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1.The following table represents the results of a study to investigate an outbre

ID: 3044437 • Letter: 1

Question

1.The following table represents the results of a study to investigate an outbreak of gastroenteritis in California. Using the data in table 4 (the table below), complete the following:

a.Attack rate (AR) for those who ate the specific identified food and those who did not eat these food [ONE POINT]

b.The relative risk (RR) for each specific identified food [ONE POINT]

c.Which food is the most likely cause of the outbreak? Why? [ONE POINT]

d.What steps you will take after the identification of the source of outbreak? [ONE POINT]

Table 4. results of a retrospective cohort study

Food

Ate

Did not eat

Ill

well

total

AR

Ill

well

total

AR

RR

Meat

12

22

35

30

Spinach

35

5

10

22

Potato

10

43

10

30

Salad

20

6

10

37

Ice cream

2

28

2

19

Explanation / Answer

Table 4: Results of a retrospective coherent study

                                                    Food

                                       Ate                  Did not eat

                              Ill      Well   Total     AR       Ill    Well        Total     AR          RR

Meat                      12      22       34    0.3529    35       30           65      0.5385    0.6553

Spinach                  35        5       40    0.8750   10        22          32       0.3125    2.8000

Potato                    10      43       53 0.1887    10       30         40         0.2500   0.7548

Salad                      20      6        26    0.7692      10        37       47           0.2128 3.6147

Ice cream                2       28       30 0.0667      2           19      21          0.0952   0.7006

(a) Attack Rate (AR) = Number of persons ill/Total number of persons

AR for Number of persons ate and Number of persons did not eat are given in the Table for all specified food.

(b) Relative Risk (RR) = AR for who did not eat/AR for who ate are given in the Table for all specified food.

(c) Salad is most likely to cause outbreak, because RR for Salad is highest.

(d) After identification of source of outbreak as Salad, Steps we will take: Reduce intake of Salad

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