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High altitude pilgrimage medicine.

Buddha Basnyat1

  • 1Oxford University Clinical Research Unit-Nepal and Nepal International Clinic , Himalayan Rescue Association, Kathmandu, Nepal .

High Altitude Medicine & Biology
|October 21, 2014
PubMed
Summary

High-altitude pilgrimages often lead to acute mountain sickness (AMS) due to rapid ascents. Female sex and older age increase AMS risk, while pre-existing conditions like heart disease are common among pilgrims.

Area of Science:

  • Medical Science
  • Altitude Medicine
  • Religious Tourism Health

Background:

  • High-altitude pilgrimages predate modern trekking and climbing.
  • Published medical literature on high-altitude pilgrimage is limited.
  • Himalayan sites like Gosainkunda Lake and Shri Amarnath Yatra are primary sources of existing reports.

Purpose of the Study:

  • To review existing medical literature on high-altitude pilgrimages.
  • To identify health risks and contributing factors for pilgrims.
  • To propose recommendations for improving pilgrim safety at high altitudes.

Main Methods:

  • Review of published medical reports focusing on high-altitude pilgrimages.
  • Analysis of epidemiological data from pilgrim populations.
Keywords:
South Asiaaltitude illnessmedical problemspilgrimsreligion

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  • Synthesis of findings on acute mountain sickness (AMS) and other health issues.

    • Main Results:

    • Rapid ascents by large groups are common, leading to high rates of AMS.
    • Risk factors for AMS in pilgrims include female sex and older age.
    • Common hospital admissions are due to coronary artery disease, diabetes complications, and peptic ulcer disease.

    Conclusions:

    • High-altitude pilgrimages present significant health challenges, particularly AMS.
    • Understanding risk factors and common comorbidities is crucial for pilgrim health.
    • Implementing targeted safety measures can mitigate risks for religious pilgrims undertaking high-altitude journeys.