What?! Did you even read my post? I directly stated that vaccines aren't 100% effective. Of course we want to increase their efficacy, but it is still an incontrovertible fact that vaccines are already effective and useful. I have no problem with acknowledging that vaccines aren't perfect, that there may be adjuvants that would enhance their efficacy safely, and that we will always work to improve current vaccines. I can acknowledge all that and still point out that there is absolutely no doubt that the vaccines of today work. I didn't finish medical school to be talked down to by an emotionally-overreactive person on the Internet about things I don't even say. This conversation is over. Eit: after reviewing my post, I guess I can see where you assumed I was saying something else. I apologize for the lack of clarity, but I still have absolutely no interest in continuing a conversation with you. This is the statement I took issue with: >So I have doubts about the efficacy of childhood vaccinations. We have just seen people get the measles from people who were vaccinated in their youth. I think people should get their kids vaccinated but we know that vaccinations don't always work perfectly. If I were asked if I felt confident in childhood vaccination in a survey I'd say "no." You made a comment about adults getting measles directly after saying you had "doubts about the efficacy of childhood vaccinations", the implication being that because some people get a disease after being vaccinated that there is reason to doubt the efficacy of vaccines (possibly at large). There is some ambiguity in the phrase "efficacy of vaccines" that is causing this disconnect.
The efficacy of childhood vaccinations is in absolutely no doubt, and no sane medical professional would tell you otherwise. Immunity works, and population level immunity is a real, meaningful concept. That a vaccination is not a 100% guarantee that a particular person will never get a disease is not a strike against what we mean when we say "vaccines are effective." There aren't very many things in medicine that are ever 100%, and there is no reason to expect that inciting a natural immune response will always lead to complete immunity, particularly when you are dealing with an evolving target as is the case in all vaccinations. The fluid nature of safety and usage of vaccines is the only possible area of meaningful discussion.
I'm not sure you understand what vaccines are, what they are for, how they work, and what we work to do with them. It's somewhat evident that you are not particularly learned in medicine, and I don't think I have much to gain from exploring those topics with you. As I think is already evident, I don't think you are posting in good faith or would be a worthwhile person to continue conversing with, so I am reaffirming my commitment to not converse with you. Have a good day.
Good luck, buddy! It's difficult, but definitely doable. You'll be fine as long as you're ready and eager to work, and strive to genuinely get along with people