Razavi Seyed Mansour, Sabouri-Kashani Ahmad, Ziaee-Ardakani Hossein, Tabatabaei Aminreza, Karbakhsh Mojgan, Sadeghipour Hamidreza, Mortazavi-Tabatabaei Seyed Abdolreza, Salamati Payman
Professor of infectious diseases, Department of Community Medicine, Tehran University of Medical Sciences, Tehran, Iran.
Educational Development Center, Tehran University of Medical Sciences, Tehran, Iran.
Med J Islam Repub Iran. 2013 Nov;27(4):179-85.
Every year more than 2 million people depart from Iran to Saudi Arabia for Hajj ritual whichcan be faced with some different diseases. There are not much information about frequencies and trend of diseasesin Hajj. The main objective of this study was to determine the trend of prevalent diseases during five consecutiveHajj rituals among Iranian pilgrims.
We established a specific surveillance system for all Iranian pilgrims who had participated in Hajjfrom 2004 to 2008. We monitored the pilgrims' health status before departure, through their journey. The understudieddiseases were 19 selected types of diseases in the Hajj. The occurrences of diseases were recorded on aresearchers-made questionnaire. We used chi-square test for analysis with the alpha lower than 5% to reject thenull hypothesis.
During 5 consecutive periods, a total of 254,823 of Iranian pilgrims were monitored for more commondiseases with this system. The most prevalent diseases were as follows: at least one type of respiratory involvement(71.26%), common cold like syndrome (47.15%), and musculoskeletal disorders (18.67%), The frequencyof respiratory involvement was lower in 2006 than other years (p <0.001).There were statistically significantdifferences between the numbers of hospitalization and patients who were referred back to Iran with theyear of Hajj (p <0.001).
Health managers should be informed about trend and frequency of more prevalent diseases inHajj. Easy access to health information via such surveillance system can be possible.
每年有超过200万人从伊朗前往沙特阿拉伯进行朝觐仪式，这可能会面临一些不同的疾病。关于朝觐中疾病的发生率和趋势的信息并不多。本研究的主要目的是确定伊朗朝圣者在连续五次朝觐仪式期间流行疾病的趋势。
我们为2004年至2008年参加朝觐的所有伊朗朝圣者建立了一个特定的监测系统。我们在朝圣者出发前、整个旅程中监测他们的健康状况。所研究的疾病是朝觐中选定的19种疾病类型。疾病的发生情况记录在研究人员制作的问卷上。我们使用卡方检验进行分析，显著性水平低于5%以拒绝零假设。
在连续5个时期内，该系统共监测了254,823名伊朗朝圣者的常见疾病。最常见的疾病如下：至少一种呼吸系统疾病（71.26%）、普通感冒样综合征（47.15%）和肌肉骨骼疾病（18.67%）。2006年呼吸系统疾病的发生率低于其他年份（p<0.001）。朝觐年份与住院人数和被送回伊朗的患者人数之间存在统计学显著差异（p<0.001）。
卫生管理人员应了解朝觐中更常见疾病的趋势和发生率。通过这样的监测系统可以方便地获取健康信息。
