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Inside the Middle East
November 25, 2009
Posted: 742 GMT

By Daniela Deane, CNN

London, England (CNN) - Forget stampedes, fires and terrorist attacks. The big fear this year concerning the Hajj, the annual millions-strong pilgrimage to Mecca, is swine flu.

Swine flu has already killed four pilgrims this year, Saudi Arabia's health ministry announced Saturday, almost a week before the pilgrimage's peak.

Three of the victims - a woman from Morocco and men from Sudan and India - were in their seventies. The fourth was a 17-year-old girl from Nigeria.

The Health Ministry said none had been vaccinated against the H1N1 virus - despite their recommendations - and all had underlying health problems, including cancer and respiratory illness. A ministry spokesman said more than two dozen other cases had been detected among arriving pilgrims.

Latest figures from the World Health Organization (WHO) show the virus has killed 6,750 people worldwide.

Skittish health officials in Saudi Arabia have worked hard to quell fears that the pilgrimage - the biggest yearly congregation of people in the world - will contribute to the global spread of the virus, inviting international health experts to make recommendations and screening pilgrims as they arrive.

During the climax of the pilgrimage, crowds can reach a density of up to seven people every 10 square feet - the perfect storm of flu transmission.

The kingdom, though, stopped short of imposing any travel bans to Saudi Arabia, which earns billions of dollars a year from the pilgrimage.

"Hajj is a major responsibility [for us]," Gen. Mansour Al-Turki, security spokesman for the Saudi Ministry of the Interior, told CNN. "We are prepared for everything."

Performing the Hajj by traveling to Mecca and Medina is an obligation for all able-bodied Muslims who can afford it at least once during their lifetime. Al-Turki said up to three million are expected this year.

The Hajj season - dates vary depending on the sighting of the new moon - peaks between Wednesday and Saturday this year, just as the winter flu season gets underway in the Northern hemisphere.

Dr. Ziad Memish, deputy Saudi Health Minister, told CNN the kingdom invited 25 international experts, including specialists from the Atlanta-based Centers for Disease Control and the WHO, to advise them on how to deal with the pandemic. He said the team inspected airports, seaports, and other facilities and strategies Saudi Arabia had set up to deal with any outbreak.

Memish said the CDC recommended setting up a mobile alert system used in the Hurricane Katrina disaster in the U.S. where mobile devices will document any suspected flu cases via GPS to a command center at the Ministry of Health.

He said the experts also recommended the country continue using thermal screening at arrival points to test pilgrims for fevers. If a pilgrim exhibits symptoms, they will be quarantined until the symptoms disappear.

Memish told CNN a team from the CDC will be staying throughout the Hajj to help the government deal with any problems.

Saudi health authorities ordered 11 million doses of the H1N1 vaccine, giving priority to government workers working at the Hajj. They recommended pilgrims be vaccinated before coming - although clearly, many have not complied.

Hundreds of people have died in recent years in stampedes, fires and demonstrations. The biggest stampede killed 1,426 people in 1990 in a tunnel leading to a holy site.

Political extremism has also claimed lives.

In 1979, 151 people were killed and more than 500 wounded after Saudi security forces stormed the Grand Mosque in Mecca to free pilgrims held hostage by Islamist militants. In 1987, 402 people were killed, according to Saudi official figures, when security forces tried to break up an anti-U.S. demonstration by Iranian pilgrims.

During the Hajj, pilgrims throw stones at pillars representing the devil. They circle a black holy stone in Mecca's Grand Mosque seven times. They ready themselves by abstaining from sex, hunting, killing or arguing.

The stoning has proved the most dangerous of the rituals. But bridges have been built at four levels at the site to help prevent a recurrence of fatal stampedes, Al-Turki told CNN.

Al-Turki said the Saudis depend on "a lot of technology" to monitor the crowds, including CCTV cameras and an early warning system that constantly measures the density of crowds in different locations.

He said U.S.-made Sikorsky S-92 helicopters, introduced last year, monitor the crowd situation from above, sending pictures back to command and control centers.

He said new fire-resistant tents have drastically cut down the number of fires.

This year, though, the Saudis are more worried about flu than anything else.

In a bid to stem any outbreak, Deputy Health Minister Memish said a religious Fatwa has been issued saying face masks are acceptable this Hajj, as are alcohol-based hand sanitizers. Usually, stitched clothes are prohibited on the body as is all contact with alcohol.

Not all pilgrims have gotten the news though.

"You can't wear something to cover your face for the women," said pilgrim Lateefa Khan, traveling to Mecca from the U.S. "The face has to be shown."

Despite the flu fears, Khan said she's thrilled to be going.

"I am leaving my kids behind so I can concentrate fully on doing Hajj," she told CNN. "I'm looking forward to focusing all my time on worshipping."

Amir Ahmed contributed to this report.

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Filed under: Hajj


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earle,florida   November 25th, 2009 3:23 pm ET

Wish I were there....unfortunately bogged down in the states,...may all your prayers be answered.

Roselakota (Canada)   November 26th, 2009 1:15 am ET

I find it totally bizarre that women going to the Hajj must keep their faces uncovered, apparently in close proximity to Allah, when for many of them their whole lives they keep their faces covered as part of their religious duty to Allah. That is completely ironic and makes absolutely no sense to me. When I see a woman going around completely covered in the heat of summer, never swimming, never enjoying life completely, I hope for their sakes that there is a heaven for them to go to – and I hope they can swim there feeling the wind and sun on their faces and bodies and enjoying their life in "heaven" since they can't enjoy the "heaven" that exists right here on this earth (you don't need to wear a bikini – I wear a modest one piece suit).

wwwbugwww   November 26th, 2009 7:50 am ET

"In 1987, 402 people were killed, according to Saudi official figures, when security forces tried to break up an anti-U.S. demonstration by Iranian pilgrims." First heard this, my god!

A. Smith, Oregon   November 27th, 2009 8:25 pm ET

Wow, some really heavy handed censorship on this blog! What happened to fair and balanced reviews on the Hajj festival?

John A   November 30th, 2009 5:05 pm ET

To A. Smith, Oregon

Welcome to the free world.

John A   December 8th, 2009 3:58 pm ET

Today the first swine flue deaths have been reported in Gaza

miriam   December 9th, 2009 7:03 am ET

John A,

At least one of those had been transfered to a hospital in Israel for treatment along with several other Gazans with swine flu in an attempt to contain the virus.
Gazans are panicking, while Israel brings the infected into her hospitals for treatment.

Filipe   December 10th, 2009 9:12 pm ET

John A,

You and your whining is simply amazing !!!!

Are you living in a cave somewhere in Gaza????

You whine and cry about the poor, poor Palestinians-and completely ignore real headlines like--

"CDC: H1N1 Has Sickened 50 Million, Killed 10,000 in U.S."

"Health officials now estimate that swine flu has sickened nearly 50 million Americans and killed nearly 10,000.

The new estimates mean about 1 in 6 Americans have had the illness. The figures were released by the Centers for Disease Control and Prevention on Thursday."

Time to come out of your friggin' cave !!!!

And you wonder why no one believes your nonsense !!!

Flooculp-online   September 28th, 2010 12:00 pm ET

Buen comienzo


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