sample proportion phat = 54/600 = 0.09
sample size (n) = 600
since 99% CI is middle 0.99 proportion of area, leaving 0.005 of area on each tail, z-critical is z-score for probability = 0.995 = 2.575
CI = phat +/- z-critical * sqrt(phat*(1-phat)/n)
CI = 0.09 +/- 2.575 * sqrt(0.09*0.91/600)