Saudi Journal of Emergency Medicine

Original Article
SJEMed. 2020; 1(2): 103-109

The burden on EDs during Hajj due to pilgrim noncompliance with treatment for chronic conditions

Authors: Areej Omar BaDawood, Asseil Ali Bossei, Mohammed Fahad AlSabhani, Sana Moghram AlAhmari, Mohammed Tariq Shata, Anas F. Hamam.

View PDF HTML Fulltext DOI: 10.24911/SJEMed/72-1571844482

Abstract

Background: Makkah, Saudi Arabia, receives about three to four million pilgrims for Hajj annually. Many of these pilgrims are elderly and sick, and many have chronic medical conditions (CMCs) for which they take medication. The emergency department (ED) physicians working in Makkah have previously claimed that many pilgrims present to the ED because they need medications to control their CMCs. We aim to investigate the magnitude of this burden on Saudi Arabian EDs. Methods: We conducted a survey study among Hajj pilgrims during the Hajj season of 2018. Data was collected, which included demographics, CMCs, the medications taken for CMCs, did the pilgrims bring their medication with them from home, and, if not, the source for obtaining replacement medications during Hajj. Results: Of the 2402 subjects surveyed, 1953 were included in our study. Only 436 (22.3%) had a CMCs, and of those only 16% did not bring sufficient medication with them from home. We found that only 7% ultimately needed to visit the ED at some point. The number of pilgrims with CMCs who needed to be given new medication was 13.3%. Conclusion: Our pilot study indicates that approximately 20% of all pilgrims have a CMCs. Of those with CMCs, only 18% did not bring sufficient medication with them to Makkah, and many of these pilgrims presented to the ED at some point due to uncontrolled symptoms of their CMCs. The responsibility for dispensing medications to pilgrims for treating their CMCs was mainly shared by the MOH and the Hajj mission to which the pilgrim belongs.

Keywords:   Medication compliance, Chronic disease, Hajj, Pilgrims


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The burden on EDs during Hajj due to pilgrim noncompliance with treatment for chronic conditions


Authors
Areej Omar BaDawood
Graduate of Ibn Sina National College for Medical Studies, Jeddah, Saudi Arabia
PubMed articlesGoogle scholar articles

Asseil Ali Bossei
Graduate of Ibn Sina National College for Medical Studies, Jeddah, Saudi Arabia
PubMed articlesGoogle scholar articles

Mohammed Fahad AlSabhani
Graduate of Ibn Sina National College for Medical Studies, Jeddah, Saudi Arabia
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Sana Moghram AlAhmari
Graduate of Ibn Sina National College for Medical Studies, Jeddah, Saudi Arabia
PubMed articlesGoogle scholar articles

Mohammed Tariq Shata
Graduate of Ibn Sina National College for Medical Studies, Jeddah, Saudi Arabia
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Anas F Hamam
Consultant Emergency Medicine Ministry of Health (MOH), King Abdullah Medical Complex, Jeddah, Saudi Arabia
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Correspondence to:
. Asseil Ali Bossei, Graduate of Ibn Sina National College for Medical Studies, Jeddah, Saudi Arabia.; dr anas md@hotmail.com

Publication history
Received 01 Nov 2019
Revised 13 Dec 2019
Accepted 31 May 2020
Published online 06 Jul 2020
Published in print 10 Jul 2020

How to cite this article

Pubmed Style

BaDawood AO, Bossei AA, AlSabhani MF, AlAhmari SM, Shata MT, Hamam AF. The burden on EDs during Hajj due to pilgrim noncompliance with treatment for chronic conditions. SJEMed. 2020; 1(2): 103-109. doi:10.24911/SJEMed/72-1571844482


Web Style

BaDawood AO, Bossei AA, AlSabhani MF, AlAhmari SM, Shata MT, Hamam AF. The burden on EDs during Hajj due to pilgrim noncompliance with treatment for chronic conditions. https://www.sjemed.com/?mno=70888 [Access: October 21, 2020]. doi:10.24911/SJEMed/72-1571844482


AMA (American Medical Association) Style

BaDawood AO, Bossei AA, AlSabhani MF, AlAhmari SM, Shata MT, Hamam AF. The burden on EDs during Hajj due to pilgrim noncompliance with treatment for chronic conditions. SJEMed. 2020; 1(2): 103-109. doi:10.24911/SJEMed/72-1571844482


Vancouver/ICMJE Style

BaDawood AO, Bossei AA, AlSabhani MF, AlAhmari SM, Shata MT, Hamam AF. The burden on EDs during Hajj due to pilgrim noncompliance with treatment for chronic conditions. SJEMed. (2020), [cited October 21, 2020]; 1(2): 103-109. doi:10.24911/SJEMed/72-1571844482


Harvard Style

BaDawood, A. O., Bossei, . A. A., AlSabhani, . M. F., AlAhmari, . S. M., Shata, . M. T. & Hamam, . A. F. (2020) The burden on EDs during Hajj due to pilgrim noncompliance with treatment for chronic conditions. SJEMed, 1 (2), 103-109. doi:10.24911/SJEMed/72-1571844482


Turabian Style

BaDawood, Areej Omar, Asseil Ali Bossei, Mohammed Fahad AlSabhani, Sana Moghram AlAhmari, Mohammed Tariq Shata, and Anas F. Hamam. 2020. The burden on EDs during Hajj due to pilgrim noncompliance with treatment for chronic conditions. Saudi Journal of Emergency Medicine, 1 (2), 103-109. doi:10.24911/SJEMed/72-1571844482


Chicago Style

BaDawood, Areej Omar, Asseil Ali Bossei, Mohammed Fahad AlSabhani, Sana Moghram AlAhmari, Mohammed Tariq Shata, and Anas F. Hamam. "The burden on EDs during Hajj due to pilgrim noncompliance with treatment for chronic conditions." Saudi Journal of Emergency Medicine 1 (2020), 103-109. doi:10.24911/SJEMed/72-1571844482


MLA (The Modern Language Association) Style

BaDawood, Areej Omar, Asseil Ali Bossei, Mohammed Fahad AlSabhani, Sana Moghram AlAhmari, Mohammed Tariq Shata, and Anas F. Hamam. "The burden on EDs during Hajj due to pilgrim noncompliance with treatment for chronic conditions." Saudi Journal of Emergency Medicine 1.2 (2020), 103-109. Print. doi:10.24911/SJEMed/72-1571844482


APA (American Psychological Association) Style

BaDawood, A. O., Bossei, . A. A., AlSabhani, . M. F., AlAhmari, . S. M., Shata, . M. T. & Hamam, . A. F. (2020) The burden on EDs during Hajj due to pilgrim noncompliance with treatment for chronic conditions. Saudi Journal of Emergency Medicine, 1 (2), 103-109. doi:10.24911/SJEMed/72-1571844482


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