larger injuries. Aka thorns and paper cuts hurt so much because that kind of injury was actually more dangerous than moderate blunt force trauma which damages more flesh but doesn’t risk infection.
PS: That said it’s not like we can actually test these theories. It’s mostly an interesting idea that seems plausible.
Anyway - there are dangers we've evolved resistance to. We have powerful immune systems that fights off tons of diseases. But they fail against some diseases, and medicine helps us there (sometimes). Some of these diseases are extremely widespread and threaten populations.
Am I misunderstanding your comment?