33 live births per 1,000 per year result in twins, what is the probability of getting more than 0.15% twins per year in a random sample of 450 live births?

MATLAB: An Introduction with Applications
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If 33 live births per 1,000 per year result in twins, what is the probability of getting more than 0.15% twins per year in a random sample of 450 live births?

 
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