open access

Vol 74, No 2 (2023)
Original article
Submitted: 2023-01-24
Accepted: 2023-04-17
Published online: 2023-06-30
Get Citation

Hand hygiene knowledge and practices, and rates of respiratory tract infections between Hajj and Umrah pilgrims: a comparative study

Aqel Albutti1, Hashim A. Mahdi234, Ameen S. Alwashmi5, Ramon Z. Shaban6789, Harunor Rashid293
·
Pubmed: 37417842
·
IMH 2023;74(2):92-97.
Affiliations
  1. Department of Medical Biotechnology, College of Applied Medical Sciences, Qassim University, Buraydah, Saudi Arabia
  2. National Centre for Immunisation Research and Surveillance, The Children’s Hospital at Westmead, Westmead, Australia
  3. Children’s Hospital Westmead Clinical School, Faculty of Medicine and Health, The University of Sydney, Westmead, Australia
  4. Department of Public Health, College of Health Sciences, Saudi Electronic University, Jeddah, Saudi Arabia
  5. Department of Medical Laboratories, College of Applied Medical Sciences, Qassim University, Buraydah, Saudi Arabia
  6. New South Wales Biocontainment Centre, New South Wales Ministry of Health, Westmead, Australia
  7. Faculty of Medicine and Health Susan Wakil School of Nursing, The University of Sydney, Sydney, Australia
  8. Public Health Unit, Centre for Population Health, Western Sydney Local Health District, North Parramatta, Australia
  9. Sydney Infectious Diseases Institute, The University of Sydney, Westmead, Australia

open access

Vol 74, No 2 (2023)
HYGIENIC PROBLEMS ON SHIP Original article
Submitted: 2023-01-24
Accepted: 2023-04-17
Published online: 2023-06-30

Abstract

Background: Hajj and Umrah mass gatherings (MGs) in the Kingdom of Saudi Arabia amplify the risk of viral respiratory tract infections (RTIs), but there is a lack of comparative data from these two MGs. This study aims to compare pilgrims’ hand hygiene knowledge, practices, and rates of RTIs during the peak periods of Umrah and Hajj in 2021. Materials and methods: The datasets of this comparative study were obtained from two previously conducted studies that used similar study tools and identical syndromic definitions. The binary logistic regression was applied to compare the categorical variables and, a t-test was used to compare the continuous variables. Results: A total of 510 Hajj pilgrims and 507 Umrah pilgrims were recruited. The majority of Hajj pilgrims (68%) were ≥ 40 years old, while most Umrah pilgrims (63%) were < 40 years old. The mean total knowledge scores of hand hygiene between the Hajj and Umrah pilgrims differed significantly (4.1 vs. 3.7, respectively, p < 0.001) so did their compliance with frequent use of alcohol-based hand rubs (53.0% vs. 36.3%, respectively, p < 0.001) and the rates of RTIs (4.7% vs. 2.2%, respectively, p = 0.05). Conclusions: These differences could be attributable to the distinctive characteristics of Hajj and Umrah pilgrimages, and the unique differences in risks posed by those MGs.

Abstract

Background: Hajj and Umrah mass gatherings (MGs) in the Kingdom of Saudi Arabia amplify the risk of viral respiratory tract infections (RTIs), but there is a lack of comparative data from these two MGs. This study aims to compare pilgrims’ hand hygiene knowledge, practices, and rates of RTIs during the peak periods of Umrah and Hajj in 2021. Materials and methods: The datasets of this comparative study were obtained from two previously conducted studies that used similar study tools and identical syndromic definitions. The binary logistic regression was applied to compare the categorical variables and, a t-test was used to compare the continuous variables. Results: A total of 510 Hajj pilgrims and 507 Umrah pilgrims were recruited. The majority of Hajj pilgrims (68%) were ≥ 40 years old, while most Umrah pilgrims (63%) were < 40 years old. The mean total knowledge scores of hand hygiene between the Hajj and Umrah pilgrims differed significantly (4.1 vs. 3.7, respectively, p < 0.001) so did their compliance with frequent use of alcohol-based hand rubs (53.0% vs. 36.3%, respectively, p < 0.001) and the rates of RTIs (4.7% vs. 2.2%, respectively, p = 0.05). Conclusions: These differences could be attributable to the distinctive characteristics of Hajj and Umrah pilgrimages, and the unique differences in risks posed by those MGs.

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Keywords

Hajj, Umrah, hand hygiene, mass gathering, pilgrim, respiratory tract infection

About this article
Title

Hand hygiene knowledge and practices, and rates of respiratory tract infections between Hajj and Umrah pilgrims: a comparative study

Journal

International Maritime Health

Issue

Vol 74, No 2 (2023)

Article type

Original article

Pages

92-97

Published online

2023-06-30

Page views

1361

Article views/downloads

397

DOI

10.5603/IMH.2023.0014

Pubmed

37417842

Bibliographic record

IMH 2023;74(2):92-97.

Keywords

Hajj
Umrah
hand hygiene
mass gathering
pilgrim
respiratory tract infection

Authors

Aqel Albutti
Hashim A. Mahdi
Ameen S. Alwashmi
Ramon Z. Shaban
Harunor Rashid

References (27)
  1. Yezli S, Yassin Y, Awam A, et al. Umrah. An opportunity for mass gatherings health research. Saudi Med J. 2017; 38(8): 868–871.
  2. Al-Tawfiq JA, Kattan RF, Memish ZA. Escalating the 2022 Hajj during the third year of the COVID-19 pandemic. J Travel Med. 2022; 29(6).
  3. Memish ZA, Steffen R, White P, et al. Mass gatherings medicine: public health issues arising from mass gathering religious and sporting events. Lancet. 2019; 393(10185): 2073–2084.
  4. Benkouiten S, Al-Tawfiq JA, Memish ZA, et al. Clinical respiratory infections and pneumonia during the Hajj pilgrimage: A systematic review. Travel Med Infect Dis. 2019; 28: 15–26.
  5. Al-Jasser FS, Kabbash IA, AlMazroa MA, et al. Patterns of diseases and preventive measures among domestic hajjis from Central, Saudi Arabia [complete republication]. East Mediterr Health J. 2013; 19(Suppl 2): S34–S41.
  6. Koul PA, Mir H, Saha S, et al. Influenza not MERS CoV among returning Hajj and Umrah pilgrims with respiratory illness, Kashmir, north India, 2014-15. Travel Med Infect Dis. 2017; 15: 45–47.
  7. Refaey S, Amin MM, Roguski K, et al. Cross-sectional survey and surveillance for influenza viruses and MERS-CoV among Egyptian pilgrims returning from Hajj during 2012-2015. Influenza Other Respir Viruses. 2017; 11(1): 57–60.
  8. Hoang VT, Ali-Salem S, Belhouchat K, et al. Respiratory tract infections among French Hajj pilgrims from 2014 to 2017. Sci Rep. 2019; 9(1): 17771.
  9. Basahel S, Alsabban A, Yamin M. Hajj and Umrah management during COVID-19. Int J Inf Technol. 2021; 13(6): 2491–2495.
  10. Al-Tawfiq JA, El-Kafrawy SA, McCloskey B, et al. COVID-19 and other respiratory tract infections at mass gathering religious and sporting events. Curr Opin Pulm Med. 2022; 28(3): 192–198.
  11. Mahdi H, Alqahtani A, Barasheed O, et al. Hand hygiene knowledge and practices among domestic hajj pilgrims: implications for future mass gatherings amidst COVID-19. Trop Med Infect Dis. 2020; 5(4): 160.
  12. Tobaiqy M, Alhasan AH, Shams MM, et al. Assessment of preventative measures practice among umrah pilgrims in Saudi Arabia, 1440H-2019. Int J Environ Res Public Health. 2020; 18(1).
  13. Albutti A, Mahdi HA, Alwashmi AS, et al. The relationship between hand hygiene and rates of acute respiratory infections among Umrah pilgrims: A pilot randomised controlled trial. J Infect Public Health. 2023 [Epub ahead of print].
  14. Mahdi HA, Rashid H, Qashqari FS, et al. Syndromic surveillance of respiratory-tract infections and hand hygiene practice among pilgrims attended Hajj in 2021: a cohort study. BMC Infect Dis. 2022; 22(1): 578.
  15. Rashid H, Shafi S, El Bashir H, et al. Influenza and the Hajj: defining influenza-like illness clinically. Int J Infect Dis. 2008; 12(1): 102–103.
  16. Adorni F, Prinelli F, Bianchi F, et al. Self-reported symptoms of SARS-CoV-2 infection in a nonhospitalized population in Italy: cross-sectional study of the EPICOVID19 web-based survey. JMIR Public Health Surveill. 2020; 6(3): e21866.
  17. Alahmari AA, Khan AA, Alamri FA, et al. Hajj 2021: Role of mitigation measures for health security. J Infect Public Health. 2022 [Epub ahead of print]; 15(11): 1350–1354.
  18. Yezli S, Mushi A, Almuzaini Y, et al. Prevalence of diabetes and hypertension among Hajj pilgrims: a systematic review. Int J Environ Res Public Health. 2021; 18(3).
  19. Alotaibi FY, Alhetheel AF, Alluhaymid YM, et al. Influenza vaccine coverage, awareness, and beliefs regarding seasonal influenza vaccination among people aged 65 years and older in Central Saudi Arabia. Saudi Med J. 2019; 40(10): 1013–1018.
  20. Alfelali M, Barasheed O, Badahdah AM, et al. Influenza vaccination among Saudi Hajj pilgrims: revealing the uptake and vaccination barriers. Vaccine. 2018; 36(16): 2112–2118.
  21. Kandeel A, Fahim M, Deghedy O, et al. Incidence, risk factors, and whole-genome sequence of SARs-CoV-2 and influenza virus among the Egyptian pilgrims returning from Umrah mass gathering in Saudi Arabia, April-May 2022. J Infect Public Health. 2022 [Epub ahead of print]; 15(11): 1290–1296.
  22. Assiri A, Al-Tawfiq JA, Alkhalifa M, et al. Launching COVID-19 vaccination in Saudi Arabia: Lessons learned, and the way forward. Travel Med Infect Dis. 2021; 43: 102119.
  23. Alqahtani AS, Wiley KE, Tashani M, et al. Exploring barriers to and facilitators of preventive measures against infectious diseases among Australian Hajj pilgrims: cross-sectional studies before and after Hajj. Int J Infect Dis. 2016; 47: 53–59.
  24. Goni MD, Hasan H, Wan-Arfah N, et al. Health education intervention as an effective means for prevention of respiratory infections among Hajj pilgrims: a review. Front Public Health. 2020; 8: 449.
  25. Turkestani A, Balahmar M, Ibrahem A, et al. Using health educators to improve knowledge of healthy behaviour among Hajj 1432 (2011) pilgrims. East Mediterr Health J. 2013; 19 Suppl 2: S9–12.
  26. Abdin E, Choudhry A, Al-Naji A. Effect of use of face mask on Hajj related acute respiratory infection among Hajjis from Riyadh: a health promotion intervention study. Saudi Epidemiol Bull. 2005; 12: 27–28.
  27. Koul PA, Mir H, Saha S, et al. Respiratory viruses in returning Hajj & Umrah pilgrims with acute respiratory illness in 2014-2015. Indian J Med Res. 2018; 148(3): 329–333.

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