RT Article T1 Medical Problems of Way of St. James Pilgrimage JF Journal of religion and health VO 58 IS 2 SP 566 OP 571 A1 Felkai, Peter LA English PB Springer Science + Business Media B. V. YR 2019 UL https://www.ixtheo.de/Record/1663322961 AB It appears that the El Camino pilgrimage route has become a long-distance trek and endurance test of the individual. The continuously increasing number of hikers demands more attention by travel medicine professionals. Analysis of the age groups of the pilgrims over recent years shows that the number of young pilgrims (< 30 years) is decreasing, but the number of middle-aged people (30-60 years) is slightly increasing, while the number of elderly people (> 60 years) is considerably increased. The leading cause of fatalities during the pilgrimage is ACS. The majority of the cardiac problems occur among the elderly people. The second most common cause of death is a traffic accident, and the third and fourth causes are a fatal exacerbation of the pilgrim's pre-existing disease and illnesses caused by the extreme temperature (hot and cold environment alike). The aforementioned data suggest that pre-travel advice should be an indispensable part of the preparation for the El Camino peregrination, especially for the patient with chronic disease and elderly people. K1 El Camino K1 Morbidity of pilgrimage K1 Mortality of pilgrimage K1 Pilgrimage K1 Pre-travel advice K1 St. James Way K1 Travel medicine DO 10.1007/s10943-018-00744-z