Does long-term length of stay on board affect the repatriation rates of seafarers?
Abstract
Background: The length of seafarers’ contract has undergone scrutiny regarding the health, welfare, and fatigue of the crew. This study investigates whether a stay of more than 200 days can increase the risk of medical repatriation among Filipino seafarers.
Materials and methods: We reviewed the number of medical repatriations from January 2014 to December 2016, specifically those who were repatriated after more than 200 days on board. We used WHO ICD-10 classification to categorise diseases and medical events that cause the repatriation, and classified them under “Injury” or “Illness” as defined by the Occupational Injury and Illness Classification Manual. We also separated those who worked on cargo vessels as well as those who worked on passenger ships. We requested for the total number of seafarers who worked longer than 200 days on board. After calculating a repatriation rate for this specific group of long-term workers, we then compared this with a previous study. Chi-square analysis and regression analysis were applied to analyse the data comparing the passenger versus cargo ships repatriation rates.
Results: There were a total of 840 cases of long-term repatriations in this study for the 3 year period. The total number of crew who had stayed for more than 200 days was 51,830. The different causes of repatriation are presented. Repatriation rates are also shown and a study of the regular stay and long term contracts are also compared.
Conclusions: There are various disease entities significantly higher in the long term work group. We offer some possible explanations for some of these differences in repatriation rates. This data could be useful in planning of schedules, work hours and contracts as well as the prevention of disease in seafarers.
Keywords: Maritme healthmedical repatriationseafarers
References
- US Department of Labor. (1992). Occupational Injury and Illness Classification Manual. https://www.bls.gov/iif/oshwc/oiicm.pdf.
- Iversen RTB. The mental health of seafarers. Int Marit Health. 2012; 63(2): 78–89.
- Alderton T., Bloor M., Seafarers International Research Centre, International Labour Office, E. Kahveci, T. Lane, H. Sampson, M. Zhao, M. Thomas, Nik Winchester, Bin Wu The Global Seafarer: Living and Working Conditions in a Globalized Industry.
- Huanxin. Wang (2012) Study on the assessment of seafarers' fatigue. World Maritime University The Maritime Commons: Digital Repository of the World Maritime University.
- Slišković A, Penezić Z. Occupational stressors, risks and health in the seafaring population. Review of Psychology. 2016; 22(1-2): 29–39.
- Baygi F, Jensen OC, Mohammadi-Nasrabadi F, et al. Factors affecting health-promoting lifestyle profile in Iranian male seafarers working on tankers. Int Marit Health. 2017; 68(1): 1–6.
- Lefkowitz RY, Slade MD, Redlich CA. Injury, illness, and disability risk in American seafarers. Am J Ind Med. 2018; 61(2): 120–129.
- Abaya AR, Roldan S, Ongchangco JC, et al. Repatriation rates in Filipino seafarers: a five-year study of 6,759 cases. Int Marit Health. 2015; 66(4): 189–195.
- Lefkowitz RY, Slade MD, Redlich CA. Risk factors for merchant seafarer repatriation due to injury or illness at sea. Int Marit Health. 2015; 66(2): 61–66.
- Bell SSJ, Jensen OC. An analysis of the diagnoses resulting in repatriation of seafarers of different nationalities working on board passenger ships, to inform pre-embarkation medical examination. Medicina Maritima. 2009; 9(1): 32–43.
- Carter T. Mapping the knowledge base for maritime health: 3 illness and injury in seafarers. Int Marit Health. 2011; 62(4): 224–240.
- Oldenburg M, Jensen HJ, Latza U, et al. Seafaring stressors aboard merchant and passenger ships. Int J Public Health. 2009; 54(2): 96–105.
- Faurby MD, Jensen OC, Hjarnoe L, et al. The costs of repatriating an ill seafarer: a micro-costing approach. Health Econ Rev. 2017; 7(1): 46.
- Lefkowitz RY, Slade MD, Redlich CA. Am J Ind Med. 2015; 58(6): 688–696.
- Jensen OC, Laursen FV, Sorensen FL. International surveillance of seafarers’ health and working environment. A pilot study of the method. Preliminary report. Int Marit Health. 2001; 52(1-4): 59–67.
- Oldenburg M, Baur X, Schlaich C. Occupational risks and challenges of seafaring. J Occup Health. 2010; 52(5): 249–256.
- International Labor Organization. (2014). New safety and health guidelines to protect seafarers. http://www.ilo.org/global/about-the-ilo/newsroom/news/WCMS_315405/lang--en/index.htm.
- Roberts SE. Fatal work-related accidents in UK merchant shipping from 1919 to 2005. Occup Med (Lond). 2008; 58(2): 129–137.
- Petreanu V, Seracin A (2017). Risk factors for musculoskeletal disorders development: hand-arm tasks, repetitive work. https://oshwiki.eu/wiki/Risk_factors_for_musculoskeletal_disorders_development:_hand-arm_tasks,_repetitive_work# Risk_factors_for_work-related_neck_and_upper_limb_disorders.
- International Labor Organization. (2013). Guidelines on the medical examinations of seafarers. http://www.ilo.org/wcmsp5/groups/public/---ed_dialogue/---sector/documents/normativeinstrument/wcms_174794.pdf (2013).
- Lu Y, Gao Y, Cao Z, et al. A study of health effects of long-distance ocean voyages on seamen using a data classification approach. BMC Med Inform Decis Mak. 2010; 10: 13.