The usefulness and practicality of the International Medical Guide for Ships
Abstract
Background: The third edition of the International Medical Guide for Ships (IMGS) was published in 2007
and supported a main principle of the newly adopted International Maritime Labour Convention (MLC)
2006: to ensure that seafarers are given health protection and medical care as comparable as possible
to that which is available to workers ashore. In 2021, the revisions and drafting of the fourth edition of the
IMGS began. Taking the COVID-19 pandemic into consideration, it was decided that a stakeholder study
was necessary to ascertain the usefulness and practicality of the guide as well as provide input for which
new topics to include.
Materials and methods: The study applied data triangulation, with respondents from a geographically
broad sample of the International Maritime Organization‘s five regional areas of the world. The data was
analysed using thematic analysis.
Results: The results show that the IMGS is widely known and used among persons involved in medical care
on board ships, but the IMGS is not as practical as stakeholders would wish it to be. For the guide to be
useful, it must be ensured that telemedical advice information is included and if possible, ensure there is
one single and global medical guide. Also, there is a need for new medical information, and respondents
pointed to pandemic information, medicines list, medical chest, mental health issues, a women’s section,
updated cardiopulmonary resuscitation instructions, human immune defect virus information (human
immune defect-virus) and information on how seafarers may self-monitor and be monitored on board in
relation to chronic diseases.
Conclusions: Respondents understand a medicine chest on board is mandatory according to the MLC
2006, 98% are familiar with its content, and 86% use the IMGS.
Keywords: medical guideInternational Maritime Labour Convention (MLC) 2006maritime healthseafarers’ healthmaritime medicine
References
- World Health Organization (WHO) Quantification addendum: International Medical Guide for Ships, third edition. World Health Organization. 2007. https://apps.who.int/iris/handle/10665/44341.
- WHO: The WHO Model List of Essential Medicines and the International Health Regulations. 2005. https://www.who.int/groups/expert-committee-on-selection-and-use-of-essential-medicines/essential-medicines-lists.
- ILO: 2006. https://www.ilo.org/global/standards/maritime-labour-convention/lang--en/index.htm.
- Schlaich C, Reinke A, Sevenich C. Guidance to the International Medical Guide for Ships 3rd edition. Int Marit Health. 2009; 60(1-2): 51–66.
- Nittari G, Pallotta G, Battineni G, et al. Comparative analysis of the medicinal compounds of the ship's "medicine chests" in European Union maritime countries. Need for improvement and harmonization. Int Marit Health. 2019; 70(3): 143–150.
- Sagaro GG, Amenta F. Past, present, and future perspectives of telemedical assistance at sea: a systematic review. Int Marit Health. 2020; 71(2): 97–104.
- IMO ”Strategy in the Integration of women in the Maritime Sector” 1988.
- IMO ”Women at the helm” film by IMO; IMO “Global Strategy for Women Seafarers”; IMO "Training-Visibility-Recognition" 2013.
- Froholdt LL, Williams E, Kitada M. Introduction. In: Kitada M, Williams E, Froholdt L (eds). Women Global eadership. Springer Publications, 2015 : 1–13.
- ILO: MLC amendments 2022. https://www.ilo.org/global/standards/maritime-labour-convention/special-tripartite-committee/WCMS_845316/lang--en/index.htm.
- Fort E, Massardier-Pilonchéry A, Bergeret A, et al. Alcohol and nicotine dependence in French seafarers. Int Marit Health. 2009; 60(1-2): 18–28.
- Geving IH, Jørgensen KU, Thi MS, et al. Physical activity levels among offshore fleet seafarers. Int Marit Health. 2007; 58(1-4): 103–114.
- Filikowski J, Rzepiak M, Renke W, et al. Selected risk factors of ischemic heart disease in Polish seafarers. Preliminary report. Int Marit Health. 2003; 54(1-4): 40–46.
- Oldenburg M, Jensen HJ, Latza U, et al. Seafaring stressors aboard merchant and passenger ships. Int J Public Health. 2009; 54(2): 96–105.
- Oldenburg M, Baur X, Schlaich C. Occupational risks and challenges of seafaring. J Occup Health. 2010; 52(5): 249–256.
- Oldenburg M. Risk of cardiovascular diseases in seafarers. Int Marit Health. 2014; 65(2): 53–57.
- Dohrmann S. The psychosocial work environment in Danish ferry shipping. PhD Thesis. University of Southern Denmark 2018.
- Dohrmann SB, Herttua K, Leppin A. Is physical and psychological work stress associated with fatigue in Danish ferry ship employees? Int Marit Health. 2020; 71(1): 46–55.
- Herttua K, Vork J, Paljarvi T. Does seafarers' limited access to health care increase risk for community-acquired pneumonia requiring hospital care? A longitudinal register-based analysis. Am J Ind Med. 2021; 64(7): 639–645.
- Herttua K, Ahrenfeldt LJ, Paljarvi T. Risk of major chronic diseases in transport, rescue and security industries: a longitudinal register-based study. Occup Environ Med. 2022; 79(3): 162–168.
- Hjarnoe L, Leppin A. What does it take to get a healthy diet at sea? A maritime study of the challenges of promoting a healthy lifestyle at the workplace at sea. Int Marit Health. 2014; 65(2): 79–86.
- Sampson H, Ellis N. Seafarers’ mental health and wellbeing. Full report. Institution of Occupational Safety and Health, UK 2019.
- Lefkowitz RY, Slade, MD. Seafarer Mental Health study. ITF Seafarers Trust and Yale University. Final report. 2019.
- WHO: The 1st International Conference on Health Promotion, Ottawa, 1986.
- WHO: The World Health Report: 2001: Mental health: new understanding, new hope.
- Palinkas LA, Horwitz SM, Green CA, et al. Purposeful sampling for qualitative data collection and analysis in mixed method implementation research. Adm Policy Ment Health. 2015; 42(5): 533–544.
- Kvale S. Interview. En introduktion til det kvalitative forskningsinterview. København: Hans Reitzels Forlag.1997.
- Kvale S, Brinkman S. Interview. Det kvalitative forskningsinterview som håndværk. 3 udg. København; Sage Publications, Hans Reitzels Forlag. 2014.
- Denzin NK, Lincoln YS. Handbook of qualitative research. CA, SAGE, Thousand Oaks 1994.
- Ship Captains Medical guide – Maritime and Coastguard Agency, United Kingdom: 2020. https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/901465/Approved_Doctors_Manual_July_2020.pdf.
- Brooks S, Greenberg N. Mental health and psychological wellbeing of maritime personnel: a systematic review. BMC Psychology. 2022; 10(1).
- IMO. Support-for-seafarers-during-COVID-19 aspx (July 2021).
