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Medical Problems of Way of St. James Pilgrimage
1Travel Medicine Chair, Internal Medicine Faculty, Debrecen University, Medical School, Szentendrei ut 301, Budapest, 1039, Hungary. peter.felkai@soshungary.hu.
Insights
The El Camino pilgrimage is increasingly challenging, with more elderly pilgrims facing health risks like cardiac events and accidents. Pre-travel medical advice is crucial, especially for those with chronic conditions.
Area of Science:
- Travel Medicine
- Public Health
- Gerontology
Background:
- The El Camino pilgrimage is evolving into a demanding long-distance trek.
- Increasing pilgrim numbers necessitate greater attention from travel medicine professionals.
- Demographic shifts show a decrease in young pilgrims and an increase in middle-aged and elderly participants.
Purpose of the Study:
- To analyze the health risks and causes of fatalities among El Camino pilgrims.
- To identify demographic trends in pilgrim populations.
- To emphasize the need for pre-travel medical guidance.
Main Methods:
- Analysis of pilgrim demographics over recent years.
- Review of causes of fatalities during the pilgrimage.
- Identification of prevalent health issues and risk factors.
Main Results:
- Acute Coronary Syndrome (ACS) is the leading cause of fatalities, primarily affecting the elderly.
- Traffic accidents are the second most common cause of death.
- Exacerbation of pre-existing conditions and extreme temperature-related illnesses are also significant causes.
Conclusions:
- Pre-travel medical advice is essential for all El Camino pilgrims.
- Particular emphasis should be placed on elderly pilgrims and those with chronic diseases.
- Addressing health risks proactively can improve pilgrim safety and well-being.
Abstract:
It appears that the El Camino pilgrimage route has become a long-distance trek and endurance test of the individual. The continuously increasing number of hikers demands more attention by travel medicine professionals. Analysis of the age groups of the pilgrims over recent years shows that the number of young pilgrims (< 30 years) is decreasing, but the number of middle-aged people (30-60 years) is slightly increasing, while the number of elderly people (> 60 years) is considerably increased. The leading cause of fatalities during the pilgrimage is ACS. The majority of the cardiac problems occur among the elderly people. The second most common cause of death is a traffic accident, and the third and fourth causes are a fatal exacerbation of the pilgrim's pre-existing disease and illnesses caused by the extreme temperature (hot and cold environment alike). The aforementioned data suggest that pre-travel advice should be an indispensable part of the preparation for the El Camino peregrination, especially for the patient with chronic disease and elderly people.
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