Summary
It is easy to argue that vaccine development represents humankindâs most important and successful endeavour, such is the impact that vaccination has had on human morbidity and mortality over the last 200Â years. During this time the original method of Jenner and Pasteur, i.e. that of injecting liveâattenuated or inactivated pathogens, has been developed and supplemented with a wide range of alternative approaches which are now in clinical use or under development. These nextâgeneration technologies have been designed to produce a vaccine that has the effectiveness of the original liveâattenuated and inactivated vaccines, but without the associated risks and limitations. Indeed, the method of development has undoubtedly moved away from Pasteurâs three Is paradigm (isolate, inactivate, inject) towards an approach of rational design, made possible by improved knowledge of the pathogenâhost interaction and the mechanisms of the immune system. These novel vaccines have explored methods for targeted delivery of antigenic material, as well as for the control of release profiles, so that dosing regimens can be matched to the timeâlines of immune system stimulation and the realities of healthâcare delivery in dispersed populations. The methods by which vaccines are administered are also the subject of intense research in the hope that needle and syringe dosing, with all its associated issues regarding risk of injury, crossâinfection and patient compliance, can be replaced. This review provides a detailed overview of new vaccine vectors as well as information pertaining to the novel delivery platforms under development.