Individuals with neurological or mental health conditions, such as dementia, severe memory loss, Alzheimer's disease, or significant physical disabilities, will also be prohibited from undertaking the pilgrimage. Pregnant women in the later stages of pregnancy or those experiencing complications fall under the same restriction.

The notice further makes it clear that people suffering from contagious diseases such as whooping cough, open pulmonary tuberculosis (TB), and viral hemorrhagic fevers pose a high health risk in mass gatherings and will therefore be completely barred from participating.

The list also includes cancer patients in the terminal stage and those currently undergoing chemotherapy, radiotherapy, or biological treatments.

Pakistan's Ministry of Religious Affairs has directed doctors to issue fitness certificates only after thorough medical evaluations. Any negligence may result in legal consequences. The ministry warned that pilgrims providing incorrect or falsified medical information may be deported from Saudi Arabia at their own expense.

Medical officers at Hajj camps have been given full authority to stop any individual found suffering from restricted medical conditions. Saudi monitoring teams will also verify fitness certificates at all entry and exit points for Hajj.