Epidemiology:

Assume you have conducted an investigation of the COVID-19infections and vaccinations and you have obtained the followingdata (the data are hypothetical).

  1. Complete the following table, using 2018 US populationestimates of 331 million people to calculate the cumulativeincidence for COVID-19 cases per 100,000 and report the absolutechange in incidence. Summarize the geographic differences inincidence and change in incidence from March to April2020.

State

Reported new cases

MARCH

Incidence per 100,000

MARCH

Reported new cases

APRIL

Incidence per 100,00

APRIL

Change in incidence

New York

76,876

78,176

New Jersey

44,416

43,154

Michigan

18,970

18,900

Louisiana

16,284

19,713

California

15,865

15,991

  1. Create an epidemiological curve and describe the trendfrom the U.S. COVID-19 case data below. Ensure you note the peakfor reported cases in the month of December.

Date

Number of reported COVID-19 cases

12/1/20

122,134

12/2/20

124,503

12/3/20

125,231

12/4/20

124,600

12/5/20

129,103

12/6/20

135,200

12/7/20

151,400

12/8/20

187,672

12/9/20

201,210

12/10/20

210,300

12/11/20

189,200

12/12/20

187,690

12/13/20

184,300

12/14/20

179,200

12/15/20

171,230

12/16/20

168,993

12/17/20

166,789

12/18/20

177,698

12/19/20

162,230

12/20/20

151,330

12/21/20

148,932

12/22/20

140,771

12/23/20

138,389

  1. Consider a case-control study design to collect realworld efficacy data on the COVID-19 vaccine. As the investigator incharge of this study, describe how you would select cases andcontrols. What are some ways you can limit bias in this study?Identify and describe any important confounding variables that youwould consider exploring in the primary association betweenCOVID-19 vaccination and acquisition of disease.
  1. Compute and interpret the Odds Ratio for the results ofthe case control study below.

Received COVID-19 Vaccine

Cases

Controls

Total

Yes

300

2,800

3,100

No

4,700

2,200

6,900

Total

5,000

5,000

10,000

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