open access

Vol 68, No 2 (2017)
MARITIME MEDICINE Review articles
Published online: 2017-06-27
Submitted: 2016-10-05
Accepted: 2017-04-28
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Decision aid for the use of additional tests during the pre-employment medical examination (PEME) of seafarers

Alf Magne Horneland, Suzanne Louise Stannard
DOI: 10.5603/IMH.2017.0017
·
International Maritime Health 2017;68(2):90-98.

open access

Vol 68, No 2 (2017)
MARITIME MEDICINE Review articles
Published online: 2017-06-27
Submitted: 2016-10-05
Accepted: 2017-04-28

Abstract

No laboratory tests and imaging techniques are recommended for routine use in the ILO/IMO Guidelines on the Pre-Employment Medical Examination (PEME) of Seafarers that form the basis for statutory certification. However, they are widely used as components of the PEME protocols developed by insurers, employers and national maritime authorities in an attempt to predict and reduce the risks from illness whilst working at sea. This may be justified on scientific, safety, economic or professional grounds. We propose a rational approach for deciding if and when tests can be justified for routine use in assessing a seafarer’s fitness for work at sea. This is based on well-established methods for determining the validity of screening tests in public health as well as the seafarer demographics. We do not address the well-established use of similar tests where illness is suspected but only when they are used for routine PEME screening of all seafarers.  

Abstract

No laboratory tests and imaging techniques are recommended for routine use in the ILO/IMO Guidelines on the Pre-Employment Medical Examination (PEME) of Seafarers that form the basis for statutory certification. However, they are widely used as components of the PEME protocols developed by insurers, employers and national maritime authorities in an attempt to predict and reduce the risks from illness whilst working at sea. This may be justified on scientific, safety, economic or professional grounds. We propose a rational approach for deciding if and when tests can be justified for routine use in assessing a seafarer’s fitness for work at sea. This is based on well-established methods for determining the validity of screening tests in public health as well as the seafarer demographics. We do not address the well-established use of similar tests where illness is suspected but only when they are used for routine PEME screening of all seafarers.  

Get Citation

Keywords

laboratory tests, imaging techniques, pre-employment medical examination, seafarers

About this article
Title

Decision aid for the use of additional tests during the pre-employment medical examination (PEME) of seafarers

Journal

International Maritime Health

Issue

Vol 68, No 2 (2017)

Pages

90-98

Published online

2017-06-27

DOI

10.5603/IMH.2017.0017

Bibliographic record

International Maritime Health 2017;68(2):90-98.

Keywords

laboratory tests
imaging techniques
pre-employment medical examination
seafarers

Authors

Alf Magne Horneland
Suzanne Louise Stannard

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