{"id":32436,"date":"2014-10-02T12:47:33","date_gmt":"2014-10-02T11:47:33","guid":{"rendered":"https:\/\/blogs.bmj.com\/bmj\/?p=32436"},"modified":"2014-10-02T15:00:25","modified_gmt":"2014-10-02T14:00:25","slug":"abdullah-aljoudi-are-you-fit-for-the-journey-of-a-lifetime","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bmj\/2014\/10\/02\/abdullah-aljoudi-are-you-fit-for-the-journey-of-a-lifetime\/","title":{"rendered":"Abdullah Aljoudi: Are you fit for the journey of a lifetime?"},"content":{"rendered":"<p><em><a href=\"https:\/\/blogs.bmj.com\/bmj\/files\/2014\/10\/My-photo-1.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-32440\" src=\"https:\/\/blogs.bmj.com\/bmj\/files\/2014\/10\/My-photo-1-150x150.jpg\" alt=\"My photo 1\" width=\"150\" height=\"150\" \/><\/a>\u201cPilgrimage to the House is a duty owed to God by <strong>people who are able to undertake it.<\/strong>\u201d<\/em>\u00a0 Quran 2:97.<\/p>\n<p>On Friday 3 October, over three million Muslims from more than 180 countries will come together for the Hajj, probably the largest <a title=\"Hajj\" href=\"http:\/\/cdsi.gov.sa\/pdf\/hajj1433-results.pdf\" target=\"_blank\">human gathering<\/a> on earth.<!--more--><\/p>\n<p>The annual Muslim pilgrimage to Mecca is the fifth pillar of Islam. Muslims who have the physical, mental, and financial competency are required to perform Hajj at least once in their life. During Hajj, pilgrims perform a series of strenuous activities over a short period of time in a<a title=\"BMJ\" href=\"http:\/\/www.bmj.com\/content\/330\/7483\/133\" target=\"_blank\"> small geographical area<\/a>.<\/p>\n<p>The Hajj represents a challenge to the Saudi authorities who are taking it very seriously in planning, implementing, and evaluating its activities. Every year,\u00a0<a title=\"MOH\" href=\"http:\/\/www.moh.gov.sa\/en\/Hajj\/Pages\/default.aspx\" target=\"_blank\">the Saudi Ministry of Health<\/a> publishes an updated list of health regulations for pilgrims, concentrating mainly on immunization against selected infectious diseases\u2014the major public health threat during Hajj.<\/p>\n<p>Pilgrims are not allowed to get the Hajj visa from Saudi embassies if they fail to meet the vaccination requirements.<\/p>\n<p>However, the regulations do not say anything about pilgrims&#8217; physical ability to perform the strenuous Hajj activities, despite the fact that most of them are older people and a considerable number of them have chronic diseases, which is the major cause of <a title=\"PubMed\" href=\"http:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3727516\/?report=classic\" target=\"_blank\">death<\/a> among <a title=\"PLoS\" href=\"http:\/\/www.plosone.org\/article\/info%3Adoi%2F10.1371%2Fjournal.pone.0073243\" target=\"_blank\">pilgrims<\/a> during Hajj.<\/p>\n<p>There is a need for evidence based guidelines to screen pilgrims with chronic disease and evaluate their physical ability to perform Hajj. Arguably, it is justifiable to issue a &#8220;fit for Hajj&#8221; certificate, similar to the immunization certificate required for all pilgrims needing a Hajj visa.<\/p>\n<p><em><strong>Abdullah Aljoudi<\/strong> is an epidemiologist and consultant of family and community medicine, as well as assistant director of academic affairs and training at King Fahd University Hospital, University of Dammam, Saudi Arabia. He is currently undertaking a four week placement at <\/em>The BMJ<em>.<\/em><\/p>\n<p>Competing interests: Nothing further to declare.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u201cPilgrimage to the House is a duty owed to God by people who are able to undertake it.\u201d\u00a0 Quran 2:97. On Friday 3 October, over three million Muslims from more [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/bmj\/2014\/10\/02\/abdullah-aljoudi-are-you-fit-for-the-journey-of-a-lifetime\/\">More&#8230;<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[263,223],"tags":[],"class_list":["post-32436","post","type-post","status-publish","format-standard","hentry","category-global-health","category-guest-bloggers"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Abdullah Aljoudi: Are you fit for the journey of a lifetime? - The BMJ<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.bmj.com\/bmj\/2014\/10\/02\/abdullah-aljoudi-are-you-fit-for-the-journey-of-a-lifetime\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Abdullah Aljoudi: Are you fit for the journey of a lifetime? - The BMJ\" \/>\n<meta property=\"og:description\" content=\"\u201cPilgrimage to the House is a duty owed to God by people who are able to undertake it.\u201d\u00a0 Quran 2:97. On Friday 3 October, over three million Muslims from more [...]More...\" \/>\n<meta property=\"og:url\" content=\"https:\/\/blogs.bmj.com\/bmj\/2014\/10\/02\/abdullah-aljoudi-are-you-fit-for-the-journey-of-a-lifetime\/\" \/>\n<meta property=\"og:site_name\" content=\"The BMJ\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/bmjdotcom\/\" \/>\n<meta property=\"article:published_time\" content=\"2014-10-02T11:47:33+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2014-10-02T14:00:25+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/blogs.bmj.com\/bmj\/files\/2014\/10\/My-photo-1-150x150.jpg\" \/>\n<meta name=\"author\" content=\"BMJ\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:creator\" content=\"@bmj_latest\" \/>\n<meta name=\"twitter:site\" content=\"@bmj_latest\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"BMJ\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"2 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2014\\\/10\\\/02\\\/abdullah-aljoudi-are-you-fit-for-the-journey-of-a-lifetime\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2014\\\/10\\\/02\\\/abdullah-aljoudi-are-you-fit-for-the-journey-of-a-lifetime\\\/\"},\"author\":{\"name\":\"BMJ\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#\\\/schema\\\/person\\\/ba3da426ed20e8f1d933ca367d8216fe\"},\"headline\":\"Abdullah Aljoudi: Are you fit for the journey of a lifetime?\",\"datePublished\":\"2014-10-02T11:47:33+00:00\",\"dateModified\":\"2014-10-02T14:00:25+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2014\\\/10\\\/02\\\/abdullah-aljoudi-are-you-fit-for-the-journey-of-a-lifetime\\\/\"},\"wordCount\":321,\"commentCount\":2,\"publisher\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2014\\\/10\\\/02\\\/abdullah-aljoudi-are-you-fit-for-the-journey-of-a-lifetime\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/files\\\/2014\\\/10\\\/My-photo-1-150x150.jpg\",\"articleSection\":[\"Global health\",\"Guest writers\"],\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2014\\\/10\\\/02\\\/abdullah-aljoudi-are-you-fit-for-the-journey-of-a-lifetime\\\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2014\\\/10\\\/02\\\/abdullah-aljoudi-are-you-fit-for-the-journey-of-a-lifetime\\\/\",\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2014\\\/10\\\/02\\\/abdullah-aljoudi-are-you-fit-for-the-journey-of-a-lifetime\\\/\",\"name\":\"Abdullah Aljoudi: Are you fit for the journey of a lifetime? 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