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    MPH 604 Week 2 Rate Calculations Assignment

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    JoshMatthews
    This document contains calculations for various epidemiological measures including: 1) Incidence and cumulative incidence rates for Lyme disease cases in Vermont. 2) Prevalence rates for injuries from a St. Patrick's Day celebration. 3) Incidence density rates for prostate cancer cases in a longitudinal study. 4) A standardized mortality ratio for lung disease deaths among miners compared to the general population. 5) Mortality rates for diabetes among white and black males in the U.S., including an age-adjusted rate for black males using the age distribution of white males.

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    MPH 604 Week 2 Rate Calculations Assignment

    Uploaded by

    JoshMatthews
    169 views5 pages
    This document contains calculations for various epidemiological measures including: 1) Incidence and cumulative incidence rates for Lyme disease cases in Vermont. 2) Prevalence rates for injuries from a St. Patrick's Day celebration. 3) Incidence density rates for prostate cancer cases in a longitudinal study. 4) A standardized mortality ratio for lung disease deaths among miners compared to the general population. 5) Mortality rates for diabetes among white and black males in the U.S., including an age-adjusted rate for black males using the age distribution of white males.

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    MPH 604 Week 2 Rate Calculations Assignment

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    This document contains calculations for various epidemiological measures including: 1) Incidence and cumulative incidence rates for Lyme disease cases in Vermont. 2) Prevalence rates for injuries from a St. Patrick's Day celebration. 3) Incidence density rates for prostate cancer cases in a longitudinal study. 4) A standardized mortality ratio for lung disease deaths among miners compared to the general population. 5) Mortality rates for diabetes among white and black males in the U.S., including an age-adjusted rate for black males using the age distribution of white males.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    169 views5 pages

    MPH 604 Week 2 Rate Calculations Assignment

    Uploaded by

    JoshMatthews
    This document contains calculations for various epidemiological measures including: 1) Incidence and cumulative incidence rates for Lyme disease cases in Vermont. 2) Prevalence rates for injuries from a St. Patrick's Day celebration. 3) Incidence density rates for prostate cancer cases in a longitudinal study. 4) A standardized mortality ratio for lung disease deaths among miners compared to the general population. 5) Mortality rates for diabetes among white and black males in the U.S., including an age-adjusted rate for black males using the age distribution of white males.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 5

    MPH 604 Week 2 Calculations

    Morbidity and Mortality Rate Calculations

    Josh Matthews

    Benedictine University

    MPH 604

    1
    MPH 604 Week 2 Calculations

    MPH 604

    Week 2

    Morbidity and Mortality Rate Calculations

    Show all your work for the best possible evaluation of your responses.

    1. Chittenden County Health Department reported 17 new cases of lyme disease in the first half
    of 1994 and 18 additional cases during the second half of the year. The population of the
    county was 204,500 at the beginning of the year and 215,000 at the end of the year. What was
    the incidence rate of lyme disease in Chittenden County in 1994? What type of incidence rate
    is this?

    17/204,500= 0.00008313 X 100,000= 8.31

    18/215,000= 0.00008372 X 100,000= 8.37

    17 + 18 35 35
    = = = 0.00016687 100,000 = 16.68
    204,500 + 215,000 419,500 209,750
    2 2

    The first half of the year was 8.31 per 100,000 per every 6 months and 8.37 per 100,000 for the rest of
    the year. The incidence rate was 16.68 for the year. This is a cumulative incidence rate.

    2. Health authorities in Savannah, GA reported that 22 injuries requiring hospitalization occurred


    in the city of 65,000 during St. Patricks Day celebrations. Eight additional cases occurred
    during the following month, and two of these died from their injuries. What was the
    prevalence rate of injuries requiring hospitalization on the holiday and for the period as a
    whole?

    Prevalence rate formula is:


    Person with the given health indictor during a specified period. Population during the same
    period. /# of people X 100

    Prevalence
    22/65,000= 0.00033846 X 100= 0.0338

    Prevalence rate
    22/65,000= 0.00033846 X 100,000= 33.84

    Prevalence rate for injuries


    30/65,000= 0.00046154 X 100,000 = 46.15 per 100,000

    2
    MPH 604 Week 2 Calculations

    3. An epidemiological study of prostate cancer among elderly men followed 1,400 men, 65-79
    years of age, without evidence of prostate cancer over several years. Every two years the
    investigators examined the men for prostate cancer. The results were as follows: 12 new cases
    at the first evaluation, 11 new cases at the second evaluation, 23 new cases at the third
    evaluation, and 28 new cases at the fourth (final) evaluation. The investigators also noted that
    35 of the men had withdrawn from the study at the third evaluation. Based on this
    information, calculate and interpret the incidence density rate of prostate cancer in this group.


    = 100,000

    Test Subjects New Specific Year Cumulative Incidence Cumulative Incidence Density Rate
    Cases Prevalence Cases Density Prevalence (IDR) Cumulative
    Rate (IDR)
    Year
    Specific
    1 1,400 12 0.85% 12 857 per 0.85% 857 per 100,000
    100,000

    2 1,400 11 0.78% 23 785 per 1.64% 1,642 per 100,000


    100,000
    3 1,365 23 1.68% 46 1684 per 3.36% 3326 per 100,000
    100,000

    4 1,365 28 2.05% 74 2,051 per 5.42% 5,421 per 100,000


    100,000
    Test 1
    Incidence Density Rate =12/1400= 0.00857 X 100,000= 857
    Incidence Density Rate= 857 per 100,000

    Test 2
    Incidence Density Rate =11/1400=0.007857 X100,000=785
    Incidence Density Rate = 785 per 100,000
    Test 1 IDR + Test 2 IDR = Cumulative IDR
    857+785=1,642 per 100,000

    Test 3
    Incidence Density Rate = 23/1365= 0.01685 X100,000= 1684
    Incidence Density Rate = 1684 per 100,000
    Test 1 IDR + Test 2+ IDR Test 3 IDR = Cumulative IDR
    857+785+1684=3326 per 100,000

    Test 4
    Incidence Density Rate = 28/1365=0.020512 X100,000=2051
    Incidence Density Rate =2,051 per 100,000
    Test 1 IDR + Test 2+ IDR Test 3 IDR + Test 4 IDR = Cumulative IDR
    857+ 785 + 1,684 + 2,051= 5,421 per 100,00

    3
    MPH 604 Week 2 Calculations

    4. In 1990, there were 4,500 deaths due to lung diseases in miners aged 20 to 64 years. The
    expected number of deaths in this occupational group, based on age-specific deaths rates from
    lung diseases in all males aged 20 to 64 years, was 1,800 during 1990. What is the standardized
    mortality ratio (SMR) for lung disease in miners? Interpret this ratio.

    observed deaths in study population

    SMR = ----------------------------------------------------------------------

    deaths expected based on mortality rates in reference pop.

    4500/1800= 2.5

    The observed deaths are more than 2 times the expected. Age is the positive factor to the
    deaths.

    5. U.S. Mortality Rate from Diabetes Mellitus Among White and Black Males, 2002-2006

    White Males Black Males


    Age Count Population Rate per Count Population Rate per
    100,000 100,000
    <20 164 162,641,291 0.1 83 33,705,536 0.2
    20-29 590 81,937,726 0.7 322 14,478,486 2.2
    30-39 2,336 84,095,945 2.8 1,011 13,129,275 7.7
    40-49 8,060 92,001,425 8.8 2,542 13,094,742 19.4
    50-59 18,274 74,721,834 24.5 5,164 8,927,492 57.8
    60-69 28,305 45,863,716 61.7 6,609 4,737,703 139.5
    70-79 41,653 30,755,031 135.4 6,936 2,661,141 260.6
    80+ 44,980 16,327,464 275.5 5,030 1,199,688 419.3
    Total 144,362 588,344,432 24.5 27,697 91,934,063 30.1

    What is the adjusted mortality rate for black males using the age distribution for white males?
    Show your calculations in tabular form. Is this the direct or indirect method for age
    adjustment?

    **This is a direct method for age adjustment


    Age Rate for Black Population for W Adjusted
    men white men
    <20 0.2 162,641,291 0.276 0.055
    20-29 2.2 81,937,726 0.139 0.31
    30-39 7.7 84,095,945 0.143 1.10

    4
    MPH 604 Week 2 Calculations

    40-49 19.4 92,001,425 0.156 3.03


    50-59 57.8 74,721,834 0.127 7.34
    60-69 139.5 45,863,716 0.078 10.88
    70-79 260.6 30,755,031 0.052 13.55
    80+ 419.3 16,327,464 0.028 11.74
    Total -------- 588,344,432 ------- 48.01

    <20
    162,641,291/588,344,432= 0.276 X 0.2= 0.055

    20-29
    81,937,726/588,344,432= 0.139 X 2.2= 0.31

    30-39
    84,095,945/588,344,432= 0.143 X 7.7= 1.10

    40-49
    92,001,425/588,344,432= 0.156 X 19.4= 3.03

    50-59
    74,721,834/588,344,432= 0.127 X 57.8= 7.34

    60-69
    45,863,716/588,344,432= 0.078 X 139.5= 10.88

    70-79
    30,755,031/588,344,432= 0.052 X 260.6= 13.55

    80+
    16,327,464/588,344,432= 0.028 X 419.30= 11.74

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