Relationships between disease incidence measured at two levels in a sp
atial hierarchy are derived. These relationships are based on the prop
erties of the binomial distribution, the beta-binomial distribution, a
nd an empirical power-law relationship that relates observed variance
to theoretical binomial variance of disease incidence. Data sets for d
emonstrating and testing these relationships are based on observations
of the incidence of grape downy mildew, citrus tristeza, and citrus s
cab. Disease incidence at the higher of the two scales is shown to be
an asymptotic function of incidence at the lower scale, the degree of
aggregation at that scale, and the size of the sampling unit. For a ra
ndom pattern, the relationship between incidence measured at two spati
al scales does not depend on any unknown parameters. In that case, an
equation for estimating an approximate variance of disease incidence a
t the lower of the two scales from incidence measurements made at the
higher scale is derived for use in the context of sampling. It is furt
her shown that the effect of aggregation of incidence at the lower of
the two scales is to reduce the rate of increase of disease incidence
at the higher scale.