I have long been standing on the soap box regarding vaccination for MD being a Pandora's box that should not be opened. The vaccine is leaky. The virus has been proven to mutate to a much more lethal strain, presumably b/c of the vaccine.
MD is common in soil. Yet, not all chickens develop MD. And even if one or more birds in a flock do develop clinical MD, the majority of the flock can remain asymptomatic.
I suggest that we all have been exposed to the virus that causes MD, whether we have chickens, any other birds, or have never even seen a chicken.
Given the number of immune suppressed folks in this country (due to medications they are taking to treat some illness, including auto-immune disease and cancers) wouldn't you think that if MD was capable of causing illness in humans, it would have been detected in that population by now?