Completed Infection & Immunity Public Health & Healthcare

Bacterial epidemiology, evolution and bioinformatics for public health.

In plain English

AI plain-English summary

Sexually transmitted infections spread silently through populations, but the bacteria causing them often lack genetic fingerprints that would reveal their routes of transmission. The most common bacterial STI worldwide, *Chlamydia trachomatis*, cannot be tracked effectively because existing typing methods are too crude. This leaves critical gaps: do infections move between men who have sex with men and heterosexual networks in London? Are certain strains emerging from specific geographic origins? The same problem applies to *Burkholderia pseudomallei*, a soil bacterium that causes the deadly disease melioidosis and whose global spread patterns remain unknown. This project will develop a more precise genetic typing method—single nucleotide polymorphism (SNP) analysis—to answer those questions. The team also maintains the online databases that researchers worldwide use to identify bacterial strains. They will upgrade these databases with map-based visualisation tools and explore whether mobile phone technology can help track infections in real time. If successful, public health agencies could map STI transmission networks with far greater accuracy, target interventions to the right populations, and detect emerging outbreaks earlier. For melioidosis, understanding global spread could help predict where the disease might appear next. The work is applied epidemiology, not fundamental science—its value lies in giving public health officials better tools for surveillance and control.

View original technical description
The control of sexually-transmitted infections is a health priority and depends on a knowledge of how they spread within communities. Good molecular methods are lacking for typing Chlamydia trachomatis, the cause of the most prevalent sexually-transmitted infection worldwide. Important questions about the epidemiology of Chlamydia infections therefore remain unanswered. We will do necessary preliminary work in developing SNP typing to address the epidemiology of C. trachomatis (including LGV) infections. We will use molecular methods to investigate the extent of bridging between MSM and heterosexual networks in London. We will study the geographic origins, and patterns of global spread of the soil saprophyte, Burkholderia pseudomallei, the causative agent of melioidosis. We have promoted the use of multilocus sequence analysis for bacterial taxonomy and will extend our previous work to resolve species in another taxonomy challenging group of species. We maintain multi-locus sequence typing (MLST) databases that allow clinical and basic scientists to identify strains of bacterial pathogens via the internet. These websites are widely used and we will upgrade them, basing them on a map-based approach, and will develop new websites and tools for epidemiology and public health. We will also explore the utility of mobile phone technology for epidemiology.

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Researchers

Spratt (EPMC Awardee)

Related Research

Grants with similar aims, by meaning.

Detecting sexual bridges: Whole genome sequencing to enable rapid surveillance of sexually transmitted infections amongst high and low risk population
Application of molecular typing in a routine clinical setting for the detection of cross transmission events linked to Gram-negative bacteria
Modernising medical microbiology: Establishing how new technologies can be optimally integrated into microbiology
Development of a high resolution genomic Single Nucleotide Typing (SNP) system for genitotropic C.trachomatis
High-dimensional inference for models of antimicrobial resistance transmission in open populations.

Original classification

Principal Research Fellowship Renewal

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