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Last Edited: 5/14/2008

Approaches to disease cluster investigations in a state health department
Written: 1993


Classical tests for clustering rarely have a major role in the investigation of disease clusters at the neighborhood level performed by a health department. When examining a single cluster, the boundaries are often ill-defined, and the dimension (geographic, occupational, iatrogenic) is rarely obvious. Futhermore, using cluster tests to routinely scan disease registries looking for clusters is undesirable for several reasons. A better approach is to be vigilant for unusual environmental exposures, and to evaluate the impact they may have.

Abstract

Suggested Citation

  • Smith D, Neutra RR. Approaches to disease cluster investigations in a state health department. Statistics in Medicine 1993; 12(19/20):1757-1762.