“…Identification of significant disease clusters can also advance our understanding of a disease in several ways including suggesting potential risk factors for further investigation either directly (Calistri et al, 2013;French et al, 2005;Sinkala et al, 2014;Kelen et al, 2012;Nogareda et al, 2013;Poljak et al, 2007;Le et al, 2012;Vigre et al, 2005;Ward and Carpenter, 2000), or indirectly when analysis of model residuals indicates the modelled predictors do not explain fully the spatial heterogeneity in disease distribution (Méroc et al, 2014;Borba et al, 2013), or by defining the scale of disease clustering (French et al, 2005;Le et al, 2012;French et al, 1999;Wilesmith et al, 2003;Picado et al, 2007;Picado et al, 2011;Porphyre et al, 2007;Sanchez et al, 2005;Minh et al, 2010;Xu et al, 2012;Métras et al, 2012;Abatih and Ersbøll, 2009) and thereby indicate likely transmission mechanisms involved in disease spread (Sinkala et al, 2014;Ward et al, 2013;Loobuyck et al, 2009;Ohlson et al, 2014;Rosendal et al, 2014;Poljak et al, 2010). Cluster detection can also be used identify areas where vectors and hosts coincide resulting in potentially increased risk of disease transmission (Shaman, 2007;Hennebelle et al, 2013;Swirski et al, 2007), highlight possible regional differences in disease transmission (Kelen et al, 2012), or track the direction and geographical extent of disease spread (Wilesmith et al, 2003;Denzin et al, 2013;…”