“…However, both vaccines have drawbacks that necessitate the development of next-generation typhoid vaccines: Ty21a requires 3 or 4 oral doses, while Vi requires a needle injection, and refrigeration is necessary for both (13,14). Several next-generation vaccines, designed to optimize efficacy and simplify delivery, are currently in human trials, including a single-oral-dose typhoid vaccine, M01ZH09 (S. Typhi Ty2 ⌬aroC ⌬ssaV) (4,14,17,22,28,31,32,41).…”