[Source: Science Direct, full PDF file: (LINK). Abstract, edited.]
Title: Uptake and effectiveness of facemask against respiratory infections at mass gatherings: a systematic review
Author: Osamah Barasheed Mohammad Alfelali Sami Mushta Hamid Bokhary Jassir Alshihry Ammar A Attar Robert Booy Harunor Rashid
PII: S1201-9712(16)31010-4 / DOI: http://dx.doi.org/doi:10.1016/j.ijid.2016.03.023
Reference: IJID 2577
To appear in: International Journal of Infectious Diseases
Received date: 16-2-2016 – Revised date: 18-3-2016 – Accepted date: 24-3-2016
Please cite this article as: Barasheed O, Alfelali M, Mushta S, Bokhary H, Alshihry J, Attar AA, Booy R, Rashid H, Uptake and effectiveness of facemask against respiratory infections at mass gatherings: a systematic review, International Journal of Infectious Diseases (2016), http://dx.doi.org/10.1016/j.ijid.2016.03.023
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Uptake and effectiveness of facemask against respiratory infections at mass gatherings: a systematic review
Osamah Barasheed1, 2*, Mohammad Alfelali2, 3, Sami Mushta4 , Hamid Bokhary5 , Jassir Alshihry1 , Ammar A Attar6, 7, 8, Robert Booy2, 9 and Harunor Rashid2, 9
1. Research Center, King Abdullah Medical City (KAMC), Makkah, Saudi Arabia; 2. National Centre for Immunisation Research and Surveillance of Vaccine Preventable Diseases (NCIRS), The Children’s Hospital at Westmead, NSW, Australia; 3. Department of Family and Community Medicine, Faculty of Medicine, King Abdulaziz University, Rabigh, Saudi Arabia; 4. Ministry of Health, Abha, Saudi Arabia; 5. Umm Al-Qura University Medical Center, Umm Al-Qura University, Makkah, Saudi Arabia; 6. Department of Laboratory Medicine, Faculty of Applied Medical Sciences, Umm Al-Qura University, Makkah, Saudi Arabia; 7. Science and technology Unit, General Presidency for the Holy Mosque & Prophet Holy Mosque affairs, Makkah, Saudi Arabia; 8. Department of Innovation & Corporate Integration, King Abdullah Medical City (KAMC), Makkah, Saudi Arabia; 9. Marie Bashir Institute for Infectious Diseases and Biosecurity, School of Biological Sciences and Sydney Medical School, University of Sydney, Australia
*Corresponding author: Dr Osamah Barasheed Research Center, King Abdullah Medical City (KAMC), Makkah, Saudi Arabia. P.O. Box: 57657 Phone: +966 503 362 068 Email: firstname.lastname@example.org
Word count: abstract 204, text 3055
The risk of acquisition and transmission of respiratory infections is high among attendees of mass gatherings (MGs). Currently used interventions have limitations yet the role of facemask in preventing those infections at MG has not been systematically reviewed. We have conducted a systematic review to synthesise evidence about the uptake and effectiveness of facemask against respiratory infections in MGs.
A comprehensive literature search was conducted according to the preferred reporting items for systematic reviews and meta-analyses (PRISMA) guidelines using major electronic databases such as, Medline, EMBASE, SCOPUS and CINAHL.
Of 25 studies included, the pooled sample size was 12710 participants from 55 countries aged 11 to 89 years, 37% were female. The overall uptake of facemask ranged from 0.02% to 92.8% with an average of about 50%. Only 13 studies examined the effectiveness of facemask, and their pooled estimate revealed significant protectiveness against respiratory infections (relative risk [RR] = 0.89, 95% CI: 0.84-0.94, p <0.01), but the study end points varied widely.
A modest proportion of attendees of MGs use facemask, the practice is more widespread among health care workers. Facemask use seems to be beneficial against certain respiratory infections at MGs but its effectiveness against specific infection remains unproven.
Key words: Facemask; Hajj; Influenza-like illness; Mass gathering; Pilgrim; Respiratory infections.
Keywords: Research; Abstracts; Mass Gathering Events; Facemasks.