World Health Organization
منظمة الصحة العالمية
Organisation mondiale de la Santé

A time for health: Ramadan risk communication campaign in the Eastern Mediterranean Region

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Background

Ramadan is the holiest month for 1.9 billion Muslims globally. A month of daylight fasting, communal prayers, gatherings and the sharing of food, Ramadan presents a unique set of health risks. Targeted, culturally- and religiously-sensitive health advice will help ensure the safety of at-risk populations as they observe Ramadan’s religious and cultural traditions.

This campaign addresses health risks – identified through risk assessments – specific to countries of the Eastern Mediterranean Region and to the Region’s most vulnerable communities.

Objectives

Identify potential hazards during Ramadan that have a direct health impact on the most vulnerable populations across the Eastern Mediterranean Region.

Develop risk informed communication messages to enhance community awareness and provide contextualized health advice.

Identified risks

Waterborne and foodborne diseases (cholera, acute watery diarrhoea, hepatitis)

Food safety practices

Vector-borne diseases (dengue, malaria)

Respiratory infections

Approach and theme of the campaign

This adaptable communication package provides messaging around preventative measures during the holy month of Ramadan for vulnerable and at-risk populations. Focusing on the Eastern Mediterranean Region, the messaging addresses key health risks such as water and foodborne diseases, food safety practices, vector-borne diseases and respiratory infections.

While relevant to social media, the content of this package can be tailored to various formats, including posters, podcasts and radio broadcasts, to suit specific needs in different countries.

Country offices are encouraged to adapt the information and messages into local languages to address the most vulnerable communities they serve based on the most prevalent and pressing risks and local needs.

Overarching themes

Clean water is life

Always drink and cook with safe water to protect yourself, your loved ones and your community from disease this Ramadan.

Clean surroundings are essential for a healthy Ramadan

Eliminate mosquito breeding sites to ensure a safe and healthy environment.

Safeguard your health during Ramadan

If you are sick, rest and seek treatment to prevent the spread of illness.

Vulnerable populations/target audiences

Refugees and internally displaced communities

People living in camps or temporary shelters with limited access to clean water, sanitation and health care.

Women and children

The people responsible for water collection, caregiving and food preparation are more exposed to health risks.

Older persons (65+) and immunocompromised individuals

They face a higher risk of severe illness from infections and diseases.

Health care workers and community volunteers

Frontline responders provide essential health services and support to vulnerable communities.

Messages

Water and foodborne diseases (cholera, acute watery diarrhoea, hepatitis)

Displaced communities

No.

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1

Safe water is essential.

Boil or treat drinking water to protect yourself and your loved ones from diarrhoeal diseases.

Diarrhoeal diseases spread through unsafe water used for drinking, cooking and washing fruits and vegetables.

Boiling or treating water with chlorine makes it safe for consumption.

2

Diarrhoea weakens you.

Drink safe water to fully participate in the holy month.

Water that looks clean can contain bacteria and organisms that cause diarrhoeal diseases.

To ensure water is safe for drinking:

add 2 drops of liquid chlorine to 1 litre of water

boil water for at least 1 minute to get rid of disease-causing organisms.

3

Water used for drinking should come from a safe source.

Keep water safe.

Collect water from a known safe source.

Store water in clean covered containers with a small opening to facilitate use. Keep containers covered and sealed when not in use.

Pour water from the container. Do not dip a cup into the container.

If dipping cannot be avoided, use a cup with a handle to avoid putting your hands in the water.

4

Sadaqah (charity) includes protecting others.

Help sick community members seek care early.

Encourage your community to practice safe hygiene, wash hands regularly, treat water before drinking and keep food and water clean.

Help improve community sanitation by:

avoiding open defecation especially near water sources

using tippy-taps, boiled or chlorinated water if no running water is available.

5

Keep drinking water sources clean.

Do not wash yourself, hands or clothes in clean water sources.

To keep your water safe:

boil for 1 minute before use

disinfect – add 8 drops of unscented household bleach to 1 gallon of water and wait at least 30 minutes before using

avoid open defecation, especially near water sources.

Safe water keeps everyone healthy!

Women (water collectors and caregivers)

No.

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You prepare Iftar with your hands.

Keep them clean to protect your family from illness.

Clean hands keep your family safe.

Regularly wash your hands with soap and clean water, especially ✔before cooking or eating ✔after using the toilet/latrine ✔ after changing your child’s diaper.

2

Water is life, but unsafe water causes illness.

Diarrhoeal diseases typically spread through contaminated water. Protect yourself and your family.

Wash your hands with soap before preparing or eating food.

Use clean water for cooking and washing raw foods.

Cook food thoroughly, keep it covered and eat it immediately so it doesn’t spoil.

Safe water. Safe food. Safe Ramadan!

3

Food is a blessing. Don’t let it make you sick.

Peel it. Boil it. Cook it.

Prepare food safely to prevent illness.

Keep food preparation areas clean.

Wash hands with soap and safe water for 20 seconds before, and regularly during, cooking.

Use safe water to wash fruits and vegetables, especially if they are to be eaten raw.

Cook food thoroughly, especially meat.

Eat cooked food immediately. Avoid leaving food at room temperature for more than 2 hours.

4

A mother is the heart of the home.

If your child has diarrhoea, give them fluids.

Oral rehydration salts (ORS) can successfully treat the majority of mild to moderate diarrhoea cases.

Mix 1 sachet of ORS in 1 litre of clean, safe water.

If you don’t have ORS sachets, use this homemade solution:

half a teaspoon of salt

6 teaspoons of sugar

1 litre of clean drinking water or lightly salted rice water.

Seek treatment early if symptoms persist!

Older people and immunocompromised individuals

No.

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Your wisdom guides your family. Teach them to uphold the spirit of Ramadan.

Stay safe during Ramadan.

Use safe and clean water for drinking, cooking, showering, brushing teeth and ritual ablution.

Avoid street foods as much as possible.

Stay home and avoid crowds if you feel unwell.

Follow medical advice for your health and well-being.

2

Ask for medical advice before you fast.

Take care of yourself while you are fasting.

Consuming unsafe water can cause vomiting, diarrhoea and severe dehydration and lead to life threatening complications.

If you are elderly, sick or have underlying conditions, consult a doctor before fasting to protect your health.

3

Low immunity weakens the body.

Wash your hands often to protect yourself.

Many kinds of disease-causing bacteria live and grow in unclean and stagnant water, or water stored in unclean containers.

Protect yourself.

Wash your hands with soap and clean water, especially after using the toilet and before eating.

Use clean, properly stored water for drinking and daily hygiene.

Health care workers

No.

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Health workers – your service during Ramadan is a form of worship. Guide people with kindness and wisdom.

Every life is sacred.

Health workers carry a great responsibility, especially during Ramadan.

Guide families to:

✔seek medical care immediately for severe dehydration, vomiting or prolonged diarrhoea>

✔use safe water and take proper hygiene measures.

Your service protects the community. Thank you for your dedication.

2

A healthy community can fast, pray and thrive. Let’s work together to keep water and food safe during Ramadan.

One sick person can spread disease to many. Health workers play a crucial role in early detection and prevention of outbreaks.

Vector-borne diseases (dengue, malaria)

Displaced communities

No.

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Mosquitoes don’t fast. Don’t let them feast on you!

Mosquitoes can carry dangerous diseases such as malaria and dengue. The best way to avoid mosquito bites is to eliminate their breeding sites.

Eliminate and clean stagnant water sites.

Support and accept spraying initiatives.

Sleep under a bed net.

Wear long sleeves, especially at dawn and dusk.

Seek medical care if you develop a fever after a mosquito bite.

2

A clean environment is our collective responsibility.

Malaria and dengue can make you too weak to pray or fast. A single mosquito bite can cause days of fever.

Stay safe during Ramadan. Make a clean environment part of your charity to your community.

Women

No.

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1

Stay healthy for your family and loved ones.

Protect yourself from mosquito bites when cooking, cleaning and fetching water.

Mothers, keep your family safe.

Dress yourself and your children in long sleeves, especially at dusk and dawn.

Make sure you and your family sleep under nets to avoid insect bites.

Cover water pots to eliminate breeding sites.

Seek medical care if you or your children show signs of fever, rash or swollen glands after a bite.

2

Mosquitoes love still water.

Don’t invite them into your home.

Don’t let a mosquito bite dim the joy of Ramadan.

Keep water containers covered and your surroundings dry to eliminate mosquito breeding sites and keep your family and community safe.

Health care workers

No.

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1

Mosquitoes don’t take a break during Ramadan!

Learn, diagnose and guide your patients to stay safe.

Health care workers play a key role in preventing dengue and malaria.  

Be aware of the symptoms and risks of mosquito bites to better protect your community.

Common symptoms of dengue and malaria

severe headache

high fever (40°C/104°F)

pain behind the eyes

muscle and joint pains

nausea

vomiting

rash

swollen glands

2

Not all fevers are the same! Ask the right questions.

Early diagnosis starts with asking the right questions!

Be extra vigilant with your patients.

Ask about mosquito exposure, recent travel, and symptoms like fever, headache or body aches.

Early detection of mosquito-borne illnesses means better management and protection for your community.

3

Prevention is key to a healthy Ramadan.

Dengue has no treatment. Prevention is essential.

Educate your community.

Encourage them to use bed nets, eliminate stagnant water and wear protective clothing.

4

Your life matters too!

Health care workers are the backbone of disease prevention.

Mosquitoes don’t discriminate – protect yourself.

Wear long sleeves, use repellent and rest when needed.

Stay safe. Your community needs you!

Respiratory infections (flu, pneumonia, COVID-19)

Displaced communities

No.

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1

Ramadan is a time to spread joy and charity, not disease.

Ramadan is a time for worship, communal meals and prayers. It is everyone’s responsibility to ensure the month is safe.

Protect your community this Ramadan.

Take part in environmental cleaning.

Avoid open defecation, especially near water sources.

Keep shared spaces as well-ventilated as possible.

Cover your mouth when you cough or sneeze.

Wash your hands regularly.

Learn the symptoms of common infectious diseases.

Seek help quickly when needed.

2

Ask. Understand. Protect!

Knowledge is power. Small actions make a big difference and save lives!

Ask why people are getting sick.
Understand how we can best protect our families.

Take action – work with community health workers to stay safe. 

Ask the right questions, use what’s available and – together with your community health workers – find ways to stay safe.

Every step counts!

3

Protect your community’s health. Protect your Ramadan!

Displaced communities face many challenges but staying healthy should always be a priority.

Respiratory infections weaken the body and make fasting difficult.

Take precautions. Protecting your health means protecting your Ramadan.

Prioritize your health. Practice good hygiene. Seek care early for fever or breathing difficulties.

Women

No.

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1

You prepare Iftar with love – prepare a safe home too.

A mother’s care is essential, but seeking health care when needed is just as important. If your child or a family member is coughing or struggling to breathe, act fast. Seek care immediately.

2

Use the days leading up to Ramadan to make sure your home is safe and ready for the fast.

A clean home is a safe home.

  • Clean surfaces and open windows to allow fresh air to enter.

Learn symptoms of common respiratory infections.

Teach cough and sneeze etiquette to your loved ones.

Learn safe food preparation tips.

Obtain meat, fruits and vegetables from reliable sources.

Check your children’s routine vaccinations are up to date.

3

Be attentive!

Seek medical advice from your health care provider or nearest health facility if you or your loved ones show any of the following symptoms:

- fever

- muscle or joint pain

- persistent headaches

- vomiting

- diarrhoea

- cough or difficulty breathing

Early treatment prevents complications!

Elderly and immunocompromised individuals

No.

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1

If you are sick, prioritize your recovery.

“Allah does not burden a soul beyond its capacity”

 Your prayers are valuable, but so is your health.

Stay warm, listen to your body and take care of your health during Ramadan.

If fasting, discuss with your physician how to continue using prescribed medications.

Avoid crowds to reduce infection risks.

2

Stay at home if you are sick.

Your health is a gift. Protect it!

Avoid crowds if you feel unwell.

Rest and recover at home to avoid spreading illness.

3

Stay alert! Simple flu can easily escalate.

To recover from flu faster:

rest

stay hydrated

monitor symptoms

seek immediate medical care if you have trouble breathing.

Health care workers

No.

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1

Your guidance can save lives.

You are the backbone of your community.

Protect yourself so you can continue to serve others.

Support caregivers, especially women.

Stay informed about circulating diseases.

2

Listen to your community.

Health care workers:

identify warning signs and symptoms

promote prevention practices

provide guidance.

Your knowledge and attentive listening can prevent severe cases and hospitalizations.

3

Encourage vaccinations where available.

Prevention is better than cure. Encourage vaccinations, especially for the vulnerable.