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. 2020 Mar 18;24(1):3–15. doi: 10.4103/ijoem.IJOEM_50_20

Table 7.

Vaccine recommendations for Hajj pilgrims and Kumbh Mela attendees[53,87]

Vaccine recommendations Comments
Hajj pilgrims[53,87]
 Meningococcal Mandatory
 Influenza Recommended
 Polio (IPV) <15 years, endemic countries
 Yellow fever Endemic countries
 Pneumococcal PCV13: 4 weeks before traveling for HajjPPSV23: Post-return from Hajj (depends upon risk status)
 Hepatitis A Recommended
 Hepatitis B Recommended
Kumbh Mela attendees[53]
 Typhoid Strong recommendation
 Hepatitis A Strong recommendation
 Hepatitis B For prolonged stay
 Japanese encephalitis If stay is over 1 month
 Influenza Strong recommendation
 Yellow fever Travelers coming from endemic countries
 Diphtheria, pertussis, tetanus Should be up to date
 Measles, mumps, rubella Should be up to date
 Rabies Pre-exposure prophylaxis
 Polio (IPV) 1 booster (IPV)

IPV: inactivated polio vaccine; PCV 13: pneumococcal conjugate vaccine 13; PPSV23: 23-valent pneumococcal polysaccharide vaccine