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Question

In a family of six (2 parents and 4 children), the youngest child catches measles infection. The parents are immune to the infection. On $3^{rd}$ and $5^{th}$ day of the infection of the first child, the two other children also suffer from measles. The secondary attack rate (SAR) of measles is:

The correct answer is
66.60%

The question asks for the Secondary Attack Rate (SAR) of measles within a family setting.

Calculating Measles Secondary Attack Rate (SAR)

The Secondary Attack Rate (SAR) is a measure used in epidemiology to determine the risk of contracting a disease after being exposed to it. It specifically looks at the proportion of susceptible individuals who get infected from a primary case.

The formula for SAR is:

$ SAR = \left( \frac{\text{Number of new cases among susceptibles}}{\text{Total number of susceptibles}} \right) \times 100\% $

Applying the Formula to the Family

Let's identify the key components from the question:

  • Total family members: 6 (2 parents, 4 children).
  • Parents are immune, so they are not susceptible.
  • The youngest child is the first case (index case).
  • Total number of children = 4.
  • Number of children who contracted measles after the first case = 2.

1. Identify Susceptibles: Since the parents are immune, only the children are susceptible. Total susceptible individuals = 4 children.

2. Identify Exposed Susceptibles: The index case is the first child. The remaining children are potentially exposed susceptibles. Number of exposed susceptibles = Total children - 1 (index case) = $4 - 1 = 3$ children.

3. Identify New Cases: Two other children contracted measles after the index case. Number of new cases = 2.

SAR Calculation

Now, we apply the SAR formula using the identified numbers:

$ SAR = \left( \frac{2}{3} \right) \times 100\% $ $ SAR = 0.6666... \times 100\% $ $ SAR \approx 66.67\% $

Therefore, the secondary attack rate of measles in this family is approximately 66.67%.

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Important Questions from General Epidemiology

  1. Poor hand hygiene of a mess worker in a university college mess led to Hepatitis A cases in the hostel inmates. What type of epidemic will this exposure present with?
    1. Propagated
    2. Common source-continuous exposure
    3. Common source-point exposure
    Select the correct answer using the code given below:

  2. Which one of the following is NOT a function of Epidemiology?
  3. Predictive accuracy of a screening test depends on the following EXCEPT:
  4. Which one of the following statements is NOT true for taking a decision on screening for disease?

  5. Standardized Mortality ratio is best explained by which one of the following statements?
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