2020
DOI: 10.1016/j.ijid.2020.08.006
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COVID-19 and the scaled-down 2020 Hajj Pilgrimage—Decisive, logical and prudent decision making by Saudi authorities overcomes pre-Hajj public health concerns

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Cited by 22 publications
(13 citation statements)
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“…3,[8][9][10][11][12][13] In our analysis of these early cases, we detected COVID-19 transmission in two broad perspectives: random cases among travelers from Iran and, to lesser extent, Iraq or from Egypt, and patients who were infected due to subsequent local contact and transmission. 3,[8][9][10][11][12][13] People coming back from epidemic areas were less likely to look for healthcare or to be tested when symptomatic; however delays in identifying the asymptomatic index cases of some travelers meant that locally acquired cases took longer to be detected and isolated when compared with symptomatic cases, which were more likely to be easier and faster to detect and isolate. 14 Identifying index cases is a very important step in preventing and minimizing the subsequent infection transmission.…”
Section: Discussionmentioning
confidence: 93%
“…3,[8][9][10][11][12][13] In our analysis of these early cases, we detected COVID-19 transmission in two broad perspectives: random cases among travelers from Iran and, to lesser extent, Iraq or from Egypt, and patients who were infected due to subsequent local contact and transmission. 3,[8][9][10][11][12][13] People coming back from epidemic areas were less likely to look for healthcare or to be tested when symptomatic; however delays in identifying the asymptomatic index cases of some travelers meant that locally acquired cases took longer to be detected and isolated when compared with symptomatic cases, which were more likely to be easier and faster to detect and isolate. 14 Identifying index cases is a very important step in preventing and minimizing the subsequent infection transmission.…”
Section: Discussionmentioning
confidence: 93%
“…To control the spread of infection, the Kingdom took drastic measures such as lockdown, quarantine, and international travel restrictions, and even canceled the hajj, annual pilgrimage. 5 The pandemic had a significant economic and social impact on the Kingdom. 6 Since there is no effective medical treatment for COVID-19 at present, the international collaborative efforts are more focused on developing a safe and effective vaccine against COVID-19.…”
Section: Introductionmentioning
confidence: 99%
“…To control the spread of infection, the Kingdom took drastic measures such as lockdown, quarantine, and international travel restrictions, and even canceled the hajj, annual pilgrimage. 5 The pandemic had a significant economic and social impact on the Kingdom. 6 …”
Section: Introductionmentioning
confidence: 99%
“…Alternatively, a camel-derived virus more distantly related to MERS-CoV and with the ability to replicate in the human upper airway efficiently may emerge, and similarly to SARS-CoV-2, would have immediate pandemic potential, especially with over 10 million pilgrims visiting Saudi Arabia from 182 countries annually. Whilst the umrah and hajj pilgrimages have recently been scaled down [ 31 ] in light of the COVID-19 outbreak, local and international travel to and from Middle East continues, and there are plans to re-open the Hajj to international pilgrims [ [32] , [33] , [34] ].…”
Section: Introductionmentioning
confidence: 99%