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Chapter 24 - Infectious Disease and Mass Gathering Medicine

Published online by Cambridge University Press:  11 April 2024

William J. Brady
Affiliation:
University of Virginia
Mark R. Sochor
Affiliation:
University of Virginia
Paul E. Pepe
Affiliation:
Metropolitan EMS Medical Directors Global Alliance, Florida
John C. Maino II
Affiliation:
Michigan International Speedway, Brooklyn
K. Sophia Dyer
Affiliation:
Boston University Chobanian and Avedisian School of Medicine, Massachusetts
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Summary

Mass gatherings are characterized by large groups of people gathering in a specific place for various events including religious, sports or music festivals. These events historically have been linked to several outbreaks and even epidemics. The introduction of an infectious agent into a mass gathering event can occur by an infected individual or exposure of individuals to contaminated food or water. The presence of a vast number of individuals with differing susceptibility to infections in proximity can lead to an explosion of infections starting from a small number and lead to development of an outbreak and even epidemics. The key to prevention of such outbreaks is meticulous pre-event planning involving screening of attendees, use of vaccinations and following diligent sanitary and social distancing protocols during the event. In the case of development of an outbreak, authorities need to rapidly be able to find such events and quickly isolate and treat the affected individuals to prevent dissemination of disease and prevent development of an epidemic.

Type
Chapter
Information
Mass Gathering Medicine
A Guide to the Medical Management of Large Events
, pp. 372 - 379
Publisher: Cambridge University Press
Print publication year: 2024

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References

Krämer, A., Akmatov, M., Kretzschmar, M. Principles of Infectious Disease Epidemiology. In: Modern Infectious Disease Epidemiology. New York: Springer; 2009; pp. 8599.CrossRefGoogle Scholar
Kak, V. Infections in Confined Spaces: Cruise ships, Military Barracks and College Dormitories. Infect Dis Clin N Am. 2007;21:773784.CrossRefGoogle ScholarPubMed
Casadevall, A., Pirofski, L. A. Host-Pathogen Interactions: Redefining the Basic Concepts of Virulence and Pathogenicity. Infection and Immunity. 1999;67(8):37033713.CrossRefGoogle ScholarPubMed
Memish, Z. A., Steffen, R., White, P., Dar, O., Azhar, E. I., Sharma, A., Zumla, A. Mass Gatherings Medicine: Public Health Issues Arising from Mass Gathering Religious and Sporting Events. Lancet. 2019;393(10185): 20732084. doi:10.1016/S0140-6736(19)30501-XCrossRefGoogle ScholarPubMed
Hoang, V. T., Gautret, P. Infectious Diseases and Mass Gatherings. Current Infectious Disease Reports. 2018;20(11):112.CrossRefGoogle ScholarPubMed
Ahmed, Q. A., Arabi, Y. M., Memish, Z. A. Health Risk at the Hajj. The Lancet. 2006;367(9515):10081015.CrossRefGoogle Scholar
Shirah, B. H., Zafar, S. H., Alferaidi, O. A., Sabir, A. M. Mass Gathering Medicine (Hajj Pilgrimage in Saudi Arabia): The Clinical Pattern of Pneumonia Among Pilgrims During Hajj. Journal of Infection and Public Health. 2017;10(3);277286.CrossRefGoogle ScholarPubMed
El-Sheikh, S. M., El-Assouli, S. M., Mohammed, K. A., Albar, M. Bacteria and Viruses That Cause Respiratory Tract Infections During the Pilgrimage (Haj) Season in Makkah, Saudi Arabia. Tropical Medicine and International Health. 1998;3(3); 205209.CrossRefGoogle ScholarPubMed
Sridhar, S., Gautret, P., Brouqui, P. A Comprehensive Review of the Kumbh Mela: Identifying Risks for Spread of Infectious Diseases. Clinical Microbiology and Infection: The Official Publication of the European Society of Clinical Microbiology and Infectious Diseases. 2015;21(2):128133. doi:10.1016/j.cmi.2014.11.021CrossRefGoogle ScholarPubMed
Maurya, A. K., Singh, A. K., Kumar, M., Umrao, J., Kant, S., Nag, V. L., Kushwaha, R. A., Dhole, T. N. Changing Patterns and Trends of Multidrug-Resistant Tuberculosis at Referral Center in Northern India: A 4-Year Experience. Indian Journal of Medical Microbiology. 2013;31(1):4046. doi:10.4103/0255-0857.o108720CrossRefGoogle ScholarPubMed
Shukla, S., Khanna, R., Ahmed, Y., Memish, Z. A. (2021). Conducting Mass Gathering Events During the COVID-19 Pandemic: A Case Study of Kumbh Mela 2021 as a Potential “Super Spreader Event.” Journal of Travel Medicine. 2021. taab160. Advance online publication. https://doi.org/10.1093/jtm/taab160CrossRefGoogle Scholar
Rocha, I. C. N., Pelayo, M. G. A., Rackimuthu, S. Kumbh Mela Religious Gathering as a Massive Superspreading Event: Potential Culprit for the Exponential Surge of COVID-19 Cases in India. The American Journal of Tropical Medicine and Hygiene. 2021CrossRefGoogle Scholar
McConnell, J., Memish, Z. The Lancet Conference on Mass Gatherings Medicine. Lancet Infectious Diseases. 2010;10:818819.CrossRefGoogle ScholarPubMed
Memish, Z. A., Stephens, G., Al Rabeeah, A. Mass Gatherings Health. Lancet Infectious Diseases. 2012;12:10.CrossRefGoogle Scholar
Heywood, A. E. Measles: A Re-Emerging Problem in Migrants and Travelers. Journal of Travel Medicine. 2018;25(1):10.1093/jtm/tay118. doi:10.1093/jtm/tay118CrossRefGoogle Scholar
Memish, Z. A., Steffen, R., White, P., Dar, O., Azhar, E. I., Sharma, A., Zumla, A. (2019). Mass Gatherings Medicine: Public Health Issues Arising from Mass Gathering Religious and Sporting Events. The Lancet. 2019;393(10185):20732084.CrossRefGoogle ScholarPubMed
Gautret, P., Benkouiten, S., Sridhar, S., Al-Tawfiq, J. A., Memish, Z. A. (2015). Diarrhea at the Hajj and Umrah. Travel Medicine and Infectious Disease. 2015;13(2):159166.CrossRefGoogle ScholarPubMed
Loncarevic, G., Payne, L., Kon, P., Petrovic, V., Dimitrijevic, D., Knezevic, T., Coulombier, D. Public Health Preparedness for Two Mass Gathering Events in the Context of Pandemic Influenza (H1N1) 2009-Serbia, July 2009. Eurosurveillance. 2009;14(31):19296.CrossRefGoogle ScholarPubMed
Haseeb, A., Faidah, H., Baksh, A. R. et al. Antimicrobial Resistance Among Pilgrims: A Retrospective Study from Two Hospitals Makkah Saudi Arabia. International Journal of Infectious Diseases. 2016;47(C).CrossRefGoogle ScholarPubMed
Bryceson, A. D. (1977). Cholera, the Flickering Flame. Proceedings of the Royal Society of Medicine. 1977;70(5):363365.CrossRefGoogle ScholarPubMed
Muttalif, A. R., Presa, J. V., Haridy, H., Gamil, A., Serra, L. C., Cané, A. Incidence and Prevention of Invasive Meningococcal Disease in Global Mass Gathering Events. Infectious Diseases and Therapy. 2019;8(4):569579.CrossRefGoogle ScholarPubMed
Lima, L. R. P., da Silva, A. D. S., da Cruz Gameiro, E. R., Fernandes, J., Lanzarini, N. M., de Oliveira, R. C., Cunha, R. G. Sexually Transmitted Infections in Mass Gathering: Brief Review. Virus Rev Res. 2016;21.Google Scholar
Ebrahim, S. H., Memish, Z. A. Saudi Arabia’s Drastic Measures to Curb the COVID-19 Outbreak: Temporary Suspension of the Umrah Pilgrimage. Journal of Travel Medicine. 2020;27(3).CrossRefGoogle ScholarPubMed
Gautret, P., Al-Tawfiq, J. A. COVID 19: Will the 2020 Hajj Pilgrimage and Tokyo Olympic Games Be Cancelled?. Travel Medicine and Infectious Disease. 2020;34:101622.CrossRefGoogle ScholarPubMed
Ayyagari, A., Bhargava, A., Agarwal, R. et al. Use of Telemedicine in Evading Cholera Outbreak in Mahakumbh Mela, Prayag, UP, India: An Encouraging Experience. Telemedicine Journal and E-Health. 2003;9(1):8994.CrossRefGoogle ScholarPubMed

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