Journal of Infection and Public Health
Volume 1, Issue 1 , Pages 27-32 , 2008

Hajj: Health lessons for mass gatherings

  • Shuja Shafi

      Affiliations

    • Clinical Microbiology and Health Protection Agency Collaborating Laboratory, Northwick Park & St Marks Hospital, North West London Hospitals NHS Trust, Harrow, Middlesex HA1 3UJ, London, UK
    • On behalf of Health at Hajj and Umrah (HAHU) Research Group.
    • Corresponding Author InformationCorresponding author at: Department of Microbiology and Health Protection Agency Collaborating Laboratory, Northwick Park & St Marks Hospital, North West London Hospitals NHS Trust, Harrow, Middlesex HA1 3UJ, London, UK.
  • ,
  • Robert Booy

      Affiliations

    • Academic Unit of Child Health, Barts and the London Queen Mary’s School of Medicine and Dentistry, London, UK
    • National Centre for Immunisation Research and Surveillance of Vaccine Preventable Disease, The Children’s Hospital at Westmead and The University of Sydney, New South Wales, Australia
    • On behalf of Health at Hajj and Umrah (HAHU) Research Group.
  • ,
  • Elizabeth Haworth

      Affiliations

    • Health Protection Agency South East, London, UK
    • On behalf of Health at Hajj and Umrah (HAHU) Research Group.
  • ,
  • Harunor Rashid

      Affiliations

    • Academic Unit of Child Health, Barts and the London Queen Mary’s School of Medicine and Dentistry, London, UK
    • On behalf of Health at Hajj and Umrah (HAHU) Research Group.
  • ,
  • Ziad A. Memish

      Affiliations

    • Departments of Medicine, Infection Prevention and Control, King Abdulaziz Medical City, National Guard Health Affairs, Riyadh, Saudi Arabia
    • On behalf of Health at Hajj and Umrah (HAHU) Research Group.

Received 12 August 2008 ,Revised 20 August 2008 ,Accepted 21 August 2008.

References 

  1. Smolinski MS, Hamburg MA, Lederberg J. Microbial threats to health: emergence, detection, and response. Washington: DC National Academies Press; 2003;
  2. Watson GI. Quarantine and the Mecca pilgrimage—the growth of an idea. Trans Roy Soc Trop Med Hyg. 1938;32:107–112
  3. Aguilera JF, Perrocheau A, Meffre C, Hahné S W135 Working Group. Outbreak of serogroup W135 meningococcal disease after the Hajj pilgrimage, Europe, 2000. Emerg Infect Dis. 2002;8:761–767
  4. Ahmed QA, Arabi YM, Memish ZA. Health risks at the Hajj. Lancet. 2006;367:1008–1015
  5. Klaber R, Booy R, El Bashir H, Mifsud A, Taylor S. Sustained outbreak of W135 meningococcal disease in east London, UK. Lancet. 2002;360:644
  6. Hahné SJ, Gray SJ, Aguilera JF, Crowcroft NS, Nichols T, Kaczmarski EB, et al. W135 meningococcal disease in England and Wales associated with Hajj 2000 and 2001. Lancet. 2002;359:582–583
  7. DH (UK). Current vaccine and immunisation issues. Available from http://www.dh.gov.uk/en/Publicationsandstatistics/Lettersandcirculars/Professionalletters/Chiefmedicalofficerletters/DH_4032596 dated: 9th March 2001 (Accessed: 3rd August 2008).
  8. Medical News Toady. Hajj pilgrims reminded to have meningitis jab, UK available from http://www.medicalnewstoday.com/articles/18896.php (Accessed: 5th August 2008).
  9. El Bashir H, Rashid H, Memish ZA, Shafi S Health at Hajj and Umra Research Group. Meningococcal vaccine coverage in Hajj pilgrims. Lancet. 2007;369:1343
  10. Madani TA, Ghabrah TM. Meningococcal, influenza virus, and hepatitis B virus vaccination coverage level among health care workers in Hajj. BMC Infect Dis. 2007;7:80
  11. Snape MD, Perrett KP, Ford KJ, John TM, Pace D, Yu LM, et al. Immunogenicity of a tetravalent meningococcal glycoconjugate vaccine in infants: a randomized controlled trial. JAMA. 2008;299:173–184
  12. Madani TA, Ghabrah TM, Al-Hedaithy MA, Alhazmi MA, Alazraqi TA, Albarrak AM, et al. Causes of hospitalization of pilgrims in the Hajj season of the Islamic year 1423 (2003). Ann Saudi Med. 2006;26:346–351
  13. Rashid H, Shafi S, Haworth E, El Bashir H, Memish ZA, Sudhanva M, et al. Viral respiratory infections at the Hajj: comparison between UK and Saudi pilgrims. Clin Microbiol Infect. 2008;14:569–574
  14. Wilder-Smith A, Earnest A, Ravindran S, Paton NI. High incidence of pertussis among Hajj pilgrims. Clin Infect Dis. 2003;37:1270–1272
  15. Alzeer A, Mashlah A, Fakim N, Al-Sugair N, Al-Hedaithy M, Al-Majed S, et al. Tuberculosis is the commonest cause of pneumonia requiring hospitalization during Hajj (pilgrimage to Makkah). J Infect. 1998;36:303–306
  16. Balkhy HH, Memish ZA, Bafaqeer S, Almuneef MA. Influenza a common viral infection among Hajj pilgrims: time for routine surveillance and vaccination. J Travel Med. 2004;11:82–86
  17. Rashid H, Haworth E, Shafi S, Memish ZA, Booy R. Pandemic influenza: mass gatherings and mass infection. Lancet Infect Dis. 2008;8:526–527
  18. World Health Organization. Communicable disease alert and response for mass gatherings. Available from http://www.who.int/csr/mass_gathering/en/ (Accessed: 3rd August 2008).

PII: S1876-0341(08)00008-7

doi: 10.1016/j.jiph.2008.08.008

Journal of Infection and Public Health
Volume 1, Issue 1 , Pages 27-32 , 2008