The document presents a systematic review on novel respiratory viruses in the context of mass gathering events and aims to inform health planning strategies. It highlights the risk of increased disease transmission during such events and reviews existing papers on infection control measures. The research team emphasizes the need for effective planning to mitigate the impact of these viruses on public health.

1. Dr Jamie Ranse, RN PhD
Senior Research Fellow, Emergency Care | Menzies Health Institute Queensland, Griffith University
Founder, Mass Gathering Collaboration | Griffith University, Queensland
Visiting Research Fellow | Department of Emergency Medicine, Gold Coast Health
Novel respiratory viruses in the context of mass gathering events:
A systematic review to inform event planning from a health perspective

2. Jamie Ranse1,2,3; Deborah Beckwith1,2; Anas Khan4,5; Saber Yezli4;
Attila Hertelendy6,7,8; Alison Hutton9; Peta-Anne Zimmerman2,10
1. Menzies Health Institute Queensland, Griffith University, Gold Coast, Queensland, Australia
2. School of Nursing and Midwifery, Griffith University, Gold Coast, Queensland, Australia
3. Department of Emergency Medicine, Gold Coast Health, Gold Coast, Queensland, Australia
4. Global Center for Mass Gathering Medicine, Ministry of Health, Riyadh, Saudi Arabia
5. Department of Emergency Medicine, College of Medicine, King Saud University, Saudi Arabia
6. Fellowship in Disaster Medicine, Department of Emergency Medicine, Beth Israel Deaconess Medical Centre, Boston,
Massachusetts, USA
7. Department of Emergency Medicine, Harvard Medical School, Boston, Massachusetts, USA
8. College of Business, Florida International University, Miami, Florida, United States of America
9. School of Nursing and Midwifery, The University of Newcastle, Newcastle, New South Wales, Australia
10. Department of Infection Control, Gold Coast Health, Gold Coast, Queensland, Australia
RESEARCH TEAM

3. • Mass gathering events occur regularly throughout the world
• May strain the health resources of the host community, state or
nation
• May result in an increased transmission of communicable
diseases
• Several novel respiratory viruses of global concern have emerged
over the past two decades
• SARS-CoV-1; H1N1pdm09; MERS-CoV; SARS-CoV-2.
INTRODUCTION

4. • To identify papers relating to novel respiratory viruses with
pandemic potential and mass gathering events.
• To analyze these papers for infection prevention and control
strategies to inform planning before, during, and following MGEs
to limit the transmission of these viruses.
AIM

5. Design
• This systematic literature review was guided by the Preferred
Reporting Items of Systematic reviews and Meta-Analysis
(PRISMA) Guidelines.
Data Collection
• Healthcare databases
• Different combinations of Medical Subject Headings (MeSH) terms
and keywords
METHOD

6. Data Collection (cont.)
Included:
• Real-world events
• Novel respiratory viruses
Excluded:
• Theory, discussion,
abstracts only (e.g.,
modelling or prediction)
METHOD

7. Data Analysis
• Study characteristics, mass gathering characteristics, and
novel respiratory virus epidemiology
METHOD

8. Data Analysis
• Haddon Matrix
• Public health operations to deliver public health services.
METHOD

9. Included papers
RESULTS

10. RESULTS

11. RESULTS

12. RESULTS

13. RESULTS

14. RESULTS

15. RESULTS

16. RESULTS

17. • Early evolution of a novel respiratory viruses
• Cancel or postpone mass gathering events
• Modifying mass gathering events
• Legacy of events
DISCUSSION