“…In a review of 20 genetic syndromes in humans over 10% of families with new mutations had them arise in clusters (Selby, Woodruff, and Thompson, unpublished data) and over 40% of sperm and oocytes from humans can have a new mutation (Sachs et al, 1990;Edwards et al, 1992;Sommer, Scaringe & Hill, 2001;Yoon et al, 2003). In addition, recurrence risks of 7-33% have been reported for subsequent siblings due to germinal mosaics (Hartl, 1971;Wijsman, 1991;Young, 1991;van Essen et al, 1992;Cooper & Krawczak, 1993;Mottes et al, 1993;Bridges, 1994;Namikawa et al, 1995). Clearly, premeiotic clusters of mutation, including nucleotide substitutions, are common in humans, and one assumes in other animals with limited family sizes.…”