LONDON, Jan 13: Pilgrims should stock up on sun block and shoes before starting the Haj, a British Muslim doctor said on Friday. "A lot of people are prepared spiritually when they go, but physically they're just not," professor Abdul Rashid Gatrad said.

A report, co-authored by consultant paediatrician Gatrad in the British Medical Journal, aims to raise awareness among British GPs who can offer advice to pilgrims when they come for vaccinations before their travels.

Haj-associated heath risks include heat exhaustion, heat stroke, and infectious diseases. Acclimatization is crucial. Gatrad advises pilgrims to travel to Saudi Arabia some two weeks before the start of Haj if possible.

But stocking up on even the most basic medicines and first aid supplies is also advisable. "Saudi Arabian facilities and services become hopelessly inadequate because of the numbers of people there. No matter what they can do, it is not enough," he said.

Stampedes are known as the greatest cause of serious injuries, and even fatalities. But minor injuries can become equally risky if left untreated, Gatrad said. In most cases they can be easily avoided by using common sense preventative measures, like drinking plenty of water.

Gatrad advises pilgrims to take white umbrellas and sun block. He also suggests they carry spare footwear as shoes can easily be lost during barefoot rituals. Foot injuries are a common problem when pilgrims return home, he said. -Reuters