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    Gogaert, Stefan Vande veegaete, Axel Scholliers, Annelies and Vandekerckhove, Philippe 2016. “MedTRIS” (Medical Triage and Registration Informatics System): A Web-based Client Server System for the Registration of Patients Being Treated in First Aid Posts at Public Events and Mass Gatherings. Prehospital and Disaster Medicine, p. 1.

    Eberhardt, Kirsten Alexandra Vinnemeier, Christof David Dehnerdt, Johanna Rolling, Thierry Steffen, Robert and Cramer, Jakob Peter 2016. Travelers to the FIFA world cup 2014 in Brazil: Health risks related to mass gatherings/sports events and implications for the Summer Olympic Games in Rio de Janeiro in 2016. Travel Medicine and Infectious Disease, Vol. 14, Issue. 3, p. 212.


A Systematic Review of Noncommunicable Health Issues in Mass Gatherings

  • Ahmed H. Alquthami (a1) and Jesse M. Pines (a2)
  • DOI:
  • Published online: 28 February 2014

The review was conducted to evaluate if the field of mass-gathering medicine has evolved in addressing: (1) the lack of uniform standard measures; (2) the effectiveness of and needs for various interventions during a mass gathering; and (3) the various types of noncommunicable health issues (trauma and medical complaints) encountered and their severity during a gathering.


A systematic review of papers published from 2003 through 2012 was conducted using databases of MEDLINE, Ovid, CINHAL, EBSCOHost, National Library of Medicine (NLM), Agency for Healthcare Research and Quality (AHRQ), Elsevier, Scopus, and Proquest databases. Of 37,762 articles, 17 articles were included in this review, covering 18 mass-gathering events; 14 were multiple-day events.


Across all events, the patient presentation rate (PPR) ranged from 0.13 to 20.8 patients per 1,000 attendees and the transfer to hospital rate (TTHR) ranged from 0.01 to 10.2 ambulance transports per 1,000 attendees. In four out of the seven studies, having on-site providers was associated with a lower rate of ambulance transports. The highest frequencies of noncommunicable presentations were headaches, abdominal complaints, and abrasions/lacerations. Most presentations were minor. Emergent cases requiring hospitalization (such as acute myocardial infarction) were rare.


The rate of noncommunicable health issues varies across events and very serious emergencies are rare.

AlquthamiAH, PinesJM. A Systematic Review of Noncommunicable Health Issues in Mass Gatherings. Prehosp Disaster Med. 2014;29(2):1-9.

Corresponding author
Correspondence: Ahmed H. Alquthami, MD, MHSA 1301 N. Troy Street #05 Arlington, VA 22201 USA E-mail
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AH Alquthami , JM Pines . A systematic review of noncommunicable health issues in mass gatherings. Prehosp Disaster Med. 2014;29(2):1-9

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Prehospital and Disaster Medicine
  • ISSN: 1049-023X
  • EISSN: 1945-1938
  • URL: /core/journals/prehospital-and-disaster-medicine
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