Textbook of Maritime Medicine

1. 10.11 Sexually transmitted diseases – STD’s
(Textbook of Maritime Medicine/10. Medical Challenges on Board)

... seamen mainly following intravenous drug use and casual sex abroad [18]. A Norwegian study has demonstrated that the duration of employment as a seafarer and casual sex abroad were independently associated ...

2. 10.10 Gastrointestinal Diseases
(Textbook of Maritime Medicine/10. Medical Challenges on Board)

... techniques over time, and pre-employment medical examinations have become more apprehensive.  In a Danish study, overall mortality was increased among seafarers compared to the population ashore, and ...

3. 1 Preface
(Textbook of Maritime Medicine/1. Preface)

... has just started. Tentatively, a definition of maritime medicine could be “any medical activity related to questions concerning the employment, working conditions, living conditions, health and safety ...

4. 10.2 Soft tissue and joint diseases
(Textbook of Maritime Medicine/10. Medical Challenges on Board)

... certification of seafarers regulates this area to a limited extent only. Based on the medical examinations, seafarers with severe locomotor conditions are prevented from employment on a ship, or may be ...

5. 19.4 Research methods
(Textbook of Maritime Medicine/19. Research in Maritime Medicine)

... that adaption of the sick role would exclude them from employment [11]. The imminent challenges that arise with regard to working at sea and psychosocial health problems have been recently reviewed after ...

6. 4.6 International Transport Workers’ Federation (ITF)
(Textbook of Maritime Medicine/4.Organisations of importance to Maritime Medicine)

... and other international agencies, assists seafarers and maintains a network of over 100 ITF inspectors around the world.  ITF agreements for FOC Ships specify minimum conditions of employment for crews, ...

7. 9.4 Aspects of on Board Medical Care
(Textbook of Maritime Medicine/9. Systems for Handling Medical Conditions on Board.)

... principle that applies on medical care to all seafarers. There are a number of relevant links in this chain Pre-employment check-up ( ch 7) Medical education (ch 8) Medical facilities on board ...

8. 9.1 Factors Influencing onboard Medical Care
(Textbook of Maritime Medicine/9. Systems for Handling Medical Conditions on Board.)

... Human factors Human factors are a large group of conditions and matters that are related to the persons on board.  It deals for instance with their physical condition of seafarers (Ref. Pre-employment ...

9. 14.5 P&I Clubs. Insurance
(Textbook of Maritime Medicine/14. Ship Control)

... contract of employment, but a crewmember can also be entitled to compensation for illness or injury or can issue a claim against his employer. A P&I Club will compensate a Member for the costs the ...

10. 14.2 Flag State Control
(Textbook of Maritime Medicine/14. Ship Control)

... with STCW training and certification standards. Employment standards Flag States should implement the requirements of the ILO Maritime Labor Convention, 2006, including, but not limited to, the inspection ...

11. 14 Ship Control
(Textbook of Maritime Medicine/14. Ship Control)

... a set of standards relating to the minimum age and the medical examination of seafarers, the prevention of accidents, social security, shipboard conditions of employment and living arrangements to be observed ...

12. 3.3 Regulation and international agreements
(Textbook of Maritime Medicine/3. The Shipping Industry)

... company, financial and employment regulations.  Open registers started in the 1920s and grew in importance after WWII.  Open registers offers alternative registration to the national flag. Their success ...

13. 3.2 Manning and recruitment
(Textbook of Maritime Medicine/3. The Shipping Industry)

... employment, standard of living and working conditions, health and safety, payment and repatriation. As stated by ILO MLC “once it enters into force, will be the “fourth pillar” of the international regulatory ...

14. 7.8 General Remarks of Vaccination/Immunization in the Maritime Environment
(Textbook of Maritime Medicine/7. Health Requirements for Working at Sea and the Fitness Examination)

... in their employees as a prerequisite for employment. In the shipping industry there is traditionally strict observance of vaccinations that are mandatory or believed to be mandatory for entry to countries ...

15. 7.6 Other Conditions with complex Fitness Decisions
(Textbook of Maritime Medicine/7. Health Requirements for Working at Sea and the Fitness Examination)

... possible anonymous- HIV testing and information on treatment access in a seafarer’s home country. Employment and HIV/AIDS The International Labour Organisation has published an “ILO Code of Practice ...

16. 7.5 Common Conditions with complex Fitness Decisions
(Textbook of Maritime Medicine/7. Health Requirements for Working at Sea and the Fitness Examination)

... from employment based solely on an analysis of risk factors that indicate a high probability of future disease. Hence the ‘smoking grease ball’ that is a heart attack waiting to happen creates a dilemma ...

17. 7.2 Rationale and Criteria for Selection in Relation to Duties, Voyages and Special Vessel Types
(Textbook of Maritime Medicine/7. Health Requirements for Working at Sea and the Fitness Examination)

... whose health could be adversely affected by exposure to hot or cold conditions. In practice most of the people worldwide who work on fishing vessels self-select into the work and continuity of employment ...

18. 10.1 Cardiovacular Diseases
(Textbook of Maritime Medicine/10. Medical Challenges on Board)

... problems such as chronic heart failure are relatively seldom. This is obviously due to pre-employment examination and repeated medical fitness tests in the merchant marine service. Most of the life-threatening ...

19. 6.10 Fishing and catching
(Textbook of Maritime Medicine/6. The Sea as a Working Place)

... of work at sea, particularly insulin-dependent diabetes, angina of the chest, and depression), probably because the pre-employment health programs and periodic medical examinations are administered principally ...

20. 6.7 Working at sea
(Textbook of Maritime Medicine/6. The Sea as a Working Place)

6.7.1 Terms of Employment – permanent, contract. Payment and remittances, hours of work. The pattern of employing seafarers has changed significantly over the last twenty to thirty years.  Traditionally ...