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In a county that does not require measles vaccination, a school experienced a prolonged measles outbreak among its students in the beginning of the semester to the end of the semester. To calculate th...

In a county that does not require measles vaccination, a school experienced a prolonged measles outbreak among its students in the beginning of the semester to the end of the semester. To calculate the cumulative incidence or risk of measles among students, which denominator should you use?

The number of susceptible students at the end of the period

The number of susceptible students at the midpoint of the period

The number of susceptible students at the beginning of the period

The average number of susceptible students during the outbreak

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Answer #1

To calculate the cumulative incidence or risk of measles akong students, the denominator that should be used is

The average number of susceptible students during the outbreak.

This is so because if we calculate number of students at any particular point of the outbreak (beginning, midpoint, end) we might get a biased estimate. Whereas, the average number of students susceptible during the outbreak gives us an unbiased estimate.

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