Evidence map›Paper›PMID 27343984›Full record

ArticleInternational journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases2016

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.

Shuja Shafi, Osman Dar, Mishal Khan, Minal Khan, Esam I Azhar, Brian McCloskey, Alimuddin Zumla, Eskild Petersen

Abstract read
In one paragraph

Article in International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Prevalence of Diabetes and Hypertension among Hajj Pilgrims: A Systematic Review.International journal of environmental research and public health · 2021
    Pooled it
  2. Article
  3. Review
  4. Article
  5. Review
  6. Medication Adherence Among Pilgrims with Chronic Diseases at Hajj 2024.Medical science monitor : international medical journal of experimental and clinical research · 2025
    Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Review
  13. Article
  14. Review
  15. Article
  16. Article
  17. Article
  18. Assessment of Preventative Measures Practice among Umrah Pilgrims in Saudi Arabia, 1440H-2019.International journal of environmental research and public health · 2020
    Article
  19. COVID-19 and the scaled-down 2020 Hajj Pilgrimage-Decisive, logical and prudent decision making by Saudi authorities overcomes pre-Hajj public health concerns.International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases · 2020
    Article
  20. COVID-19 and the scaled-down 2020 Hajj Pilgrimage - Decisive, logical and prudent decision making by Saudi authorities overcomes pre-Hajj public health concerns.International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases · 2020
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Shuja ShafiMuslim Council of Great Britain, London, UK. Electronic address: msshafi12@gmail.com.
Osman DarPublic Health England, London, UK; Chatham House Centre on Global Health Security, Royal Institute of International Affairs, London, UK.
Mishal KhanLondon School of Hygiene and Tropical Medicine, London, UK; Saw Swee Hock School of Public Health, National University of Singapore, Singapore.
Minal KhanImperial College London, London, UK.
Esam I AzharSpecial Infectious Agents Unit, King Fahd Medical Research Centre, and Medical Laboratory Technology Department, Faculty of Applied Medical Sciences, King Abdulaziz University, Jeddah, Saudi Arabia.
Brian McCloskeyGlobal Health Department, Public Health England, London, UK.
Alimuddin ZumlaDivision of Infection and Immunity, University College London, and NIHR Biomedical Research Centre, UCL Hospitals NHS Foundation Trust, London, UK.
Eskild PetersenInstitute of Clinical Medicine, University of Aarhus, Denmark; The Royal Hospital, Muscat, Oman.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Mass gatherings at religious events can pose major public health challenges, particularly the transmission of infectious diseases. Every year the Kingdom of Saudi Arabia (KSA) hosts the Hajj pilgrimage, the largest gathering held on an annual basis where over 2 million people come to KSA from over 180 countries. Living together in crowded conditions exposes the pilgrims and the local population to a range infectious diseases. Respiratory and gastrointestinal tract bacterial and viral infections can spread rapidly and affect attendees of mass gatherings. Lethal infectious disease outbreaks were common during Hajj in the 19th and 20th centuries although they have now been controlled to a great extent by the huge investments made by the KSA into public health prevention and surveillance programs. The KSA provides regular updated Hajj travel advice and health regulations through international public health agencies such as the WHO, Public Health England, the Centers for Disease Control and Prevention, and Hajj travel agencies. During the Hajj, an additional 25 000 health workers are deployed; there are eight hospitals in Makkah and Mina complete with state-of-the-art surgical wards and intensive care units made specifically available for pilgrims. All medical facilities offer high quality of care, and services are offered free to Hajj pilgrims to ensure the risks of ill health to all pilgrims and KSA residents are minimal. A summary of the key health issues that arise in pilgrims from Europe during Hajj and of the KSA Hajj guidelines, together with other factors that may play a role in reducing the risks to pilgrims and to wider global health security, is provided herein.

Indexed as

TravelAutomobile DrivingCommunicable Disease ControlCommunicable DiseasesCrowdingDisease OutbreaksEuropeFemaleHealth Planning GuidelinesHealth PromotionHolidaysHumansIslamMalePublic HealthRiskHajjMass agtheringpreventionpublic health

Identifiers

PMID27343984
PMCPMC7110525

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.