Ship Safety and the Medical Examination of Seafarers Natalie Shaw Director Of Employment Affairs International Chamber of Shipping
Jul 02, 2015
Ship Safety and the Medical Examination of Seafarers
Natalie Shaw
Director Of Employment Affairs
International Chamber of Shipping
Day 1 - Wednesday 27th
August 2014 1020-1100 Why is maritime health an international issue? Should medical examinations remain a national responsibility?
Tim Carter, UK
1130-1150 Medical selection - history, general principles & need for further development. Alf Magne Horneland,
1150-1210 consequences of low quality medical examinations Natalie Shaw
1210-1230 Why has aviation medicine been so successful in establishing an international system compared to maritime medicine? Anthony S. Wagstaff,
1350-1410 The Philippine system of medical examination of seafarers Cynthia Rosuman,
1410-1430 Given the revised ILO/IMO Guidelines on medical examination of seafarers: Will more nations approve their own doctors, or will we get international recognition of medical examiners?
1500-1520 Defining the level of competence for approved doctors - can we reach international consensus? Mutual recognition of approved doctors. Denmark, Germany, Netherlands, Norway, UK. Caroline Livingstone,
1520-1540 Development of a common training module for medical examiners Alf Magne Horneland,
1630-1700 Is an international consensus for medical examination of seafarers possible? presenters.
Day 2 - Thursday 28th
August 2014 0930-0950 Development of quality assurance for clinical decisions by the UK MCA Tim Carter,
0950-1010 National systems of quality assurance in medical services Tom Mutsaerts,
1010-1030 Quality assurance of medical examiners - an approach tailored to maritime medicine: IMHA QUALITY Sally Bell,
1100-1120 Do medical examinations fit into the general seafarer health risk management structure? Henrik Hansen,
1120-1140 Are international standards sufficient for the medical examination of seafarers, or do we need additional standards of insurers, ship-owners or manning agencies? David Dungan
1140-1200 Are the STCW standards sufficient Milhar Fuazadeen
1300-1320 The risk of discrimination of seafarers human rights. The perspective of the seafarers. Asif Altaf,
1320-1340 Ship safety and seafarers individual rights - how do shipowners deal with the possible conflicts? Hege Ajer Petterson,
1340-1400 How to avoid unnecessary repatriation without discriminating seafarers? The medical perspective. Sue Stannard
1430-1515 Panel discussion: The role of medical examinations of seafarers in tafe operations of ships. Today's presenters.
1515-1545 The way forward Alf Magne Horneland
So what makes a great workplace Goffee & Jones 2014
• Real recognition
• A sense of purpose
• Empowerment & autonomy
• Fairness
• Health and Happiness
• A dash of danger
Cause and effect
Seafarer
Shipowner
Master
Crew
PEME Process
PEME comparison
Philippines UK
UKP&I Club DOH (new) DOH (<40) DOH (>40) ENG1 Notes / Illness screened
Physical Exam Yes Yes Yes Yes Yes Physical appearance
Dental Examination Yes Yes Yes Yes * Physical Exam only
Ishihara Yes Yes Yes Yes Yes Colour blindness
Urinalysis Yes Yes Yes Yes No ** Protein/sugars
Fecalysis Yes Yes Yes Yes No Stool analysis parasites
CBC/Blood type Yes Yes Yes Yes No Blood count / type
Audiometry Yes Yes Yes Yes * Physical Exam only
VDRL Yes Yes Yes Yes No Sexual health
DAAT - 5 Yes No No No No * Drug & Alcohol presence
ECG Yes Yes No Yes No Heart function
PFT Yes No No No No * Lung Function
Blood Chemistry Yes No No No No Major organ function
Food handler Yes No No No No Stool culture / Parasites
HIV Yes Yes Yes Yes No AIDS/HIV
CXR Yes Yes Yes Yes No * Chest X-ray / TB
Hep A/B/C Yes Hep B Hep B Hep B No Hepatitis A B or C
FBS Yes No No Yes No ** Diabetes
Cholesterol/Triglycerides Yes No No Yes No High Cholesterol
SGPT Yes No No No No Liver / Kidney Function
SGOT Yes No No No No Liver / Kidney Function
Bilirubin Yes No No No No Kidney disease
Alkaline Phosphatase Yes No No No No Liver disease
BUN Yes No No Yes No Liver / Kidney Function
Creatinine Yes No No Yes No Kidney disease
* Additional item for testing or further referall if clinically indicated
** Urine test for albumin, glucose and blood only performed
Let’s stop burying our heads!