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      Celebrating Eid-ul-Adha in the era of COVID-19 pandemic in Pakistan: potential threats and precautionary measures

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          Abstract

          To the Editor, Eid-ul-Adha is an annual religious festival observed by Muslims, expected to be celebrated in the early August this year, during which nearly 8 million animals are sacrificed in Pakistan [1]. However, celebration of this festival during the COVID-19 pandemic is quite challenging amid alarming resurgence of positive cases nationwide. In most of the Muslim countries, the animals slaughtering during the festive is controlled and confined to the limited places [2]. However, the pattern of animal slaughter changes in accordance to the various cultural and religious beliefs in Pakistan. These changes include factors such as transport of animals for sale from rural to urban areas, little regulation of animal sales, advanced purchase of animals, freelance and non-professional butchers, slaughtering of animals in public areas, gathering of spectators around the butcher to watch the slaughter, and in-house social gatherings [1, 2, 3]. Since celebration of the festive cannot be cancelled amid religious obligations, we felt inclined to share potential threats that could lead to a sharp spike in COVID-19 cases during the preparation of the Eid-ul-Adha. The travelling of cattle farmers from rural to urban areas for selling their animals is a common practice before Eid-Ul-Adha in Pakistan. These farmers sell their animals directly to the purchasers at designated markets. However, many of them move around the city for selling at roadside or in commercial and residential areas. These traders along with leftover animals move back to their hometowns immediately after the festive [4, 5]. Currently, Pakistan is experiencing unprecedented rise in COVID-19 cases which are primarily confined to the urban areas. Since approximately 64% population of Pakistan is rural, such widespread rural-urban-rural migratory activities may further deteriorate the situation in the country by facilitating the disease transmission to COVID-19 free regions. Keeping in view the low literacy rate in rural population, the containment of COVID-19 would be a great challenge for the health authorities and may result in a sharp rise in cases. Another challenge during this festive will be the congested animal selling points which could serve as potential source of disease spread (Figure 1 ). Since government of Pakistan allows limited livestock markets on the outskirts of the cities, thousands of people rush to these places resulting in congestions and crowds. Moreover, these markets lack compliance with the safety and health protocols amid low literacy among the animal handlers. These factors may facilitate the human to human disease transmission and subsequent spillover to the rural areas. Moreover, due to the limited healthcare and administrative facilities in the rural areas, implementation of preventive measures would be difficult or even impossible to persuade. Figure 1 Animal Market in Peshawar, Pakistan before Eid-ul-Adha Festival [Source: http://www.xinhuanet.com/english/2018-08/19/c_137402622.htm]. Figure 1 We believe that Eid-ul-Adha poses logistic challenges and requires effective planning to avoid any possible catastrophe. Keeping in view the high risks of disease spread during the festive, we felt inclined to share few suggestions to avoid any possible surge in COVID-19 cases. • The potential risks of COVID-19 spread during the Eid-Ul-Adha must be communicated to the public in timely and effective manners through electronic media in-order to create the sense of responsibility. • Online purchase will be an effective approach during the current health crisis. Various websites in Pakistan provide facilities for online purchase through which people can choose the animals which are delivered at their doorsteps. Alternatively, purchasers can also request to slaughter the selected animals on their behalf and meat will be delivered at their addresses. Encouraging people for this practice will help in reducing the crowds in the cattle markets, thereby facilitating the movement control measures. • Livestock markets should be limited to the designated places. Administrative authorities should monitor illegal cattle markets that spring up inside cities and towns. Moreover, the principles of social distancing must be ensured during the purchase. The provision of sufficient space for animals, availability of face masks, gloves, and hand sanitizers should be mandatory in the markets. • In-house slaughtering of animals by non-professional butchers is a common practice in Pakistan due to convenience. Prohibition of such activities and limiting the sacrifice to the slaughterhouses will control the movement of people and spectators during the festival. Many Muslim countries have confined the slaughtering at designated places in the presence of veterinarians in-order to combat Crimean-Congo hemorrhagic fever [2]. • A systematic educational campaign on precautionary measures such as social distancing and the use of protective equipment should be considered for the staff at abattoirs. • Animal traders should be encouraged to practice self-quarantine for at least fourteen days before going back to their hometowns. Moreover, post-festival surveillance programs needs to be in place for timely identification of variation in pattern of incident cases. As the COVID-19 pandemic is ongoing, health authorities must remain on high alert while special measures should be taken for aggressive surveillance during the festival. The government must refocus their energies and provide sufficient finances in-order to implement the controlling measures during Eid-ul-Adha. Conflict of Interests None. Financial Disclosure None.

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          Consensus report: Preventive measures for Crimean-Congo Hemorrhagic Fever during Eid-al-Adha festival.

          Crimean-Congo hemorrhagic fever (CCHF) is endemic in Eurasian countries such as, Turkey, Pakistan, Afghanistan and Iran. CCHF virus is spread by the Hyalomma tick, which is found mainly on cattle and sheep. Muslim countries, in which these animals are sacrificed during Eid-Al-Adha, are among the countries where CCHF is endemic, and it has been observed that CCHF is associated with practices surrounding the Eid-ad-Adha festival. The dates for Eid-Al-Adha drift 10 days earlier in each year according to Georgian calendar. In previous years Eid-al-Adha occurred in autumn-winter months however in the next 10-15 years it will be take place in the summer months when CCHF is more prevalent. This may lead to a rise in the number of cases due to increased dissemination of CCHF virus with uncontrolled animal movements in and between countries. This consensus report focuses on the variable practices regarding animal handling in different regions and possible preventative measures to reduce the incidence of CCHF. Environmental hygiene and personal protection are essential parts of prevention. There is a need for international collaborative preparedness and response plans for prevention and management of CCHF during Eid-Al-Adha in countries where the disease is prevalent.
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            Crimean-Congo haemorrhagic fever virus and Eid-Ul-Adha festival in Pakistan

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              Surveillance of Crimean-Congo haemorrhagic fever in Pakistan.

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                Author and article information

                Contributors
                Journal
                Clin Microbiol Infect
                Clin. Microbiol. Infect
                Clinical Microbiology and Infection
                European Society of Clinical Microbiology and Infectious Diseases. Published by Elsevier Ltd.
                1198-743X
                1469-0691
                23 July 2020
                23 July 2020
                Affiliations
                [1 ]Department of Clinical Pharmacy, College of Pharmacy, Jouf University, Sakaka, Al-Jouf, Kingdom of Saudi Arabia
                [2 ]Tehsil Head Quarter Hospital Jaranwala, Faisalabad, Primary and Secondary Healthcare Department, Punjab, Pakistan
                [3 ]Department of Pharmacy, Quaid-i-Azam University, Islamabad, 45320, Pakistan
                Author notes
                Article
                S1198-743X(20)30426-2
                10.1016/j.cmi.2020.07.019
                7376357
                70908369-624a-4d6a-8875-9c4a6da74ab9
                © 2020 European Society of Clinical Microbiology and Infectious Diseases. Published by Elsevier Ltd. All rights reserved.

                Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.

                History
                : 20 June 2020
                : 9 July 2020
                : 14 July 2020
                Categories
                Article

                Microbiology & Virology
                covid-19,eid-ul-adha,muslim festival,pakistan,pandemic,sars-cov-2
                Microbiology & Virology
                covid-19, eid-ul-adha, muslim festival, pakistan, pandemic, sars-cov-2

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