Health experts put Hajj season monkeypox concerns into perspective – Arab News

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DUBAI: As Saudi Arabia prepares to receive up to 1 million Hajj pilgrims from around the world for the first time since the COVID-19 pandemic in 2020, the shadow of a new virus looms over the horizon, raising the inevitable question of whether monkeypox will be the next global health crisis.
Thus far, more than 5,700 cases of monkeypox have been reported in 52 countries, according to the US Centers for Disease Control and Prevention.
Europe accounts for nearly 90 percent of all confirmed and reported cases worldwide since mid-May. As of this week, 31 countries in the continent have reported at least one monkeypox case. A handful of cases have been identified in the Middle East, mainly in the UAE.
The World Health Organization has ruled that the spread of monkeypox does not yet qualify as a global health emergency. However, Tedros Adhanom Ghebreyesus, WHO’s director general, has voiced concern over the rapidly evolving threat.


Up to 1 million Hajj pilgrims from around the world will partake in religious rites this year. (SPA)

Experts are divided on whether the jump in the number of monkeypox cases worldwide from 800 to 3,500 during June is a sufficient cause for alarm.
Smallpox, which belongs to the same family of viruses as monkeypox, was eradicated in the 1980s through mass vaccination. Some scientists believe monkeypox is spreading because of the human population’s diminishing protection from smallpox.
Others believe climate change is a likely culprit behind the spread of the virus as the space between human communities and animal habitats shrinks.
Dr. Mike Ryan, executive director of WHO’s Health Emergencies Program, has suggested that as the planet deals with rising levels of ecological fragility and climate stress, both animal and human behaviors are being affected.
Citing recent findings, researchers at the US National Institutes of Health have said that the monkeypox virus strain has mutated 12 times more than expected since 2018.
The current strain is said to be circulating at an abnormally rapid speed, which could change its regular contamination patterns.

Under the circumstances, how afraid should the Arab world be of the monkeypox virus?
The unprecedented increase in cases is concerning, but the threat can be controlled, says Dr. Abdullah Algaissi, a virologist and assistant professor at the college of medical sciences at Jazan University, Saudi Arabia.
Noting that it is still not clear whether monkeypox is an airborne virus or not, he told Arab News: “While the main route of infection is sexual contact or contact with blisters or rashes of infected persons, there is evidence suggesting that monkeypox can be transmitted through the respiratory system.”
What is known for sure is that close and extended contact with an infected person must take place for contamination to occur.
For the same reasons, according to Dr. Gregory Poland, an infectious diseases expert and director of the Vaccine Research Group at the Mayo Clinic, monkeypox should not be a significant concern during the upcoming Hajj season.
While those who live with or have close contact with infected persons are at a higher risk of the disease, increased risk of infection during Hajj is “unlikely,” he told Arab News.


Dr. Gregory Poland, an infectious diseases expert and director of the Vaccine Research Group at the Mayo Clinic. (Supplied)

“Monkeypox is a rare but dangerous infection similar to the now eradicated smallpox virus, but it is nowhere near as transmissible and has a very low fatality rate if treated properly and promptly.”
Signs of monkeypox infection, according to Dr. Algassi, include skin lesions such as blisters around the genitals, hands, legs, face and arms, fever and swelling of the lymph nodes. The symptoms are more severe for immunocompromised individuals, he said, but “rarely fatal.”
Dr. Algassi explained that the first outbreak was reported in monkeys in 1958, before it became clear that rodents were the source of the infection.
“The monkeypox virus is a zoonotic virus that is usually transmitted from animal hosts to humans or even other animals and belongs to a larger family called pox viruses,” he said.
The first human case of monkeypox was diagnosed in the Democratic Republic of the Congo in 1970, and quickly became endemic in several African countries. However, the disease has rarely spread outside Africa.
 


A monkeypox virion obtained from a clinical sample associated with the 2003 prairie dog outbreak. (AFP)

A health protocol issued by the Saudi Ministry of Health last month requires pilgrims flying in from Nigeria to complete a monkeypox declaration form 24 hours before departure.
The ministry earlier said it was fully prepared to monitor and deal with any monkeypox cases, and that no cases had been recorded in the Kingdom so far.
All necessary medical and laboratory tests were available in the Kingdom, the ministry said, adding that it issued guidelines to healthcare workers on the matter. The ministry also said it had a complete preventive and curative healthcare plan to deal with any cases.
With regard to COVID-19, the ministry has announced an approved list of vaccines along with the requisite doses for each inoculation. It has also provided plans for managing any cases that emerge during the Hajj season by providing tents for the isolation of infected pilgrims.
• Saudia has dedicated a fleet of 14 aircraft for pilgrims.
• More than 268 international flights from and to 15 stations.
• 32 domestic flights to and from six stations.
• 107,000 International and 12,800 domestic seats in total.
• Pilgrims are flown to King Abdulaziz International Airport in Jeddah or Prince Mohammed bin Abdulaziz International Airport in Madinah.
Appearing this week on “Frankly Speaking,” the flagship weekly current affairs talk show of Arab News, Hisham Saeed, Saudi Arabia’s deputy minister of Hajj and Umrah services and official spokesman, said that despite the new threat of monkeypox, “we are ready to handle any case, any scenario.”
A 30,000-strong medical team of doctors and nurses, as well as over 185 hospitals in the Kingdom and more than 100 medical centers in the holy sites of Mina, Arafat and Madinah, will be ready to treat pilgrims suffering from any illness, according to Saeed.
He said although more pilgrims will be allowed this year than in the past two years, the total number will still be limited on account of health concerns.
 


Dr. Abdullah Algaissi, a virologist and assistant professor at the college of medical sciences at Jazan University. (Supplied)

“This year we have a decision to go for 1 million, because the pandemic still exists, it’s not over yet, and we are not running the full capacity for this year,” Saeed said.
Indeed, according to Dr. Poland, unlike monkeypox, COVID-19 continues to be a threat in huge crowds and gatherings. “This is the much larger issue as immunization rates are likely to be low or variable and amassing large numbers of such individuals together over days represents a risk and threat,” he told Arab News.
Echoing the same concern, Dr. Algaissi cited the emergence of new variants such as the omicron sub-variant, BA.5, which gives COVID-19 an “evolutionary advantage,” adding that these variants could get introduced from one country to another through travel.
Having said that, he noted that “most of the world is now vaccinated, which provides a primary layer of protection, especially against severe infection or death.”


Health measures are part of the Kingdom’s broader preparations for Hajj, which includes monitoring at the Saudi National Center for Security Operations. (AP)

Dr. Algaissi further pointed to the strict precautionary protocols adopted by the health authorities in Saudi Arabia as key in managing any potential outbreaks during the Hajj season.
Apart from being fully vaccinated, wearing masks in the holy sites and practicing basic hygiene precautions are essential during Hajj.
“Most importantly, if a pilgrim feels any respiratory symptoms during Hajj, they should strictly follow these instructions and avoid contacting others to stop spreading the infection,” Dr. Algaissi said.
Avoiding “skin-to-skin contact with others” will also help reduce chances of the spread of monkeypox.

RIYADH: Contemporary artist Ahmed Mater’s first visit to Makkah sparked a magnetic attraction to the holy site that would shape his creative outlook on life.
Similar to many Saudis, his initial interaction with the city was as a child, but his most vivid memories of visiting Makkah came during his medical university years.
He told Arab News that on one trip, surrounded by construction cranes, he felt that his “imagination was more powerful than reality. Sometimes, we dream about change. And it happens because the power of imagination creates all of this movement.”
On his parents’ promise to take him to Makkah for the first time, he said: “They told me I would face something different when in front of the Kaaba, and that I would feel a magnet attraction.”
That moment stuck with him, and he continued building on it to inspire his work through his imagination.

One of Mater’s most popular artworks, “Magnetism,” was constructed using thousands of iron particles surrounding a magnetic cuboid, a symbol of the Kaaba, which becomes the center of attraction to the small particles. “I create most of my artwork based on attraction,” he added.
The viewer’s eye is drawn toward the contrast and simplicity of the color palette, with the black elements set on white canvas and all the specs attracting simultaneously to the center. The exhibit is surrounded by four glass screens, signifying the holiness and sanctity of the performance of Hajj that should not be disturbed by outsiders.
His work also plays with the idea of repulsion.
In an essay, British writer Tim Mackintosh-Smith, said: “The Kaaba is magnet and centrifuge: going away, going back home, is the last rite of pilgrimage.”
Mater said: “I think it’s very important after the coronavirus pandemic that things come back to life. I spent more than four to five years attending Hajj as a photographer and researcher, and really, it’s one of the most beautiful scenes when you hear all of the people with one sound. And you feel it. It really cannot be described by words.”
While entrance to the city of Makkah and the Hajj performance itself is reserved strictly for those of Islamic faith, Mater caters to the curiosity of outsiders within the context of community and urbanism.

In his 2017 to 2018 exhibition, “Ahmed Mater: Makkah Journeys,” staged at the Brooklyn Museum in New York, he presented a series of multimedia artworks centering on working conditions, construction, and urban redevelopment that have characterized recent Hajj seasons.
“Sometimes it’s really about memory and about the way that our culture teaches about spirituality, imagination. Because we are a very spiritual culture, a very emotional culture, in our songs and our intimacy and families. So, I think that’s part of our life, and it’s created a lot,” he added.
In his work, “Leaves Fall in All Seasons,” a documentative on-ground video compilation, he focuses on the workers that contributed to the mass expansion of the metropolis. He noted that Makkah, as a city, had been nourished and built by Muslim immigrants and pilgrims of all backgrounds, bringing a lively and perplexing feel to the holy city.

“Everyone dreams about this Islamic world. It’s their dream to do it once in their life,” he said.
His care for the social well-being of individuals and communities, attributed to his background as a medical doctor, shows through his work as he provides audiences with a glimpse of what a journey to Makkah would be like for those unable to go.
“My opinion is that our work now represents our time now. Every time represents its moment. For example, in the 1950s and 1960s there were great artists. They represent their time, and they built this kind of beautiful history. We are now building our time and history,” Mater added.
The physician-turned-artist is a powerhouse in documenting untold stories, and he has played a leading role in establishing the Saudi art scene and legitimizing it locally and internationally.

In 2016, Mater became the first Saudi artist to hold a solo show in the US with his symbolic cities display at the Smithsonian museum’s Arthur M. Sackler Gallery in Washington, D.C.
While most artists leave their work open to audience interpretation, Mater said he hoped the research and perception behind his art reached the viewer in some way. “My artwork has personal context, it’s personal. It’s my life,” he said.
The more the visual artist has delved into Islamic collective identity, the more appealing his work has become to global audiences.
“​​I think globally but act locally. We are in our timeline now, and it represents Saudi Arabia now,” he added.
JEDDAH: British pilgrim Adam Mohammed has fulfilled his dream of traveling to Makkah on foot to perform the Hajj.
The 52-year-old pilgrim walked through the Netherlands, Germany, the Czech Republic, Hungary, Romania, Bulgaria, Turkey, Lebanon, Syria, and Jordan to reach Saudi Arabia, covering a distance of almost 6,500 kilometers in 11 months and 26 days.
He walked an average of 17.8 km a day and reached Ayesha Mosque in Makkah on June 26.
A huge crowd of pilgrims, local residents, and his two daughters who had flown from the UK welcomed him in the holy city.
Mohammed said: “I was so happy to finish my journey and I am overwhelmed by the great welcome, generosity, and love of Saudis and other nationalities. I am so eager to perform Hajj because Hajj has been my greatest dream.”
He spoke about what he would do when standing on Mount Arafat. 
“I will thank Allah for making this journey possible and for making my all-time goal come true to perform Hajj.  This was not an easy journey for me but I had to sacrifice everything for the sake of Allah and humanity.
“I have been preoccupied with reading the Holy Qur’an ever since restrictions were imposed in the wake of the coronavirus pandemic. Suddenly, I woke up one day and something inside me told me to go to Makkah all the way by foot from my home. I could not ignore this voice and decided to go for it.”
It took him just two months to prepare for the arduous journey with help from a British organization and donations from his fellow countrymen.
Mohammed, who is Iraqi-Kurdish, began his journey on Aug. 1, 2021, from his home in Wolverhampton.
He had a cart weighing up to 250 kilos for his personal belongings. “Actually, I built it myself. It is where I ate, slept, and cooked for the journey.”
He told Arab News that, except for weather and traveling, he did not face any other challenge on his way to Makkah.
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Now read: How his journey began
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“There were no big difficulties, except for a few stops by police authorities in several countries to inquire about my presence in their land. But they were surprised when they came to know about my unique journey.”
Many people came forward to help him during this journey, with some pushing his trolley and others offering him food and a place to rest.
He documented and live-streamed his experience through his channels on YouTube, Instagram, and TikTok, while also using his platform to spread messages of peace and equality.
Even with 2.8 million likes on TikTok, Mohammed said his journey was not for fame but religion.  
RIYADH: Health authorities in Saudi Arabia have treated 43,425 pilgrims ahead of this year’s Hajj season, which begins on Wednesday, the Saudi Press Agency reported Monday.
The ministry figures, between May 31 and July 3, show pilgrims received five open-heart surgeries, 66 cardiac catheterization, 182 dialysis sessions, two endoscopic procedures, and 95 surgeries.
Over 290 pilgrims were admitted to hospitals and one woman gave birth.
Four cases of stroke were also identified through the use of the health ministry’s virtual hospital and more than 740 pilgrims had consultations with healthcare workers through the Sehhaty health app.
In Makkah, Madinah and the ritual locations for Hajj, Saudi authorities have readied 23 hospitals and 147 clinics with a combined capacity of 4,654 beds, including 1,080 ICU beds.
As the Hajj is taking place in one of the hottest months of the year in Saudi Arabia, there will also be 230 beds set aside for pilgrims suffering from heat exhaustion.
An army of 25,000 health practitioners are on hand to serve worshipers during the annual religious event.
 
JEDDAH: Fatwas based on genuine Islamic principles reconfirm the religion’s flexibility, scholars told delegates on the second day of the 46th Grand Hajj Symposium.
The event was inaugurated on Sunday by Hajj and Umrah Minister Dr. Tawfiq Al-Rabiah and features ministers and eminent Muslim scholars from different countries.
Participants underscored the role of the religious fatwa in achieving the Islamic objectives of the Hajj when it came to contemporary issues. They also praised the Kingdom’s efforts in facilitating the Hajj.
During a session titled “Islamic Jurisprudence System and Contemporary Calamities,” the speakers said that Islam-based fatwas played a significant role in facilitating religious matters and raising awareness about the Hajj.
Egypt’s Grand Mufti Shawki Allam touched on the importance of the Islamic jurisprudence system in adapting legal fatwas in facilitating Hajj rituals for Muslims, saying that flexibility in such situations confirmed that Islam was valid for every time and place.
Dr. Saad bin Nasser Al-Shithri, an adviser at the Royal Court and a member of the Saudi Council of Senior Scholars, said the Islamic jurisprudence system was capable of dealing with emerging challenges.
The secretary-general of the International Islamic Fiqh Academy, Dr. Koutoub Sano, referred to the factual nature of Islamic Sharia and its ability to deal with new problems to help people understand it.
He highlighted the role of institutes and academies devoted to fatwas in qualifying specialists and investing in Sharia studies to extract rulings from the appropriate texts. He also praised Saudi efforts to deploy all its capabilities to provide security and safety for pilgrims.
In Monday’s second session, “Caring for the Pilgrim’s Journey,” Malaysia’s Minister of Religious Affairs Dr. Datuk Idris Ahmad reviewed his country’s efforts in providing services and promoting awareness among pilgrims, including medicines, vaccines, and personal health follow-up programs.
Ahmed said the services provided in cooperation with the Ministry of Health were meant to ensure their pilgrims were free from infectious diseases. He also praised the care and attention paid by the Saudi government to pilgrims over the decades and the remarkable development achieved by the Hajj and Umrah system.
Deputy Minister of Hajj and Umrah Dr. Abdulfattah Mashat highlighted the Saudi ministries’ digital initiatives that contributed to the issue of more than 2 million e-visas through a portal that included all relevant authorities.
He also spoke about a luggage transport service that allowed pilgrims to focus on the duties of their rituals. He said pilgrims had received multilingual Hajj awareness guidelines before and after their arrival in the Kingdom.
Mashat added that the success of the Hajj and Umrah system was linked to a clear strategy derived from the Guests of God Service Program, one of the Saudi Vision 2030 programs, to enrich pilgrims’ Hajj experience and facilitate their spiritual journey.
“A pilgrim can electronically book all appointments and services, limiting negative practices such as stampeding. It can also ensure the flow of movement, smooth traffic, and easy grouping of pilgrims from one place to another.”
Dr. Ali Arbash, head of Turkish religious affairs, expressed his thanks to the Saudi government for its efforts in providing the appropriate pilgrimage environment in terms of hygiene and health to protect people.
Arbash also reviewed his country’s participation in the Green Hajj Initiative to raise awareness among pilgrims about reducing waste at the holy sites.
Saudi Assistant Minister of Health Dr. Mohammed Al-Abd Al-Aly underscored the efforts to provide the best health services to pilgrims.
He said these services, provided through the latest technology, were closely followed up by the Saudi leadership.
These services included 23 hospitals, 147 health centers, and 16 emergency centers on Jamarat Bridge. He added that more than 25,000 medical personnel were ready to provide all health services.
Dr. Hanan Balkhi, assistant director-general at the World Health Organization, described Saudi Arabia as an important strategic partner for the organization.
She praised the “bold decisions” taken by the Kingdom during the COVID-19 pandemic to protect pilgrims and limit the spread of coronavirus.
She said Saudi Arabia stood head and shoulders above all other countries due to its cumulative experience in crowd management.
 
DHAHRAN: A popular Arabic song by a legendary Saudi singer inadvertently became the inspiration for an entire art exhibition that debuted last year in Jeddah. For the first time, that exhibit is now housed in Dhahran, where original works of art serve as personalized portals of nostalgia that allow viewers to take a trip down memory lane to real or imagined destinations. The works will be displayed at the King Abdulaziz Center for World Culture, or Ithra, for three months, where the exhibit opened on June 30.
The exhibit was curated by world-renowned expert in Islamic and contemporary Middle Eastern art Venetia Porter and was originally displayed at SAC in Jeddah from March 3 to June 3, 2022. This is the first time it is shown outside of its hometown.
The exhibit wrestles with the simple yet profound question: “What does the notion of place mean to you?” During the height of the COVID-19 pandemic, the concept of one’s “makan,” or “place,” became a contemplative space for some and a refuge for others. Some escaped to a place created by their imagination, and others used their physical surroundings to build up their idea of a place.
In a special treat for Shargiyya residents in eastern Saudi Arabia, the works of 27 artists previously displayed in Jeddah, in addition to the work by local artist Abdulrahman Al-Soliman, were displayed locally. The exhibit was created for the ninth edition of 21,39 by the Saudi Art Council, which was founded in 2013 by a group of local art patrons and led by Princess Jawaher bint Majed bin Abdulaziz.
21,39 Jeddah Arts is a non-profit initiative organized by SAC. Using the geographic coordinates of the city of Jeddah (21.5433°N, 39.1728°E), it seeks to establish Jeddah as the main destination in the Kingdom’s contemporary art scene. The 28th artist, Shargiyya artist and author Al-Soliman, was added by Ithra for this iteration to pay homage to a local pioneer in the Saudi art scene.
The exhibit was curated by world-renowned expert in Islamic and contemporary Middle Eastern art Venetia Porter and was originally displayed at SAC in Jeddah from March 3 to June 3, 2022. This is the first time it is shown outside of its hometown.
“The exhibition ‘Amakin’ is inspired by the song ‘All the places long for you,’ by Mohammed Abdu, whom everybody knows. The exhibition started in Jeddah — this was an exhibition that included 27 artists — and each artist tells us, through the work they create about a place that means something to them, whether it’s a physical place or a place in the imagination,” curator Porter told Arab News.
“I am very happy to be talking to you today about our very special exhibition hosted in Gallery One called ‘Amakin’ in collaboration with SAC. ‘Amakin’ means ‘spaces,’ which is very fitting for where we are right now. Ithra is a very unique space within itself and for what it provides,” head of Ithra Museum Farah Abushullaih told Arab News.
The exhibition feels almost like a collage of emotional homes, where emerging Saudi and international artists display their interpretation of a “makan” next to the works of pioneer artists, representing various generations and styles. The works range from photographs to mixed media.
One such artist is Jeddah-born Obadah Al-Jefri, who brought pages from his sketchbook to life, creating a dialogue with his past and current selves, with each giant page representing a different version of his perspective.
“My artwork examines my relationship with a sketchbook and how I found different parts of my identity within the pages of my sketchbook. The work itself feels like a collaborative effort between my present and younger self, and I explore those themes and honor my younger self for pushing me forward to become an artist and to pursue art professionally,” he said.
Badr Ali, another artist, began with paper and shifted to a different medium, employing printmaking techniques to transfer his ideas to silkscreen and using the markings of the five places he frequents, either physically or emotionally.
His family comes from Jeddah, a place that greatly inspired him, but he also grew up in London, worked in Paris and currently lives in Berlin. His fascination with Florence also prompted him to explore those destinations and create a new visual experience. He created drawings for each of these locations and combined them to create new locations.
“My work is based on drawings I made in cities that I live in or have lived in and have a personal connection to. I created a whole series of drawings in each of these places, around 100. In each one, I register memories, feelings, thoughts, and sensations. I chose the method of silkscreen printing as a way to create or combine elements in each of these locations,” he told Arab News.
The 19 artists from Saudi Arabia are: Abdullah Al-Othman, Abdulhalim Radwi, legendary artist Safeya Binzagr, Reem Al-Faisal, Bashaer Hawsawi, Emy Kat, Mohammed Hammad, Obadah Al-Jefri, Sara Abdu, Badr Ali, Asma Bahmim, Hussein Al-Mohasen, Muhannad Shono, Lujain Faqerah and Shadia Alem.
The Shargiyya artists are: Abdulrahman Al-Soliman, Talib Al-Marri, Bader Awwad Al-Balawi and Manal Al-Dowayan.
The remaining nine non-Saudi artists are: Taysir Batniji and Sadik Kwaish Al-Fraji from Palestine; Aisha Khalid and Imran Qureshi from Pakistan; Dia Al-Azzawi, Ghassan Ghaib and Nazar Yahya from Iraq; Ali Cherri from Lebanon and Catalina Swinburn from Chile.
 

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