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On behalf of me and my wife, I would like to first ask Allah swt to accept our hajj and yours  Ameen. We also want to thank the wonderful staff at Dar El Salam for their amazing coordination and hospitality. This has been a very memorable and special journey and we are so glad we were able to experience it alongside all of you wonderful brothers and sisters, may Allah reward you all and forgive all our sins.

Hassan & Najua

Alhamdulilah Mukhtar & I have returned home safe and sound this afternoon, Sept 06.I want to convey my thanks to Dar El Salam as a whole, all the workers behind the scenes who made this Hajj logistically possible and comfortable, imams for their spiritual & religious guidance, group leaders for their energetic leadership and all fellow Br & Sr for your kindness and support throughout this memorable religious experience. May Allah (swt) accept all our duas & ibadah and bless us with the highest reward in this life & after Ameen.

Saima Mukhtar

Jazak Allah Khair Saif and Dar El Salaam team. Words cannot describe how you have taken care of us and all our needs during this memorable hajj journey. ISHALLAH you will be rewarded greater than this in this world and the hereafter.

Fairoze Poona

Thanks Br Rafat, Sr Rahima, Br Arif and all the DST team. It was great meeting everyone in the group. May Allah accept everyone’s Hajj and Ibada and bless us all with a return trip soon back to his house. Hope everyone starts feeling better soon. Please remember us in your prayers.

Sakib & Kiran

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Sara International Travel is one of the leading Hajj & Umrah travel agency headquartered in New York, USA with the best hajj and umrah packages.

Get affordable Hajj and Umrah 2024 packages from USA and top-class umrah service under scholarly Islamic guidance with world class customer service.

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Indulge in unrivaled luxury at our 5-star accommodation, where impeccable service and exquisite attention to detail redefine your stay.

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Embark on a sacred journey with peace of mind, as we offer return air ticket for your transformative Umrah experience.

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Experience swift and efficient travel during your Umrah package with our high-speed train services, ensuring a seamless and time-efficient pilgrimage.

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We’ve put together important articles and guides to help you learn how to perform the Hajj and Umrah according to the sunnah.

Experience the Best Umrah in 2024/2025

Sara International Travel is your premier choice for Umrah services in the USA, Trinidad, Canada, United Kingdom, Netherlands, and Guyana!

Navigating Ramadan Umrah 2024 – USA Edition! An Once-in-a-Lifetime Pilgrimage:

To start a spiritual journey is a profound experience of performing Umrah in Ramadan, and for those planning a pilgrimage

Ultimate Guide to Hajj 2024 from USA: Easy Steps for a Spiritual Pilgrimage

Get ready for an incredible adventure with Sara International Travel as we break down the process of Hajj 2024 from the USA just for you!

Umrah 2024 Hacks for Americans: Transform Your Pilgrimage from the USA

Embarking on the sacred journey of Umrah from the USA is a significant spiritual adventure.

Sara International Travel (USA) is an Authorized and IATA-Accredited Hajj & Umrah Agency with the best and affordable hajj and umrah packages, founded in 1994 with the blessing of Allah SWT. 

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Adam Travel

Best Umrah and Hajj Packages Enjoy a spiritually enriching journey with our proven Umrah and Hajj packages.

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Umrah packages are the perfect choice for individuals seeking a deeply spiritual journey

November Umrah Package

• From DFW with Emirates Airlines
• Dar Al iman / Conrad Makkah
• 23 Nov 2024 / 2 Dec 2024

From $3,390 /Person

Umrah Package in December

• From JFK with Egypt Air
• Dallah Taibah / Makka Hotel
• 21 Dec 2024 / 30 Dec 2024

Umrah Package in August

• Dar Al iman / Hilton Suites
• 22 Aug 2024 / 31 Aug 2024

From $3,300 /Person

All packages, our eclusive offers.

Form : $932.18

From : $1323

From : $ 962.60

Simplify Your Umrah Packages With Us

You can now customize your program completely online! Your flights, transportation, and hotels can all be booked through our new portal including your Tourist Visa.

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Hajj Packages 2024

Adam Travel is Pleased to Announce we have partnered with Al Bait Guest to guide their 2024 Hajj Programs. This decision took a lot of time, but we are happy to working with an organization that values your journey as much as we do! 

While our programs have not yet been finalized, please follow us to make sure you receive the latest information! 

OUR HISTORY

Adam Travel Services began serving customers in 1984 as a single location full-service travel agency. The company founder, Dr. Abdo Ibrahim, immigrated to the United States to further his education at Northeastern University where he earned a Doctorate of Philosophy in Physics. Thereafter, Dr. Ibrahim decided to put his entrepreneurial prowess to work. A frequent traveler himself, Dr. Ibrahim saw opportunities in the travel industry, particularly when it came to serving the needs of the every growing ethnic population in Boston and surrounding areas. His efforts over the last two decades have yielded one of the most respected travel consolidators in the country. In its twenty five years, Adam Travel Services has seen significant growth and expansion. There are currently 30 office locations ready to serve your needs.

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Check Our Customers Says

As salaam alaikum, if you want to enjoy a vacation and have it set up, do it thru Adam Travels. Me and my wife had an amazing time and inshallah will be on a trip using their services again.

Alhamdulillah everything was very smooth from beginning to end. Especially the Riyadul jannah visits for brothers and sisters via the visa which Adam travel staff coordinated

I'd use Adam Travel again and recommend to others too as the price is right and Adam people do an awesome job looking after all of us ............

About Adam Travel

Adam Travel Services began serving customers in 1984 as a single-location full-service travel agency.

The company founder, Dr. Abdo Ibrahim, immigrated to the United States to further his education at Northeastern University where he earned a Doctorate of Philosophy in Physics. The company has been in business for over 35 years. Dr. Abdo Ibrahim continues to serve as President and CEO.

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With over 30 years of islamic tour service experience, book your next journey with us, proudly serving you for over 30 years, we are your leading experts on hajj, umrah and islamic travel.

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AlHaram Travel – The Most Trusted Hajj & Umrah Agency in USA

We at AlHaram Travel offer a wide range of Hajj And Umrah Packages & deals including 125+ all-inclusive Hajj And Umrah Packages, 220+ reasonably priced Hajj And Umrah Packages, 315+ affordable Hajj And Umrah Packages, 400+ cheapest Hajj And Umrah Packages and many more.

Our dedicated team of IATA certified travel advisors are specially trained, utilize past experiences, make notes of customers’ feedbacks, and design these Hajj And Umrah Packages included with all the required facilities.

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AlHaram Travel – A Trustworthy Pilgrimage Travel Agency

Thinking why we are always the first choice of USA pilgrims to Book Hajj & Umrah Packages? Take a look below:

Associated with ICAO registered airlines, we compare & reserve the best yet cheapest direct & indirect flights from any airport in USA to KSA.

Partnered with 750+ 3-star, 4-star to 5-star hotels around Haram, we arrange any hotel at any date & month of the year at prescribed budgets

Collaborated with transportation service providers in KSA, we organize on-time transportation from airport to Holy cities including Ziyarats.

Our IATA-certified mavens discern pilgrims’ traveling needs & help them find the most suited airport to fly from, flights, hotels, & stopovers.

Plan Umrah in advance or on a whim, we offer all from pre-bookings to last-minute deals, thanks to our allied hotels & airlines.

From Economy to business-class Umrah deals, 4-days to 21 days Umrah offers, & January to December Umrah packages, we provide all!

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AlHaram Travel Offers Best Hajj and Umrah deals at lowest prices for USA Citizens

AlHaram Travel provides Hajj and Umrah services to Muslim brothers and sisters from USA at lowest possible rates. Being the leader of Islamic tourism industry for almost a decade, we facilitate almost 5500 customers only from USA with flight reservations, hotel bookings, visa processing and transportation arrangements along with complete deals for Umrah and Hajj. Our expert and dedicated agents with IATA certification and especial trainings are dexterous enough to handle all the administrative & managerial tasks to let you free from all worldly worries during spiritual journey of Umrah & Hajj. With our advanced real-time ticketing systems and affiliations with 750+ handpicked hotels in Makkah and Madinah, we are committed to provide the best airline tickets and best available accommodation at lowest possible rate and along with this we offer transportation facility from airport to your reserved hotel. Due to good business tactics and massive in-field experience, AlHaram Travel has a huge contact based developed with many hotels available for accommodation in Makkah and Medina. We provide peerless services to reserve any hotel of your demand. Our experienced agents would recommend you the closest and clean accommodation in Makkah and Medina.

Our huge satisfied customer base is guarantee of our superior Hajj and Umrah services

AlHaram travel is into this service for almost 10 years. We feel proud to serve thousands of Allah (SWT) guests and facilitate them to enjoy their spiritual journey to Allah’s Abode on Earth. By the grace of Allah (SWT) we have formed 100% satisfied customer base. Our reviews on authentic review websites like Trustpilot and Yelp are guarantee of our exceptional Hajj and Umrah services. Most of our customers come to us after getting a recommendation from their colleague or friend or family member that means our biggest advertisement is our customer’s trust on our company. That’s why, AlHaram Travel can now claim to provide the best possible Hajj and umrah services in United States. We are a registered company and member of ARC and IATA. To those travelling first time with us must not be afraid because we are experienced in this field and always follow all the procedures to make hajj or umrah trip secure and as per committed.

Our 10 years of experience in the field of Hajj and Umrah services allow us to offer a huge variety of best tailored made Umrah packages, specially designed Hajj deals and other Islamic tours. AlHaram travel is pleased to offer a number of departure option from USA for Hajj and umrah tour. With the help of our expert travel consultants and qualified tourism arrangement officers, we have designed a roadmap for whole year with different dates of different months from different locations. Our customized hajj and umrah packages allow you to have an opportunity to stay in Makkah and Madinah for a span that is suitable for you.

Having carefully designed all of our Hajj packages and Umrah packages for smaller groups of 4 to 10 people, larger ones from 11 to 50 persons, lone goers, senior citizens, newlywed couples, ladies only, and families traveling with little kids, we at AlHaram Travel, have taken excellent care of all the arrangements for them during their Hajj and Umrah Pilgrimage. Our professional tour operators are always available & up-to-date with the weather and other conditions and give excellent guidance to pilgrims about what should be carried, when to go for Umrah, best suited conditions, best hotels, best flights and everything like that. 

Why AlHaram Travel is being the first choice of pilgrims to book Hajj & Umrah Packages?

• We can arrange any dates for travel from USA to KSA including holiday seasons of December, Easter and the February/May half term breaks for an Umrah journey.
• We have a wide range of well-designed Umrah packages for first time pilgrims and lone goers with all managerial & administrative tasks pre-done.
• Affiliated with 750+ 3star, 4star & 5star hotels in both Holy cities, we can arrange the most affordable accommodation in hotels closest to vicinity of Haram
• As we are authorized from Hajj & Umrah Ministry KSA, We can also arrange Umrah visa upon your request in shortest time span.
• We offer a huge range of flights from 100+ airlines for Hajj & Umrah from you can choose your required one as per you nearest airport & budget. 
• We offer a massive variety of well-catered Umrah packages with hotels & other facilities of different levels ranging from cheapest 3 star Umrah Packages, affordable 4 star Umrah Packages to luxury 5 star Umrah Packages.
• Group Umrah Packages, Family Umrah Packages, Senior citizen Umrah Packages, And couple Umrah Packages are also available
• Along with Umrah deals, we also have a massive range of specially designed Hajj packages including economical 3 star shifting Hajj Packages, reasonably priced 5 star Shifting Hajj packages and deluxe 5 star Non-Shifting Hajj packages.
• All our Hajj packages include Mina camps, Qurbani, Transportation, flights, visa and accommodation.
• If you are searching a way to get best and cheapest Umrah deals, then AlHaram Travel should be your first choice. We are expert in designing customized Umrah offers and deals which fulfil individual requirements and suit prescribed budgets.
• We are best known as one of the most trusted Hajj and Umrah Service provider in USA due to our continuous efforts to provide our customers the most budget-friendly, cheapest and luxury Hajj and Umrah deals.
• Our supportive ESRs are always available and just a call away from you. Let them know your requirements and problems before or during Holy pilgrimage and they will surely solve them in matter of minutes. 

However, as a top tour operator in USA we hosts experienced and professional Travel advisors and agents for providing best travel facilities for Hajj and Umrah let you personalise every inch of your Umrah packages for you complying with your needs. Our IATA certified package designers assist you to the best of their ability to choose the most suited accommodation, flight, and transport options to be added in these tailor made Umrah packages. Specify dates, choose flight, add destination stop if required, select hotel and our knowledgeable travel advisors include them in these Umrah packages as per your preferences to make your holy pilgrimage memorable one. 

AlHaram Travel is the best provider of cheapest to luxury Umrah and Hajj packages for USA citizens living in New York, New Jersey, Florida, Georgia, Illinois and many other states. We are able to take care of specific needs of every pilgrim. We are focused & dedicated to conduct a deep research about needs, demands and preferences of pilgrims coming from different cities of USA. That allows us to design a wide range of Hajj & Umrah packages with effective service plan. Affordability is a guaranteed factor when you plan to avail our Hajj & Umrah tour services.

Real Reviews by Real Customers

We are an accomplished Travel Agency that has sent 55000+ pilgrims from USA to Allah’s abode on Earth. Discover below what customers have to say about our Hajj Umrah packages:

I was a lone goer and it was my first time to perform Umrah, that’s why I was really confused and nervous about what to do and how to do. I was concerned about how I would travel from Jeddah airport to Makkah, how I will find my hotel in both holy cities, or will I receive guidance during Ziyarat. But to my surprise, all my worries immediately vanished when a representative of AlHaram Travel was at the airport to meet and assist me in my holy journey ahead. He greeted me with open arms, dropped me right in front of my hotel in Makkah and took me to do Ziyarat in both Makkah and Madinah. Other than that, whenever I required assistance in any other on-trip circumstances, the travel agents of AlHaram were friendly and always stood by my side to guide me at every step.

I subscribed to their newsletter, next day I got an e-mail that included last-minute offers, seasonal specials, exclusive perks & discounted Umrah deals. Fortunately, in the very next mail, I received an irresistible offer that had a flight departing from my nearest airport, perfect for my strict budget limit, included hotel I had my eyes on, and even ground transportation was of my standards. I booked it without a second thought as me and my mother were looking to travel and this deal helped us fulfil our desire to perform Umrah. Great prices and excellent service.

I've used AlHaram Travel in the past and found their services to be reliable and professional. They saved me as I was having a lot of financial crisis and could not pay lump sum amount. They resolved my worries by suggesting me to pay amount in equal installments and offer me an easy to follow installment plan that did not prove to be a burden on my pocket and helped me fulfil my hearty desire to perform Umrah. They didn’t even charge me a single penny above the original package price.

Last month, my family event got cancelled at very last moment, so we planned to go for Umrah but knew that it was very late and booking Umrah trip in last moments was very difficult. But my colleague suggested me to contact AlHaram Travel and I was really impressed with their exceptional services. Their team was dedicated to cater my needs even at such short notice and brought a perfect last minute deal that has everything included I required for me and my family during an Umrah journey. Thank you for such an outstanding service.

Traveled with AlHaram Travel in three different months and diverse requirements. And I am delighted to say that their services were stellar & professional every time. They always have plenty of packages pre designed for every month and after listening my needs, they provided me the best package that had all the things I preferred to receive and perform Umrah with a peaceful mind.

Super impressed by the customer service I received from the team of AlHaram Travel and its team. They went an extra mile to understand my travel requirements and suggested me the nearest airport to fly from, assisted me to find hotel that had all amenities I needed to make my Umrah journey comfortable, provided on-trip support and arranged inter-city transport for hassle-free traveling. Really thankful for their cooperation at every step.

Have Any Queries?

Below you'll find answers to some common questions revolving around our Hajj Umrah Packages, services, quality standards & pricing policies. Every human psyche is different though, so don't hesitate to reach out to us and get answers regarding anything else you might be wondering.

Yes, absolutely! Each all-inclusive Umrah package you book with us includes complete visa processing without any excessive charges or hidden costs. However, you can still avail our visa processing services at minimal charges even if you do not wish to book a complete Umrah package with us.

No it isn’t. But you can include sightseeing of the holy sites in your Umrah package by inquiring with our experienced travel advisors who use their alliance with the best transport service providers and arrange a cheap yet comfortable car service for you that will pick you up from right outside your hotel, take you for sightseeing and then drop you at your designated hotel. Moreover, the driver appointed for you will be educated enough to act as your tour guide for better Ziyarat experience.

No, to keep the prices of Umrah packages low & affordable, we do not include ground transport in them. But no need to worry as we can arrange it for you and include it in your Umrah packages on special request. Whether you need comfortable Sedan for couples, luxury SUV for family, or spacious buses for whole a group of friends & colleagues, we use our partnership with the best transportation service providers in KSA to arrange a comfy ride for you as per your requirements.

With the help of our experienced agents of ticket reservation department, & up-to-date real time ticketing system, we design your Umrah packages with cheapest flights of top-rated airlines departing from airport of your respective cities no matter where you are in USA.

It all depends upon what type of package you select, what is your budget and what kind of amenities you are looking for. However, due to our alliance with 750+ handpicked hotels in the nearest vicinity of Kaaba and Al Masjid an Nabawi, all our Umrah packages include top class hotels with all necessities at affordable prices. But if you want to change the hotel included in your Umrah Package, we have shortlisted some of them from which you can choose one that best suit your needs.

We have all types of well-catered & expertly arranged Umrah packages for every month of the year available in our vicinity ranging from cheapest Umrah deals, 3star economical Umrah Packages, 4star affordable Umrah offers, to 5star luxury packages. Our IATA certified travel advisors use their extensive industry knowledge and expertise to pre-design special Umrah packages to facilitate our huge customer base of every norm and perfectly cater to their need of performing Umrah pilgrimage without excess worries or paying more than standard prices. No matter what your requirements maybe, we are sure to have a suitable Umrah package to cater your pilgrimage needs.

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BERSAMA SALAM WISATA TOURS AND TRAVEL Anda akan merasakan pelayanan maksimal dengan penuh ke akraban sesuai denga n moto kami ” PELAYANAN DENGAN HATI”   In syaa Allah Anda akan merasakan wisata yang berbeda… Ada berbagai macam layanan yang kami sajikan… Semoga Anda puas dengan pelayanan kami ..

Bismillah Assalamualaikum Warahmatullahi wabarokaatuh…

Puji syukur kehadirat Allah yang telah memberi kan kemampuan kepada kami..untuk bisa melayani anda dalam bidang pariwisata, baik itu paket wisata anak, komunitas, perusahaan maupun umum dan juga penyedia jasa sewa armada pariwisata.. Semoga dengan hadirnya kami akan menambah kemudahan untuk anda yang kesulitan mencari paket wisata yang terjangkau dengan pelayanan yang akrab dan maksimal sesuai dengan motto kami..Melayani Dengan Hati… Selamat menikmati layanan kami… Sukses dan bahagia untuk anda semua…

Wassalamu ‘alaykum warahmatullahi wabarokaatuh..

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Salam TV's Road to Makkah 2024: Weli Travel's first Hajj seminar prepares pilgrims for spiritual journey

Salam TV's Road to Makkah 2024, in collaboration with Weli Travel, is gearing up for the upcoming Hajj pilgrimage, scheduled for June 2 to 23.

In preparation, Weli Travel hosted its inaugural Hajj seminar on May 18th, 2024, aimed at enlightening pilgrims with essential information and spiritual guidance.

This seminar brought together distinguished sheikhs and enthusiastic pilgrims, fostering a rich learning environment.

Held at the Weli Travel conference hall, the seminar was attended by over 60 pilgrims in person, while many others participated virtually through Salam TV and Weli Travel’s social media platforms.

Key Sessions and Highlights

Sheikh Salim Bossa opened the seminar with an insightful session on the essential pillars of Hajj. He emphasized the significance of each ritual, ensuring that pilgrims understood the spiritual weight and historical context of their journey.

His teachings laid a strong foundation, helping attendees grasp the profound acts they will undertake.

Sheikh Abdulkarim Mugendera followed with a detailed explanation of the fundamental requirements for performing Hajj. He meticulously covered the practical aspects, from Ihram to Tawaf, providing a comprehensive guide that reassured the pilgrims about their preparedness.

His session was particularly appreciated for its clarity and practical advice.

Sheikh Qassim Kiyingi delivered a captivating lecture on the significance of the historical sites associated with Hajj.

His storytelling transported the pilgrims back in time, connecting them to the rich history and sacred events that define the pilgrimage.

Sheikh Kiyingi’s narratives deepened the pilgrims’ appreciation for the journey they are about to embark on.

Sheikh Didat Kakooza concluded the seminar by focusing on the crucial aspect of maintaining good health during Hajj.

He offered practical tips on nutrition, hydration, and physical well-being, ensuring that the pilgrims are not only spiritually but also physically prepared for the challenges ahead.

His advice was particularly valuable given the strenuous nature of the pilgrimage.

Successful Outcomes and Future Plans

The event was a resounding success, with pilgrims expressing gratitude for the valuable insights and practical advice received.

The seamless integration of physical and virtual participation allowed for a wide reach, ensuring that all pilgrims, regardless of their location, could benefit from the seminar.

Weli Travel's commitment to thorough preparation and community support was evident throughout the seminar.

As the pilgrims prepare to board Emirates Airlines for their sacred journey, they do so with confidence, knowledge, and a deeper connection to their faith.

The first Hajj seminar has set a high standard, promising a spiritually fulfilling and well-prepared pilgrimage for all involved.

Looking ahead, preparations are underway for the second Hajj seminar on May 25th, 2024, continuing the mission of ensuring all pilgrims are well-prepared for their spiritual journey.

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Meningococcal Disease Cases Linked to Travel to the Kingdom of Saudi Arabia (KSA): Ensure Pilgrims are Current on Meningococcal Vaccination

Distributed via the CDC Health Alert Network May 20 2024, 10:30 AM ET CDCHAN-00508

Summary The Centers for Disease Control and Prevention (CDC) is issuing this Health Alert Network (HAN) Health Advisory to alert healthcare providers to cases of meningococcal disease linked to Umrah travel to the Kingdom of Saudi Arabia (KSA). Umrah is an Islamic pilgrimage to Mecca, Kingdom of Saudi Arabia, that can be performed any time in the year; the Hajj is an annual Islamic pilgrimage this year taking place June 14–19, 2024. Since April 2024, 12 cases of meningococcal disease linked to KSA travel for Umrah have been reported to national public health agencies in the United States (5 cases), France (4 cases), and the United Kingdom (3 cases). Two cases were in children aged ≤18 years, four cases were in adults aged 18–44 years, four cases were in adults aged 45–64 years, and two cases were in adults aged 65 years or older. Ten cases were in patients who traveled to KSA, and two were in patients who had close contact with travelers to KSA. Ten cases were caused by Neisseria meningitidis serogroup W (NmW), one U.S. case was caused by serogroup C (NmC), and the serogroup is unknown for one U.S. case. Of nine patients with known vaccination status, all were unvaccinated. The isolates from the one U.S. NmC case and two NmW cases (one U.S., one France) were resistant to ciprofloxacin; based on whole-genome sequencing, the remaining eight NmW isolates were all sensitive to penicillin and ciprofloxacin.

In the United States, quadrivalent meningococcal (MenACWY) conjugate vaccination is routinely recommended for adolescents, and also recommended for travelers to countries where meningococcal disease is hyperendemic or epidemic, including a booster dose of MenACWY if the last dose was administered 3–5 or more years previously (depending on the age at most recent dose received). In addition, all Hajj and Umrah pilgrims aged one year and older are required by KSA to receive quadrivalent meningococcal vaccine. Healthcare providers should work with their patients considering travel to perform Hajj or Umrah to ensure that those aged one year or older have received a MenACWY conjugate vaccine within the last 5 years administered at least 10 days prior to arrival in KSA. Healthcare providers should also maintain increased suspicion for meningococcal disease in anyone presenting with symptoms of meningococcal disease after recent travel to KSA for Hajj or Umrah pilgrimage. U.S. health departments and healthcare providers should preferentially consider using rifampin, ceftriaxone, or azithromycin instead of ciprofloxacin for chemoprophylaxis of close contacts of meningococcal disease cases associated with travel to KSA.

Background Meningococcal disease , caused by the bacterium Neisseria meningitidis , is a rare but severe illness with a case-fatality rate of 10–15%, even with appropriate antibiotic treatment. Meningococcal disease often presents as meningitis with symptoms that may include fever, headache, stiff neck, nausea, vomiting, photophobia, or altered mental status. Meningococcal disease may also present as a meningococcal bloodstream infection with symptoms that may include fever, chills, fatigue, vomiting, cold hands and feet, severe aches and pains, rapid breathing, diarrhea, or, in later stages, a petechial or dark purple rash (purpura fulminans). While initial symptoms of meningococcal disease can at first be nonspecific, they worsen rapidly and can become life-threatening within hours. Survivors may experience long-term effects such as deafness or amputations of the extremities. Immediate antibiotic treatment for meningococcal disease is critical. Blood and cerebrospinal fluid (CSF) cultures are indicated for patients with suspected meningococcal disease. Healthcare providers should not wait for diagnostic testing or receipt of laboratory results before initiating treatment for suspected cases of meningococcal disease.

Meningococcal disease outbreaks have occurred previously in conjunction with mass gatherings including the Hajj pilgrimage. The most recent global outbreak of meningococcal disease associated with travel to KSA for Hajj was in 2000–2001 and was primarily caused by NmW. Since 2002, KSA has required that all travelers aged one year or older performing Hajj or Umrah provide documentation of either a) a MenACWY polysaccharide vaccine (MPSV4 is no longer available in the United States) within the last 3 years administered at least 10 days prior to arrival or b) a MenACWY conjugate vaccine within the last 5 years administered at least 10 days prior to arrival. This requirement aligns with ACIP recommendations for revaccination of U.S. travelers to endemic areas who received their last dose 3–5 or more years previously (depending on the age at most recent dose received). Nevertheless, meningococcal vaccination coverage among Umrah travelers is known to be incomplete.

Close contacts of people with meningococcal disease should receive antibiotic chemoprophylaxis as soon as possible after exposure, regardless of immunization status, ideally less than 24 hours after the index patient is identified. Ciprofloxacin, rifampin, and ceftriaxone are the first-line antibiotics recommended for use as chemoprophylaxis. However, ciprofloxacin-resistant strains of N. meningitidis have been emerging in the United States and globally. CDC recently released implementation guidance for the preferential use of other recommended prophylaxis antibiotics in areas with multiple cases caused by ciprofloxacin-resistant strains. Health departments should discontinue using ciprofloxacin as prophylaxis for close contacts when, in a catchment area during a rolling 12-month period, both a) ≥2 invasive meningococcal disease cases caused by ciprofloxacin-resistant strains have been reported, and b) cases caused by ciprofloxacin-resistant strains account for ≥20% of all reported invasive meningococcal disease cases. Though a catchment area is defined as a “single contiguous area that contains all counties reporting ciprofloxacin-resistant cases,” in this circumstance, it is more appropriate to determine the catchment population based on travel history rather than geographic location at the time of diagnosis. Among the 11 global cases associated with travel to KSA that have antimicrobial sensitivity results available, 3 cases (27%) were caused by ciprofloxacin-resistant strains. Rifampin, ceftriaxone, or azithromycin should be preferentially considered instead of ciprofloxacin as prophylaxis for close contacts in the United States of meningococcal disease cases associated with travel to KSA.

Recommendations for Healthcare Providers

• Recommend vaccination with MenACWY conjugate vaccine for people considering travel to KSA to perform Hajj or Umrah (pilgrims) in addition to routine meningococcal vaccination for adolescents and other people at increased meningococcal disease risk.
• Maintain a heightened index of suspicion for meningococcal disease among symptomatic people who have recently been in KSA and among close contacts of people who have recently been in KSA, regardless of vaccination status.
• Immediately notify state, tribal, local, or territorial health departments about any suspected or confirmed cases of meningococcal disease in the United States.
• Preferentially consider using rifampin, ceftriaxone, or azithromycin instead of ciprofloxacin as prophylaxis for close contacts in the United States of meningococcal disease cases associated with travel in KSA.

Recommendations for Health Departments

• Consider outreach to local communities to promote meningococcal vaccination for Hajj and Umrah pilgrims to KSA.
• Collect a detailed travel history for all reported cases of meningococcal disease.
• Continue to report cases of meningococcal disease in people who have recently been in KSA, or in close contacts of people who have recently been in KSA, to CDC at [email protected] in addition to routine reporting through the National Notifiable Diseases Surveillance System ( NNDSS ).

Recommendations for the Public

• People considering travel to KSA to perform Hajj or Umrah should ensure they are current on vaccination with MenACWY vaccine as required by KSA . All travelers aged one year or older performing Hajj or Umrah should have received either a) a MenACWY polysaccharide vaccine (MPSV4, no longer available in the United States) within the last 3 years administered at least 10 days prior to arrival or b) a quadrivalent MenACWY conjugate vaccine within the last 5 years administered at least 10 days prior to arrival.
• Symptoms of meningococcal meningitis may include fever, headache, stiff neck, nausea, vomiting, photophobia (eyes being more sensitive to light), or altered mental status (confusion).
• Symptoms of meningococcal bloodstream infection may include fever and chills, fatigue, vomiting, cold hands and feet, severe aches and pains, rapid breathing, diarrhea, or, in later stages, a dark purple rash.
• Initial symptoms of meningococcal disease can at first be vague, but worsen rapidly, and can become life-threatening within hours.

For More Information

Healthcare Providers

• Clinical Information | Meningococcal Disease | CDC
• Meningococcal Vaccination: Information for Healthcare Professionals | CDC
• Meningococcal Disease | CDC Yellow Book 2024

Health Departments

• Meningococcal Disease Surveillance | CDC
• Meningococcal Disease | Manual for the Surveillance of Vaccine-Preventable Diseases | CDC
• Meningococcal Disease Outbreaks and Public Health Response | CDC
• Meningococcal Vaccination | CDC
• Signs and Symptoms | Meningococcal Disease | CDC
• Travelers’ Health: Saudi Arabia | CDC  
• Ministry of Health, Kingdom of Saudi Arabia
• Visit CDC-INFO or call 1-800-232-4636
• American Academy of Pediatrics. Meningococcal Infections. [Section 3]. In: Kimberlin DW, Barnett ED, Lynfield R, Sawyer MH, eds. Red Book: 2021–2024 Report of the Committee on Infectious Diseases. Itasca, IL : American Academy of Pediatrics ; 2021;519–32. https://publications.aap.org/redbook/book/347/chapter/5754116/Meningococcal-Infections
• Mbaeyi SA, Bozio CH, Duffy J, et al. Meningococcal Vaccination: Recommendations of the Advisory Committee on Immunization Practices, United States, 2020. MMWR Recomm Rep 2020;69(No. RR-9):1–41. doi: https://dx.doi.org/10.15585/mmwr.rr6909a1
• Badur S, Khalaf M, Öztürk S, et al. Meningococcal Disease and Immunization Activities in Hajj and Umrah Pilgrimage: A review. Infectious Diseases and Therapy 2022;11(4):1343–1369. doi: https://doi.org/10.1007/s40121-022-00620-0
• Yezli S, Gautret P, Assiri AM, Gessner BD, Alotaibi B. Prevention of meningococcal disease at mass gatherings: Lessons from the Hajj and Umrah. Vaccine . 2018;36(31):4603–4609. doi: https://doi.org/10.1016/j.vaccine.2018.06.030 .
• Berry I, Rubis AB, Howie RL, et al. Selection of Antibiotics as Prophylaxis for Close Contacts of Patients with Meningococcal Disease in Areas with Ciprofloxacin Resistance — United States, 2024. MMWR Morb Mortal Wkly Rep 2024; 73:99–103. doi: https://dx.doi.org/10.15585/mmwr.mm7305a2
• Willerton L, Lucidarme J, Campbell H, et al. Geographically widespread invasive meningococcal disease caused by a ciprofloxacin resistant non-groupable strain of the ST-175 clonal complex. Journal of Infection 2020;81(4): 575–584. doi: https://doi.org/10.1016/j.jinf.2020.08.030

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Out of the Centre

Savvino-storozhevsky monastery and museum.

Zvenigorod's most famous sight is the Savvino-Storozhevsky Monastery, which was founded in 1398 by the monk Savva from the Troitse-Sergieva Lavra, at the invitation and with the support of Prince Yury Dmitrievich of Zvenigorod. Savva was later canonised as St Sabbas (Savva) of Storozhev. The monastery late flourished under the reign of Tsar Alexis, who chose the monastery as his family church and often went on pilgrimage there and made lots of donations to it. Most of the monastery’s buildings date from this time. The monastery is heavily fortified with thick walls and six towers, the most impressive of which is the Krasny Tower which also serves as the eastern entrance. The monastery was closed in 1918 and only reopened in 1995. In 1998 Patriarch Alexius II took part in a service to return the relics of St Sabbas to the monastery. Today the monastery has the status of a stauropegic monastery, which is second in status to a lavra. In addition to being a working monastery, it also holds the Zvenigorod Historical, Architectural and Art Museum.

Belfry and Neighbouring Churches

Located near the main entrance is the monastery's belfry which is perhaps the calling card of the monastery due to its uniqueness. It was built in the 1650s and the St Sergius of Radonezh’s Church was opened on the middle tier in the mid-17th century, although it was originally dedicated to the Trinity. The belfry's 35-tonne Great Bladgovestny Bell fell in 1941 and was only restored and returned in 2003. Attached to the belfry is a large refectory and the Transfiguration Church, both of which were built on the orders of Tsar Alexis in the 1650s.  

To the left of the belfry is another, smaller, refectory which is attached to the Trinity Gate-Church, which was also constructed in the 1650s on the orders of Tsar Alexis who made it his own family church. The church is elaborately decorated with colourful trims and underneath the archway is a beautiful 19th century fresco.

Nativity of Virgin Mary Cathedral

The Nativity of Virgin Mary Cathedral is the oldest building in the monastery and among the oldest buildings in the Moscow Region. It was built between 1404 and 1405 during the lifetime of St Sabbas and using the funds of Prince Yury of Zvenigorod. The white-stone cathedral is a standard four-pillar design with a single golden dome. After the death of St Sabbas he was interred in the cathedral and a new altar dedicated to him was added.

Under the reign of Tsar Alexis the cathedral was decorated with frescoes by Stepan Ryazanets, some of which remain today. Tsar Alexis also presented the cathedral with a five-tier iconostasis, the top row of icons have been preserved.

Tsaritsa's Chambers

The Nativity of Virgin Mary Cathedral is located between the Tsaritsa's Chambers of the left and the Palace of Tsar Alexis on the right. The Tsaritsa's Chambers were built in the mid-17th century for the wife of Tsar Alexey - Tsaritsa Maria Ilinichna Miloskavskaya. The design of the building is influenced by the ancient Russian architectural style. Is prettier than the Tsar's chambers opposite, being red in colour with elaborately decorated window frames and entrance.

At present the Tsaritsa's Chambers houses the Zvenigorod Historical, Architectural and Art Museum. Among its displays is an accurate recreation of the interior of a noble lady's chambers including furniture, decorations and a decorated tiled oven, and an exhibition on the history of Zvenigorod and the monastery.

Palace of Tsar Alexis

The Palace of Tsar Alexis was built in the 1650s and is now one of the best surviving examples of non-religious architecture of that era. It was built especially for Tsar Alexis who often visited the monastery on religious pilgrimages. Its most striking feature is its pretty row of nine chimney spouts which resemble towers.

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The Unique Burial of a Child of Early Scythian Time at the Cemetery of Saryg-Bulun (Tuva)

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Pages:  379-406

In 1988, the Tuvan Archaeological Expedition (led by M. E. Kilunovskaya and V. A. Semenov) discovered a unique burial of the early Iron Age at Saryg-Bulun in Central Tuva. There are two burial mounds of the Aldy-Bel culture dated by 7th century BC. Within the barrows, which adjoined one another, forming a figure-of-eight, there were discovered 7 burials, from which a representative collection of artifacts was recovered. Burial 5 was the most unique, it was found in a coffin made of a larch trunk, with a tightly closed lid. Due to the preservative properties of larch and lack of air access, the coffin contained a well-preserved mummy of a child with an accompanying set of grave goods. The interred individual retained the skin on his face and had a leather headdress painted with red pigment and a coat, sewn from jerboa fur. The coat was belted with a leather belt with bronze ornaments and buckles. Besides that, a leather quiver with arrows with the shafts decorated with painted ornaments, fully preserved battle pick and a bow were buried in the coffin. Unexpectedly, the full-genomic analysis, showed that the individual was female. This fact opens a new aspect in the study of the social history of the Scythian society and perhaps brings us back to the myth of the Amazons, discussed by Herodotus. Of course, this discovery is unique in its preservation for the Scythian culture of Tuva and requires careful study and conservation.

Keywords: Tuva, Early Iron Age, early Scythian period, Aldy-Bel culture, barrow, burial in the coffin, mummy, full genome sequencing, aDNA

Information about authors: Marina Kilunovskaya (Saint Petersburg, Russian Federation). Candidate of Historical Sciences. Institute for the History of Material Culture of the Russian Academy of Sciences. Dvortsovaya Emb., 18, Saint Petersburg, 191186, Russian Federation E-mail: [email protected] Vladimir Semenov (Saint Petersburg, Russian Federation). Candidate of Historical Sciences. Institute for the History of Material Culture of the Russian Academy of Sciences. Dvortsovaya Emb., 18, Saint Petersburg, 191186, Russian Federation E-mail: [email protected] Varvara Busova  (Moscow, Russian Federation).  (Saint Petersburg, Russian Federation). Institute for the History of Material Culture of the Russian Academy of Sciences.  Dvortsovaya Emb., 18, Saint Petersburg, 191186, Russian Federation E-mail:  [email protected] Kharis Mustafin  (Moscow, Russian Federation). Candidate of Technical Sciences. Moscow Institute of Physics and Technology.  Institutsky Lane, 9, Dolgoprudny, 141701, Moscow Oblast, Russian Federation E-mail:  [email protected] Irina Alborova  (Moscow, Russian Federation). Candidate of Biological Sciences. Moscow Institute of Physics and Technology.  Institutsky Lane, 9, Dolgoprudny, 141701, Moscow Oblast, Russian Federation E-mail:  [email protected] Alina Matzvai  (Moscow, Russian Federation). Moscow Institute of Physics and Technology.  Institutsky Lane, 9, Dolgoprudny, 141701, Moscow Oblast, Russian Federation E-mail:  [email protected]

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