Comment Re:I only go... (Score 1) 415
Herd immunity doesn't work if you can't rely on those can be vaccinated to be immune.
I don't want to make light of your other points about the disadvantages of the flu shot, but it is important to point out that no vaccine is 100% effective, and that "rely[ing] on those that can be vaccinated to be immune" is not necessary for herd immunity.
In the simplest analysis, if the average flu patient infects 1.5 further contacts (R0 = 1.5), then the population proportion needed to be immune to prevent self-sustaining pandemic is 1 - 1/R0 = 33%. If only 70% of vaccinated people are immune, that means a population vaccination rate of about 50% is required for the broadest definition of herd immunity.
In short, "vaccine X isn't very effective" doesn't tell you whether or not it's useful for herd immunity unless you know something about how aggressively the disease spreads. Even with 100% vaccination rate, a 70%-effective vaccine will not provide effective herd immunity for pathogens with an R0 much greater than 3 (including most of the big bad bugs of old), even though it would still probably be a good idea to get the vaccine from a personal-risk standpoint.