Mass gatherings (MG) refer to groups of people measured in the thousands, some definitions suggest 25 000 and above [1,2]. MG present unique health challenges distinct from the average population cohort of the same size. Within the context of an exploding global population, widely accessible air travel and unprecedented frequency of MG, health issues relating to MG medicine are more commonly encountered. Safeguarding individual and mass health at such gatherings is termed public health security [3].