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Compartmental Model for Chlamydia, a Sexually
Transmitted Disease
Pérez-Ayala, Michelle C.1, Figueroa-Monsanto, Héctor L.2 and Cruz-Aponte, Maytee3
Department of Biology, University of Puerto Rico at Cayey1, Department of Chemistry,
University of Puerto Rico at Cayey2 and Department of Mathematics-Physics, University of
Puerto Rico at Cayey3
+
Biological Disease: Chlamydia
 Chlamydia
 Sexually transmitted disease (STD)
 Direct contact with any area of the body with the bacterium
Chlamydia trachomatis
 Child Birth
 Chlamydia is the most common sexually transmitted
disease (STD) in the world (Siam, 2012)
 Chlamydia trachomatis
 Incubation period: 5-21 days
www.allposters.com
+
Chlamydia in Puerto Rico and Worldwide
Selected Data
• Puerto Rico – Individuals between de ages of 20-24
are the most susceptible (Department of Health, 2012)
• Worldwide – People that are 25 years old or less are
the most susceptible (Occhionero et al. 2015)
www.shutterstock.comwww.banderasboricuas.com
+ Susceptibility and
Disease Symptoms
 Females
 Blood flow between periods
 Pain: periods, sex, abdomen, and
urination
 Vagina itch
 Males
 Pain: testicles and urination
 Penis: swelling, pain, burn, itch,
and transparent discharge
 Urethritis: 55%
www.newattitudes.co.uk imgkid.com
+
Problems of C. trachomatis
 Males
 Al-Mously (2015) studied the effect of Chlamydia trachomatis on
sperms to detect if the bacterium caused sub-fertility in men
 Viability and motility cannot be prevented by in vitro fertilization
 Females
 De Borborema-Alfaia (2013) study reflected a 3.4 % of premature
membrane rupture in Brazilian women around the age of 30 or less
 Symptoms are not commonly reflected
 Combined with C. psittaci could result in trachoma (Nittler et al. 2014)
+
Treatments
Antibiotics
Recovered
people could be
susceptible
again
www.survivingcipro.com
+
Hypothesis
The compartmental model of chlamydia will differ
significantly from the basic SIR model, due to the
addition of the incubation compartment affecting
the flow of the disease in a given population
+
Objective
 Create and use a compartmental model to
demonstrate the tendency of the disease with
susceptible, incubation period, infected, re-infected
and recovered individuals from a population of 100
people
 Create precautions
 Lessen the number of infected and re-infected
individuals
 Avoid infertilities
+
Methodology:
Chlamydia Parameters and Model
 Modified SIR Model
 Susceptible, Incubation Period, Infected and Recovered
 The compartmental model shows the flow of the
disease
www.sunflowerhospital.in
www.nature.com
www.genitaldischarge.comwww.fancyicons.com
+ Schematic of disease dynamics:
Mathematical Model
S
E
I
R
α SI/N
βE
γI
μR
+ Schematic of disease dynamics:
Parameters
+
Results:
Chlamydia Disease Trend during an
Incubation Period of 13 Days
S = Susceptible Individuals
E = Incubation Period
I = Infected Individuals
R = Recovered Individuals
+
Chlamydia Disease Trend during an
Incubation Period of
5 Days
S = Susceptible Individuals
E = Incubation Period
I = Infected Individuals
R = Recovered Individuals
+
Conclusion
The hypothesis was proven
The results showed that by increasing the
incubation period from 5 days to 13 days
People were susceptible for a longer period of
time: 55 days
The amount of infected and recovered
individuals that maintained in equilibrium
diminished
+
Future Works
This model could be used for another
assigned population with a different time
range
 This combined with the problems (e.g. infertility)
mentioned about Chlamydia to create awareness
+
Cited Literature
 Al-Mously N, Eley A. 2015. Transient exposure to Chlamydia
trachomatis can induce alteration of sperm function which cannot be
stopped by sperm washing. Middle East Fertility Society Journal 20,
48-53. doi:10.1016/j.mefs.2014.04.003.
 Borges V, Gomes JP. 2015. Deep comparative genomics among
Chlamydia trachomatis lymphogranuloma venereum isolates
highlights genes potentially involved in pathoadaptation. Infection,
genetics and Evolution 32, 74-88. doi:10.1016/j.meegid.2015.02.026.
 De Borborema-Alfaia APB, de Lima Freitas NS, Filho SA, Borborema-
Santos CM. 2013. Chlamydia trachomatis infection in a simple of
northern Brazilian pregnant women: prevalence and prenatal
importance. Braz J Infect Dis 17(5):545-550.
doi:10.1016/j.bjid.2013.01.014.
 Departamento de Salud. 2012. Datos de Puerto Rico.
http://www.estadisticas.gobierno.pr/iepr/LinkClick.aspx?fileticket=RVO
VIk8ka1A%3D&tabid=186.
+
Cited Literature
 Knittler MR, Berndt A, Böcker S, Dutow P, Hänel F, Heuer D, Kägebein
D, Klos A, Koch S, Liebler-Tenorio E, Ostermann C, Reinhold P, Saluz
HP, Schöfl G, Sehnert P, Sachse K. 2014. Chlamydia psittaci: New
insights into genomic diversity, clinical pathology, host-pathogen
interaction and anti-bacterial immunity. International Journal of Medical
Microbiology 304, 877-893. doi:10.1016/j.ijmm.2014.06.010.
 Occhionero M, Paniccia L, Pedersen D, Rossi G, Mazzucchini H,
Entrocassi A, Vaulet LG, Gualtieri V, Fermepin MR. 2015. Prevalencia
de la infección por Chlamydia trachomatis y factores de riesgo de
infecciones transmisibles sexualmente en estudiantes universitarios.
Rev Argent Microbiol 47(1): 9-16. doi:10.1016/j.ram.2014.11.003.
 Siam EM, Hefzy EM. 2012. The relationship between antisperm
antibodies prevalence and genital Chlamydia trachomatis infection in
women with unexplained infertility. Middle East fertility Society Journal
(2012) 17, 93-100. doi:10.1016/j.mefs.2011.09.003.
+
Acknowledgments
 Dr. Maytee Cruz-Aponte
 Danilo Pérez-Rivera
• Dr. Eneida Díaz
• Dr. Elena González
• Dr. Robert Ross

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Chlamydia 2015 rise-final3

  • 1. + Compartmental Model for Chlamydia, a Sexually Transmitted Disease Pérez-Ayala, Michelle C.1, Figueroa-Monsanto, Héctor L.2 and Cruz-Aponte, Maytee3 Department of Biology, University of Puerto Rico at Cayey1, Department of Chemistry, University of Puerto Rico at Cayey2 and Department of Mathematics-Physics, University of Puerto Rico at Cayey3
  • 2. + Biological Disease: Chlamydia  Chlamydia  Sexually transmitted disease (STD)  Direct contact with any area of the body with the bacterium Chlamydia trachomatis  Child Birth  Chlamydia is the most common sexually transmitted disease (STD) in the world (Siam, 2012)  Chlamydia trachomatis  Incubation period: 5-21 days www.allposters.com
  • 3. + Chlamydia in Puerto Rico and Worldwide Selected Data • Puerto Rico – Individuals between de ages of 20-24 are the most susceptible (Department of Health, 2012) • Worldwide – People that are 25 years old or less are the most susceptible (Occhionero et al. 2015) www.shutterstock.comwww.banderasboricuas.com
  • 4. + Susceptibility and Disease Symptoms  Females  Blood flow between periods  Pain: periods, sex, abdomen, and urination  Vagina itch  Males  Pain: testicles and urination  Penis: swelling, pain, burn, itch, and transparent discharge  Urethritis: 55% www.newattitudes.co.uk imgkid.com
  • 5. + Problems of C. trachomatis  Males  Al-Mously (2015) studied the effect of Chlamydia trachomatis on sperms to detect if the bacterium caused sub-fertility in men  Viability and motility cannot be prevented by in vitro fertilization  Females  De Borborema-Alfaia (2013) study reflected a 3.4 % of premature membrane rupture in Brazilian women around the age of 30 or less  Symptoms are not commonly reflected  Combined with C. psittaci could result in trachoma (Nittler et al. 2014)
  • 7. + Hypothesis The compartmental model of chlamydia will differ significantly from the basic SIR model, due to the addition of the incubation compartment affecting the flow of the disease in a given population
  • 8. + Objective  Create and use a compartmental model to demonstrate the tendency of the disease with susceptible, incubation period, infected, re-infected and recovered individuals from a population of 100 people  Create precautions  Lessen the number of infected and re-infected individuals  Avoid infertilities
  • 9. + Methodology: Chlamydia Parameters and Model  Modified SIR Model  Susceptible, Incubation Period, Infected and Recovered  The compartmental model shows the flow of the disease www.sunflowerhospital.in www.nature.com www.genitaldischarge.comwww.fancyicons.com
  • 10. + Schematic of disease dynamics: Mathematical Model S E I R α SI/N βE γI μR
  • 11. + Schematic of disease dynamics: Parameters
  • 12. + Results: Chlamydia Disease Trend during an Incubation Period of 13 Days S = Susceptible Individuals E = Incubation Period I = Infected Individuals R = Recovered Individuals
  • 13. + Chlamydia Disease Trend during an Incubation Period of 5 Days S = Susceptible Individuals E = Incubation Period I = Infected Individuals R = Recovered Individuals
  • 14. + Conclusion The hypothesis was proven The results showed that by increasing the incubation period from 5 days to 13 days People were susceptible for a longer period of time: 55 days The amount of infected and recovered individuals that maintained in equilibrium diminished
  • 15. + Future Works This model could be used for another assigned population with a different time range  This combined with the problems (e.g. infertility) mentioned about Chlamydia to create awareness
  • 16. + Cited Literature  Al-Mously N, Eley A. 2015. Transient exposure to Chlamydia trachomatis can induce alteration of sperm function which cannot be stopped by sperm washing. Middle East Fertility Society Journal 20, 48-53. doi:10.1016/j.mefs.2014.04.003.  Borges V, Gomes JP. 2015. Deep comparative genomics among Chlamydia trachomatis lymphogranuloma venereum isolates highlights genes potentially involved in pathoadaptation. Infection, genetics and Evolution 32, 74-88. doi:10.1016/j.meegid.2015.02.026.  De Borborema-Alfaia APB, de Lima Freitas NS, Filho SA, Borborema- Santos CM. 2013. Chlamydia trachomatis infection in a simple of northern Brazilian pregnant women: prevalence and prenatal importance. Braz J Infect Dis 17(5):545-550. doi:10.1016/j.bjid.2013.01.014.  Departamento de Salud. 2012. Datos de Puerto Rico. http://www.estadisticas.gobierno.pr/iepr/LinkClick.aspx?fileticket=RVO VIk8ka1A%3D&tabid=186.
  • 17. + Cited Literature  Knittler MR, Berndt A, Böcker S, Dutow P, Hänel F, Heuer D, Kägebein D, Klos A, Koch S, Liebler-Tenorio E, Ostermann C, Reinhold P, Saluz HP, Schöfl G, Sehnert P, Sachse K. 2014. Chlamydia psittaci: New insights into genomic diversity, clinical pathology, host-pathogen interaction and anti-bacterial immunity. International Journal of Medical Microbiology 304, 877-893. doi:10.1016/j.ijmm.2014.06.010.  Occhionero M, Paniccia L, Pedersen D, Rossi G, Mazzucchini H, Entrocassi A, Vaulet LG, Gualtieri V, Fermepin MR. 2015. Prevalencia de la infección por Chlamydia trachomatis y factores de riesgo de infecciones transmisibles sexualmente en estudiantes universitarios. Rev Argent Microbiol 47(1): 9-16. doi:10.1016/j.ram.2014.11.003.  Siam EM, Hefzy EM. 2012. The relationship between antisperm antibodies prevalence and genital Chlamydia trachomatis infection in women with unexplained infertility. Middle East fertility Society Journal (2012) 17, 93-100. doi:10.1016/j.mefs.2011.09.003.
  • 18. + Acknowledgments  Dr. Maytee Cruz-Aponte  Danilo Pérez-Rivera • Dr. Eneida Díaz • Dr. Elena González • Dr. Robert Ross

Editor's Notes

  1. Chlamydia trachomatis, which is known to produce another sexual transmitted disease called Lymphogranuloma venereum (LGV) (Borges, 2015)
  2. Since females visit the gynecologist frequently, then more reports about chlamydia are mentioned Males have no male doctors, thus they do not reported as often as females do Thus the numbers can change dramatically (maybe) if males had “malecologists”
  3. Additional female symptoms: - Abnormal vaginal discharge that may have an odor Itching or burning in or around the vagina Additional male symptoms: - (source: http://www.webmd.com/sexual-conditions/guide/chlamydia)
  4. the condition of being less than normally fertile though still capable of effecting fertilization Search for treatments (antibiotics) premature membrane rupture ? 5to bullet…People do not receive antibiotic treatment, thus more individuals are infected 100 pregnant women
  5. Examples of antibiotics: 1. amoxicillin a·mox·i·cil·lin (ə-mŏk'sĭ-sĭl'ĭn) n. A derivative of ampicillin that is effective against a broad range of gram-negative and gram-positive bacteria. 2. azithromycin /az·ith·ro·my·cin/ (az-ith″ro-mi´sin) a macrolideantibiotic derived from erythromycin, effective against a wide range of gram-positive, gram-negative, and anaerobic bacteria.
  6. Information about the bacteria Gram__ Etc
  7. Ecuaciones diferenciales Change of compartment…se expone, infecta, recopera y vuelve a ser suceptible
  8. 1/B= periodo…en el modelo tu quieres una frequencia= 1/b seria el periodo B= de amount of time for something to occur The rate at which the bacteria will complete its development will be 1/the amount of days
  9. Floxin – Ofloxacin
  10. We found in the literature different parameters that varied…susceptibility, incubation period, infected individuals, recovered individuals…These were applied to a population of 100 individuals in a period of 100 days…How did the trend of chlamydia disease commence well it started with one individual We found that the number of susceptible individuals commenced ofloxacin
  11. Future works?
  12. The results showed by increasing the incubation from 5 days to 13 days, people were more susceptible, less infected and thus less recovered. This model could be used for other assigned populations, since this disease is common worldwide. Thus, it could be used to demonstrate the trajectory of the disease in a given time.