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!

Natalie Shaw

Director Of Employment Affairs

International Chamber of Shipping

natalie.shaw@ics-shipping.org