Transcript Slide 1

Protect Your Health
During
Hajj & Ziyarat
October 31, 2006
Vancouver, Canada
And proclaim the Hajj to people: They shall
come to you on foot and on lean camels –
coming from distant places…”
(Surat Al-Hajj 22:27)
Part 1 – Ladies & Gents
“A person seeing (visiting) my grave deserves my
intercession. And a person who visits me after
my death is like a person who visited me during
my lifetime.”
(Holy Prophet, saw)
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Vaccination
• Consult your doctor 6-8 weeks before
departure
• Vaccination requirements
–Meningococcal Vaccine
–Other Vaccines
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Vaccinations Continued...
Four Weeks Before Departure:
♦ Typhoid Injection - if you have not had it in the last three
years. (You can have capsules if you prefer).
♦ Tetanus Injection - if you have not had it in the last 10
years. If your have never had them, you will need a full
course of three.
♦ Polio Drops - if you have not had them in the last 10
years. If you have never had them, you will need a full
course of three.
♦ Hepatitis A & B Injection – 3 doses (start, 1 month and 6
months)
♦ Meningitis quadrivalent ACWY - if you have not had it in
the last 3 years.
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Economy Class Syndrome
• DVT GUIDELINES
♦ Wear loose and baggy clothing during the flight
♦ Drink plenty of non-alcoholic fluids to prevent dehydration
♦ Stand up in the seat area and stretch arms and legs every
couple of hours.
♦ Avoid crossing legs when seated.
♦ Carry out foot and leg exercises frequently.
♦ Walk around the cabin as often as possible.
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♦ Carry-on luggage should not be kept in a position that
would interfere with the mobility of your legs. As well, a
cushion should be used on the seat if it is very hard.
♦ If you can take aspirin, have one tablet on the morning of
travel. Please consult your GP first
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General Advice
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Malaria
Dental Check-up
General Hygiene
Cold Weather Protection
Avoid Direct Heat
Drink plenty of clear water
Eat Safe foods
Remember…
vaccinations are not enough to prevent diseases
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Colds & Coughs
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Salt Tablets
Sore Throat
Cough, constipation and diarrhea medication
Other medications
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Disease & Precautions
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Sore Throat
Chest Infection
Heat Exhaustion
Heat Stroke
Cholera
Infectious Hepatitis
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Malaria
Polio
Tetanus
Typhoid
Meningitis
– (Jaundice)
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Diseases and Precautions
♦ Sore Throat: Avoid cold drinks, overcrowding, dust, contact with other people with
sore throats or cough.
♦ Chest Infection: Avoid dust, overcrowding
and contact with other people with sore throats
or coughs.
♦ Heat Exhaustion: (Muscle weakness due to
loss of body salt) - Avoid direct heat from the
sun. Drink plenty of water and take salt tablets.
♦ Heat Stroke: Avoid direct heat from the sun.
Get medical help immediately. THIS IS AN
EMERGENCY.
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♦ Cholera: Caught by contaminated water or
food. Vaccination does not give protection. Take
scrupulous care over food and drink.
♦ Infectious Hepatitis (Jaundice): There is a
high risk of this disease in Haj and Ziarat
because of poor sanitation. It is caught by
consuming contaminated food or water or
contact with an infected person. Take scrupulous
care over food, drink and hygiene. Get yourself
vaccinated. (Vaccine lasts 1 year or 10 years
depending on dose taken).
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Diseases and Precautions cont...
♦ Malaria: Caught by a bite from an infected mosquito. Take
anti-malaria tablets. Avoid mosquito bites.
♦ Polio: Caught by direct contact with infected person. Take
scrupulous care over food and drink. Get yourself vaccinated.
♦ Tetanus: Risk areas are places where medical facilities are
not available. It is caught by open injury. Wash any wound
thoroughly. Get yourself vaccinated.
♦ Typhoid: Caught by contaminated food, water or milk. Take
scrupulous care over food and drink. Get yourself vaccinated.
(Vaccine lasts three years).
♦ Meningitis: Caught by contact with an infected person. This
is a very serious condition and potentially fatal. Get yourself
vaccinated. (Vaccine lasts 3 years).
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WASH YOUR HANDS
WITH SOAP AND WATER
FREQUENTLY
Proven in research to be the most
effective method of
preventing infections
Special Precautions
• Asthma
• Avoid dust, perfume, car fumes etc
• Ventolin, Advair
• Diabetes and Heart Disease
• Nitrospray
• ASA
• Glucose monitoring
• Water spray bottles or AVIAN SPRAY
• Umbrella, caps
• Halak – Beware of used blades – can transmit HIV,
Hep B, C, E
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Special Precautions cont...…
• Waajibaat First
• Hajre Aswad – Only after Waajibaats are over!
Avoid fractured ribs
• Night/day reversal as much as possible
• Adequate sleep – Not enough sleep affects the
immune system
• “glucose tablets” not very useful
• Avoiding fungal infections by using creams
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Special Precautions during Rituals
• Arafat
• Avoid dehydration – use the toilets
• Heat exhaustion and pneumonia at night
• Mina
• Hitting Shaytan – special precautions such as
glasses etc
• Take your time to carry out the rituals –
don’t worry…organizers will ensure you
get everything done – its not a
competition.
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First Aid
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Act quickly, quietly and methodically
Give priority to the most urgent patient
Control bleeding
Reassure and encourage patient
Do not allow people to crowd patient
Do not give anything by mouth to patient who is
unconscious, who has internal injury or who may
need an operation
• Call for an ambulance or doctor asap
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First Aid
- Common Emergencies • Bleeding Wounds
– Apply direct pressure to the wound for 10 – 15 minutes
– Lower head if possible
– Apply a dressing and firm band aid - but not too tight
• Fainting
– Lay patient flat on floor or bed (if not possible then lower
his/her head between his/her knees)
– Loosen clothing at the neck, chest and waist
– Reassure and urge patient to breath deeply, help him/her
to move the muscles of the legs, thighs and buttocks to help
the circulation of blood.
– On recover, sips of water may be given
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Suggested Medications
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Prescribed medications … do not forget them
Antibiotics – 2 courses (Cipro, Z pack)
Anti diarrhoea such as Immodium
Vitamins (particularly Vitamin C)
HC with Canesten creams or other creams
Analgesics such as Tyelenol, Motrin, Advil
OCP/Primolut N
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?? Questions ??
O Allah! Bless the pilgrims and
zuwwar with travel provision and
sustenance and let them fulfuill what
you have regulated in Hajj and
‘Umrah.
(Imam Al-Mahdi, as)
Part 2 – Ladies Only
“The following things are not necessary for women to perform in
the Hajj:
• Pronounce the Talbiyyah (Labbayk Allahumma
Labbayk) out loud;
• Perform the Harwalah (act of briefly running) between
the mountains of al-Safa and al-Marwah;
• Rubbing of the hand on the Hajral Aswad; entering into
the Ka’bah;
• Shaving of the head; instead, they only cut some of
their hair.”
Imam Muhammad Baqir (as)
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Part 2 – Ladies Only
Menstruation during Hajj:
• Introduction
• Planning Ahead
• Bleeding during Hajj
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Ensuring Waajibaat
• On the first day of your last menstrual period
commence a contraceptive pill.
– You may choose from the following - Microgynon
30, Brevinor, Ovysmen, Marvelon and Ovranette.
(If for medical reasons you can not take the
contraceptive pill, then start taking Norethesteron
5mg tablets three times a days 2 days before
expected period, continue taking them for as long
as you want to postpone your period.) NO BREAK
AFTER 21 DAYS. You must consult your doctor
(General Practitioner) before commencing the
pill.
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♦ Continue with the pill throughout the duration of the
pilgrimage.
♦ Consult your doctor (GP) and ask for a supply of
Norethesterone (Primolet N) 5 mg tablets. Take one
tablet three times a day if bleeding commences.
Use as a contingency.
• Other drugs such as Provera, Danazol (Danol),
etc. may be prescribed by your doctor and may
be effective in stopping bleeding.
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What do I do if I am on the OCP
and then start spotting or bleeding
during Hajj?
• Consult an expert doctor in one of the groups
• Primolut N 5 mg three times a day
• Sometimes the dose may need to be higher
?? Questions ??
May Allah (swt) accept your Hajj.
Please remember us in your duas.
Thank you