Our article (1) set out to analyze data relating to childhood cancer following Dr. Siegel's Centers for Disease Control and Prevention (CDC) descriptive study in 2018 (2) in which a headline result was that “rates were highest in New Hampshire.” Messmer raises several questions, which seem to distill to: (i) was our conclusion appropriate, that New Hampshire's (NH) incidence of childhood cancer was not statistically significantly higher than the rest of the Northeast; (ii) did we draw conclusions beyond the scope of the analyses; and (iii) how should resources be directed in the goal of preventing childhood cancer?

(i) When all races are analyzed together, NH has the highest incidence of all states, but as we reported, it is not a statistical outlier. However, incidence varied across race/ethnicity groups by more than 38% and was highest in White children (Table 1; ref. 1), making race/ethnicity...

You do not currently have access to this content.