Q&A: The Hajj Pilgrimage and Its Significance in Islam

Muslim pilgrims walk out after the Friday prayer at the Grand mosque ahead of annual Hajj pilgrimage in the holy city of Makkah, Saudi Arabia August 17, 2018.REUTERS/Zohra Bensemra
Muslim pilgrims walk out after the Friday prayer at the Grand mosque ahead of annual Hajj pilgrimage in the holy city of Makkah, Saudi Arabia August 17, 2018.REUTERS/Zohra Bensemra
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Q&A: The Hajj Pilgrimage and Its Significance in Islam

Muslim pilgrims walk out after the Friday prayer at the Grand mosque ahead of annual Hajj pilgrimage in the holy city of Makkah, Saudi Arabia August 17, 2018.REUTERS/Zohra Bensemra
Muslim pilgrims walk out after the Friday prayer at the Grand mosque ahead of annual Hajj pilgrimage in the holy city of Makkah, Saudi Arabia August 17, 2018.REUTERS/Zohra Bensemra

More than 1.6 million Muslims from around the world are beginning the five-day Hajj pilgrimage on Sunday. They will circle Islam's most sacred site, the cube-shaped Kaaba in the Saudi Arabian city of Makkah, and take part in a series of rituals intended to bring about greater humility and unity among Muslims.

Here's a look at the pilgrimage and what it means for Muslims:
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WHAT IS THE PURPOSE OF THE HAJJ?

The Hajj is one of the five pillars of Islam, and all able-bodied Muslims are required to perform it once in their lifetime. The Hajj is seen as a chance to wipe clean past sins and start fresh. Many seek to deepen their faith on the Hajj, with some women taking on the Islamic hair covering known as "hijab" upon returning.

Despite the physical challenges of the Hajj, many people rely on canes or crutches and insist on walking the routes. Those who cannot afford the Hajj are sometimes financed by charities or community leaders. Others save their entire lives to make the journey. A few even walk thousands of miles by foot to Saudi Arabia, taking months to arrive.
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WHAT IS THE HISTORY OF THE HAJJ?

While following a route the Prophet Muhammad once walked, the rites of Hajj are believed to ultimately trace the footsteps of the prophets Ibrahim and Ismail.

Muslims believe Ibrahim's faith was tested when God commanded him to sacrifice his only son Ismail. Ibrahim was prepared to submit to the command, but then God stayed his hand, sparing his son.

Pilgrims also trace the path of Ibrahim's wife, Hagar, who Muslims believe ran between two hills seven times searching for water for her dying son. Tradition holds that God then brought forth a spring that runs to this day. That spring, known as the sacred well of Zamzam, is believed to possess healing powers, and pilgrims often return from the Hajj with bottles of its water as gifts.
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WHY IS THE KAABA SO IMPORTANT TO MUSLIMS?

Islamic tradition holds that the Kaaba was built by Ibrahim and Ismail as a house of monotheistic worship thousands of years ago. Over the years, the Kaaba was reconstructed and attracted different kinds of pilgrims, including early Christians who once lived in the Arabian Peninsula. In pre-Islamic times, the Kaaba was used to house pagan idols worshipped by local tribes.

Muslims do not worship the Kaaba, but it is Islam's most sacred site because it represents the metaphorical house of God and the oneness of God in Islam. Observant Muslims around the world face toward the Kaaba during their five daily prayers.
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WHAT ARE THE RITUALS PERFORMED DURING THE HAJJ?

Pilgrims enter into a state of spiritual purity known as "ihram" that is aimed at shedding symbols of materialism, giving up worldly pleasures and focusing on the inner self over outward appearance.

Women forgo makeup and perfume and wear loose-fitting clothing and a head covering, while men dress in seamless, white terrycloth garments. The white garments are forbidden to contain any stitching — a restriction meant to emphasize the equality of all Muslims and prevent wealthier pilgrims from differentiating themselves with more elaborate garments.

Muslims are forbidden from cutting their hair or trimming nails while in ihram. It is also forbidden for pilgrims to argue, fight or lose their tempers during the Hajj. Inevitably, though, the massive crowds and physical exhaustion of the journey test pilgrims' patience and tolerance.
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THE FIRST DAY OF HAJJ

The Hajj traditionally begins in Makkha, with a smaller "umrah" pilgrimage which can be performed year-round. To perform the umrah, Muslims circle the Kaaba counter-clockwise seven times while reciting supplications to God, then walk between the two hills traveled by Hagar. Makkah's Grand Mosque, the world's largest, encompasses the Kaaba and the two hills.

Before heading to Makkah, many pilgrims visit the city of Medina, where the Prophet Muhammad is buried and where he built his first mosque.
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THE SECOND DAY OF HAJJ

After spending the night in the massive valley of Mina, the pilgrims head to Mount Arafat, some 20 kilometers east of Makkah, for the pinnacle of the pilgrimage.

They scale a hill called Jabal al-Rahma, or Mountain of Mercy. It is here where Muhammad delivered his final sermon, calling for equality and for Muslim unity. He reminded his followers of women's rights and that every Muslim life and property is sacred.

Around sunset, pilgrims head to an area called Muzdalifa, 9 kilometers west of Arafat. Many walk, while others use buses. They spend the night there and pick up pebbles along the way that will be used in a symbolic stoning of the devil back in Mina, where Muslims believe the devil tried to talk Ibrahim out of submitting to God's will.
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THE FINAL THREE DAYS OF HAJJ

The last three days of the Hajj are marked by three events: a final circling of the Kaaba, casting stones in Mina and removing the ihram. Men often shave their heads at the end in a sign of renewal.

The final days of Hajj coincide with Eid al-Adha, or the festival of sacrifice, celebrated by Muslims around the world to commemorate Ibrahim's test of faith. During the three-day Eid, Muslims slaughter livestock and distribute the meat to the poor.



Bedwetting, Nightmares and Shaking. War in Gaza Takes a Mental Health Toll, Especially on Children

A Palestinian child plays next to empty ammunition containers in Khan Younis in the southern Gaza Strip on May 16, 2024, amid the ongoing conflict between Israel and Hamas. (AFP)
A Palestinian child plays next to empty ammunition containers in Khan Younis in the southern Gaza Strip on May 16, 2024, amid the ongoing conflict between Israel and Hamas. (AFP)
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Bedwetting, Nightmares and Shaking. War in Gaza Takes a Mental Health Toll, Especially on Children

A Palestinian child plays next to empty ammunition containers in Khan Younis in the southern Gaza Strip on May 16, 2024, amid the ongoing conflict between Israel and Hamas. (AFP)
A Palestinian child plays next to empty ammunition containers in Khan Younis in the southern Gaza Strip on May 16, 2024, amid the ongoing conflict between Israel and Hamas. (AFP)

Nabila Hamada gave birth to twin boys in Gaza early in the war, in a hospital reeking of decaying bodies and full of displaced people. When Israeli forces threatened the hospital, she and her husband fled with only one of the babies, as medical staff said the other was too weak to leave. Soon after, Israeli forces raided the hospital, Gaza’s largest, and she never saw the boy again.
The trauma of losing one twin left the 40-year-old Hamada so scared of losing the other that she became frozen and ill-equipped to deal with the daily burden of survival, The Associated Press said.
“I’m unable to take care of my other, older children or give them the love they need,” she said.
She is among hundreds of thousands of Palestinians struggling with mental health after nine months of war. The trauma has been relentless. They have endured the killing of family and friends in Israeli bombardments. They have been wounded or disfigured. They have huddled in homes or tents as fighting raged and fled again and again, with no safe place to recover.
Anxiety, fear, depression, sleep deprivation, anger and aggression are prevalent, experts and practitioners told The Associated Press. Children are most vulnerable, especially because many parents can barely hold themselves together.
There are few resources to help Palestinians process what they are going through. Mental health practitioners say the turmoil and overwhelming number of traumatized people limit their ability to deliver true support. So they’re offering a form of “psychological first aid” to mitigate the worst symptoms.
“There are about 1.2 million children who are in need of mental health and psychosocial support. This basically means nearly all Gaza’s children,” said Ulrike Julia Wendt, emergency child protection coordinator with the International Rescue Committee. Wendt has been visiting Gaza since the war began.
She said simple programming, such as playtime and art classes, can make a difference: “The goal is to show them that not only bad things are happening.”
Repeated displacement compounds trauma: an estimated 1.9 million of Gaza’s 2.3 million people have been driven from their homes. Most live in squalid tent camps and struggle to find food and water.
Many survivors of the Oct. 7 attack by Hamas in southern Israel that precipitated the war in Gaza also bear the scars of trauma, and are seeking ways to heal. Hamas killed more than 1,200 Israelis and took around 250 hostage.
Sheltering near the southern city of Khan Younis, Jehad El Hams said he lost his right eye and fingers on his right hand when he picked up what he thought was a can of food. It was an unexploded ordnance that detonated. His children were almost hit.
Since then, he experiences sleeplessness and disorientation. “I cry every time I take a look at myself and see what I’ve become,” he said.
He reached out to one of the few mental health initiatives in Gaza, run by the United Nations agency for Palestinian refugees, known as UNRWA.
Fouad Hammad, an UNRWA mental health supervisor, said they typically encounter 10 to 15 adults a day at shelters in Khan Younis with eating and sleeping disorders, extreme rage and other issues.
Mahmoud Rayhan saw his family shattered. An Israeli strike killed his young son and daughter. His wife's leg was amputated. Now he isolates himself inside his tent and sleeps most of the day. He talks to almost no one.
He said he doesn’t know how to express what’s happening to him. He trembles. He sweats. “I’ve been crying and feel nothing but heaviness in my heart.”
A relative, Abdul-Rahman Rayhan, lost his father, two siblings and four cousins in a strike. Now when he hears a bombardment, he shakes and gets dizzy, his heart racing. “I feel like I’m in a nightmare, waiting for God to wake me up,” the 20-year-old said.
For children, the mental toll of war can have long-term effects on development, Wendt said. Children in Gaza are having nightmares and wetting their beds because of stress, noise, crowding and constant change, she said.
Nashwa Nabil in Deir al-Balah said her three children have lost all sense of security. Her eldest is 13 and her youngest is 10.
“They could no longer control their pee, they chew on their clothes, they scream and have become verbally and physically aggressive,” she said. “When my son Moataz hears a plane or tank, he hides in the tent.”
In the central town of Deir al-Balah, a psychosocial team with the Al Majed Association works with dozens of children, teaching them how to respond to the realities of war and giving them space to play.
“In the case of a strike, they place themselves in the fetal position and seek safety away from buildings or windows. We introduce scenarios, but anything in Gaza is possible,” said project manager Georgette Al Khateeb.
Even for those who escape Gaza, the mental toll remains high.
Mohamed Khalil, his wife and their three children were displaced seven times before they reached Egypt. His wife and children arrived in January and he joined them in March. Their 8-year-old daughter would hide in the bathroom during shelling and shooting, saying, “We are going to die.”
Their 6-year-old son could sleep only after his mother told him that dying as a martyr is an opportunity to meet God and ask for the fruits and vegetables they didn’t have in hunger-ravaged Gaza.
Khalil recalled their terror as they escaped on foot down a designated “safe corridor” with Israeli guns firing nearby.
Even after arriving in Egypt, the children are introverted and fearful, Khalil said.
They have enrolled in a new initiative in Cairo, Psychological and Academic Services for Palestinians, which offers art and play therapy sessions and math, language and physical education classes.
“We saw a need for these children who have seen more horror than any of us will ever see,” said its founder, psychologist Rima Balshe.
On a recent field trip, she recalled, 5-year-old twins from Gaza who were playing and suddenly froze when they heard helicopters.
“Is this an Israeli warplane?” they asked. She explained it was an Egyptian aircraft.
“So Egyptians like us?” they asked. “Yes,” she reassured them. They had left Gaza, but Gaza had not left them.
There is hope that children traumatized by the war can heal, but they have a long way to go, Balshe said.
“I wouldn’t say ‘recovering’ but I certainly see evidence of beginning to heal. They may not ever fully recover from the trauma they endured, but we are now working on dealing with loss and grief,” she said. “It’s a long process.”