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[Correspondence] The Hajj Health Requirements: time for a serious review?

More than 2 million Muslim pilgrims from around 180 countries congregate annually in Saudi Arabia for the Hajj religious mass gathering. This event can potentially affect global health security because of the possibility that infectious agents will spread beyond Saudi Arabia via returning pilgrims. The Hajj Health Requirements are a set of health conditions for individuals intending to do the Hajj pilgrimage aimed at preventing communicable diseases.1 Historically, these illnesses were the largest cause of morbidity and mortality during the event, but non-communicable diseases are now the major burden.