Praktik pencegahan dan efektivitas vaksinasi influenza terhadap penyakit pernapasan pada jemaah haji: A systematic literature review
DOI: https://doi.org/10.33024/hjk.v20i1.1779
Influenza Jemaah Haji Penyakit Pernapasan Vaksinasi
Abstract
Background: Respiratory diseases such as influenza and pneumonia are the leading causes of illness among Hajj pilgrims each year. This is due to the high density of pilgrims and inter-country mobility. Preventive measures such as influenza vaccination and good hygiene practices have been recommended by the World Health Organization (WHO) and the Ministry of Health of the Republic of Indonesia. However, in reality, not all Hajj pilgrims receive the vaccine and consistently practice preventive behaviors, resulting in suboptimal prevention outcomes.
Purpose: To identify respiratory disease prevention practices and the effectiveness of influenza vaccination among Hajj pilgrims.
Method: This was a systematic literature review (SLR) based on PRISMA guidelines, using data sources from PubMed, Scopus, and ScienceDirect. Articles meeting the inclusion criteria (2013–2024) were analyzed using a thematic synthesis approach and narrative summary. Of the 150 articles screened, 35 studies were eligible for further analysis, and 10 were selected for review.
Results: The combination of influenza vaccination, mask use, handwashing, and health education can reduce the incidence of respiratory infections by 40–60%. Factors contributing to this include social support, behavior, and policies.
Conclusion: Preventing respiratory diseases among Hajj pilgrims requires a multilevel approach that integrates medical and sociocultural interventions.
Suggestion: Future researchers are encouraged to develop epidemiological data-driven predictive models to estimate potential respiratory disease outbreaks during the next Hajj season, as well as to evaluate the effectiveness of digital technology-based interventions, such as through pilgrim health apps.
Keywords: Hajj Pilgrims; Influenza; Respiratory Diseases; Vaccination.
Pendahuluan: Penyakit pernapasan seperti influenza dan pneumonia menjadi salah satu penyebab utama banyaknya jemaah haji yang jatuh sakit setiap tahun. Kondisi ini terjadi akibat tingginya tingkat kepadatan jemaah dan mobilitas antarnegara. Upaya pencegahan melalui vaksinasi influenza dan penerapan perilaku higienis telah direkomendasikan oleh World Health Organization (WHO) dan Kementerian Kesehatan Republik Indonesia. Namun, pada kenyataannya tidak semua jemaah haji mendapatkan vaksin dan menerapkan perilaku pencegahan secara konsisten, sehingga hasil pencegahannya belum optimal.
Tujuan: Untuk mengidentifikasi praktik pencegahan penyakit pernapasan dan efektivitas vaksinasi influenza pada jemaah haji.
Metode: Penelitian systematic literature review (SLR) berdasarkan pedoman PRISMA dengan sumber data dari PubMed, Scopus, dan ScienceDirect. Artikel yang memenuhi kriteria inklusi (periode 2013–2024) dianalisis menggunakan pendekatan thematic synthesis dan narrative summary. Dari 150 artikel yang disaring, 35 studi memenuhi syarat untuk dianalisis lebih lanjut dan didapatkan 10 artikel yang di review.
Hasil: Kombinasi vaksinasi influenza, penggunaan masker, cuci tangan, serta edukasi kesehatan mampu menurunkan insiden infeksi pernapasan hingga 40–60%. Adapun faktor yang menyebabkan hal tersebut disebabkan oleh faktor sosial, perilaku, dan dukungan kebijakan.
Simpulan: Pencegahan penyakit pernapasan pada jemaah haji membutuhkan pendekatan multilevel yang mengintegrasikan intervensi medis dan sosial budaya.
Saran: Bagi peneliti selanjutnya, disarankan mengembangkan model prediksi berbasis data epidemiologi untuk memperkirakan potensi wabah pernapasan di musim haji berikutnya, serta mengevaluasi efektivitas intervensi berbasis teknologi digital, misalnya melalui aplikasi kesehatan jemaah.
Kata Kunci: Influenza; Jemaah Haji; Penyakit Pernapasan; Vaksinasi.
Downloads
References
Ahmed, A., Lee, K. S., Bukhsh, A., Al-Worafi, Y. M., Sarker, M. M. R., Ming, L. C., & Khan, T. M. (2018). Outbreak of vaccine-preventable diseases in Muslim majority countries. Journal of infection and public health, 11(2), 153-155.
Alandijany, T. A. (2023). Respiratory viral infections during Hajj seasons. Journal of Infection and Public Health, 17, 42-48.
Alfelali, M., Haworth, E. A., Barasheed, O., Badahdah, A. M., Bokhary, H., Tashani, M., & Hajj Research Team. (2020). Facemask against Viral Respiratory Infections among Hajj Pilgrims: A Challenging Cluster-Randomized Trial. PLoS One, 15(10), e0240287.
Alfelali, M., Barasheed, O., Koul, P., Badahdah, A. M., Bokhary, H., Tashani, M., & Rashid, H. (2019). Influenza vaccine effectiveness among Hajj pilgrims: a test-negative case-control analysis of data from different Hajj years. Expert review of vaccines, 18(10), 1103-1114.
Alhajaji, R., Al Sulaiman, K., Abdelwahab, O. A., Alfahmi, M., Abualenain, J. T., Asiri, S. I., & Al-Jedai, A. (2024). Effectiveness of Face Mask For Prevention of Respiratory Tract Infection During Hajj: A Systematic Review and Meta-Analysis. The American Journal of Tropical Medicine and Hygiene, 111(4), 914.
Alharthi, M. S., Alshehri, A. A., Baali, F. H., Altuwairqi, N. A., Altalhi, M. H., Almalki, R. A., & Alruqayb, W. S. (2025). Public Perceptions and Influencing Factors of Seasonal Influenza Vaccine Uptakei in Makkah Region, Saudi Arabia: A Cross-Sectional Study. Frontiers in Public Health, 13, 1534176.
Alqahtani, A. S., Alsharif, S. A., Garnan, M. A., Tashani, M., BinDhim, N. F., Heywood, A. E., & Hajj Research Group. (2020). The Impact of Receiving Pretravel Health Advice on The Prevention of Hajj-Related Illnesses among Australian Pilgrims: Cohort Study. JMIR Public Health and Surveillance, 6(3), e10959.
Al-Tawfiq, J. A., Alhumaid, S., Alshukairi, A. N., Temsah, M. H., Barry, M., Al Mutair, A., & Dhama, K. (2021). COVID-19 and mucormycosis superinfection: the perfect storm. Infection, 49(5), 833-853.
Alqahtani, A. S., Althobaity, H. M., BinDhim, N. F., & Alhawassi, T. M. (2022). Respiratory Infections among Pilgrims During The 2022 Hajj Season: Lessons Learned and Future Directions. Travel Medicine and Infectious Disease, 50, 102379.
Alshehri, M. A., Alzaidi, J., Alasmari, S., Alfaqeh, A., Arif, M., Alotaiby, S. F., & Alzahrani, H. (2021). The Prevalence and Factors Associated with Musculoskeletal Pain Among Pilgrims During The Hajj. Journal of Pain Research, 369-380.
ANTARA News. (2024). Perdokhi: Jemaah haji perlu waspadai penyakit ISPA. Antara News. Diakses dari https://www.antaranews.com/berita/4095714/perdokhi-jemaah-haji-perlu-waspadai-penyakit-ispa
Assiri, A. M., & Memish, Z. A. (2021). Preparedness and Response to Respiratory Infections During Mass Gatherings: Lessons from The Hajj. The Lancet Global Health, 9(8), e1068–e1077.
Benkhedda, S., & Alotaibi, B. M. (2023). Influenza Vaccination Uptake Among Hajj Pilgrims Post-COVID-19: Barriers and Facilitators. Vaccine, 41(34), 5012–5019.
Benkouiten, S., Al-Tawfiq, J. A., Memish, Z. A., Albarrak, A., & Gautret, P. (2019). Clinical Respiratory Infections and Pneumonia During the Hajj Pilgrimage: A Systematic Review. Travel Medicine and Infectious Disease, 28, 15–26.
Centers for Disease Control and Prevention. (2025). Saudi Arabia: Hajj and Umrah pilgrimages. In CDC Yellow Book: Health Information for International Travel. Diakses dari https://www.cdc.gov/yellow-book/hcp/africa-middle-east/saudi-arabia-hajj-and-umrah-pilgrimages.html
Elachola, H., & Memish, Z. A. (2020). Religious Mass Gatherings and Health Risks: Lessons from Hajj and COVID-19 Pandemic. Journal of Infection and Public Health, 13(12), 1743–1749.
Gautret, P., Lagier, J. C., Parola, P., Hoang, V. T., Meddeb, L., Sevestre, J., & Raoult, D. (2020). Clinical and Microbiological Effect of A Combination of Hydroxychloroquine and Azithromycin in 80 Covid-19 Patients With At Least A Six-Day Follow Up: A Pilot Observational Study. Travel medicine and infectious disease, 34, 101663.
Kementerian Kesehatan Republik Indonesia (2025). 99 Jemaah Haji Terserang Pneumonia. Diakses dari https://kemkes.go.id/id/99-jemaah-haji-terserang-pneumonia-kemenkes-ingatkan-pentingnya-pencegahan-dan-penanganan-cepat-di-tanah-suci
Khan, A., Tashani, M., & Rashid, H. (2021). Strategies for Preventing Respiratory Infections at Mass Gatherings: Evidence from Hajj and Umrah. Journal of Travel Medicine, 28(6), taab057.
Mahdi, H. A., Qashqari, F. S., Hariri, S. H., Bamerdah, S., Altayyar, S. A., Almalki, H. M., & Rashid, H. (2022). Low Prevalence of Syndromic Respiratory Tract Infections Among Returning Hajj Pilgrims Amidst The Covid-19 Pandemic: A post-Hajj survey. Tropical Medicine and Infectious Disease, 7(8), 182.
Mahdi, H. A., Rashid, H., Qashqari, F. S., Hariri, S. H., Marglani, O. A., Barasheed, O., Alfelali, M. (2022). Syndromic Surveillance of Respiratory-Tract Infections and Hand Hygiene Practice Among Pilgrims Attended Hajj in 2021: A Cohort Study. BMC Infectious Diseases, 22, 578.
Memish, Z. A., Perlman, S., Van Kerkhove, M. D., & Zumla, A. (2020). Middle East respiratory syndrome. The Lancet, 395(10229), 1063-1077.
Petticrew, M., & Roberts, H. (2006). Systematic Reviews in the Social Sciences: A Practical Guide. Oxford: Blackwell Publishing.
Yezli, S., Khan, A., & Alotaibi, B. M. (2024). Public health preparedness for respiratory diseases during the Hajj pilgrimage: An updated review. Frontiers in Public Health, 12, 1402256.
Downloads
Published
Issue
Section
License
Copyright (c) 2026 Holistik Jurnal Kesehatan

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.