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International Maritime Health

Krzysztof Korzeniewski
International travel with children, which is the opportunity for the family to see the world together, has become commonplace. If you are travelling with children the journey needs to be carefully planned, especially in cases of visiting a region with harsh environment or poor sanitation. It is particularly important in terms of thermoregulation (hot climate) and the immune system (protection against pathogens causing infectious and invasive diseases) as these are not fully developed in small children. In addition, it is important to maintain appropriate safety and security measures in the destination area (e...
2018: International Maritime Health
Krzysztof Korzeniewski
Travelling during pregnancy has become increasingly common. Many pregnant women travel for pleasureand recreation and a lot of them continue to work and therefore often travel on business, sometimes to areas with poor standards of sanitation and limited access to health care providers. During pregnancy, it is extremely important that a woman has a regular access to maternal health care, also in temporary destinations, especially in areas characterised by harsh environmental conditions, and places where the prevalence of infectious diseases is high...
2018: International Maritime Health
Richard Pougnet, Laurence Pougnet, David Lucas, Anne Henckes, Brice Loddé, Jean-Dominique Dewitte
BACKGROUND: Inside attendants working in hyperbaric chambers are exposed to risks related to the hyperbaric environment, handling and care. The aim of this study is to review the literature focusing on the impact of this activity on health. MATERIALS AND METHODS: This is a literature review using the Medline database. RESULTS: Eight articles studied decompression illness (DCI). The incidence of DCI ranged from 0 to 37 per 100,000 sessions in hyperbaric chambers (SHC)...
2018: International Maritime Health
Tarik Ghailan, Mustapha El Ftouh
BACKGROUND: The World Health Organisation places lung cancer as the leading cause of cancer mortality in the world. The fishermen are one of the most important consumers of tobacco, which remains the main risk factor for lung cancer. However, there are no epidemiological data on the role of other causes, particularly occupational ones, in genesis of this disease. The objective of our work is to expose medical and occupational data of 3 fishermen with lung cancer and discuss a possible occupational origin of their pathology...
2018: International Maritime Health
Michael N K Babayara, Bright Addo
The article describes an outbreak of gastroenteritis which occurred on an oil drilling rig which operated in the Jubilee fields of Ghana (offshore Takoradi) between May 2011 and December 2013. An outbreak occurred on board approximately 10 h following a Christmas day buffet. Various Ghanaian and continental dishes were served during the occasion. Over a 3 day period, a total of 33 cases were recorded at the rig's sick bay. In order to describe the outbreak and determine its possible association with the meals served at the buffet, this case control study was conducted...
2018: International Maritime Health
Richard Pougnet, Laurence Pougnet, Ingrid Allio, David Lucas, Jean-Dominique Dewitte, Brice Loddé
No abstract text is available yet for this article.
2018: International Maritime Health
Giulio Nittari, Graziano Pallotta, Marzio Di Canio, Enea Traini, Francesco Amenta
BACKGROUND: Benzodiazepines are drugs widely used for the treatment of anxiety and insomnia. The present study has analysed the prescriptions of this class of drugs among sailing seafarers, to evaluate the appropriateness of prescribed therapies. MATERIALS AND METHODS: This study assessed the benzodiazepine prescriptions made by Centro Internazionale Radio Medico (CIRM) doctors from 2011 to 2015. A total of 17,844 medical records were examined. Analysis considered the prescriptions of benzodiazepines in monotherapy, or in association with other drugs...
2018: International Maritime Health
Omar Laraqui, Nadia Manar, Salwa Laraqui, Tarik Ghailan, Frédéric Deschamps, Reda Hammouda, Chakib El Houssine Laraqui
BACKGROUND: The main objective was to evaluate the prevalence of skin diseases amongst fishermen, to specify the different clinical forms, associations and most frequent localisations, and to identify potential aetiological factors. The secondary objectives were to assess the knowledge, attitudes and practices of seafarers regarding occupational dermatoses to conduct information, awareness and education campaigns on risk factors and behaviours and to propose adapted prevention. MATERIALS AND METHODS: This cross-sectional survey involved 1102 artisanal fishermen who attended the annual legal medical consultation at the occupational health service...
2018: International Maritime Health
Omar Laraqui, Reda Hammouda, Salwa Laraqui, Nadia Manar, Tarik Ghailan, Jaouda Ben Amor, Frédéric Deschamps, Chakib El Houssine Laraqui
BACKGROUND: The objective was to screen and evaluate the prevalence of respiratory diseases and obstructive ventilatory defects among fishermen in Morocco. MATERIALS AND METHODS: This observational and cross-sectional epidemiological study involved 924 men over 20 years old and with at least two years of seniority. It included a questionnaire and a spirometry. The questionnaire is composed of four sections: sociodemographic and occupational characteristics, toxic habits, medical history and respiratory clinical symptoms...
2018: International Maritime Health
Casper Baarda, Tom Mutsaerts
BACKGROUND: Both shipping medical examinations in 2012-2013 and 2015 and oil and gas offshore medical examinations in 2009-2011 in the Netherlands show a decline in the percentage of declarations of unfitness as the number of examinations performed annually by each physician increases. MATERIALS AND METHODS: The data from the electronic databases for shipping employees 2012-2013 and 2015 and the data collected from doctors examining offshore workers from 2009 to 2011 (based on data from a voluntary questionnaire) were subject to a statistical analysis to be able to assess which variables affect the rate of unfitness declaration...
2018: International Maritime Health
Elaine Erasmus, Cleeve Robertson, Daniel Jacobus van Hoving
BACKGROUND: Injuries remain a major contributor of morbidity and mortality worldwide, with drowning accounting for 7% of all injury-related deaths with rates of between 4 and 8 per 100,000. The African region has death rates comparable to most low-income countries. Non-fatal drowning in Africa remains unquantified but it is estimated to be ten times higher than the fatal drowning rate. Timely search and rescue, initial resuscitation and rapid transportation to definitive care play a crucial role in preventing injury- related morbidity and mortality...
2018: International Maritime Health
Júlia Lucavei, Laurence Pougnet, Jean-Dominique Dewitte, Brice Loddé, Richard Pougnet
We would like to comment on Nordmo et al.'s article on hardiness among Norwegian Royal Navy seamen. The article is very interesting. Understanding the sleep disorders of the military can indeed make it possible to favour the preservation of their health and their competencies. The authors have highlighted the limitations of their study. They will take into account the sleep disorder factors already described in literature, such as: noise, comfort on board, shift organisations, etc. We would like to make two comments: on the one hand, highlight another limit to help future studies; on the other hand, open another perspective of prevention, not described in this article...
2017: International Maritime Health
Line Nørgaard Remmen, Kimmo Herttua, Jørgen Riss-Jepsen, Gabriele Berg-Beckhoff
BACKGROUND: Fishery is a hazardous occupation and fatigue may contribute to the observed risks. This study aims to investigate the association between workload and fatigue among Danish fishermen. MATERIALS AND METHODS: The cross-sectional survey of demographic characteristics and self-reported exposure and health data was performed on a random sample of 270 active fishermen. We applied the validated Multidimensional Fatigue Inventory (MFI-20) to assess the degrees of the different dimensions of perceived fatigue...
2017: International Maritime Health
Kjersti Bergheim Valdersnes, Jarle Eid, Sigurd William Hystad, Morten Birkeland Nielsen
The present study investigated psychological capital (PsyCap) as a protective factor in the relationship between worries about accidents and sleepiness among seafarers. The hypothesis that strong PsyCap weakens the relationship between worries about accidents and sleepiness was tested in a cross-sectional sample of 397 maritime workers. In contrast to expectations, the findings indicated a reverse buffering effect in that PsyCap only had a protective impact on sleepiness when worries about accidents were low...
2017: International Maritime Health
Krzysztof Korzeniewski
All around the world there has been a rapid growth in the number of international travels. According to the World Tourism Organisation the number of international tourist arrivals reached 1,235 billion in 2016 and continues to grow at a high rate. This has been much due to the development of air transport (including low-cost airlines), increasingly common economic migration, a growing number of travellers visiting friends and relatives, and an increase in medical tourism. With tropical destinations becoming increasingly popular among travellers, doctors have seen a rising number of patients who seek medical advice on health risks prevalent in hot countries and health prevention measures to be taken in tropical destinations, especially where sanitation is poor...
2017: International Maritime Health
Katarzyna Wasilczuk, Krzysztof Korzeniewski
Given a better quality of life and extended life expectancy in patients with immune suppression, the number of immunocompromised travellers is constantly growing. The aim of the article is to discuss travel-related health problems in immunocompromised patients, their most common destinations and reasons to travel, as well as complications associated with travel to regions with harsh environmental conditions. The article focuses on selected groups of immunocompromised travellers (ICTs), i.e., cancer patients, transplant patients receiving immunosuppressant agents, splenectomised patients and HIV-infected individuals...
2017: International Maritime Health
Krzysztof Korzeniewski, Jarosław Krzyżak
Recreational diving is increasing in popularity globally, also among European travellers. Since a majority of popular diving sites are located in tropical or subtropical destinations commonly characterised by harsh climate and poor sanitation, travellers planning to engage in recreational diving are recommended to take certain health prevention measures to reduce travel-associated health risks. They need to be aware of the fact that diving can threaten their lives or even be fatal; however, if they are well prepared physically and mentally and follow all the recommended safety rules while underwater, diving is an unforgettable experience that cannot be compared to any other sports activity performed on land...
2017: International Maritime Health
Richard Pougnet, Brice Loddé, Anne Henckes, Jean-Dominique Dewitte, Laurence Pougnet
This is the first case report about a transgender professional diver. The purpose of this article is to show the professional adaptations to help him to continue occupational dive and to raise the question of the impact on diving risks of hormonal treatment in this case. He was a 39-year-old man when he began his transition. He had worked as a diver for 9 years before his transition. When he changed to look like a woman, there were a few difficulties in continuing his professional activity. The main difficulty was that he looked like a woman while working with men...
2017: International Maritime Health
Signe Annie Sønvisen, Trine Thorvaldsen, Ingunn M Holmen, Anita Øren
BACKGROUND: Fishery is an important industry in Norway. Compared to other industries the number of occupational accidents is high. Fishers are exposed to a range of unfavourable working conditions, but there is limited research-based knowledge about the interaction between working conditions and health. The aim of the article is to study fishers' 1) work-related exposures and health complaints, 2) sickness absence, 3) subjective perception of health status and 3) level of job satisfaction...
2017: International Maritime Health
Kim O Kaustell, Tiina E A Mattila, Timo Hurme, Pekka S Salmi, Risto H Rautiainen
Fishing is a hazardous occupation worldwide. Commercial fishers in Finland are an aging and diminishing population with a high injury rate. Insurance claims data for self-employed Finnish commercial fishers during the years 1996 through 2015 (n = 1951) were analysed to assess predictors for occupational injuries and diseases. Out of the available variables, fishery location, career length, and participation in the voluntary occupational health service programme were not significant predictors. Male gender (OR 2...
2017: International Maritime Health
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