Diwan Vishal, Sharma Upasana, Ganeshkumar Parasuraman, Thangaraj Jeromie Wesley Vivian, Muthappan Sendhilkumar, Venkatasamy Vettrichelvan, Parashar Vivek, Soni Priyank, Garg Ankit, Pawar Naveen Singh, Pathak Ashish, Purohit Manju R, Madhanraj Kalyanasundaram, Hulth Anette, Ponnaiah Manickam
ICMR- National Institute for Research in Environmental Health, Bhopal, India.
Department of Global Public Health, Karolinska Institutet, Stockholm, Sweden.
New Microbes New Infect. 2023 Feb 8;52:101097. doi: 10.1016/j.nmni.2023.101097. eCollection 2023 Mar.
The health implications surrounding a mass gathering pose significant challenges to public health officials. The use of syndromic surveillance provides an ideal method for achieving the public health goals and objectives at such events. In the absence of published reports of systematic documentation of public health preparedness in mass gatherings in the local context, we describe the public health preparedness and demonstrate the operational feasibility of a tablet-based participatory syndromic surveillance among pilgrims during the annual ritual circumambulation- .
A real-time surveillance system was established from 2017-2019 to capture all the health consultations done at the designated points (medical camps) in the area of the city Ujjain in Madhya Pradesh. We also surveyed a subset of pilgrims in 2017 to gauge satisfaction with the public health measures such as sanitation, water, safety, food, and cleanliness.
In 2019, injuries were reported in the highest proportion (16.7%; 794/4744); most numbers of fever cases (10.6%; 598/5600) were reported in 2018, while 2017 saw the highest number of patient presentations of abdominal pain (7.73%; 498/6435).
Public health and safety measures were satisfactory except for the need for setting up urinals along the fixed route of the circumambulation. A systematic data collection of selected symptoms among and their surveillance through tablet could be established during the , which can complement the existing surveillance for detecting early warning signals. We recommend the implementation of such tablet-based surveillance during such mass gathering events.
大型集会对公众健康的影响给公共卫生官员带来了重大挑战。症状监测的应用为实现此类活动中的公共卫生目标提供了理想方法。鉴于当地缺乏关于大型集会中公共卫生准备情况的系统记录的已发表报告，我们描述了公共卫生准备情况，并展示了在年度绕行仪式期间对朝圣者进行基于平板电脑的参与式症状监测的操作可行性。
2017年至2019年建立了一个实时监测系统，以收集在中央邦乌贾因市该地区指定地点（医疗营地）进行的所有健康咨询。我们还在2017年对一部分朝圣者进行了调查，以评估他们对卫生、水、安全、食品和清洁等公共卫生措施的满意度。
2019年，受伤报告比例最高（16.7%；794/4744）；2018年报告的发热病例最多（10.6%；598/5600），而2017年腹痛患者就诊人数最多（7.73%；498/6435）。
除了需要在绕行的固定路线上设置小便池外，公共卫生和安全措施令人满意。在绕行仪式期间，可以建立对选定症状的系统数据收集，并通过平板电脑对其进行监测，这可以补充现有的监测以检测预警信号。我们建议在此类大型集会活动中实施这种基于平板电脑的监测。
