Pattern of Referral of Sick Pilgrims from Omani Medical Mission During Hajj 2019 (1440 H)

Ahmad Obaid al Mashaykhi; Randa Nooh; Sami Said Almudarra; Abdulaziz Saad Almutari; Naif Saud Albudayri; Khalid Masoud Alghamdi

doi:doi:10.11648/j.sjph.20231103.11

Pattern of Referral of Sick Pilgrims from Omani Medical Mission During Hajj 2019 (1440 H)

Ahmad Obaid al Mashaykhi, Randa Nooh, Sami Said Almudarra, Abdulaziz Saad Almutari, Naif Saud Albudayri, Khalid Masoud Alghamdi

Published in Science Journal of Public Health (Volume 11, Issue 3)

Received: 25 September 2022 Accepted: 11 November 2022 Published: 25 May 2023

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Abstract

Background: Annually, in the month of Dhul hijjah, over 2 million Muslims travel to Saudi Arabia to perform Hajj. Hajj is the biggest mass gathering globally, which creates a significant influence on Hajjes' health. The Omani medical mission is the official delegation from the Omani government to Saudi Arabia to serve the Omani hajjees regarding their health Sduring Hajj 1440 H. Methods: We conducted a cross-sectional study at the Omani Medical missions in Makkah, Madinah, Mina, and Arafat. Data was collected via a predesigned form. All Omani pilgrims presenting to the mission who were referred to local hospitals were included. Results: The total number of cases was 5000, of which 106 (2.1%) were referred to local hospitals (21.2 per 1000 hajjees). The most common causes of referral were cardiovascular diseases (23.6%), followed by gastrointestinal disease (17.9%) and trauma (16.9%). Males comprised 60.1%. Their mean age was 47.3 years (SD ±11.27), with the highest referrals in the 51-60 years age group (30%). Over half (55.7%) had co-morbidities. Patients' mean time to reach the clinic was 8.87 min (SD ±6.41), with 65% arriving in 5 min or less. The mean time needed to reach the hospital by ambulance was 11.39 min (SD ±6.6), with 36% arriving within 5 min. Of the referrals, 42% were admitted into hospital. Hospitalization was significantly higher among patients with chest pain (P-value < 0.0057), diabetics (P-value < 0.0001), and patients with Heart Disease (P-value = 0.013). Conclusions: The most common causes for referral of Hajjees from the Omani Medical Mission were cardiovascular diseases, gastrointestinal disease, and trauma. This information should assist the Omani government in planning their medical services in hajj season in future years.

Published in	Science Journal of Public Health (Volume 11, Issue 3)
DOI	10.11648/j.sjph.20231103.11
Page(s)	43-55
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Hajj, Oman, Pilgrims, Referral, Omani

References

[1]	MOHU. SA. Information and Data of Hajj [Available from https://www.haj.gov.sa/ar/InternalPageCategories/Details/49
[2]	Al-Orainey IO. Tuberculosis infection during Hajj pilgrimage. Saudi Med J. 2013; 34 (7): 676-80.
[3]	Abd-alla M, Ahmed Q, Memish ZA, Saba J. Balaban V SW, Hammad A, Afgarshe M, Abd-Alla M, Ahmed Q, et al. Protective practices and respiratory illness among US travelers to the 2009 Hajj. Journal of travel medicine. 2012; 19 (3): 163-8.9. 2012; 19 (3): 163–8.
[4]	Assiri A, Al-Tawfiq JA, Al-Rabeeah AA, Al-Rabiah FA, Al-Hajjar S, Al-Barrak A, Flemban H, Al-Nassir WN, Balkhy HH, Al-Hakeem RF, Makhdoom HQ. Epidemiological, demographic, and clinical characteristics of 47 cases of Middle East respiratory syndrome coronavirus disease from Saudi Arabia: a descriptive study. The Lancet infectious diseases. 2013 Sep 1; 13 (9): 752-61.
[5]	World Health Organization. WHO MERS-CoV Global Summary and Assessment of Risk, [Internet]. Geneva: WHO; 2017 [cited 2017 26 Jul]. Available from: http://www.who.int/emergencies/mers-cov/risk-assessment-july-2017.pdf?ua=1.19.
[6]	Khan NA, Ishag AM, Ahmad MS, El-Sayed FM, Bachal ZA, Abbas TG. Pattern of medical diseases and determinants of prognosis of hospitalization during 2005 Muslim pilgrimage (Hajj) in a tertiary care hospital. A prospective cohort study. Saudi medical journal. 2006 Sep 1; 27 (9): 1373.
[7]	Al-Joudi AS. An outbreak of foodborne diarrheal illness among soldiers in mina during hajj the role of consumer food handling behaviors. J Family Community Med. 2007; 14 (1) 29-33. 10.
[8]	Alzahrani AG, Jamil A, Al MA, Hafiz A, Turkistani M, Nouman GS, et al. Pattern of diseases among visitors to Mina health centers during the Hajj season, 1429 H (2008 G). J Infect Public Health.
[9]	El Ghany MA, Alsomali M, Almasri M, Regalado EP, Naeem R, Tukestani A, Asiri A, Hill-Cawthorne GA, Pain A, Memish ZA. Enteric infections circulating during hajj seasons, 2011–2013. Emerging infectious diseases. 2017 Oct; 23 (10): 1640.
[10]	Lingappa JR A-RA, Hajjeh R, Mustafa T, Fatani A, Al-Bassam T, et al. Serogroup W-135 Meningococcal Disease during the Hajj, 2000. Emerg Infect Dis 2003; 9 (6): 665-671 2003.7.
[11]	Aguilera JF, Perrocheau A, Meffre C, Hahne S, W135 Working Group. Outbreak of serogroup W135 meningococcal disease after the Hajj pilgrimage, Europe, 2000. Emerging infectious diseases. 2002 Aug; 8 (8): 761.
[12]	World Health Organization. List of countries, territories and areas. Yellow fever vaccination requirements and recommendations; malaria situation; and other vaccination requirements. Geneva: WHO; 2015. Available from: http://www.who.int/ith/2015-ith-count.
[13]	Memish ZA, Zumla A, Alhakeem RF, Assiri A, Turkestani A, Al Harby KD, Alyemni M, Dhafar K, Gautret P, Barbeschi M, McCloskey B. Hajj: infectious disease surveillance and control. The Lancet. 2014 Jun 14; 383 (9934): 2073-82.
[14]	Alikhan M, Al Ghamdi K, Mahyoub JA. Aedes mosquito species in western Saudi Arabia. Journal of insect science (Online). 2014 May 20; 14: 69.15.
[15]	Alhaeli A, Bahkali S, Ali A, Househ MS, El-metwally AA. The epidemiology of Dengue fever in Saudi Arabia : A systematic review. J Infect Public Health.
[16]	Humphrey JM CN, Reusken, CBEM GM, Koopmans MPG, Abu-Raddad, LJ. Dengue in the Middle East and North Africa: A Systematic Review. PLoS Negl Trop Dis,. 2016; 10 (12): 194.17.
[17]	CDC. Alkhurma hemorrhagic fever outbreak [Available from https://www.cdc.gov/vhf/alkhurma/outbreaks/distribution-map.html
[18]	Memish ZA. The Hajj: communicable and non-communicable health hazards and current guidance for pilgrims. Eurosurveillance. 2010 Sep 30; 15 (39): 19671.
[19]	Fatani MI, Al-Afif KA, Hussain H. Pattern of skin diseases among pilgrims during Hajj season in Makkah, Saudi Arabia. Int J Derm 2000 Jul; 39 (7): 493-6.
[20]	Shimemeri A Al. Cardiovascular disease in Hajj pilgrims. J Saudi Heart Assoc [Internet]. 2012; 24 (2): 123–7. Available from: http://dx.doi.org/10.1016/j.jsha.2012.02.004
[21]	Ibrahim M, Abdelaziz SI, Almagd MA, Alarouj M, Annabi FA, Armstrong DG, Ba-Essa E, Nakhi AB, Boudjenah N, Fischl AH, Masood SN. Recommendations for management of diabetes and its complications during Hajj (Muslim pilgrimage). BMJ Open Diabetes Research and Care. 2018; 6 (1): e000574.
[22]	Madani TA, Ghabrah TM, Al-Hedaithy MA, Alhazmi MA, Alazraqi TA, Albarrak AM, Ishaq AH. Causes of hospitalization of pilgrims during the Hajj period of the Islamic year 1423 (2003). Annals of Saudi medicine. 2006 Sep; 26 (5): 346-51.
[23]	Dzaraly ND, Rahman NI, Simbak NB, Ab Wahab S, Osman O, Ismail S, Haque M. Patterns of communicable and non-communicable diseases in Pilgrims during Hajj. Research Journal of Pharmacy and Technology. 2014 Sep 1; 7 (9): 12.
[24]	Abdelmoety DA, El-Bakri NK, Almowalld WO, Turkistani ZA, Bugis BH, Baseif EA, Melbari MH, AlHarbi K, Abu-Shaheen A. Characteristics of heat illness during Hajj: a cross-sectional study. BioMed research international. 2018; 2018.
[25]	Memish ZA. Saudi Arabia has several strategies to care for pilgrims on the Hajj. Bmj. 2011 Dec 6; 343: d7731.
[26]	MERA. OMAN Hajj registration infermation. [Available from https://hajj.om/
[27]	Baomer AA. Profile of diabetic Omani pilgrims to Mecca. East African medical journal. 1998 Apr; 75 (4): 211-4.
[28]	Atobi M. Adherence of Omani Hajjis to Health Education Advice on Major Health Hazards during Hajj, 1433H (2012G) Available at http://fetp.edu.sa/dmu/studiesabsractresidents.php?id=584
[29]	Albusaidi S. Behavioral Risk Factors among Omani hajjis during the hajj season 1432H/2011G. Available at http://fetp.edu.sa/dmu/studiesabsractresidents.php?id=537
[30]	Bakhsh AR, Sindy AI, Baljoon MJ, Dhafar KO, Gazzaz ZJ, Baig M, Deiab BA, Al Hothali FT. Diseases pattern among patients attending Holy Mosque (Haram) medical centers during Hajj 1434 (2013). Saudi medical journal. 2015 Aug; 36 (8): 962.
[31]	Ibrahim NK. Epidemiological pattern of diseases and risk behaviors of pilgrims attending mina hospitals, hajj 1427 h (2007 g). J Egypt Public Health Assoc. 2008 Jan 1; 83 (1-2): 15-33.
[32]	Al-Ghamdi SM, Akbar HO, Qari YA, Fathaldin OA, Al-Rashed RS. Pattern of admission to hospitals during muslim pilgrimage (Hajj). SMJ. 2003; 24 (10): 1073-6.
[33]	Madani TA, Ghabrah TM, Albarrak AM, Alhazmi MA, Alazraqi TA, Althaqafi AO, Ishaq AH. Causes of admission to intensive care units in the Hajj period of the Islamic year 1424 (2004). Annals of Saudi medicine. 2007 Mar; 27 (2): 101-5.
[34]	Mandourah Y, Al-Radi A, Ocheltree AH, Ocheltree SR, Fowler RA. Clinical and temporal patterns of severe pneumonia causing critical illness during Hajj. BMC infectious diseases. 2012 Dec; 12 (1): 117.
[35]	Memish ZA, Assiri A, Turkestani A, Yezli S, Masri M, Charrel R, et al. Mass gathering and globalization of respiratory pathogens during the 2013 Hajj. Clin Microbiol Infect [Internet]. 2015; 21 (6): 571.e1-571.e8. Available from: http://dx.doi.org/10.1016/j.cmi.2015.02.008
[36]	Al-Tawfiq JA, Zumla A, Memish ZA. Respiratory tract infections during the annual Hajj: potential risks and mitigation strategies. Curr Opin Pulm Med 2013; 19: 192-197.
[37]	Al-Tawfiq JA, Memish ZA. The Hajj: updated health hazards and current recommendations for 2012. Eurosurveillance. 2012 Oct 11; 17 (41): 20295.
[38]	Al-Harthi AS, Al-Harbi M. Accidental injuries during muslim pilgrimage. Saudi medical journal. 2001 Jun 1; 22 (6): 523-5.
[39]	Abodahish AA, El-Bushra HE. Utilization of primary health care services during Hajj 1998. Saudi Med J 1999; 20 (12): 931—8.
[40]	Al-Salamah SM. General surgical problems encountered in the Hajj pilgrims. Saudi medical journal. 2005 Jul; 26 (7): 1055-7.
[41]	Al-Harbi MA. Pattern of surgical and medical diseases among pilgrims attending Al-Noor hospital Makkah. Journal of family & community medicine. 2000 Jan; 7 (1): 21.
[42]	Almekhlafi MA, Alhazmi MA, Alsulami SS, Almorsy SA. Incidence and impact of stroke during Hajj: Results of 2015 Hajj stroke registry. Neurosciences. 2017 Jul; 22 (3): 181..
[43]	Al-Turki A. general guidelines for people with diabetes intending to perform Haj. IDF Bulletin 1998; 43: 25–70.
[44]	Khan S, Khan ID. Obstetric and Neonatal Outcomes of Pregnant Indian Pilgrims: A three-year experience at the Indian Hajj Medical Mission. Sultan Qaboos University Medical Journal. 2018 Aug; 18 (3): e355.

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Ahmad Obaid al Mashaykhi, Randa Nooh, Sami Said Almudarra, Abdulaziz Saad Almutari, Naif Saud Albudayri, et al. (2023). Pattern of Referral of Sick Pilgrims from Omani Medical Mission During Hajj 2019 (1440 H). Science Journal of Public Health, 11(3), 43-55. https://doi.org/10.11648/j.sjph.20231103.11

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Ahmad Obaid al Mashaykhi; Randa Nooh; Sami Said Almudarra; Abdulaziz Saad Almutari; Naif Saud Albudayri, et al. Pattern of Referral of Sick Pilgrims from Omani Medical Mission During Hajj 2019 (1440 H). Sci. J. Public Health 2023, 11(3), 43-55. doi: 10.11648/j.sjph.20231103.11

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Ahmad Obaid al Mashaykhi, Randa Nooh, Sami Said Almudarra, Abdulaziz Saad Almutari, Naif Saud Albudayri, et al. Pattern of Referral of Sick Pilgrims from Omani Medical Mission During Hajj 2019 (1440 H). Sci J Public Health. 2023;11(3):43-55. doi: 10.11648/j.sjph.20231103.11

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@article{10.11648/j.sjph.20231103.11,
  author = {Ahmad Obaid al Mashaykhi and Randa Nooh and Sami Said Almudarra and Abdulaziz Saad Almutari and Naif Saud Albudayri and Khalid Masoud Alghamdi},
  title = {Pattern of Referral of Sick Pilgrims from Omani Medical Mission During Hajj 2019 (1440 H)},
  journal = {Science Journal of Public Health},
  volume = {11},
  number = {3},
  pages = {43-55},
  doi = {10.11648/j.sjph.20231103.11},
  url = {https://doi.org/10.11648/j.sjph.20231103.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.sjph.20231103.11},
  abstract = {Background: Annually, in the month of Dhul hijjah, over 2 million Muslims travel to Saudi Arabia to perform Hajj. Hajj is the biggest mass gathering globally, which creates a significant influence on Hajjes' health. The Omani medical mission is the official delegation from the Omani government to Saudi Arabia to serve the Omani hajjees regarding their health Sduring Hajj 1440 H. Methods: We conducted a cross-sectional study at the Omani Medical missions in Makkah, Madinah, Mina, and Arafat. Data was collected via a predesigned form. All Omani pilgrims presenting to the mission who were referred to local hospitals were included. Results: The total number of cases was 5000, of which 106 (2.1%) were referred to local hospitals (21.2 per 1000 hajjees). The most common causes of referral were cardiovascular diseases (23.6%), followed by gastrointestinal disease (17.9%) and trauma (16.9%). Males comprised 60.1%. Their mean age was 47.3 years (SD ±11.27), with the highest referrals in the 51-60 years age group (30%). Over half (55.7%) had co-morbidities. Patients' mean time to reach the clinic was 8.87 min (SD ±6.41), with 65% arriving in 5 min or less. The mean time needed to reach the hospital by ambulance was 11.39 min (SD ±6.6), with 36% arriving within 5 min. Of the referrals, 42% were admitted into hospital. Hospitalization was significantly higher among patients with chest pain (P-value < 0.0057), diabetics (P-value < 0.0001), and patients with Heart Disease (P-value = 0.013). Conclusions: The most common causes for referral of Hajjees from the Omani Medical Mission were cardiovascular diseases, gastrointestinal disease, and trauma. This information should assist the Omani government in planning their medical services in hajj season in future years.},
 year = {2023}
}

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TY - JOUR
T1 - Pattern of Referral of Sick Pilgrims from Omani Medical Mission During Hajj 2019 (1440 H)
AU - Ahmad Obaid al Mashaykhi
AU - Randa Nooh
AU - Sami Said Almudarra
AU - Abdulaziz Saad Almutari
AU - Naif Saud Albudayri
AU - Khalid Masoud Alghamdi
Y1 - 2023/05/25
PY - 2023
N1 - https://doi.org/10.11648/j.sjph.20231103.11
DO - 10.11648/j.sjph.20231103.11
T2 - Science Journal of Public Health
JF - Science Journal of Public Health
JO - Science Journal of Public Health
SP - 43
EP - 55
PB - Science Publishing Group
SN - 2328-7950
UR - https://doi.org/10.11648/j.sjph.20231103.11
AB - Background: Annually, in the month of Dhul hijjah, over 2 million Muslims travel to Saudi Arabia to perform Hajj. Hajj is the biggest mass gathering globally, which creates a significant influence on Hajjes' health. The Omani medical mission is the official delegation from the Omani government to Saudi Arabia to serve the Omani hajjees regarding their health Sduring Hajj 1440 H. Methods: We conducted a cross-sectional study at the Omani Medical missions in Makkah, Madinah, Mina, and Arafat. Data was collected via a predesigned form. All Omani pilgrims presenting to the mission who were referred to local hospitals were included. Results: The total number of cases was 5000, of which 106 (2.1%) were referred to local hospitals (21.2 per 1000 hajjees). The most common causes of referral were cardiovascular diseases (23.6%), followed by gastrointestinal disease (17.9%) and trauma (16.9%). Males comprised 60.1%. Their mean age was 47.3 years (SD ±11.27), with the highest referrals in the 51-60 years age group (30%). Over half (55.7%) had co-morbidities. Patients' mean time to reach the clinic was 8.87 min (SD ±6.41), with 65% arriving in 5 min or less. The mean time needed to reach the hospital by ambulance was 11.39 min (SD ±6.6), with 36% arriving within 5 min. Of the referrals, 42% were admitted into hospital. Hospitalization was significantly higher among patients with chest pain (P-value < 0.0057), diabetics (P-value < 0.0001), and patients with Heart Disease (P-value = 0.013). Conclusions: The most common causes for referral of Hajjees from the Omani Medical Mission were cardiovascular diseases, gastrointestinal disease, and trauma. This information should assist the Omani government in planning their medical services in hajj season in future years.
VL - 11
IS - 3
ER -

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Author Information

Ahmad Obaid al Mashaykhi

Directorate of Disease Surveillance and Control, Ministry of Health, North Sharqiya, Sultanate of Oman
Randa Nooh

Field Epidemiology Training Program, Ministry of Health, Riyadh, Kingdom of Saudi Arabia
Sami Said Almudarra

CDC Gulf Country Council, Riyadh, Kindgdom of Saudi Arabia
Abdulaziz Saad Almutari

Field Epidemiology Training Program, Ministry of Health, Riyadh, Kingdom of Saudi Arabia
Naif Saud Albudayri

Department of Communicable Disease, Ministry of Health, Riyadh, Kingdom of Saudi Arabia
Khalid Masoud Alghamdi

Department of Communicable Disease, Ministry of Health, Riyadh, Kingdom of Saudi Arabia

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APA Style

Ahmad Obaid al Mashaykhi, Randa Nooh, Sami Said Almudarra, Abdulaziz Saad Almutari, Naif Saud Albudayri, et al. (2023). Pattern of Referral of Sick Pilgrims from Omani Medical Mission During Hajj 2019 (1440 H). Science Journal of Public Health, 11(3), 43-55. https://doi.org/10.11648/j.sjph.20231103.11

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Ahmad Obaid al Mashaykhi; Randa Nooh; Sami Said Almudarra; Abdulaziz Saad Almutari; Naif Saud Albudayri, et al. Pattern of Referral of Sick Pilgrims from Omani Medical Mission During Hajj 2019 (1440 H). Sci. J. Public Health 2023, 11(3), 43-55. doi: 10.11648/j.sjph.20231103.11

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AMA Style

Ahmad Obaid al Mashaykhi, Randa Nooh, Sami Said Almudarra, Abdulaziz Saad Almutari, Naif Saud Albudayri, et al. Pattern of Referral of Sick Pilgrims from Omani Medical Mission During Hajj 2019 (1440 H). Sci J Public Health. 2023;11(3):43-55. doi: 10.11648/j.sjph.20231103.11

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@article{10.11648/j.sjph.20231103.11,
  author = {Ahmad Obaid al Mashaykhi and Randa Nooh and Sami Said Almudarra and Abdulaziz Saad Almutari and Naif Saud Albudayri and Khalid Masoud Alghamdi},
  title = {Pattern of Referral of Sick Pilgrims from Omani Medical Mission During Hajj 2019 (1440 H)},
  journal = {Science Journal of Public Health},
  volume = {11},
  number = {3},
  pages = {43-55},
  doi = {10.11648/j.sjph.20231103.11},
  url = {https://doi.org/10.11648/j.sjph.20231103.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.sjph.20231103.11},
  abstract = {Background: Annually, in the month of Dhul hijjah, over 2 million Muslims travel to Saudi Arabia to perform Hajj. Hajj is the biggest mass gathering globally, which creates a significant influence on Hajjes' health. The Omani medical mission is the official delegation from the Omani government to Saudi Arabia to serve the Omani hajjees regarding their health Sduring Hajj 1440 H. Methods: We conducted a cross-sectional study at the Omani Medical missions in Makkah, Madinah, Mina, and Arafat. Data was collected via a predesigned form. All Omani pilgrims presenting to the mission who were referred to local hospitals were included. Results: The total number of cases was 5000, of which 106 (2.1%) were referred to local hospitals (21.2 per 1000 hajjees). The most common causes of referral were cardiovascular diseases (23.6%), followed by gastrointestinal disease (17.9%) and trauma (16.9%). Males comprised 60.1%. Their mean age was 47.3 years (SD ±11.27), with the highest referrals in the 51-60 years age group (30%). Over half (55.7%) had co-morbidities. Patients' mean time to reach the clinic was 8.87 min (SD ±6.41), with 65% arriving in 5 min or less. The mean time needed to reach the hospital by ambulance was 11.39 min (SD ±6.6), with 36% arriving within 5 min. Of the referrals, 42% were admitted into hospital. Hospitalization was significantly higher among patients with chest pain (P-value < 0.0057), diabetics (P-value < 0.0001), and patients with Heart Disease (P-value = 0.013). Conclusions: The most common causes for referral of Hajjees from the Omani Medical Mission were cardiovascular diseases, gastrointestinal disease, and trauma. This information should assist the Omani government in planning their medical services in hajj season in future years.},
 year = {2023}
}

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