“…This distribution is a natural first choice for rare event data or for count data with a large or an unclear upper bound. However, scan statistics that rely on the Poisson assumption have been criticized on two points in particular: their inability to capture overdispersion in the data (de Lima, Duczmal, Neto, & Pinto, 2015;Tango, Takahashi, & Kohriyama, 2011) and their inability to handle zero-inflated counts (Cançado, da-Silva, & da Silva, 2014;de Lima et al, 2015). Additionally, a debate has recently flared up around the use of traditional scan statistics, such as those implemented in the software SaTScan (Kulldorff, 2016), and the hypothesis testing procedures used when carrying out prospective analyses (Correa, Assunção, & Costa, 2015a, 2015bKulldorff & Kleinman, 2015).…”