Death toll at hajj pilgrimage exceeds 1,000 following extreme heat

Witnesses say bodies lined road outside Mecca until medical vehicles arrived; many fainted during pilgrimage; climate scientists warn of worse scenes in coming decades

Muslim pilgrims perform the farewell circumambulation or "tawaf," circling seven times around the Kaaba, Islam's holiest shrine, at the Grand Mosque in the holy city of Mecca on June 18, 2024 at the end of the annual hajj pilgrimage. (AFP)
Muslim pilgrims perform the farewell circumambulation or "tawaf," circling seven times around the Kaaba, Islam's holiest shrine, at the Grand Mosque in the holy city of Mecca on June 18, 2024 at the end of the annual hajj pilgrimage. (AFP)

The death toll from this year’s hajj exceeds 1,000, an AFP tally showed on Thursday, with unregistered pilgrims making up more than half of those who perished amid intense heat.

The new deaths reported Thursday included 58 from Egypt, according to an Arab diplomat who provided a breakdown showing that of 658 total dead from that country, 630 were unregistered.

Temperatures on Tuesday reached 47 degrees Celsius (117 degrees Fahrenheit) in Mecca and the sacred sites in and around the city, according to the Saudi National Center for Meteorology. Some people fainted while trying to perform the symbolic stoning of the devil.

“It was so harsh and the people cannot bear that type of heat,” said Wilayet Mustafa, a Pakistani pilgrim.

A witness said bodies lay on the side of the road near Mina, just outside Mecca, covered with the white Ihram cloth — a simple garb worn by pilgrims — until medical vehicles arrived.

Khalid Bashir Bazaz, an Indian pilgrim, speaking near the Grand Mosque on Wednesday, said he “saw a lot of people collapsing to the ground unconscious” during this year’s hajj.

Muslim pilgrims rest after casting stones at pillars in the symbolic stoning of the devil, the last rite of the annual hajj, in Mina, near the holy city of Mecca, Saudi Arabia, June 18, 2024. (AP Photo/Rafiq Maqbool)

Climate scientists say such deaths offer a glimpse of what is to come for the tens of millions of Muslims expected in coming decades to undertake the hajj.

“The hajj has been conducted in a certain way for more than 1,000 years now, and it’s always been a hot climate,” said Carl-Friedrich Schleussner, a scientific advisor at German institute Climate Analytics. “But… the climate crisis is adding to the severity of the climate conditions”.

During the hajj to the Kaaba, a cube-shaped stone structure at the Grand Mosque, pilgrims perform religious rites as taught by the Prophet Mohammad to his followers 14 centuries ago.

Integral parts of the hajj, Schleussner said, such as the ritual climb of Mount Arafat, have become “incredibly dangerous to human health.”

Situation will worsen

The timing of the hajj is determined by the lunar year, which sees the pilgrimage move back by 10 days annually. While the hajj is now moving toward winter, by the 2040s it will coincide with the peak of summer in Saudi Arabia.

“It is going to be very fatal,” said Fahad Saeed, a climate scientist at Climate Analytics based in Pakistan.

Heat-related deaths along the hajj are not new and have been recorded back to the 1400s.

A lack of acclimatization to higher temperatures, intense physical exertion, exposed spaces, and an older population make pilgrims vulnerable.

Last year, more than 2,000 people suffered from heat stress, according to Saudi officials.

The situation will get much worse as the world warms, scientists said.

Saeed and Schleussner published a 2021 study in the journal Environmental Research Letters which found that if the world warms by 1.5 C (2.7 F) above pre-industrial levels, heat stroke risk for pilgrims on the hajj will be five times greater.

Muslim pilgrims use umbrellas to shield themselves from the sun as they arrive to cast stones at pillars in the symbolic stoning of the devil, the last rite of the annual hajj, in Mina, near the holy city of Mecca, Saudi Arabia, June 18, 2024. (AP Photo/Rafiq Maqbool)

The world is on track to reach 1.5 C of warming in the 2030s.

“People are very religiously motivated. For some of them, it is a once-in-a-lifetime affair,” Saeed said, as each country receives a limited number of slots. “If they get a chance, they go for it.”

Cool interventions

In 2016, Saudi Arabia published a heat strategy that included constructing shaded areas, establishing drinking water points every 500 meters, and improving healthcare capacity.

Saudi health authorities warned pilgrims to stay hydrated and avoid being outdoors between 11 a.m. and 3 p.m. during this hajj.

Pakistani pilgrim Mustafa said he had to push his 75-year-old mother in a wheelchair. When they tried to rest, they were told by police to keep moving, he said.

“I was amazed to see that there were no efforts made by the Saudi government to provide any shelter or any water,” Mustafa said.

Saudi Arabia’s government media office did not immediately respond to a request for comment, nor offer any causes for those who died. However, hundreds of people had lined up at the Emergency Complex in the Al-Muaisem neighborhood in Mecca, trying to get information about their missing family members.

An Egyptian man broke down when he heard his mother was among the dead. He cried for some time before grabbing his cell phone and calling their travel agent.

“He left her to die,” he shouted, referring to the agent. The crowd tried to calm him down.

A pilgrim receives cold water spray after she cast stones at a pillar in the symbolic stoning of the devil, the last rite of the annual hajj pilgrimage in Mina, near the holy city of Mecca, Saudi Arabia, June 18, 2024. (AP Photo/Rafiq Maqbool)

An Egyptian medical source told Reuters the highest death tolls were among pilgrims who were not formally registered with hajj authorities and were forced to stay on the streets, exposed to heat.

Egyptian pilgrim Sameh Al-Zayni said he received water from Saudi authorities, and a Reuters witness saw Saudi police handing out water and spraying crowds to cool them down.

Spraying water is only effective at temperatures below about 35 C (95 F), scientists said. If temperatures are too high, spraying water does not help and can add to the risk in humid conditions when people struggle to shed heat through sweating.

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