ArticleClinical microbiology and infection : the official publication of the European Society of Clinical Microbiology and Infectious Diseases2008
Viral respiratory infections at the Hajj: comparison between UK and Saudi pilgrims.
Article in Clinical microbiology and infection : the official publication of the European Society of Clinical Microbiology and Infectious Diseases, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers, 3 of them syntheses that pooled it.
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Who cites it
44 citing papers in PubMed, 3 syntheses or guidelines pooled it, 101 citations in OpenAlex.
- A systematic review of emerging respiratory viruses at the Hajj and possible coinfection with Streptococcus pneumoniae.Travel medicine and infectious diseasePooled it
- Hajj-associated viral respiratory infections: A systematic review.Travel medicine and infectious diseasePooled it
- Asymptomatic Middle East Respiratory Syndrome Coronavirus (MERS-CoV) infection: Extent and implications for infection control: A systematic review.Travel medicine and infectious diseasePooled it
- Viral respiratory infections among Hajj pilgrims in 2013.Virologica Sinica · 2014Trial
- Epidemiological Differences in Hajj-Acquired Airborne Infections in Pilgrims Arriving from Low and Middle-Income versus High-Income Countries: A Systematised Review.Tropical medicine and infectious disease · 2023Review
- Frequent detection and genotyping of human rhinovirus in SARS-CoV-2 negative patients; a study from south of Iran.Iranian journal of microbiology · 2023Article
- Low Prevalence of Syndromic Respiratory Tract Infections among Returning Hajj Pilgrims Amidst the COVID-19 Pandemic: A Post-Hajj Survey.Tropical medicine and infectious disease · 2022Article
- Public Knowledge, Attitudes, and Practices toward Seasonal Influenza Vaccine in Saudi Arabia: A Cross-Sectional Study.International journal of environmental research and public health · 2021Article
- A Mathematical Modeling Study: Assessing Impact of Mismatch Between Influenza Vaccine Strains and Circulating Strains in Hajj.Bulletin of mathematical biology · 2021Article
- Evaluation of Public Health Education and Workforce Needs in the Kingdom of Saudi Arabia.Journal of epidemiology and global health · 2020Article
- Preventive Efficacy of Dried Lime (Galen medical journal · 2020Article
- The Hajj 2019 Vaccine Requirements and Possible New Challenges.Journal of epidemiology and global health · 2019Article
- Epidemiology of respiratory viruses in Saudi Arabia: toward a complete picture.Archives of virology · 2019Review
- Influenza vaccination among Saudi Hajj pilgrims: Revealing the uptake and vaccination barriers.Vaccine · 2018Article
- No MERS-CoV but positive influenza viruses in returning Hajj pilgrims, China, 2013-2015.BMC infectious diseases · 2017Article
- Expected immunizations and health protection for Hajj and Umrah 2018 -An overview.Travel medicine and infectious disease · 2017Review
- Vaccinations against respiratory infections in Arabian Gulf countries: Barriers and motivators.World journal of clinical cases · 2017Article
- Multiple Sources of Genetic Diversity of Influenza A Viruses during the Hajj.Journal of virology · 2017Article
- The annual Hajj pilgrimage-minimizing the risk of ill health in pilgrims from Europe and opportunity for driving the best prevention and health promotion guidelines.International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases · 2016Article
- Mismatching between circulating strains and vaccine strains of influenza: Effect on Hajj pilgrims from both hemispheres.Human vaccines & immunotherapeutics · 2016Article
Corrections and comments
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Authors and funding
9 authors at 4 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
A high incidence of respiratory infection, including influenza, has been reported at the Hajj in Mecca, Saudi Arabia. Reported rates of influenza have been higher among UK than among domestic pilgrims, but this could be explained by methodological differences among studies. Accordingly, the present study compared the frequencies of respiratory viruses among UK and Saudi pilgrims using the same study design. Pilgrims with upper respiratory tract symptoms were recruited from Mecca and the neighbouring valley Mina during the Hajj 2006. Nasal swabs were used for point-of-care influenza testing and real-time RT-PCR (rtRT-PCR) tests for influenza virus, rhinovirus, parainfluenza virus, adenovirus, human metapneumovirus and respiratory syncytial virus. Of 260 pilgrims investigated, 150 were from the UK and 110 were Saudi; of these, 38 (25%) UK pilgrims and 14 (13%) Saudi pilgrims had respiratory infections detectable by rtRT-PCR (p 0.01). In the UK group, there were 19 (13%) cases of rhinovirus infection, 15 (10%) cases of influenza virus infection, two (1%) cases of dual infections with influenza virus and rhinovirus, one (3%) case of parainfluenza virus infection, and one (1%) case of respiratory syncytial virus infection. Fifty-six (37%) UK pilgrims had been vaccinated against influenza virus, with the rates of influenza in the vaccinated and unvaccinated group being 7% and 14%, respectively (p 0.19). In the Saudi group, there were three (3%) cases of rhinovirus infection and 11 (10%) cases of influenza. Only four (4%) Saudi pilgrims had been vaccinated against influenza virus, and none of these was infected with influenza virus. Overall, a significantly higher proportion of the UK pilgrims had detectable respiratory infections (25% vs. 13%, p 0.01). Influenza rates were similar in both groups, but the reported rates of influenza vaccination differed.
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