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35 of the men had withdrawn from the study at the third evaluation.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