Water, Sanitation, and Hygiene at the World’s Largest Mass Gathering

Current Infectious Disease Reports

Volumn 17, Issue 2, 2015, Pages

  Vortmann, Michael ^a   Balsari, Satchit ^a,b   Holman, Susan R ^b   Greenough, P Gregg ^b,c  

^a WEILL CORNELL MEDICAL COLLEGE   (United States)

^b HARVARD UNIVERSITY   (United States)

^c HARVARD MEDICAL SCHOOL   (United States)

Author keywords

E. coli; Fecal coliform; Kumbh Mela; Latrine; Mass gatherings; Nagri; Potable water; Sangam; Wash

Indexed keywords

DRINKING WATER;

CHLORINATION; DEFECATION; DIARRHEA; DISEASE SURVEILLANCE; DISEASE TRANSMISSION; ELECTRICITY; ENVIRONMENTAL SANITATION; EPIDEMIC; EPIDEMIOLOGY; FECAL COLIFORM; FLOODPLAIN; HEALTH CARE FACILITY; HEALTH CARE SYSTEM; HINDU; HINDUISM; HUMAN; HYGIENE; MORBIDITY; MORTALITY; POPULATION DENSITY; REVIEW; SEWAGE TREATMENT; VACCINATION; WASTE WATER; WATER QUALITY; WATER SAMPLING;

EID: 84925276432     PISSN: 15233847     EISSN: 15343146     Source Type: Journal    
DOI: 10.1007/s11908-015-0461-1     Document Type: Review

References (12)

1. Government of India, Kumbh Mela 2013. Available at: http://kumbhmelaallahabad.gov.in/english/index.html. Accessed 7 October 2014.
2. Biswas S. India’s Kumbh Mela festival holds most auspicious day. BBC News India, 10 Feb 2013. Available at: http://www.bbc.com/news/world-asia-india-21395425. Accessed 7 October 2014.
3. Hays JN. Epidemics and pandemics: their impacts on human history. Santa Barbara CA: ABC-CLIO, Inc; 2005.
4. Banks AL. Religious fairs and festivals in India. Lancet. 1961;277(7169):162–3.
5. Bryceson ADM. Cholera: the flickering flame. Proc Royal Soc Med. 1977;70:363–5.
6. Nath KJ. Home hygiene and environmental sanitation: a country situation analysis for India. Int J Environ Health Res. 2003;13 Suppl 1:S19–28.
7. Patel RB, Burke TF. Urbanization—an emerging humanitarian disaster. N Engl J Med. 2009;361(8):741–3. This perspective essay highlights the health and humanitarian risks of rapid urbanization and calls for focused research and action to develop new policies and programs that advance effective healthcare delivery with a focus on urban informal settlements.
8. Balsari S. Leapfrog technology and epidemiology at the world’s largest human gathering. In: Health and South Asia. Cambridge, MA: South Asia Institute at Harvard University. 2013. Available at http://issuu.com/sainit/docs/healthandsouthasiabook/53. Accessed 18 November 2014. This article describes a mobile, tablet-based, real-time disease-surveillance system, first implemented at the 2013 Kumbh Mela, which successfully monitored potential epidemic risk by gathering and evaluating data from 50,000 patients over 3 weeks; the system has practical relevance for mass gatherings that occur in resource-limited settings
9. Morbey RA, Elliot AJ, Charlett A, Ibbotson S, Verlander NQ, Leach S, et al. Using pubic health scenarios to predict the utility of a national syndromic surveillance programme during the 2012 London Olympic and Paralympic Games. Epidemiol Infect. 2014;142:984–93. This study, based on data from the 2012 London Olympic and Paralympic Games, shows how scenario planning can be used to evaluate the effectiveness of syndromic surveillance.
10. Shukla N. Untreated factory waste poisoning the Ganga: Kanpur’s STPs not upgraded to handle tannery discharge. The Times of India, 2 Jul 2014. Available at: http://timesofindia.indiatimes.com/city/lucknow/Untreated-factory-waste-poisoning-Ganga-Kanpur-STPs-not-upgraded-to-handle-tannery-discharge/articleshow/37632507.cms. Accessed 14 October 2014.
11. Nelson D. India plans 2£bn clean-up of the Ganges. The telegraph. 6 Oct 2009. Available at: http://www.telegraph.co.uk/news/worldnews/asia/india/6265586/India-plans-2bn-clean-up-of-the-Ganges.html. Accessed 14 October 2014.
12. Spinney L. Kumbh Mela 2013: Picking flowers. National Geographic. 28 Jan 2013. Available at http://voices.nationalgeographic.com/2013/01/28/kumbh-mela-2013-picking-flowers/. Accessed 12 November 2014.