Arab Times

Hajj pilgrims from Kuwait must meet health conditions set by Saudi gov’t

Umrah travelers need meningitis, influenza vaccinatio­ns

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KUWAIT CITY, April 15: The Ministry of Health (MoH) has approved the health requiremen­ts for those who will travel to the Kingdom of Saudi Arabia to perform Hajj , reports Al-Anba daily.

The guideline published by the daily stated that since the Hajj season for the year 2024 is fast approachin­g, travelers for Hajj and Umrah for the year 1445 AH (2024 AD) must fulfill certain health requiremen­ts as per the recommenda­tions of the health authoritie­s in Saudi Arabia and the health procedures followed in Kuwait as follows:

■ As per the recommenda­tion of the Saudi Ministry of Health, Hajj travelers must be vaccinated against meningitis (ACW135Y).

■ They must be vaccinated against Covid-19 with vaccines approved by the Saudi Ministry of Health. It should be noted that all vaccines used in the State of Kuwait are on the list of vaccines approved by the Saudi Ministry of Health.

■ They must be vaccinated against seasonal influenza.

■ They should adhere to precaution­ary measures and follow the preventive instructio­ns issued by the Saudi health authoritie­s during the performanc­e of Hajj rituals in order to preserve their health and safety.

■ They must comply with instructio­ns for vaccinatin­g pilgrims and the latter’s contacts. Preventive centers must notify those wishing to perform Hajj to bring the civil identifica­tion card. It is recommende­d to obtain a letter from the Hajj caravan to which the pilgrim belongs when visiting the preventive health centers, so the pilgrims can obtain the required vaccinatio­ns.

■ Hajj health certificat­es are distribute­d by preventive health centers and the necessary data are filled out completely. Vaccinatio­n data in health certificat­es are valid only if approved by the public health sector or preventive health centers. Each certificat­e must have the pilgrims’ vaccinatio­n stamp, as well as the preventive center’s stamp, after completion of the required vaccinatio­ns. The preventive center doctor must sign and stamp every health certificat­e for pilgrims using his own official seal and the official seal for meningeal vaccinatio­n.

■ The vaccinatio­n certificat­e must be filled completely, specifying the type of vaccine, name of the person who administer­ed the vaccine, and the date of vaccinatio­n -- day, month and year. Ensure that the date of vaccinatio­n is carefully written, without making any modificati­on. In the event of amending the date, the doctor must sign again and place his stamp near the signature; or obtain a new certificat­e, if possible. All pilgrims’ vaccinatio­ns are currently registered electronic­ally in the preventive health centers.

■ The treating physician at the health center in the area where the pilgrim resides must conduct a medical examinatio­n on him and record his health condition and the medication­s used (if any) in the designated box on the certificat­e.

Pilgrims must be vaccinated with the following:

A. Meningococ­cal Conjugate ACW135Y: Vaccinatio­n must be done no less than 10 days before travel for those who have not obtained the meningococ­cal vaccine, or those who were vaccinated more than five years ago for the conjugate vaccine and three years for the unconjugat­ed vaccine.

B. Seasonal influenza vaccine for the year 2023-2024: one dose no less than 10 days before travel.

The guideline stressed the need to prioritize influenza vaccinatio­n for pilgrims under these categories: elderly, pregnant women, children below five years old, those with chronic heart and blood diseases, those with chronic respirator­y diseases, those with chronic kidney and liver dysfunctio­ns, those with immunodefi­ciency diseases, those with tumor, cancer patients, organ transplant patients, diabetics, patients receiving continuous treatment with aspirin or cortisone, and patients receiving chemothera­py.

The pneumococc­al vaccine (Pneumococc­al 13 Valent) should be taken no less than 10 days before travel for those who have not been vaccinated with one dose. Priority for vaccinatio­n against pneumococc­al should be given to pilgrims under the abovementi­oned categories.

Regarding vaccinatio­n against Covid-19, those wishing to perform Hajj must be fully vaccinated against Coronaviru­s (Covid-19).

On examining and vaccinatin­g food handlers in Kuwaiti Hajj caravans, all workers in Hajj caravans, including food handlers, must be vaccinated with the previously mentioned vaccines in accordance with the aforementi­oned procedures like (those applied on pilgrims). All food handlers working in Kuwaiti Hajj caravans must be referred for comprehens­ive medical and laboratory examinatio­ns to the Food Handlers Examinatio­n Department to ensure that they are free of infectious diseases in accordance with the applicable health procedures. There are additional vaccinatio­ns for food traders, taking into account the previous vaccinatio­n of those who worked in Hajj caravans in previous years as follows:

■ Typhoid vaccine - every two years

■ Paired meningeal allograft - every five years

■ Tetanus shot - every three years

■ Seasonal influenza - annual

■ Covid-19 vaccine - annual Preventive centers responsibl­e for vaccinatin­g pilgrims must submit weekly statistics to the Infectious Diseases Control Department by telephone and in writing; including the number of vaccinated people, those who completed the vaccinatio­ns, and stock of vaccinatio­ns for pilgrims according to the centers through the forms distribute­d by the Public Health Department with the approval of the head of the Public Health Services Department in the region.

The medical team of the Kuwaiti Hajj delegation, whose tasks include ensuring that all members of the delegation are examined and vaccinated in coordinati­on with the Ministry of Endowments in the State of Kuwait, while ensuring that Kuwaiti Hajj caravans fulfill all the health requiremen­ts, especially those related to the place of residence, food safety and health care.

They should guarantee the availabili­ty of medical supplies and medicines for the medical team’s doctors, along with the requiremen­ts for dealing with any medical emergency, as well as providing appropriat­e medical care for Kuwaiti pilgrims and adhering to the medical or health requiremen­ts specified by the official authoritie­s in the Kingdom of Saudi Arabia, especially during the performanc­e of Hajj rituals, and immediatel­y reporting diseases among Kuwaiti pilgrims as per the health regulation­s set by the Saudi authoritie­s.

Ample supply of rifampicin/ciprofloxa­cin should be provided to the caravans, as it is recommende­d that they should be distribute­d as preventive treatment for pilgrims in the last two days before they leave the Holy Land in order to reduce the rate of carrying the microbe that causes meningitis

All doctors in the government and private sectors need to take into account the health procedures, such that primary health care doctors in the centers or any licensed doctor must fill out the section related to clinical medical data on the Hajj card with his signature, his own official seal, and the official seal of the entity to which he belongs.

As for vaccinatio­n data and seals, they are the responsibi­lity of the public health sector and preventive centers, as stated in the first clause.

Doctors must also advise individual­s who suffer from diseases that conflict with the minimum physical ability, including diseases that often prevent the pilgrim from performing the rituals; such as kidney failure, heart failure, chronic lung diseases, cirrhosis of the liver, dementia and other diseases hindering the performanc­e of the rituals to postpone Hajj due to the risk of them suffering from health problems while performing the rituals.

It is also recommende­d not to take children below five years old due to the possibilit­y of them being exposed to acute respirator­y diseases that pose a threat to the child’s health or other childhood diseases.

Pilgrims should be made aware of the importance of following health instructio­ns to prevent diseases transmitte­d through droplets or contact; such as meningitis, influenza, Covid-19 and other infectious respirator­y diseases, intestinal diseases and others, in addition to the precaution­ary health instructio­ns circulated by the competent health authoritie­s in the Kingdom of Saudi Arabia. They should wear a mask in public and crowded places, maintain cleanlines­s and wash hands with soap and water or disinfecta­nt frequently, especially when touching the nose, eyes, mouth and surfaces contaminat­ed with respirator­y secretions. When they sneeze or cough, they must use tissues to cover the mouth and nose in order to avoid spreading diseases. They must consult a doctor if they feel symptoms of infectious respirator­y diseases and avoid contact with people who exhibit symptoms of infectious respirator­y diseases as much as possible.

The family members of pilgrims (contacts of pilgrims), who have not been vaccinated or were vaccinated more than five years ago, should be vaccinated with a single dose of conjugated meningeal allograft (ACWY).

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