Meningococcal disease during the Hajj and Umrah mass gatherings

The Hajj and Umrah religious mass gatherings hosted by the Kingdom of Saudi Arabia can facilitate the transmission of infectious diseases. The pilgrimages have been associated with a number of local and international outbreaks of meningococcal disease. These include serogroup A disease outbreaks in...

Full description

Bibliographic Details
Main Authors: Saber Yezli, Abdullah M. Assiri, Rafat F. Alhakeem, Abdulhafiz M. Turkistani, Badriah Alotaibi
Format: Article
Language:English
Published: Elsevier 2016-06-01
Series:International Journal of Infectious Diseases
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1201971216310207
_version_ 1818308499660079104
author Saber Yezli
Abdullah M. Assiri
Rafat F. Alhakeem
Abdulhafiz M. Turkistani
Badriah Alotaibi
author_facet Saber Yezli
Abdullah M. Assiri
Rafat F. Alhakeem
Abdulhafiz M. Turkistani
Badriah Alotaibi
author_sort Saber Yezli
collection DOAJ
description The Hajj and Umrah religious mass gatherings hosted by the Kingdom of Saudi Arabia can facilitate the transmission of infectious diseases. The pilgrimages have been associated with a number of local and international outbreaks of meningococcal disease. These include serogroup A disease outbreaks in 1987 and throughout the 1990s and two international serogroup W135 outbreaks in 2000 and 2001. The implementation of strict preventative measures including mandatory quadrivalent meningococcal vaccination and antibiotic chemoprophylaxis for pilgrims from the African meningitis belt has prevented pilgrimage-associated meningococcal outbreaks since 2001. However, the fluid epidemiology of the disease and the possibility of outbreaks caused by serogroups not covered by the vaccine or emerging hyper-virulent strains, mean that the disease remains a serious public health threat during these events. Continuous surveillance of carriage state and the epidemiology of the disease in the Kingdom and globally and the introduction of preventative measures that provide broad and long-lasting immunity and impact carriage are warranted.
first_indexed 2024-12-13T07:15:15Z
format Article
id doaj.art-2017806b8e7342bb9591be875014e58b
institution Directory Open Access Journal
issn 1201-9712
1878-3511
language English
last_indexed 2024-12-13T07:15:15Z
publishDate 2016-06-01
publisher Elsevier
record_format Article
series International Journal of Infectious Diseases
spelling doaj.art-2017806b8e7342bb9591be875014e58b2022-12-21T23:55:35ZengElsevierInternational Journal of Infectious Diseases1201-97121878-35112016-06-0147C606410.1016/j.ijid.2016.04.007Meningococcal disease during the Hajj and Umrah mass gatheringsSaber Yezli0Abdullah M. Assiri1Rafat F. Alhakeem2Abdulhafiz M. Turkistani3Badriah Alotaibi4The Global Centre for Mass Gatherings Medicine, Public Health Directorate, Ministry of Health, Riyadh, Saudi ArabiaPublic Health Directorate, Ministry of Health, Riyadh, Saudi ArabiaPublic Health Directorate, Ministry of Health, Riyadh, Saudi ArabiaMakkah Regional Health Affairs, Ministry of Health, Jeddah, Saudi ArabiaThe Global Centre for Mass Gatherings Medicine, Public Health Directorate, Ministry of Health, Riyadh, Saudi ArabiaThe Hajj and Umrah religious mass gatherings hosted by the Kingdom of Saudi Arabia can facilitate the transmission of infectious diseases. The pilgrimages have been associated with a number of local and international outbreaks of meningococcal disease. These include serogroup A disease outbreaks in 1987 and throughout the 1990s and two international serogroup W135 outbreaks in 2000 and 2001. The implementation of strict preventative measures including mandatory quadrivalent meningococcal vaccination and antibiotic chemoprophylaxis for pilgrims from the African meningitis belt has prevented pilgrimage-associated meningococcal outbreaks since 2001. However, the fluid epidemiology of the disease and the possibility of outbreaks caused by serogroups not covered by the vaccine or emerging hyper-virulent strains, mean that the disease remains a serious public health threat during these events. Continuous surveillance of carriage state and the epidemiology of the disease in the Kingdom and globally and the introduction of preventative measures that provide broad and long-lasting immunity and impact carriage are warranted.http://www.sciencedirect.com/science/article/pii/S1201971216310207HajjUmrahMass gatheringMeningococcal diseaseMeningitisOutbreak
spellingShingle Saber Yezli
Abdullah M. Assiri
Rafat F. Alhakeem
Abdulhafiz M. Turkistani
Badriah Alotaibi
Meningococcal disease during the Hajj and Umrah mass gatherings
International Journal of Infectious Diseases
Hajj
Umrah
Mass gathering
Meningococcal disease
Meningitis
Outbreak
title Meningococcal disease during the Hajj and Umrah mass gatherings
title_full Meningococcal disease during the Hajj and Umrah mass gatherings
title_fullStr Meningococcal disease during the Hajj and Umrah mass gatherings
title_full_unstemmed Meningococcal disease during the Hajj and Umrah mass gatherings
title_short Meningococcal disease during the Hajj and Umrah mass gatherings
title_sort meningococcal disease during the hajj and umrah mass gatherings
topic Hajj
Umrah
Mass gathering
Meningococcal disease
Meningitis
Outbreak
url http://www.sciencedirect.com/science/article/pii/S1201971216310207
work_keys_str_mv AT saberyezli meningococcaldiseaseduringthehajjandumrahmassgatherings
AT abdullahmassiri meningococcaldiseaseduringthehajjandumrahmassgatherings
AT rafatfalhakeem meningococcaldiseaseduringthehajjandumrahmassgatherings
AT abdulhafizmturkistani meningococcaldiseaseduringthehajjandumrahmassgatherings
AT badriahalotaibi meningococcaldiseaseduringthehajjandumrahmassgatherings