21 Aug 2025

Creating safer celebrations

As many countries experience an increasingly ageing population, societies face the challenge of making sure older people can still access community experiences. Large gatherings such as festivals and religious events can bring generations together in their local areas and overseas. But for older participants, the mental and physical risks of mass gatherings can be increased, including a greater chance of suffering falls, cognitive overload, confusion and heat-related issues.

The World Health Organization (WHO) issues guidelines for organisers to keep attendees safe. However, a BMJ article claims the “specific considerations for older populations are often inadequate and more specific targeted approaches are needed”. Authors Iqbal Singh and Alimuddin Zumla, both medical professors, called for greater education and assessment before events to “empower older attendees with knowledge to navigate risks proactively”.

They urged event organisers to “embed the needs of older adults into site design” and include shaded rest zones, navigation aids, hydration stations and specially trained medical teams. And they also suggested using “compassionate volunteers” to help reduce cognitive burden in participants.

They said: “Mass gatherings are not just events. They are human experiences that define culture, faith and identity. As participation of older UK populations in the events rises, their safety must remain a priority. Our systems must become more inclusive, anticipatory, compassionate and responsive for the safety and healthcare needs of older people.”

Read the full article on the BMJ website