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In May 1993, an outbreak of Hantavirus Pulmonary Syndrome (HPS) occurred in the

ID: 3235519 • Letter: I

Question

In May 1993, an outbreak of Hantavirus Pulmonary Syndrome (HPS) occurred in the Southwestern United States. A study was performed to determine risk factors for HPS. 17 patients with HPS were compared with 93 household controls. Interviews of all participants were performed during June and July of 1993 to obtain information about activities that may have been associated with HPS. One of these activities was hand plowing the ground. Of 17 HPS patients, 5 recalled hand plowing the ground. Of 93 controls, 4 recalled hand plowing.

a) (2 pts) What type of study is this?

b. (2 pts) Construct a 2 X 2 table for these data.

c. (4 pts) Calculate the appropriate measure of association between hand plowing and HPS in this study population and state what it means.

Explanation / Answer

Answer:

In May 1993, an outbreak of Hantavirus Pulmonary Syndrome (HPS) occurred in the Southwestern United States. A study was performed to determine risk factors for HPS. 17 patients with HPS were compared with 93 household controls. Interviews of all participants were performed during June and July of 1993 to obtain information about activities that may have been associated with HPS. One of these activities was hand plowing the ground. Of 17 HPS patients, 5 recalled hand plowing the ground. Of 93 controls, 4 recalled hand plowing.

Case control study

b. (2 pts) Construct a 2 X 2 table for these data.

HPS

Control

Total

Hand plow

5

4

9

No hand plow

12

89

101

Total

17

93

110

c. (4 pts) Calculate the appropriate measure of association between hand plowing and HPS in this study population and state what it means.

Odds ratio = (5*89)/(12*4) =9.27

The persons who had HPS hand plowed 9.27 times more often than persons who did not have HPS.

HPS

Control

Total

Hand plow

5

4

9

No hand plow

12

89

101

Total

17

93

110

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