Mumps rate = (Number of confirmed cases / Total population) × 1000.
The population of England in 2011 was estimated by the census to be 53,012,456. Show that the mumps rate for England in 2011 was 0.043 to 3 decimal places.

Step 1: Find the number of confirmed mumps cases in England in 2011. From the table, go to the row for 2011 and the column for Mumps. The value is 2372 (2299). The number for England only is the one in brackets, which is 2299. Step 2: Use the given formula. Mumps rate = (Number of confirmed cases / Total population) × 1000 Step 3: Substitute the values into the formula. Mumps rate = (2299 / 53,012,456) × 1000 Step 4: Calculate the result. Mumps rate = (0.00004336808...) × 1000 Mumps rate = 0.04336808... Step 5: Round to 3 decimal places. The fourth decimal place is 3, which is less than 5, so we round down. Mumps rate ≈ 0.043. This shows that the mumps rate for England in 2011 was 0.043 to 3 decimal places.