The strategic use of novel smallpox vaccines in the post-eradication world

Expert Rev Vaccines. 2011 Jul;10(7):1021-35. doi: 10.1586/erv.11.46.

Abstract

We still face a threat of orthopoxviruses in the form of biological weapons and emerging zoonoses. Therefore, there is a need to maintain a comprehensive defense strategy to counter the low-probability, high-impact threat of smallpox, as well as the ongoing threat of naturally occurring orthopoxvirus disease. The currently licensed live-virus smallpox vaccine ACAM2000 is effective, but associated with serious and even life-threatening adverse events. The health threat posed by this vaccine, and other previously licensed vaccines, has prevented many first responders, and even many in the military, from receiving a vaccine against smallpox. At the same time, global immunity produced during the smallpox eradication campaign is waning. Here, we review novel subunit/component vaccines and how they might play roles in unconventional strategies to defend against emerging orthopoxvirus diseases throughout the world and against smallpox used as a weapon of mass destruction.

Publication types

  • Review

MeSH terms

  • Disease Eradication*
  • Humans
  • Smallpox / immunology
  • Smallpox / prevention & control*
  • Smallpox Vaccine / adverse effects
  • Smallpox Vaccine / immunology
  • Smallpox Vaccine / therapeutic use*
  • Vaccination*
  • Variola virus / drug effects

Substances

  • Smallpox Vaccine