... must be appropriately trained for the special working, living and transportation demands, as well as for the many specialist jobs and roles, which may differ considerably from an onshore job. Working ...
... is supported by higher level medical advice from doctors available for consultation onshore. Individuals who are unlikely to return to work in a reasonable period of time, and those who are more seriously ...
... the most important and definitive findings on health risks, for instance in onshore occupational health. Specific issues in data collection The definition of at-risk populations among merchant seafarers ...
... vessel. Seafarers experience wide variations in living quarters, food, air and water supply. The composition of crew and contact with passengers and with onshore workers also influence the risk of infections. ...
... sought to change behaviour patterns or to improve the opportunities for maintaining and improving health on board or ashore.[6] [7] To date, such initiatives have not taken advantage of onshore experience ...
... psychological issues. More information on these topics is available in Ch. F.4. However, both onshore support for ships, their design and on-board equipment rarely takes account of these issues. Therefore, ...
... responsible person on board can be shown exactly what to do when an intervention is needed. It may also bring operational benefits by reducing the frequency of evacuations and diversions to obtain onshore ...
... before it is possible to communicate properly with a doctor onshore. Be aware though, the issues this raises around patient confidentiality. Further information on ethics and confidentiality is available ...
... noise or commonly used chemicals they have been quantified through studies in onshore populations. These results can be extrapolated, with care, as guides to the risk on board. In some cases, information ...
... than the average for onshore workers, sometimes as much as 10 times.[v] Studies of non-fatal injuries use data from a variety of sources, for example, statutory notifications, insurance claims and company ...
... exposure to asbestos and associated with hydrocarbon cargoes such as benzene. Often information from onshore experience has been extrapolated to seafarers and forms the basis for risk management, for example ...
... loss is 80 dB(A), 8 hours per day. This is derived from onshore studies, where the working day is normally around 8 hours. However, if the formula for calculating equivalent continuous levels is used and ...
... Maritime medicine, unlike much specialised onshore clinical practice, includes care of the healthy and, as such, is close to public health and occupational health. However, when sailors get ill or injured ...
... the frequency and duration of the condition. At sea the population base may be the total number of crew/passengers on a ship, but onshore the difficulties in estimating the population of seafarers have ...
... onshore populations may be harmed. This can indicate the need for measures, such as the use of less polluting fuels or supply of electricity from ashore to allow ship’s generators to be taken off line ...
... their qualifications, practical training and experience as part of an onshore profession. No single group of professionals has the full range of in depth competence to handle all aspects of maritime ...
... the best interests of patients/employees and are never compromised by any conflicts of interest. Many such conflicts are similar to those that arise in onshore occupational medical and public health practice, ...
... include the Indian Ocean earthquake tsunami of 2004 and the earthquake that devastated Haiti in 2010[6]. Further information on maritime support for onshore major incidents is available in Ch. 9.11. Your ...