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      The cancellation of mass gatherings (MGs)? Decision making in the time of COVID-19

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          Abstract

          Our recommendation, as experts who have monitored health hazards at the Hajj for over 15 years, especially if the situation with COVID-19 continues to escalate globally is that Hajj 2020 will be at risk of being suspended and a means for Muslims to fulfill their rights in the future either personally or even by proxy need to be announced. The same holds true for the Summer 2020 Olympics in Japan and for many other MGs and large gatherings. Decisions in the time of COVID-19 will be closely followed and will be a blueprint for other mass gatherings.

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          Most cited references16

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          Mass gatherings medicine: public health issues arising from mass gathering religious and sporting events

          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.
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            Muslim health-care workers and alcohol-based handrubs.

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              Presumed Asymptomatic Carrier Transmission of COVID-19

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                Author and article information

                Contributors
                Journal
                Travel Med Infect Dis
                Travel Med Infect Dis
                Travel Medicine and Infectious Disease
                Elsevier Science
                1477-8939
                1873-0442
                14 March 2020
                14 March 2020
                : 101631
                Affiliations
                [a ]Division of Pulmonary Disease and Critical Care Medicine, Department of Medicine, NYU- Winthrop Hospital, NYU-Langone Health, Mineola, NY, USA
                [b ]Research & Innovation Center, King Saud Medical City, Ministry of Health and College of Medicine, Alfaisal University, Riyadh, Saudi Arabia
                [c ]Hubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, GA, USA
                Author notes
                []Corresponding author. Research & Innovation Center, King Saud Medical City, Ministry of Health and College of Medicine, Alfaisal University, Riyadh, Saudi Arabia. zmemish@ 123456yahoo.com
                Article
                S1477-8939(20)30099-5 101631
                10.1016/j.tmaid.2020.101631
                7102544
                32184129
                31e49dce-a525-4470-a5a2-292fe1d4bcb8
                © 2020 Elsevier Ltd. All rights reserved.

                Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.

                History
                : 11 March 2020
                : 13 March 2020
                Categories
                Article

                Infectious disease & Microbiology
                mass gathering,hajj,umrah,olympics,covid-19,sars-cov-2
                Infectious disease & Microbiology
                mass gathering, hajj, umrah, olympics, covid-19, sars-cov-2

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