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Incidence Rate Calculator

For epidemiology: compute the incidence rate from new cases and person-time (per 1,000 / 10,000 / 100,000 person-years), the cumulative incidence (risk) from the population at risk, and rate ratios comparing exposed vs unexposed groups.

Worked example

Numbers computed by this tool's own engine (oracle-verified):

MeasureResult
Incidence rate500 per 100,000 person-years (raw 0.005 per person-year)
Cumulative incidence5.00% risk (50 of 1000 at risk)
Exposed rate400 per 100,000 person-years
Unexposed rate200 per 100,000 person-years
Rate ratio2.000 (exposed vs unexposed)
Rate difference200 per 100,000 person-years

Example: 50 new cases in 10,000 person-years; 50 new cases among 1,000 people at risk; exposed 20 cases / 5,000 person-years vs unexposed 10 cases / 5,000 person-years.

Formulas used

Incidence rate = new cases / total person-time at risk (CDC person-time rate). Scaled for reporting: rate × multiplier, e.g. ×100,000 for "per 100,000 person-years".

Cumulative incidence (risk) = new cases / population at risk at the start of the period — a proportion between 0 and 1.

Rate ratio = exposed rate / unexposed rate; rate difference = exposed rate − unexposed rate (scaled to the same multiplier).

Note: unlike cumulative incidence, an incidence rate is not a proportion — because its denominator is person-time, it can exceed 1 per unit time when many cases occur quickly.

Frequently asked questions

What is the incidence rate formula?

Incidence rate = number of new cases / total person-time at risk. For example, 50 new cases in 10,000 person-years gives 50 / 10,000 = 0.005 per person-year, which is usually scaled for reporting: 0.005 x 100,000 = 500 per 100,000 person-years. This matches the CDC definition of the person-time rate.

What is the difference between incidence rate and cumulative incidence?

Both count new cases, but their denominators differ. Incidence rate divides new cases by the total person-time at risk (it handles people entering and leaving follow-up), and is not a proportion — it can exceed 1 per unit time. Cumulative incidence (incidence proportion, or risk) divides new cases by the population at risk at the start of the period in a closed cohort, and is always a proportion between 0 and 1. For example, 50 new cases among 1,000 people followed for a year is a cumulative incidence of 50 / 1,000 = 5%.

What is the difference between incidence and prevalence?

Incidence counts only NEW cases arising during a period; prevalence counts ALL cases present (new plus pre-existing). The CDC states the difference in the numerators: incidence uses the number of new cases of disease during the interval, while point prevalence uses the number of current cases (new and pre-existing) at one point in time. Incidence measures the speed of disease occurrence; prevalence measures the disease burden in the population.

What is person-time?

Person-time is the sum of the time each person was observed and at risk of the disease, typically expressed in person-years. If 10 people are followed for 2 years each, that is 20 person-years; someone followed for only 6 months contributes 0.5 person-years. Only disease-free time counts — once a person develops the disease (for incidence of a first event) they stop contributing.

How do I interpret a rate ratio of 2.0?

A rate ratio of 2.0 means the incidence rate in the exposed group is twice the rate in the unexposed group (exposed / unexposed = 2.0). Rate ratio > 1 means a higher rate in the exposed group, < 1 means a lower rate, and exactly 1 means equal rates. Also look at the rate difference: a ratio of 2.0 could mean 2 vs 1 or 200 vs 100 per 100,000 person-years — very different absolute impacts.

Why are incidence rates reported per 100,000 person-years?

Because raw incidence rates are usually tiny decimals (e.g. 0.005 per person-year) that are hard to read and compare. Multiplying by 1,000, 10,000 or 100,000 just rescales the same rate into whole numbers. The choice of multiplier does not change the result — 0.005 per person-year = 5 per 1,000 = 500 per 100,000 person-years.

Private by design. This calculator runs entirely in your browser — your case counts are never uploaded anywhere.
Educational tool, not medical advice. These are standard epidemiologic measures of disease occurrence. Study design, case definitions and confounding determine whether a rate or ratio is meaningful — consult an epidemiologist or clinician for real investigations.

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