Kathy Fullmer wrote:Jeff are there any good studies out there on this subject that you caould share with us?
Hi Kathy
I must have missed this post. Sorry.
While it is not my area of specialty, i know this information is studies and researched. I would guess it is part of or a branch of epidemiology and I am sure the WHO and CDC are active in the area.
Here is a quote I found that might help point you in the right direction..
From
An Update on Cancer Cluster Activities at the Centers for Disease Control and Prevention. Environ Health Perspect. 2007 January; 115(1): 165–171.
An appendix to the CDC 1990 disease cluster guidelines presented an exhaustive summary of available methods to test for spatial and/or temporal clustering (CDC 1990). Although these methods remain valid and actively used in cluster investigations, many have limited application in cancer cluster analysis because of the associated complexities: long latency period, multiple exposures, genetic susceptibility, migration, small area investigations with limited case numbers, and data quality and resolution (Elliott and Wartenberg 2004; Jacquez 2004; Kulldorff and Hjalmars 1999; Wakefield and Elliott 1999; Wartenberg 2001). Recognizing these limitations, scientists have refined existing methods and developed additional ones. The topic has been the subject of lively discussion in the literature (Cuzick and Edwards 1990; Jacquez et al. 1996b; Waller 2000; Wartenberg 1995; Wartenberg and Greenberg 1993). Several national and international workshops have also addressed this issue: the 1992 Workshop on “Statistics and Computing in Disease Clustering” in Port Jefferson, New York; the 1994 Conference on “Statistics and Computing in Disease Clustering” sponsored by the NCI in Vancouver, British Columbia, Canada; and the 1997 World Health Organization “Disease Mapping and Risk Assessment for Public Health” in Rome, Italy (Jacquez et al. 1993, 1996a; Lawson et al. 2000; Wakefield et al. 2001). As a result of the increased intensity in the field of cluster statistics, more than 100 analytic methods are currently available (NAACCR 2002).
The WHO Report
http://www.wiley.com/WileyCDA/WileyTitl ... 86348.html
(for purchase)
Here is a link to the CDC info on the topic
http://www.atsdr.cdc.gov/csem/cluster/definition.html
In Health
Jeff Novick, MS, RD