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Public Health Threats in Mass Gatherings: A Systematic Review

Published online by Cambridge University Press:  28 June 2019

Manoochehr Karami Open the ORCID record for Manoochehr Karami [Opens in a new window] ,
Amin Doosti-Irani Open the ORCID record for Amin Doosti-Irani [Opens in a new window] ,
Ali Ardalan ,
Fathemeh Gohari-Ensaf ,
Zainab Berangi ,
Eduardo Massad ,
Mohammad Rebi Yeganeh ,
Mohsen Asadi-Lari  and
Mohammad Mehdi Gouya
Manoochehr Karami*
Affiliation:
Social Determinants of Health Research Center, Hamadan University of Medical Sciences, Hamadan, Iran Department of Epidemiology, School of Public Health, Hamadan University of Medical Sciences, Hamadan, Iran
Amin Doosti-Irani*
Affiliation:
Department of Epidemiology, School of Public Health, Hamadan University of Medical Sciences, Hamadan, Iran Research Center for Health Sciences, Hamadan University of Medical Sciences, Hamadan, Iran
Ali Ardalan
Affiliation:
Department of Disaster Public Health, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
Fathemeh Gohari-Ensaf
Affiliation:
Department of Epidemiology, School of Public Health, Hamadan University of Medical Sciences, Hamadan, Iran
Zainab Berangi
Affiliation:
Department of Epidemiology, School of Public Health, Hamadan University of Medical Sciences, Hamadan, Iran
Eduardo Massad
Affiliation:
Faculdade de Medicina, Universidade de São Paulo, São Paulo, Brazil
Mohammad Rebi Yeganeh
Affiliation:
Deputy of Health, Hamadan University of Medical Sciences, Hamadan, Iran
Mohsen Asadi-Lari
Affiliation:
Department of Epidemiology, School of Public Health, Iran University of Medical Sciences, Tehran, Iran
Mohammad Mehdi Gouya
Affiliation:
Center for Communicable Diseases Control, Ministry of Health and Medical Education, Tehran, Iran
*
Correspondence and reprint requests to Amin Doosti-Irani, Department of Epidemiology, School of Public Health, Hamadan University of Medical Sciences, Hamadan, Iran (e-mail: a.doosti@umsha.ac.ir).
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Abstract

Mass gatherings (MGs) are held throughout the world. The aim of this review was to assess and identify the health threats based on the type of the MG, type of diseases, and injuries. Research platforms such as Web of Science, Medline, and Scopus were searched through June 2017. All epidemiologic studies that investigated the health threats during the MGs, such as communicable diseases, injuries, high-risk behaviors, and environmental health problems, were included in this review. Out of 1264 references, 45 articles were included in the review.

Three main types of MGs include religious, festival, and sporting event; and fairs such as trade, book, and agricultural types were also reported in the selected studies. In the religious MGs, infectious diseases were the most common health threat. Road traffic accidents and environmental health problems were additional health threats. At MG sporting events, injuries were the most common health problems. Infectious diseases and alcohol and drug-related disorders were other reported public health concerns. In the festival MGs, alcohol and drug-related problems were commonly reported. This review showed that health threats vary, based on the type of mass gathering. The health organizers of MGs should consider the type of the MG and the health needs and safety of the participants to help them plan their action and provide the needed health care services.

Keywords

illnessinfectious diseasesinjuriesmass gatherings
Type
Systematic Review
Information
Disaster Medicine and Public Health Preparedness , Volume 13 , Issue 5-6 , December 2019 , pp. 1035 - 1046
Copyright
Copyright © 2019 Society for Disaster Medicine and Public Health, Inc. 

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