Neurological Problems during Hajj Season: Review
Keywords:
Religious festivals, Neuro-infections, Stroke, Heatstroke, Hajj, MakkahAbstract
Worldwide gatherings at religious festivals raise the possibility of disease transmission among attendees and the local populace. The enormous gathering of pilgrims may impact the country's health system. Infectious diseases with epidemic characteristics threaten global health security, demonstrating the significance of preparedness for any public health catastrophe. This literature review describes the extensive neurological disorders related to hajj pilgrims and the importance of preventive methods to control these diseases. Our systematic review was conducted from many sources, including credible websites and journals. We found about 23 articles about the most common neurological disease in hajj pilgrims. A clear result was observed about increased incidents of meningitis as a global health neurological disease related to hajj pilgrims of total PubMed indexed publications studies, and one review article was done in 2019. This review study summarizes the neurological health challenge from infectious, non-infectious to stroke mimics presentation and the heatstroke prevalence in Hajj and the process of how the body adaption to heat stress may influence the body systems and brain function to be reported the most common presentation may mimic to a neurological cause.
KEYWORDS: Religious Festivals, Neuro-infectious, Stroke, Heatstroke, Hajj, Makkah
References
Ahmed QA, Arabi YM, Memish ZA. Health risks at the Hajj. Lancet. 2006; 367(9515): 1008-15. doi: 10.1016/ S0140 -6736(06)68429-8.
Ministry of Health KSA. Report on MOH's Preparations for Hajj Season [Internet]. (2019). Available from: https://www.moh.gov.sa/en/Ministry/MediaCenter/Publications/Pages/ Publications-2015-08-24-001.aspx.
Khogali M. Epidemiology of heat illnesses during the Makkah Pilgrimages in Saudi Arabia. Int J Epidemiol 1983; 12(3): 267-73. doi: 10.1093/ije/12.3.267.
Memish ZA, Zumla A, Alhakeem RF, Assiri A, Turkestani A, Al Harby KD et al. Hajj: infectious disease surveillance and control. Lancet. 2014; 383(9934): 2073-82. doi: 10.1016/S0140-6736(14)60381-0. Epub 2014 May 20.
Wilder-Smith A, Goh KT, Barkham T, Paton NI. Hajj-associated outbreak strain of Neisseria meningitidis serogroup W135: estimates of the attack rate in a defined population and the risk of invasive disease developing in carriers. Clin Infect Dis. 2003; 36(6): 679-83. doi: 10.1086/367858.
Yezli S, Wilder-Smith A, Bin Saeed AA. Carriage of Neisseria meningitidis in the Hajj and Umrah mass gatherings. Int J Infect Dis. 2016; 47: 65-70. doi: 10.1016/j.ijid.2015.11.014.
Al-Mazrou YY, Al-Jeffri MH, Abdalla MN, Elgizouli SA, Mishskas AA. Changes in epidemiological pattern of Meningococcal disease in Saudi Arabia. Does it constitute a new challenge for prevention and control? Saudi Med J. 2004; 25(10): 1410-1413.
Arabi YM, Alhamid SM. Emergency room to the intensive care unit in Hajj. The chain of life. Saudi Med J. 2006; 27(7): 937-41.
Memish ZA, Yezli S, Almasri M, Assiri A, Turkestani A, findlow H et al. Meningococcal serogroup A, C, W, and Y serum bactericidal antibody profiles in Hajj pilgrims. Int J Infect Dis. 2014; 28: 171-5. doi: 10.1016/j.ijid.2014.09.005. Epub 2014 Oct 12.
Abd El Ghany M, Sharaf H, Hill-Cawthorne GA. Hajj vaccinations - facts, challenges, and hope. Int J Infect Dis. 2016; 47: 29-37. doi: 10.1016/j.ijid.2016.05.024.
Badahdah AM, Bakarman MA, Khatami A, Tashani M, Barasheed O, Alfelali M et al. Meningococcal and pneumococcal carriage in Hajj pilgrims: Findings of a randomized controlled trial. J Travel Med. 2020; 27(4): taaa032. doi: 10.1093/jtm/taaa032.
Ceyhan M, Celik M, Demir ET, Gurbuz V, Aycan AE, Unal S. Acquisition of meningococcal serogroup W-135 carriage in Turkish hajj pilgrims who had received the quadrivalent meningococcal polysaccharide vaccine. Clin Vaccine Immunol. 2013; 20(1): 66-68. doi: 10.1128/CVI.00314-12.
Alqahtani BA, Alenazi AM, Hoover JC, Alshehri MM, Alghamdi MS, Osailan AM et al. Incidence of stroke among Saudi population: a systematic review and meta-analysis. Neurol Sci. 2020; 41(11): 3099-3104. doi: 10.1007/s10072 -020-04520-4.
Almekhlafi MA, Alhazmi MA, Alsulami SS, Almorsy SA. Incidence and impact of stroke during Hajj. Results of 2015 Hajj stroke registry. Neurosciences(Riyadh). 2017; 22(3): 181-5. doi: 10.17712/nsj.2017.3.20160246.
Albakr A, AlFajri A, Almatar A, Aldandan HA, Soltan N, Ishaque N et al. Hypertensive Intracerebral Hemorrhage in Young Patients From a Tertiary Care Center in Saudi Arabia: An Observational Study. Prim Care Companion CNS Disord. 2021; 23(3): 20m02768. doi: 10.4088/PCC.20m02768.
Alkhotani AM, Almasoudi A, Alzahrani J, Alkhotani E, Kalkatawi M, Alkhotani A. Factors associated with delayed hospital presentation for patients with acute stroke in Makkah: A cross-sectional study. Medicine(Baltimore). 2022; 101(34): e30075. doi:10.1097/MD.000000 0000030075.
Azarpazhooh MR, Shahripour RB, Kapral MK, Mokhber N, Shoeibi A, Farzadfard MT et al. Incidence of first-ever stroke during Hajj ceremony. BMC Neurol. 2013; 13: 193. doi: 10.1186/1471-2377-13-193.
Morris A, Patel G. Heat Stroke. In: StatPearls [Internet]. Treasure Island (FL). StatPearls Publishing; 2023 Jan. 2023 Feb 13.
Almuzaini Y, Abdulmalek N, Ghallab S, Mushi A, Yassin Y, Yezli S et al. Adherence of healthcare workers to Saudi management guidelines of heat-related illnesses during hajj pilgrimage. Int J Environ Res Public Health. 2021; 18(3): 1156. doi: 10.3390/ijerph18031156.
Abdelmoety DA, El-Bakri NK, Almowalld WO, Turkistani ZA, Bugis BH, Baseif EA et al. Characteristics of heat illness during Hajj: A cross-sectional study. Biomed Res Int. 2018; 2018: 5629474. doi: 10.1155/2018/5629474.
Nouhi F, Farid HR, Bastanhaq MH, Dadgar AA. Management Of Heatstroke In 304 Patients During Hajj Pilgrimage. Med J Islam Repub Iran . 1992; 6(1): 43-44.
Yaqub BA. Neurologic manifestations of heatstroke at the Mecca pilgrimage. Neurology. 1987; 37(6): 1004-1006. doi: 10.1212/wnl.37.6.1004.
Yaqub BA, Al-Harthi SS, Al-Orainey IO, Laajam MA, Obeid MT. Heat stroke at the Mekkah pilgrimage: clinical characteristics and course of 30 patients. Q J Med. 1986; 59(229): 523-30.
Khan ID, Hussaini SB, Khan S, Ahmed FM, Faisal FA, Salim MA et al. Emergency Response of Indian Hajj Medical Mission to Heat Illness Among Indian Pilgrims in Tent-Clinics at Mina and Arafat During Hajj. Int J Travel Med Glob Health. 2017; 5(4): 135-139. doi: 10.15171/ijtmgh.2017.26.
Ghaznawi HI, Ibrahim MA. Heat Stroke and Heat Exhaustion in Pilgrims Performing the Haj (Annual Pilgrimage) in Saudi Arabia. Ann Saudi Med. 1987; 7: 323-6. doi: 10.5144/0256-4947.1987.323.
Qari S. The Hajj: Hazards of heat exposure and prevalence of heat illnesses among pilgrims. J Liaq Univ Med Health Sci. 2019; 18: 252-257. doi: 10.22442/jlumhs.191840637.
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