Associations of age, occupation and nationality of seafarers with risk of evacuations at sea: A register-based study on Danish-flagged merchant ships

Herttua, Kimmo; Vork, Jan; Nielsen, Jesper Bo

doi:10.1016/j.marpol.2020.103989

Cited by 2 publications

(3 citation statements)

References 26 publications

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“…Seafarers are an unusual group of workers with specific health concerns and medical care needs. On one hand, to be allowed to work on board a ship, they need to pass regular, typically annual or biannual, medical examinations 12–14 . Furthermore, all ships have a standardized set of medical equipment 14 .…”

Section: Introductionmentioning

confidence: 99%

“…Furthermore, all ships have a standardized set of medical equipment 14 . On the other hand, in case of illness, their access to medical care is very limited 12,13 . Instead of conventional medical care, illnesses onboard are typically diagnosed and treated with the assistance of the Telemedical Assistance Service (TMAS) staffed by a specialist team of physicians 12 .…”

Section: Introductionmentioning

confidence: 99%

“…On the other hand, in case of illness, their access to medical care is very limited 12,13 . Instead of conventional medical care, illnesses onboard are typically diagnosed and treated with the assistance of the Telemedical Assistance Service (TMAS) staffed by a specialist team of physicians 12 . The advice and treatment instructions are performed in collaboration with the person responsible for treating illness on board (often the captain or the first officer).…”

Section: Introductionmentioning

confidence: 99%

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Does seafarers’ limited access to health care increase risk for community‐acquired pneumonia requiring hospital care? A longitudinal register‐based analysis

Herttua

Vork²,

Paljärvi

2021

American J Industrial Med

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Background Limited access to medical care can be considered as an occupational risk of seafaring and it may predispose to developing community‐acquired pneumonia (CAP) requiring hospital care. We sought to investigate the risk for CAP and other lower respiratory tract infections (LRTI) requiring hospital care among seafarers. We examined the length of hospital stay (LOS) as a proxy for severity of illness. Methods The study population in this panel data analysis were all seafarers and a 20% random sample of economically active individuals aged 18–65 years who were residing in Denmark in 1997–2016, constituting more than 11 million person‐years of follow‐up. Annually‐registered socio‐demographic and work characteristics were linked to data on cause of hospital admissions. We used fixed‐effects and zero‐truncated Poisson regression to estimate the rate ratios of hospitalization for CAP and other LRTI, and compared LOS across the two populations. Results The adjusted incident rate ratio (IRR) for CAP in seafarers compared to the economically active population was 1.42 (95% confidence interval [CI]: 1.15–1.77), whereas the IRR was 0.73 (95% CI: 0.38–1.42) for other LRTI. For LOS, the IRRs for CAP and other LRTI in seafarers were 1.08 (95% CI: 1.04–1.12) and 0.92 (95% CI: 0.83–1.01), respectively. Conclusions Our findings indicate that seafaring was associated with an increased risk for CAP requiring hospital care. Limited access to health care may be an important contributing factor.

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Section: Introductionmentioning

confidence: 99%