There are many different ways by which we can model a cluster analysis, and depending on which software you use, there may exist ways to tes and adjust for the existence of spatial autocorrelation or not. In clinical surveillance studies, SaTScan is a very popular software that is used by over 100 countries, and it does not allow any adjusting for spatial autocorrelation. Moran's I is used widely by environmental scientists and by social scientists and by others. There are also Bayesian models and algorithms that allow the incorporation of spatial autocorrelation. My questions focuses on what do you do about spatial autocorrelation when you use data for a cluster analysis on some geographic regions?