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Among wedding guests, 50 of the 53 who ate cake became ill. What does the fraction 50 over 53 represent?
AA secondary attack rate
BA period prevalence value
CA proportionate mortality
DA food-specific attack rate
Answer & Solution
Correct answer: D. A food-specific attack rate
1. The denominator counts everyone who ate a particular food, and the numerator counts those among them who fell ill.
2. That is the definition of a food-specific attack rate.
3. A food-specific attack rate is a type of attack rate, which in turn is a synonym for incidence proportion.
4. A secondary attack rate would need cases among contacts of primary cases in the numerator.
5. Period prevalence counts new and pre-existing cases against a population, and proportionate mortality divides deaths from one cause by all deaths, so neither fits.
_Source: CDC Principles of Epidemiology in Public Health Practice (3rd ed., US federal, public domain), Lesson 3 "Measures of Risk", section Properties and uses of incidence proportions_
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