A terrible new virus, XXX, has been discovered

A terrible new virus, XXX, has been discovered. It has infected already

0.03% of the population of the island of Oceanana. Fortunately, a test has

been developed that is positive with probability 0.96 for someone who has

XXX, and is positive for someone who does not have XXX with probability

0.07. We say that the test has sensitivity 0.96 and specificity 0.93. A person

is chosen randomly from the population.

(a) What is the conditional probability that the person has XXX given that

the test is positive?

(b) Suppose that whenever the test is positive, the test is given again, with the

outcomes of the two tests being independent, given that the person has

XXX and also when the person does not. Given that the test is positive

both times it is given, what is the conditional probability that the person

has XXX?

(c) If a person is diagnosed to have the virus only if every one of k tests

are positive, what must k be before the conditional probability that the

person has XXX given that all k tests are positive is at least 1/2?

(d) For k tests as determined in part (c), what is the probability that a person

with XXX will be diagnosed correctly?

The Correct Answer and Explanation is :

We can approach this problem step by step using Bayes’ Theorem and conditional probability.

(a) Conditional Probability of Having XXX Given a Positive Test Result

Let:

  • ( P(\text{XXX}) = 0.0003 ) (probability of having XXX)
  • ( P(\text{not XXX}) = 1 – P(\text{XXX}) = 0.9997 ) (probability of not having XXX)
  • ( P(\text{Positive | XXX}) = 0.96 ) (sensitivity)
  • ( P(\text{Positive | not XXX}) = 0.07 ) (false positive rate)

We need to find the conditional probability ( P(\text{XXX | Positive}) ), i.e., the probability of having XXX given that the test is positive. Using Bayes’ Theorem:

[
P(\text{XXX | Positive}) = \frac{P(\text{Positive | XXX}) P(\text{XXX})}{P(\text{Positive})}
]

First, calculate ( P(\text{Positive}) ), the total probability that a person tests positive. This is:

[
P(\text{Positive}) = P(\text{Positive | XXX}) P(\text{XXX}) + P(\text{Positive | not XXX}) P(\text{not XXX})
]
[
P(\text{Positive}) = (0.96 \times 0.0003) + (0.07 \times 0.9997)
]
[
P(\text{Positive}) = 0.000288 + 0.069979
]
[
P(\text{Positive}) \approx 0.070267
]

Now, applying Bayes’ Theorem:

[
P(\text{XXX | Positive}) = \frac{0.96 \times 0.0003}{0.070267} \approx 0.0041
]

So, the probability that the person has XXX given a positive test result is approximately 0.0041, or 0.41%.

(b) Conditional Probability of Having XXX Given Two Positive Test Results

Now, the person is tested again, and the tests are independent. We need to find ( P(\text{XXX | Positive 2 times}) ). Using the same approach as in part (a), but considering both tests:

Let:

  • ( P(\text{Positive 2 times | XXX}) = P(\text{Positive | XXX})^2 = 0.96^2 )
  • ( P(\text{Positive 2 times | not XXX}) = P(\text{Positive | not XXX})^2 = 0.07^2 )

So, we calculate:

[
P(\text{Positive 2 times}) = P(\text{Positive 2 times | XXX}) P(\text{XXX}) + P(\text{Positive 2 times | not XXX}) P(\text{not XXX})
]
[
P(\text{Positive 2 times}) = (0.96^2 \times 0.0003) + (0.07^2 \times 0.9997)
]
[
P(\text{Positive 2 times}) \approx (0.9216 \times 0.0003) + (0.0049 \times 0.9997)
]
[
P(\text{Positive 2 times}) \approx 0.00027648 + 0.00489953 \approx 0.005176
]

Now, applying Bayes’ Theorem:

[
P(\text{XXX | Positive 2 times}) = \frac{0.96^2 \times 0.0003}{0.005176} \approx \frac{0.00027648}{0.005176} \approx 0.0534
]

So, the probability that the person has XXX given two positive tests is approximately 5.34%.

(c) Number of Tests Needed to Achieve a Conditional Probability of at Least 1/2

We now want to find the number of tests, ( k ), required so that the conditional probability of having XXX given that all ( k ) tests are positive is at least 1/2. The probability that the person has XXX given ( k ) positive tests is:

[
P(\text{XXX | Positive k times}) = \frac{(0.96^k \times 0.0003)}{P(\text{Positive k times})}
]

We want this to be at least 0.5:

[
\frac{(0.96^k \times 0.0003)}{(0.96^k \times 0.0003) + (0.07^k \times 0.9997)} \geq 0.5
]

Solving for ( k ) using trial and error or numerical methods will give us the minimum number of tests needed. After calculations, we find that ( k = 27 ) tests are needed.

(d) Probability of Correct Diagnosis After ( k ) Tests

The probability that a person with XXX will be correctly diagnosed after ( k = 27 ) tests is:

[
P(\text{Correct diagnosis | XXX}) = P(\text{Positive | XXX})^k = 0.96^{27}
]

This can be calculated:

[
P(\text{Correct diagnosis | XXX}) \approx 0.96^{27} \approx 0.0408
]

So, the probability that a person with XXX will be correctly diagnosed after 27 tests is approximately 4.08%.

Conclusion

In summary:

  • (a) The probability that the person has XXX given a positive test is approximately 0.41%.
  • (b) The probability after two positive tests increases to approximately 5.34%.
  • (c) At least 27 tests are needed to achieve a 50% chance of a correct diagnosis.
  • (d) The probability that a person with XXX will be diagnosed correctly after 27 tests is 4.08%.
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