Textbook of Maritime Medicine

1. 7 Introduction
(Forum/Feedback)

... minimum guidelines, and not a set of fitness standards suitable for the medical examiner in his daily work. I certainly hope the work carried out in connection with the STCW revision process will provide ...

2. 13.3 The Patient
(Textbook of Maritime Medicine/13. Port Medicine)

  The maritime physician needs a good knowledge of the work on board and the tasks the seaman has to do on the ship. He will need this knowledge to be able to estimate the fitness of the man to ...

3. 13 Port Medicine
(Textbook of Maritime Medicine/13. Port Medicine)

... companies’ priority will not only be on quality but on the availability, cost and timeliness of the service chosen. Also, the companies view may be on acute care to assure fitness for duty rather than ...

4. 8.8 References
(Textbook of Maritime Medicine/8. The Maritime Physician)

... the occupational physician. Occup Med. 2002 Oct-Dec ; 17 (4) : 625-35. Soleo L, Romano C, Apostoli P. Fitness for work : the SIMLII Health Surveillance Guidelines. Med Lav 2006 ; 97 (3) : 491-500. Dorsner-Dolivet ...

5. 1 Preface
(Textbook of Maritime Medicine/1. Preface)

... are more common in seafarers than in comparable onshore populations. The special features of seafaring and its consequences for the health, fitness and wellbeing of those who work, or indeed travel; ...

6. 15.4 Sea-Survival: General Physiological Remarks
(Textbook of Maritime Medicine/15. Shipwreck and Survival at Sea)

... Ratio of body mass to surface area. -        Mental state and coping strategies. -        Physical fitness and compromising health ...

7. 4.3 International Maritime Organization (IMO)[1]
(Textbook of Maritime Medicine/4.Organisations of importance to Maritime Medicine)

... Pre-sea and Periodic Medical Fitness Examinations for Seafarers (1997). These guidelines meet the obligations in a series of conventions, regulations, recommendations and resolutions[4], as listed in ...

8. 4.2 International Labour Organization
(Textbook of Maritime Medicine/4.Organisations of importance to Maritime Medicine)

... show that 80% of accidents onboard cargo ships are related to the “Human Factor”, which is significantly affected by the fitness and health of seafarers as summarized in the slogan “A FIT SEAFERER = A ...

9. 4.1 World Health Organization
(Textbook of Maritime Medicine/4.Organisations of importance to Maritime Medicine)

... (STCW Conference) adopted resolution No. 9, Development of international standards of medical fitness for seafarers and invited the International Maritime Organization in cooperation with the International ...

10. 14.3 Classification Societies
(Textbook of Maritime Medicine/14. Ship Control)

... A, E, I, O or U, according to the state of its construction and its continuing soundness (or lack thereof). The purpose of this classification system was not to assess safety, fitness of the construction ...

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

... state of the ship. These documents include, amongst others, the certificates of medical fitness of the crew, vaccination lists, de-ratting certificate and the certificate of yearly inspection of the medicine ...

12. 5.8 Pre-sea Medical Examinations
(Textbook of Maritime Medicine/5. International Conventions and Regulations of Importance to Maritime Medicine)

... and Periodic medical examinations of Seafarers, are amended by both WHO, ILO and IMO. Resolution No 9, Development of international standards of medical fitness for seafarers was adopted during the STCW ...

13. 7.7 Medication
(Textbook of Maritime Medicine/7. Health Requirements for Working at Sea and the Fitness Examination)

  In the course of the medical assessment, information on any medication use, including complementary remedies, should be obtained. Every medication will have a clinical indication for use and fitness ...

14. 7.6 Other Conditions with complex Fitness Decisions
(Textbook of Maritime Medicine/7. Health Requirements for Working at Sea and the Fitness Examination)

... the fitness of a HIV positive person for duty on board is complex and involves in depth knowledge of the natural course of disease, treatment options and living conditions at sea. Asymptomatic HIV infection ...

15. 7.5 Common Conditions with complex Fitness Decisions
(Textbook of Maritime Medicine/7. Health Requirements for Working at Sea and the Fitness Examination)

  7.5.1 Introduction and risk assessment principles Selected  medical conditions will be used as examples of some of the practical aspects of setting fitness standards and then assessing individuals ...

16. 7.4 Frameworks for Seafarer Medical Examinations
(Textbook of Maritime Medicine/7. Health Requirements for Working at Sea and the Fitness Examination)

... active part in the arrangements for seafarer fitness. The requirement for seafarers to have a certificate of medical fitness is stipulated on both  ILO and International Maritime Organisation (IMO) conventions. ...

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)

... subjective feelings of the seafarer about how well they are coping with watch keeping duties that will determine advice and decisions about fitness for watch keeping. 7.2.4 Emergency duties Most crew ...

18. 7.1 Requirements for Work at Sea
(Textbook of Maritime Medicine/7. Health Requirements for Working at Sea and the Fitness Examination)

... the contents of the fitness assessment, for instance by screening for tuberculosis or for kidney stones in those coming from high prevalence areas but not in those from places where these conditions are ...

19. 8 The Maritime Physician
(Textbook of Maritime Medicine/8. The Maritime Physician)

... types of activities: -          Health care and medical assistance to seafarers and passengers -          Medical fitness to board -          Medical research   8.1.1   Ethical aspects of health ...

20. 18 Welfare on Board
(Textbook of Maritime Medicine/18. Welfare on Board)

... seafarer’s welfare have been implemented, notably International Sport for Seafarers (ISS), Training the welfare workers to enhance ship visiting and recreation & Fitness at sea or seafarers’ welfare ...