Assignment with Basic Measurements in Epidemiology.
Question 1 & 2 are based on the information given below:
The first table shows the total number of persons who ate each of two specified food items that were possibly infective with group A streptococci. The second table shows the number of sick persons (with acute sore throat) who ate each of the various specified combinations of the food items.
Total # of persons who ate each specified combination of food items
|
Ate Tuna
|
Did not eat Tuna
|
Ate egg salad
|
75
|
100
|
Did not eat egg salad
|
200
|
50
|
Total # of persons who ate each specified combination of food items & who later became sick (with Acute sore throats)
|
Ate Tuna
|
Did not eat Tuna
|
Ate egg salad
|
60
|
75
|
Did not eat egg salad
|
70
|
15
|
Q-1) What is the sore throat attack rate in persons who ate both Egg salad & Tuna?
60/75
70/200
60/135
60/275
None of the above
Q-2) According to the results shown in the preceding tables, which of the following food items (or combination of food items) is most likely to be infective?
Tuna only
Egg salad only
Neither tuna nor egg salad
Both tuna and egg salad
Cannot be calculated from the data given
Questions (3-a) & (3-b) use the information below:
Population of the city of Atlantis on March 30, 2012 = 183,000
No. of new active cases of TB occurring between January 1 & June 30, 2012= 26
No. of active TB cases according to the city register on June 30, 2012 = 264
Q 3-a) The incidence rate of active cases of TB for the 6-month period was:
7/100,000 population
14/100,000 population
26/100,000 population
28/100,000 population
130/100,000 population
Q 3-b) The prevalence rate of active TB as of June 30, 2012, was:
14/100,000 population
130/100,000 population
144/100,000 population
264/100,000 population
None of the above
Q-4 - 7) Choose the rate that best describes the statements from (Q 4 -7)
Secondary attack rate
Case fatality rate
Morbidity rate
Age-adjusted mortality
Crude mortality
Q-4) Death occurs in 10% of cases of meningococcal meningitis ( )
Q-5) Approximately 9 people die each year in the united states for every 1000 estimated to be alive ( )
Q-6) Eighty percent of susceptible household contacts of a child with chickenpox develop this disease ( )
Q-7) Children between the ages of 1 and 5 have an average of eight colds per year ( )
Q-8 & 9) Questions 8 & 9 are based on the information given below:
In an Asian country with population of 6 million people, 60,000 deaths occurred during the year ending December 31, 2014. These included 30,000 deaths from cholera in 100,000 people who were sick with cholera.
Q-8) What was the cause-specific mortality rate from cholera in 2014?
Q-9) What was the case-fatality from cholera in 2014?
Q-10) The incidence rate of a disease is five times greater in women than in men, but the prevalence rates show no sex difference. The best explanation is that:
The crude all-cause mortality rate is greater in women
The case-fatality from this disease is greater in women
The case-fatality from this disease is lower in women
The duration of this disease is shorter in men
Risk factors for the disease are more common in women
Scenario Q-11)
The tables below give you information about the population of two communities and the proportion of persons who are smokers in each community.
Table 1: Age and sex distribution of smokers
in each community
Age band
|
Community A
|
Community B
|
Men
|
Women
|
Men
|
Women
|
15-34
|
20%
|
30%
|
40%
|
10%
|
35-54
|
15%
|
15%
|
30%
|
7%
|
55-74
|
15%
|
10%
|
20%
|
4%
|
75+
|
10%
|
5%
|
10%
|
0%
|
Age band
|
Community A
|
Community B
|
Men
|
Women
|
Men
|
Women
|
15-34
|
30,000
|
30,000
|
24,000
|
24,000
|
35-54
|
30,000
|
30,000
|
20,000
|
20,000
|
55-74
|
20,000
|
24,000
|
4,000
|
5,000
|
75+
|
16,000
|
20,000
|
1,000
|
2,000
|
Total
|
96,000
|
104,000
|
49,000
|
51,000
|
Calculate the proportion of the male population of Community A who are smokers. (4+3)
Q-12) The table below refers to a province of a developed country. The province has three administrative regions, a city and two rural regions (rural A and rural B). The table shows numbers of cases of TB in each of the five years from 2000 to 2004. The population of each administrative region does not change over the five years.
Area
|
Average population
2000 to 2004
|
Number of cases of TB in this year
|
2000
|
2001
|
2002
|
2003
|
2004
|
City
|
1,450,000
|
221
|
214
|
201
|
186
|
175
|
Rural A
|
250,000
|
9
|
12
|
16
|
19
|
23
|
Rural B
|
350,000
|
8
|
11
|
13
|
16
|
19
|
Whole province
|
2,050,000
|
238
|
237
|
230
|
221
|
217
|
Q-1: Calculate, the average incidence of TB per 100,000 population in year 2001 across the whole province: (5)
Q-2: Why are prevalence rates more useful than incidence rates for measuring chronic diseases? (2)
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