2018
DOI: 10.1093/jtm/tay123
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Dengue epidemic in Touba, Senegal: implications for the Grand Magal Pilgrimage for travellers

Abstract: The Grand Magal of Touba is a 2–3 days pilgrimage gathering 3 million people, including 1.5 million residents and 1–2 million pilgrims from other regions in Senegal or from the Senegalese diaspora mostly from the USA, Africa and Europe. With the currently ongoing dengue epidemic in this area, concerns have been raised about the spread of dengue to non-affected areas in Senegal through travellers to and from the Grand Magal.

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Cited by 26 publications
(26 citation statements)
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“…This is the first report addressing the morbidity in a cohort of pilgrims at the Grand Magal. In 2018, a dengue outbreak was associated to the Grand Magal [17,18]. A cholera outbreak involving 12,135 patients in the Grand Magal area occurred in 2004-2006, with a total of 29,556 cases reported over an 18-month in the country [16].…”
Section: Discussionmentioning
confidence: 99%
“…This is the first report addressing the morbidity in a cohort of pilgrims at the Grand Magal. In 2018, a dengue outbreak was associated to the Grand Magal [17,18]. A cholera outbreak involving 12,135 patients in the Grand Magal area occurred in 2004-2006, with a total of 29,556 cases reported over an 18-month in the country [16].…”
Section: Discussionmentioning
confidence: 99%
“…Authors in [ 40 ] reported a high prevalence of the Zika virus antibody during a seroprevalence study in the Dielmo area (located in the Fatick region where a DENV outbreak occurred in 2018). All these previous studies, combined with the frequent molecular detection of other dengue serotypes in Senegal [ 19 , 41 , 42 ], have stressed that there is a risk of more severe dengue outbreaks in the future, manifesting antibody-dependent enhancement (ADE) as is the case for regions with serotype co-circulation [ 43 ]. Our study is the first to report the spatio-temporal dynamics of DENV-1 in Senegal.…”
Section: Discussionmentioning
confidence: 99%
“…52 The WHO Emergency Committee on Zika virus decided that postponing or cancelling the Games had no public health justification, [49][50][51]53 stating that "indi vidual risks in areas of transmission are the same whether or not a mass gathering is conducted, and can be minimised by good public health measures". 50 Because Brazil is a dengueendemic country, the risk of dengue to nonimmune visitors was also a concern, 54 based on the experience from a pilgrimage in Senegal 55 and from GeoSentinel data. GeoSentinel is a global network of travel medicine providers focused on sentinel surveillance, which generates evidencebased assessments of infectious disease risks for attendees of future mass gatherings events.…”
Section: The Rio De Janeiro 2016 Summer Olympics and Paralympicsmentioning
confidence: 99%