Vaccines against cholera, typhoid fever and shigellosis for developing countries

Expert Opin Biol Ther. 2004 Dec;4(12):1939-51. doi: 10.1517/14712598.4.12.1939.

Abstract

Enteric diseases, such as cholera, typhoid fever and shigellosis, still produce a significant burden, especially among the poor in countries where these illnesses are endemic. Older-generation, parenteral, whole-cell vaccines against cholera and typhoid fever were abandoned in many countries as public health tools because of problems with insufficient protection and/or inadequate safety profiles. Modern-generation licensed vaccines are available for cholera and typhoid fever, but are not widely used by those in greatest need. A number of experimental candidates exist for all three diseases. Future research should focus on generating the evidence necessary to obtain a consensus on the deployment of existing vaccines against cholera and typhoid fever, and on clinical evaluation of pipeline vaccine candidates against all three diseases.

MeSH terms

  • Bacterial Vaccines / administration & dosage*
  • Bacterial Vaccines / therapeutic use
  • Cholera / epidemiology
  • Cholera / prevention & control
  • Cholera Vaccines / administration & dosage*
  • Cholera Vaccines / therapeutic use
  • Developing Countries / statistics & numerical data*
  • Dysentery, Bacillary / epidemiology
  • Dysentery, Bacillary / prevention & control
  • Humans
  • Immunization Programs / methods
  • Shigella Vaccines / administration & dosage*
  • Shigella Vaccines / therapeutic use
  • Typhoid Fever / epidemiology
  • Typhoid Fever / prevention & control

Substances

  • Bacterial Vaccines
  • Cholera Vaccines
  • Shigella Vaccines