Mass gatherings medicine: public health issues arising from mass gathering religious and sporting events
Mass gathering events are associated with major public health challenges. The 2014 Lancet Series on the new discipline of mass gatherings medicine was launched at the World Health Assembly of Ministers of Health in Geneva in May, 2014. The Series covered the planning and surveillance systems used to...
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| Published in | The Lancet (British edition) Vol. 393; no. 10185; pp. 2073 - 2084 |
|---|---|
| Main Authors | , , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
England
Elsevier Ltd
18.05.2019
Elsevier Limited |
| Subjects | |
| Online Access | Get full text |
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| Abstract | Mass gathering events are associated with major public health challenges. The 2014 Lancet Series on the new discipline of mass gatherings medicine was launched at the World Health Assembly of Ministers of Health in Geneva in May, 2014. The Series covered the planning and surveillance systems used to monitor public health risks, public health threats, and experiences of health-care providers from mass gathering events in 2012 and 2013. This follow-up Review focuses on the main public health issues arising from planned mass gathering events held between 2013 and 2018. We highlight public health and research data on transmission of infectious diseases and antibiotic-resistant bacteria, mass casualty incidents, and non-communicable diseases, including thermal disorders. In the events discussed in this Review, the combination of a large influx of people, many from countries with outbreak-prone infectious diseases, with a high degree of crowd interactions imposed substantial burdens on host countries' health systems. The detection and transmission of antibiotic-resistant bacteria in pilgrims attending the Kumbh Mela and the Hajj raise concern of possible globalisation from mass-gathering religious events. Priorities for further investments and opportunities for research into prevention, surveillance, and management of these public health issues are discussed. |
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| AbstractList | Summary Mass gathering events are associated with major public health challenges. The 2014 Lancet Series on the new discipline of mass gatherings medicine was launched at the World Health Assembly of Ministers of Health in Geneva in May, 2014. The Series covered the planning and surveillance systems used to monitor public health risks, public health threats, and experiences of health-care providers from mass gathering events in 2012 and 2013. This follow-up Review focuses on the main public health issues arising from planned mass gathering events held between 2013 and 2018. We highlight public health and research data on transmission of infectious diseases and antibiotic-resistant bacteria, mass casualty incidents, and non-communicable diseases, including thermal disorders. In the events discussed in this Review, the combination of a large influx of people, many from countries with outbreak-prone infectious diseases, with a high degree of crowd interactions imposed substantial burdens on host countries' health systems. The detection and transmission of antibiotic-resistant bacteria in pilgrims attending the Kumbh Mela and the Hajj raise concern of possible globalisation from mass-gathering religious events. Priorities for further investments and opportunities for research into prevention, surveillance, and management of these public health issues are discussed. Mass gathering events are associated with major public health challenges. The 2014 Lancet Series on the new discipline of mass gatherings medicine was launched at the World Health Assembly of Ministers of Health in Geneva in May, 2014. The Series covered the planning and surveillance systems used to monitor public health risks, public health threats, and experiences of health-care providers from mass gathering events in 2012 and 2013. This follow-up Review focuses on the main public health issues arising from planned mass gathering events held between 2013 and 2018. We highlight public health and research data on transmission of infectious diseases and antibiotic-resistant bacteria, mass casualty incidents, and non-communicable diseases, including thermal disorders. In the events discussed in this Review, the combination of a large influx of people, many from countries with outbreak-prone infectious diseases, with a high degree of crowd interactions imposed substantial burdens on host countries' health systems. The detection and transmission of antibiotic-resistant bacteria in pilgrims attending the Kumbh Mela and the Hajj raise concern of possible globalisation from mass-gathering religious events. Priorities for further investments and opportunities for research into prevention, surveillance, and management of these public health issues are discussed. Mass gathering events are associated with major public health challenges. The 2014 Lancet Series on the new discipline of mass gatherings medicine was launched at the World Health Assembly of Ministers of Health in Geneva in May, 2014. The Series covered the planning and surveillance systems used to monitor public health risks, public health threats, and experiences of health-care providers from mass gathering events in 2012 and 2013. This follow-up Review focuses on the main public health issues arising from planned mass gathering events held between 2013 and 2018. We highlight public health and research data on transmission of infectious diseases and antibiotic-resistant bacteria, mass casualty incidents, and non-communicable diseases, including thermal disorders. In the events discussed in this Review, the combination of a large influx of people, many from countries with outbreak-prone infectious diseases, with a high degree of crowd interactions imposed substantial burdens on host countries' health systems. The detection and transmission of antibiotic-resistant bacteria in pilgrims attending the Kumbh Mela and the Hajj raise concern of possible globalisation from mass-gathering religious events. Priorities for further investments and opportunities for research into prevention, surveillance, and management of these public health issues are discussed.Mass gathering events are associated with major public health challenges. The 2014 Lancet Series on the new discipline of mass gatherings medicine was launched at the World Health Assembly of Ministers of Health in Geneva in May, 2014. The Series covered the planning and surveillance systems used to monitor public health risks, public health threats, and experiences of health-care providers from mass gathering events in 2012 and 2013. This follow-up Review focuses on the main public health issues arising from planned mass gathering events held between 2013 and 2018. We highlight public health and research data on transmission of infectious diseases and antibiotic-resistant bacteria, mass casualty incidents, and non-communicable diseases, including thermal disorders. In the events discussed in this Review, the combination of a large influx of people, many from countries with outbreak-prone infectious diseases, with a high degree of crowd interactions imposed substantial burdens on host countries' health systems. The detection and transmission of antibiotic-resistant bacteria in pilgrims attending the Kumbh Mela and the Hajj raise concern of possible globalisation from mass-gathering religious events. Priorities for further investments and opportunities for research into prevention, surveillance, and management of these public health issues are discussed. Mass gathering events are associated with major public health challenges. The 2014 Lancet Series on the new discipline of mass gatherings medicine was launched at the World Health Assembly of Ministers of Health in Geneva in May, 2014. The Series covered the planning and surveillance systems used to monitor public health risks, public health threats, and experiences of health-care providers from mass gathering events in 2012 and 2013. This follow-up Review focuses on the main public health issues arising from planned mass gathering events held between 2013 and 2018. We highlight public health and research data on transmission of infectious diseases and antibiotic-resistant bacteria, mass casualty incidents, and non-communicable diseases, including thermal disorders. In the events discussed in this Review, the combination of a large influx of people, many from countries with outbreak-prone infectious diseases, with a high degree of crowd interactions imposed substantial burdens on host countries' health systems. The detection and transmission of antibiotic-resistant bacteria in pilgrims attending the Kumbh Mela and the Hajj raise concern of possible globalisation from mass-gathering religious events. Priorities for further investments and opportunities for research into prevention, surveillance, and management of these public health issues are discussed. |
| Author | Memish, Ziad A Azhar, Esam I Sharma, Avinash Steffen, Robert White, Paul Dar, Osman Zumla, Alimuddin |
| AuthorAffiliation | h Special Infectious Agents Unit, King Fahd Medical Research Center, Jeddah, Saudi Arabia d Epidemiology, Biostatistics and Prevention Institute, WHO Collaborating Centre for Travellers' Health, University of Zurich, Zurich, Switzerland b Infectious Diseases Division, Department of Medicine and Research, Prince Mohamed Bin Abdulaziz Hospital, Ministry of Health, Riyadh, Saudi Arabia i Medical Laboratory Technology Department, Faculty of Applied Medical Sciences, King Abdulaziz University, Jeddah, Saudi Arabia m NIHR Biomedical Research Centre, University College London Hospitals NHS Foundation Trust, London, UK j National Centre for Microbial Resource, Pune, Maharashtra, India k National Centre for Cell Science, Pune, Maharashtra, India c Hubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, GA, USA e Division of Epidemiology, Human Genetics & Environmental Sciences, The University of Texas School of Public Health, Houston, TX, USA f Commonwealth of the |
| AuthorAffiliation_xml | – name: m NIHR Biomedical Research Centre, University College London Hospitals NHS Foundation Trust, London, UK – name: e Division of Epidemiology, Human Genetics & Environmental Sciences, The University of Texas School of Public Health, Houston, TX, USA – name: f Commonwealth of the Northern Mariana Islands, Epidemiology and Laboratory Capacity Program, Public Health & Hospital Emergency Preparedness Program, Commonwealth Health Care Corporation, Saipan, Northern Mariana Islands, USA – name: b Infectious Diseases Division, Department of Medicine and Research, Prince Mohamed Bin Abdulaziz Hospital, Ministry of Health, Riyadh, Saudi Arabia – name: g Public Health England and Chatham House Centre on Global Health Security, Royal Institute of International Affairs, London, UK – name: h Special Infectious Agents Unit, King Fahd Medical Research Center, Jeddah, Saudi Arabia – name: j National Centre for Microbial Resource, Pune, Maharashtra, India – name: c Hubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, GA, USA – name: d Epidemiology, Biostatistics and Prevention Institute, WHO Collaborating Centre for Travellers' Health, University of Zurich, Zurich, Switzerland – name: a College of Medicine, Alfaisal University, Riyadh, Saudi Arabia – name: k National Centre for Cell Science, Pune, Maharashtra, India – name: i Medical Laboratory Technology Department, Faculty of Applied Medical Sciences, King Abdulaziz University, Jeddah, Saudi Arabia – name: l Division of Infection, University College London, London, UK |
| Author_xml | – sequence: 1 givenname: Ziad A surname: Memish fullname: Memish, Ziad A organization: College of Medicine, Alfaisal University, Riyadh, Saudi Arabia – sequence: 2 givenname: Robert surname: Steffen fullname: Steffen, Robert organization: Epidemiology, Biostatistics and Prevention Institute, WHO Collaborating Centre for Travellers' Health, University of Zurich, Zurich, Switzerland – sequence: 3 givenname: Paul surname: White fullname: White, Paul organization: Commonwealth of the Northern Mariana Islands, Epidemiology and Laboratory Capacity Program, Public Health & Hospital Emergency Preparedness Program, Commonwealth Health Care Corporation, Saipan, Northern Mariana Islands, USA – sequence: 4 givenname: Osman surname: Dar fullname: Dar, Osman organization: Public Health England and Chatham House Centre on Global Health Security, Royal Institute of International Affairs, London, UK – sequence: 5 givenname: Esam I surname: Azhar fullname: Azhar, Esam I organization: Special Infectious Agents Unit, King Fahd Medical Research Center, Jeddah, Saudi Arabia – sequence: 6 givenname: Avinash surname: Sharma fullname: Sharma, Avinash organization: National Centre for Microbial Resource, Pune, Maharashtra, India – sequence: 7 givenname: Alimuddin surname: Zumla fullname: Zumla, Alimuddin email: a.zumla@ucl.ac.uk organization: Division of Infection, University College London, London, UK |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/31106753$$D View this record in MEDLINE/PubMed |
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| ContentType | Journal Article |
| Copyright | 2019 Elsevier Ltd Copyright © 2019 Elsevier Ltd. All rights reserved. 2019. Elsevier Ltd 2019 Elsevier Ltd. All rights reserved. 2019 Elsevier Ltd |
| Copyright_xml | – notice: 2019 Elsevier Ltd – notice: Copyright © 2019 Elsevier Ltd. All rights reserved. – notice: 2019. Elsevier Ltd – notice: 2019 Elsevier Ltd. All rights reserved. 2019 Elsevier Ltd |
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| Snippet | Mass gathering events are associated with major public health challenges. The 2014 Lancet Series on the new discipline of mass gatherings medicine was launched... Summary Mass gathering events are associated with major public health challenges. The 2014 Lancet Series on the new discipline of mass gatherings medicine was... Mass gathering events are associated with major public health challenges. The 2014 Lancet Series on the new discipline of mass gatherings medicine was launched... |
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| SubjectTerms | Antibiotic resistance Antibiotics Bacteria Casualties Crowding Disease control Disease Outbreaks - prevention & control Disease prevention Disease transmission Drug Resistance, Microbial Festivals Global Health Globalization Health Planning - standards Health risk assessment Health risks Health services Humans Infectious diseases Mass Casualty Incidents - prevention & control Mass murders Medicine Musical performances Olympic games Outbreaks Pandemics Paralympic Games Pilgrimages Planning Public health Public Health - standards Religion Risk Assessment Rivers Security services Shootings Sports Suicide bombings Surveillance systems |
| Title | Mass gatherings medicine: public health issues arising from mass gathering religious and sporting events |
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