Mucosal DTPa vaccines, especially intranasal vaccines, comprising (a) a
diphtheria antigen, a tetanus antigen and an acellular pertussis antigen,
and (b) a detoxified mutant of cholera toxin (CT) or E. coli heat labile
toxin (LT). Component (b) acts as a mucosal adjuvant. The acellular
pertussis antigen preferably comprises pertussis holotoxin (PT) and
filamentous haemagglutinin (FHA) and, optionally, pertactin. The
mucosally-delivered combined DTPa formulation is capable of generating a
level of protection against B. pertussis infection equivalent to that
observed by alum-adjuvanted parenteral administration.