open access
Health status of a sample of Beninese seafarers examined on the occasion of medical fitness for work at sea


- Lecturer of occupational medicine at the Faculty of Health Sciences of Cotonou, Abomey-Calavi, Benin
- Centre of Occupational and Environmental Diseases, Teaching Hospital of Brest, France
open access
Abstract
Background: In view of the considerable risks involved in maritime work, the medical fitness of seafarers is of paramount importance. A study carried out in May 2018 in Benin made it possible to describe the health profile of seafarers who received a medical examination before boarding and to identify the diseases likely to hinder their medical aptitude for this profession.
Materials and methods: This is a retrospective cross-sectional study that was based on 125 medical files registered from 2013 to 2017 and selected on the basis of the criteria of completeness, readability and non-overload of the entries.
Results: The results showed that more than half (63.2%) of the seafarers in our series are over 40 years old. The prevalence of high blood pressure was 28.4% in the seafarer population. Obesity was detected in 21.5% of subjects. Of the moderate cases of hearing loss found, 4 out of 5 worked at the machine station. The unrestricted fitness level was 86.4%. One (0.8%) case of physical restriction and 12.8% of cases of mandatory wearing of medical glasses at work were reported. The “healthy worker effect” may underestimate the risk of marine activity to the health of seafarers when referring to the general population.
Conclusions: The study provides opportunities to improve the seafarers’ health situation in accordance with international provisions such as the Maritime Labour Convention, 2006 (MLC, 2006) ratified by Benin in June 2011.
Abstract
Background: In view of the considerable risks involved in maritime work, the medical fitness of seafarers is of paramount importance. A study carried out in May 2018 in Benin made it possible to describe the health profile of seafarers who received a medical examination before boarding and to identify the diseases likely to hinder their medical aptitude for this profession.
Materials and methods: This is a retrospective cross-sectional study that was based on 125 medical files registered from 2013 to 2017 and selected on the basis of the criteria of completeness, readability and non-overload of the entries.
Results: The results showed that more than half (63.2%) of the seafarers in our series are over 40 years old. The prevalence of high blood pressure was 28.4% in the seafarer population. Obesity was detected in 21.5% of subjects. Of the moderate cases of hearing loss found, 4 out of 5 worked at the machine station. The unrestricted fitness level was 86.4%. One (0.8%) case of physical restriction and 12.8% of cases of mandatory wearing of medical glasses at work were reported. The “healthy worker effect” may underestimate the risk of marine activity to the health of seafarers when referring to the general population.
Conclusions: The study provides opportunities to improve the seafarers’ health situation in accordance with international provisions such as the Maritime Labour Convention, 2006 (MLC, 2006) ratified by Benin in June 2011.
Keywords
work, sea, fitness, disease


Title
Health status of a sample of Beninese seafarers examined on the occasion of medical fitness for work at sea
Journal
Issue
Article type
Original article
Pages
226-231
Published online
2019-12-24
Page views
1373
Article views/downloads
811
DOI
10.5603/IMH.2019.0036
Pubmed
Bibliographic record
IMH 2019;70(4):226-231.
Keywords
work
sea
fitness
disease
Authors
Paul Ahoumènou Ayelo
Brice Loddé


- Sauvage T. «La mer est dangereuse, n’en rajoutez pas». Travail et sécurité. 2014; 756: 10–12.
- Jégaden D, Dewitte JD. De l’hygiène navale à la médecine du travail maritime. Arch Mal Prof Env. 2007; 68(3): 219–222.
- Gollac M, Volkoff S. La santé au travail et ses masques. Actes de la recherche en sciences sociales. 2006; 163(4): 17.
- Crasset O. « On se fait mal un peu tous les jours », l’effet travailleur sain chez les maréchaux-ferrants. Travail et emploi. 2013(136): 5–20.
- Houinato DS, Gbary AR, Houehanou YC, et al. Prevalence of hypertension and associated risk factors in Benin. Rev Epidemiol Sante Publique. 2012; 60(2): 95–102.
- Hjarnoe L, Leppin A. A risky occupation? (Un)healthy lifestyle behaviors among Danish seafarers. Health Promot Int. 2014; 29(4): 720–729.
- OIT-OMI. Directives relatives aux examens médicaux des gens de mer. Programme des activités sectorielles. ILO/IMO/JMS/2011/12. ISBN: 978-92-2-225559-7, Genève, 2011.
- Zevallos J, Hulshof CT, Mutsaerts T, et al. Outcomes of seafarer work fitness qualifications in the Netherlands. Occup Med (Lond). 2014; 64(4): 267–270.
- Jégaden D, Dewitte JD, Loddé B. L’aptitude à la navigation maritime: une véritable évaluation des risques de maladie. Arch Mal Prof Env. 2005; 66(4): 318–325.
- Oldenburg M. Risk of cardiovascular diseases in seafarers. Int Marit Health. 2014; 65(2): 53–57.