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Public health at multi-day youth-focused mass gathering events: a scoping review of the evidence[1]
Summary
A scoping review of public health at multi-day mass-gathering events attended primarily by young people. A systematic search returned 247 unique records; after dual screening, 23 records (published 1993–2022) describing 19 distinct multi-day events met inclusion. Events ranged from 2–45 days (mean 8.8) and 350 to 10 million attendees. Infectious-disease outbreaks were the primary emergency (13 events, 68.4%), most often influenza (30.8%), measles (23.1%), and Neisseria meningitidis (15.4%); foodborne outbreaks occurred at four events (21.1%). Recommendations emphasised pre-event planning, collaboration between organizers and health authorities, food-safety enforcement, and vaccination strategies.
Key findings
- 23 records covering 19 multi-day youth-focused events (1993–2022) met inclusion.
- Infectious-disease outbreaks were the primary emergency (68.4% of events).
- Leading pathogens: influenza (30.8%), measles (23.1%), N. meningitidis (15.4%); foodborne at 21.1%.
- Recommendations centre on pre-event planning, organizer–health-authority collaboration, food safety, and vaccination.
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