Fact
A certain medical condition is very rare, such that within a group of people the expected number of people that gets condition within a period of 14 days is exactly one. is a very large number.
Null hypothesis
A certain vaccine is widely used. The null hypothesis is as follows:
: The vaccine has no actual influence on the incidence of condition X.
Observations
A group of people are vaccinated and followed for the next 14 days. In 7 out of these people, condition X is observed to occur.
Question
If is true, what is the probability to observe 7 or more cases of condition X within 14 days after vaccination?
For the limiting case where submit as the answer.
Details and assumptions
Further questions
This section requires Javascript.
You are seeing this because something didn't load right. We suggest you, (a) try
refreshing the page, (b) enabling javascript if it is disabled on your browser and,
finally, (c)
loading the
non-javascript version of this page
. We're sorry about the hassle.
In a period of 14 days the probability for any random individual to get condition X is N 1 so the probability to get exactly k cases is P ( c = k ) = ( 1 − N 1 ) N − k ⋅ ( N 1 ) k ⋅ ( k N )
Since lim N → ∞ ( 1 − N 1 ) N = 1 / e , for very large N and k < < N , ( k N ) = ( N − k ) ! k ! N ! ≈ k ! N k , this can be well approached by P ( c = k ) ≈ e k ! 1 So that when N → ∞ : P ( c ≤ 6 ) = e 1 ( 0 ! 1 + 1 ! 1 + 2 ! 1 + 3 ! 1 + 4 ! 1 + 5 ! 1 + 6 ! 1 ) = 7 2 0 ⋅ e 1 9 5 7 = 0 . 9 9 9 9 1 6 7 5 8 . . . Hence P ( c ≥ 7 ) = 1 − P ( c ≤ 6 ) = 0 . 0 0 0 0 8 3 2 4 1 . . . . And ⌊ 1 0 8 P ( c ≥ 7 ) ⌋ = 8 3 2 4
Some values for finite N : For N = 1 0 0 0 , P ( c ≥ 7 ) = 8 . 1 9 7 × 1 0 − 5 , for N = 1 0 0 0 0 , P ( c ≥ 7 ) = 8 . 3 1 1 × 1 0 − 5 , for N = 1 0 0 0 0 0 , P ( c ≥ 7 ) = 8 . 3 2 3 × 1 0 − 5 and for N = 1 0 0 0 0 0 0 , P ( c ≥ 7 ) = 8 . 3 2 4 × 1 0 − 5 .
The probability is very, very low that the null hypothesis is true, and it can be rejected. This implies that there is an effect of the vaccine on the possibility of developing condition X. This does not mean that the vaccine is not safe. For the average person, the risk of developing condition X after vaccination is about the same as the risk to develop it spontaneously during any period of about 100 days. If the vaccine protects against a real health risk, the benefit is much, much more important than the drawback.