The spatial scan statistic is commonly used for geographical disease cluster detection, cluster evaluation and disease surveillance. The most commonly used shape of the scanning window is circular. In this paper we explore an elliptic version of the spatial scan statistic, using a scanning window of variable location, shape (eccentricity), angle and size, and with and without an eccentricity penalty. The method is applied to breast cancer mortality data from Northeastern United States and female oral cancer mortality in the United States. Power comparisons are made with the circular scan statistic.
In disease surveillance, there are often many different data sets or data groupings for which we wish to do surveillance. If each data set is analyzed separately rather than combined, the statistical power to detect an outbreak that is present in all data sets may suffer due to low numbers in each. On the other hand, if the data sets are added by taking the sum of the counts, then a signal that is primarily present in one data set may be hidden due to random noise in the other data sets.In this paper, we present an extention of the spatial and space-time scan statistic that simultaneously incorporates multiple data sets into a single likelihood function, so that a signal is generated whether it occurs in only one or in multiple data sets. This is done by defining the combined log likelihood as the sum of the individual log likelihoods for those data sets for which the observed case count is more than the expected.Using data from the National Bioterrorism Syndromic Surveillance Demonstration Project, we illustrate the new method using physician telephone calls, regular physician visits and urgent care visits by Harvard Pilgrim Health Care members cared for by Harvard Vanguard Medical Associates, a large multi-specialty group practice in Massachusetts. For upper and lower gastrointestinal illness, there were on
Spatial scan statistics are commonly used for geographic disease cluster detection and evaluation. We propose and implement a modified version of the simulated annealing spatial scan statistic that incorporates the concept of "non-compactness" in order to penalize clusters that are very irregular in shape. We evaluate its power for the simulated annealing scan and compare it with the circular and elliptic spatial scan statistics. We observe that, with the non-compactness penalty, the simulated annealing method is competitive with the circular and elliptic scan statistic, and both have good power performance. The elliptic scan statistic is computationally faster and is well suited for mildly irregular clusters, but the simulated annealing method deals better with highly irregular cluster shapes. The new method is applied to breast cancer mortality data from northeastern United States.
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