Hajj: Health lessons for mass gatherings
- 1 January 2008
- journal article
- review article
- Published by Elsevier BV in Journal of Infection and Public Health
- Vol. 1 (1), 27-32
- https://doi.org/10.1016/j.jiph.2008.08.008
Abstract
The potential for spread of infectious diseases associated with mass gatherings is well recognised. Hajj, the unique annual mass gathering of over 2 million Muslims from all over the world, presents enormous challenges to the authorities in Saudi Arabia. They have a comprehensive programme updated annually, to ensure that all aspects of Hajj rituals are conducted safely and without major incident. The inevitable overcrowding in a confined area of such large numbers increases the risk of respiratory infections. Of these 'Hajj cough' is the most frequently reported complaint and is caused by a variety of viruses and bacteria. The outbreaks of meningococcal W135 strains in 2000 and 2001 with the associated high mortality showed the potential for international spread at mass gatherings. Collaboration between health policy makers and community leaders in the UK resulted in a rapid and impressive reduction of these infections. On-going disease surveillance and data analysis is necessary to better understand health risks and strengthen evidence base for health policy and prevention. The battle against spread of travel-related infections is a shared responsibility. Countries sending pilgrims should co-ordinate preventive measures by healthcare professionals and community groups. A multi-pronged approach involving awareness programme for pilgrims and their health advisers, supported by rapid diagnosis, timely treatment, prevention by vaccine, community measures, infection prevention and control practices are necessary. The benefits from such measures go beyond the Hajj to protect health and reduce inequalities. Establishing an international centre for public health relating to the Hajj will enable co-ordinating international health action and appropriate intervention.Keywords
This publication has 14 references indexed in Scilit:
- Viral respiratory infections at the Hajj: comparison between UK and Saudi pilgrimsClinical Microbiology & Infection, 2008
- Immunogenicity of a Tetravalent Meningococcal Glycoconjugate Vaccine in InfantsJAMA, 2008
- Meningococcal, influenza virus, and hepatitis B virus vaccination coverage level among health care workers in HajjBMC Infectious Diseases, 2007
- Meningococcal vaccine coverage in Hajj pilgrimsThe Lancet, 2007
- Causes of hospitalization of pilgrims during the Hajj period of the Islamic year 1423 (2003)Annals of Saudi Medicine, 2006
- Health risks at the HajjThe Lancet, 2006
- Sustained outbreak of W135 meningococcal disease in east London, UKThe Lancet, 2002
- Outbreak of Serogroup W135 Meningococcal Disease after the Hajj Pilgrimage, Europe, 2000Emerging Infectious Diseases, 2002
- W135 meningococcal disease in England and Wales associated with Hajj 2000 and 2001The Lancet, 2002
- Quarantine and the Mecca pilgrimage—The growth of an ideaTransactions of the Royal Society of Tropical Medicine and Hygiene, 1938