Binomial & Poisson: Lecture 4
Objectives and Core Concepts
Core Learning Objectives:
Identify when to apply the binomial (or Bernoulli) probability distribution.
Identify when to apply the Poisson probability distribution.
Calculate exact and cumulative probabilities using both binomial and Poisson distributions.
Fundamental Principles:
Probability distributions provide formal mathematical frameworks to describe random events in biomedical and public health research.
Counting techniques—including factorials, permutations, and combinations—form the mathematical foundation for constructing probability mass functions.
Motivating Example: Cold Relief Study
Study Parameters:
Probability that a person suffering from a head cold obtains relief from a specific drug: .
Probability that a person suffering from a head cold does not obtain relief:
Sample size: randomly selected individuals suffering from a head cold are administered the drug.
Sample Space and Joint Probabilities:
Each trial results in either Success (, relief) or Failure (, no relief).
Assuming independence between individuals, the joint probability of any sequence of outcomes is the product of their individual probabilities.
Total number of possible outcome sequences: distinct combinations.

Full Outcome Probability Table:
Sequence (Individual 1: , Individual 2: , Individual 3: ):
Algebraic expression:
Calculation:
Sequence (Individual 1: , Individual 2: , Individual 3: ):
Algebraic expression:
Calculation:
Sequence (Individual 1: , Individual 2: , Individual 3: ):
Algebraic expression:
Calculation:
Sequence (Individual 1: , Individual 2: , Individual 3: ):
Algebraic expression:
Calculation:
Sequence (Individual 1: , Individual 2: , Individual 3: ):
Algebraic expression:
Calculation:
Sequence (Individual 1: , Individual 2: , Individual 3: ):
Algebraic expression:
Calculation:
Sequence (Individual 1: , Individual 2: , Individual 3: ):
Algebraic expression:
Calculation:
Sequence (Individual 1: , Individual 2: , Individual 3: ):
Algebraic expression:
Calculation:
Analytical Questions Introduced:
What is the probability that all 3 individuals obtain relief?
How commonly do exactly 2 individuals get relief?
Requires counting all distinct outcome paths containing 2 successes and 1 failure (, , ) and summing their individual probabilities.
Fundamental Counting Techniques
Factorial:
Definition: The number of possible unique arrangements or orderings of distinct objects.
Notation:
Formula:
Worked Example ():

Sequential Selection Tree ( Steps):
1st Draw: possible choices ().
2nd Draw: remaining choices per initial choice ( pathways).
3rd Draw: remaining choices per pathway ( pathways).
4th Draw: remaining choice ( complete arrangements).
Permutations:
Definition: An ordered arrangement of distinct objects taken at a time, where sequence/order matters.
Formula:
Worked Example ():
Selecting and arranging objects out of total items.
Calculation:
Combinations:
Definition: A selection of objects taken at a time without regard to order.
Notation: , spoken as " choose ".
Formula:
Derivation Principle: To disregard order, divide the total permutations () by to avoid double-counting groups that contain the identical elements in different arrangements.
Worked Example ():
Calculation:
Binomial Distribution
Bernoulli Trial Model Assumptions: The binomial distribution models processes composed of repeated independent Bernoulli trials. It applies under three strict conditions:
Binary Outcomes: The experiment or study consists of smaller identical experiments (trials), each having exactly two mutually exclusive outcomes:
Dead or alive
Success or failure
Diseased or not diseased
Relief or no relief
Independence: The outcome of any single trial is completely independent of the outcomes of all other trials.
Constant Probability: The probability of success, denoted as , remains constant from trial to trial ().
Mathematical Definition and Probability Mass Function:
The probability of obtaining exactly successes in independent Bernoulli trials is given by:
Component Breakdown:
= Probability of any single specific sequence containing successes and failures.
= Number of distinct arrangements/groups of successes obtainable within trials.
Distribution Parameters:
Mean:
Variance:
Special Case: A Bernoulli distribution is equivalent to a Binomial distribution where .
Cold Relief Worked Example (, , ):

* **Exact Outcome Probabilities Table ()**:
* ** Successes**:
* Sample combinations:
* Formula:
* Calculation:
* ** Successes**:
* Sample combinations:
* Formula:
* Calculation:
* ** Success**:
* Sample combinations:
* Formula:
* Calculation:
* ** Successes**:
* Sample combinations:
* Formula:
* Calculation:
* **Detailed Step-by-Step Probability Calculations**:
* **Exactly 0 obtain relief ()**:
(Note that by definition).
* **Exactly 1 obtains relief ()**:
* **More than 1 obtains relief ()**:
Alternative Complement Rule Method: P(X > 1) = 1 - P(X \text{ } \backslashle \text{ } 1) = 1 - [P(X = 0) + P(X = 1)] = 1 - [0.001 + 0.027] = 1 - 0.028 = 0.9720
* **2 or fewer obtain relief (P(X \text{ } \backslashle \text{ } 2))**:
P(X \text{ } \backslashle \text{ } 2) = P(X = 0) + P(X = 1) + P(X = 2) = 1 - P(X = 3) = 1 - 0.7290 = 0.2710
* **2 or 3 obtain relief (P(X \text{ } \backslashge \text{ } 2))**:
P(X \text{ } \backslashge \text{ } 2) = P(X = 2) + P(X = 3) = 1 - P(X \text{ } \backslashle \text{ } 1) = P(X > 1) = 0.9720
Events of Interest and Logical Equivalence:
P(X \text{ } \backslashle \text{ } 1) = P(X = 0) + P(X = 1) = P(X = 0 \text{ or } X = 1)
P(1 \text{ } \backslashle \text{ } X \text{ } \backslashle \text{ } 2) = P(X = 1) + P(X = 2)
P(X \text{ } \backslashge \text{ } 1) = P(X = 1) + P(X = 2) + P(X = 3) = 1 - P(X = 0)
Effects of Parameter on Distribution Shape ():

* **Tabulated Probabilities across values ()**:
* ** ()**: ; ;
* ** ()**: ; ;
* ** ()**: ; ;
* ** ()**: ; ;
* ** ()**: ; ;
* ** ()**: ; ;
* ** ()**: ; ;
* ** ()**: ; ;
* ** ()**: ; ;
* ** ()**: ; ;
* ** ()**: ; ;
* **Sum of Probabilities**: Equals for all values of
* **Graphical Representation Rules**:
* Construct histograms centering each bar over the integer value
* Center of distribution equals the mean
* Variance determines distribution spread
* Total area under the probability distribution histogram equals
* When , the distribution is skewed right; when , it is symmetric; when , it is skewed left.
Poisson Distribution
Basics and Concept:
Describes completely random (haphazard) occurrences of events over continuous intervals of time or bounded regions of space.
Primarily models counts of rare events.
Applied when counts exist without a discrete denominator (sample size is undefined or extremely large) and the average rate/number of events is known.
Essential for epidemiological risk analysis, person-time studies, and relative risk calculations.
Real-World Examples of Poisson Processes:
Number of Prussian officers killed by horse kicks between 1875 and 1894.
Spatial distribution of stars in a galaxy.
Emergency room patient arrivals between and .
Typographical errors per page.
Number of deaths due to a rare noninfectious disease in a population.
Poisson Model Assumptions (Sampling Over Time):
Proportionality: The probability of an event occurring in a short time interval is directly proportional to the length of that interval.
Rarity / Non-clustering: In an extremely small portion of an interval, the probability of more than one occurrence of the event is approximately zero.
Independence: Whether or not an event occurs in a given interval is completely independent of occurrences in all other non-overlapping intervals.
Mathematical Formula:
The probability of observing exactly occurrences of an event in a specified interval is:
Where is the expected average number of occurrences in the defined interval, and e \text{ } \backslashapprox \text{ } 2.71828 is Euler's constant.
Unique Property: For any Poisson distribution, the mean equals the variance:
Three Primary Uses of the Poisson Distribution:
Direct Mean: Given expected number of events directly.
Rate and Time Period: Given rate (events per unit time) and exposure period ; then expected events
Binomial Approximation: Given a binomial distribution with large and small ; then expected events
Poisson Example 1: Bladder Cancer Incidence:
Scenario: The expected number of deaths due to bladder cancer for workers in a tire factory over a 20-year period is .
Observed Data: reported deaths due to bladder cancer among tire workers over the next .
Probability Calculation (, ):

* **Complete Probability Distribution Table ()**:
* ****:
* ****:
* ****:
* ****:
* ****:
* ****:
* ****:
* **x \text{ } \backslashge \text{ } 7**: P(X \text{ } \backslashge \text{ } 7) = 0.002
* **Total Probability Sum**:
* **Interpretation**: An observed count of 6 deaths has a probability of (less than 1%), indicating an unusually high occurrence compared to the expected rate.
Poisson Example 2: Mpox Rate Calculations:
Scenario: The weekly rate of mpox cases in a large city is .
Question 1: What is the probability of mpox case in a given week ()?
Question 2: What is the probability of mpox cases in ()?
Poisson Example 3: Down Syndrome (Binomial Approximation):
Scenario: Frequency of Down syndrome births among babies born to 40-year-old women, where probability .
Parameter Conversion: Expected value

* **Distribution Comparison Table (Poisson vs. Binomial)**:
* ** cases**:
* Poisson
* Binomial
* ** case**:
* Poisson
* Binomial
* ** cases**:
* Poisson
* Binomial
* ** cases**:
* Poisson
* Binomial Expectation and Variance of Probability Distributions
General Definitions:
Mean / Expected Value :
Discrete random variable: \text{E}(X) = \bar{X} = \text{ } \backslashsum_{i} x_i P(X = x_i)
Continuous random variable: \text{E}(X) = \bar{X} = \text{ } \backslashint_{-\backslashinfty}^{\backslashinfty} x f(x) dx
Variance :
Standard Deviation : \text{SD}(X) = \text{SD}(X) = \text{ } \backslashsqrt{\text{Var}(X)}
Mathematical Derivation for Bernoulli Random Variable:
Let with probability , and with probability
Mean Calculation: \text{E}(X) = \bar{X} = \text{ } \backslashsum_{i=1}^2 x_i P(X = x_i) = 1(p) + 0(1-p) = p
Variance Calculation:
Properties of Expectation and Variance Operations:
Expectation Rules (where is a constant):
Variance Rules (where is a constant):
(holds only when and are independent)
Mathematical Derivation for Binomial Distribution:
Let S = \text{ } \backslashsum_{i=1}^n X_i, where are independent Bernoulli() trials. follows a Binomial distribution .
Mean Derivation: \text{E}(S) = \text{ } \backslashsum_{i=1}^n \text{E}(X_i) = \text{ } \backslashsum_{i=1}^n p = np
Variance Derivation: \text{Var}(S) = \text{ } \backslashsum_{i=1}^n \text{Var}(X_i) = \text{ } \backslashsum_{i=1}^n p(1-p) = np(1-p)