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I thank Benjamin Littenberg, Rich Pinckney and the Division of General Internal Medicine for supporting me in the initial phases of this project and throughout my fellowship. Thanks to Austin Troy from the School of Natural Resources for his specific advise about ArcView and GIS. Thanks to Berta Geller and the group at the Vermont Breast Cancer Surveillance System who were instrumental in providing feedback and guidance in the work. And a special thanks to the National Cancer Institute, whose grant support made this presentation possible. 
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