open access

Vol 73, No 2 (2022)
Original article
Submitted: 2022-04-29
Accepted: 2022-06-22
Published online: 2022-06-29
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The COVID-19 pandemic and maritime telemedicine: 18-month report

Emilie Dehours1, Emilie De Camaret2, David Lucas3, Alexandre Saccavini1, Patrick Roux1
·
Pubmed: 35781684
·
IMH 2022;73(2):83-88.
Affiliations
  1. Centre de Consultations Médicales Maritimes, French TMAS, SAMU 31, CHU Toulouse, France
  2. Service des urgences, Quimper, France
  3. French Society of Maritime Medicine, Brest, France

open access

Vol 73, No 2 (2022)
MARITIME TELEMEDICINE Original article
Submitted: 2022-04-29
Accepted: 2022-06-22
Published online: 2022-06-29

Abstract

Background: The onset of the coronavirus disease 2019 (COVID-19) pandemic has greatly impacted
maritime telemedicine services. The aim of this study is to describe the impact of the pandemic, both quantitatively
and qualitatively, by analysing the teleconsultations by doctors from the French Tele-Medical
Assistance Service (TMAS).
Materials and methods: We carried out a descriptive observational study of retrospective data from the
TMAS files. The main inclusion criterion for the files was a diagnosis of “influenza due to an unidentified
virus”. We extracted the following data: type of ship, gender, age, nationality, role on board, reason for the
call and symptoms, number of calls, navigation zone, severity, medical decision, whether or not a COVID-19
test had been carried out, and treatments prescribed on board.
Results: One hundred and ninety-nine files were included of which 39 (20%) were clusters. We were able
to analyse data from 384 patients. The study population comprised 376 suspected COVID-19 patients,
of whom 334 (87%) were symptomatic and 42 (10.9%) asymptomatic. Eight (2.1%) patients were not
thought to have COVID-19 but their call was related to the pandemic. Of the symptoms presented by the
patients, fever was the most frequent (n = 196; 59%), while 129 (39%) presented a cough, 60 (18%) a
headache, 41 (12%) non-specific ear, nose, throat signs, and 40 (12%) dyspnoea. Two hundred fifty-two
(75%) patients stayed on board, 55 (17%) were disembarked, for 14 (4%) a ship diversion was arranged,
and 13 were evacuated including 4 medical evacuations.
Conclusions: The most important problem encountered related to managing asymptomatic or pauci-symptomatic
patients at sea, which was the subject of the majority of calls. The TMAS doctors played an important
role in managing the pandemic by emphasising the need for social distancing and quarantine procedures
at sea to limit the spread of the virus, while adapting to the sometimes difficult implementation conditions
and logistics for medical decision and quarantine.

Abstract

Background: The onset of the coronavirus disease 2019 (COVID-19) pandemic has greatly impacted
maritime telemedicine services. The aim of this study is to describe the impact of the pandemic, both quantitatively
and qualitatively, by analysing the teleconsultations by doctors from the French Tele-Medical
Assistance Service (TMAS).
Materials and methods: We carried out a descriptive observational study of retrospective data from the
TMAS files. The main inclusion criterion for the files was a diagnosis of “influenza due to an unidentified
virus”. We extracted the following data: type of ship, gender, age, nationality, role on board, reason for the
call and symptoms, number of calls, navigation zone, severity, medical decision, whether or not a COVID-19
test had been carried out, and treatments prescribed on board.
Results: One hundred and ninety-nine files were included of which 39 (20%) were clusters. We were able
to analyse data from 384 patients. The study population comprised 376 suspected COVID-19 patients,
of whom 334 (87%) were symptomatic and 42 (10.9%) asymptomatic. Eight (2.1%) patients were not
thought to have COVID-19 but their call was related to the pandemic. Of the symptoms presented by the
patients, fever was the most frequent (n = 196; 59%), while 129 (39%) presented a cough, 60 (18%) a
headache, 41 (12%) non-specific ear, nose, throat signs, and 40 (12%) dyspnoea. Two hundred fifty-two
(75%) patients stayed on board, 55 (17%) were disembarked, for 14 (4%) a ship diversion was arranged,
and 13 were evacuated including 4 medical evacuations.
Conclusions: The most important problem encountered related to managing asymptomatic or pauci-symptomatic
patients at sea, which was the subject of the majority of calls. The TMAS doctors played an important
role in managing the pandemic by emphasising the need for social distancing and quarantine procedures
at sea to limit the spread of the virus, while adapting to the sometimes difficult implementation conditions
and logistics for medical decision and quarantine.

Get Citation

Keywords

maritime telemedicine, COVID-19, maritime teleconsultation, maritime health

About this article
Title

The COVID-19 pandemic and maritime telemedicine: 18-month report

Journal

International Maritime Health

Issue

Vol 73, No 2 (2022)

Article type

Original article

Pages

83-88

Published online

2022-06-29

Page views

4431

Article views/downloads

402

DOI

10.5603/IMH.2022.0013

Pubmed

35781684

Bibliographic record

IMH 2022;73(2):83-88.

Keywords

maritime telemedicine
COVID-19
maritime teleconsultation
maritime health

Authors

Emilie Dehours
Emilie De Camaret
David Lucas
Alexandre Saccavini
Patrick Roux

References (18)
  1. Prime Minister’s Circular [Internet]. Instruction on the organisation of medical assistance at sea, 29 August 2011. http://circulaires.legifrance.gouv.fr/pdf/ 2011/11/cir_34077.pdf (cited 2022 April 29).
  2. Dehours E, Balen F, Saccavini A, et al. COVID-19 and French Medical Maritime Teleconsultation. Telemed J E Health. 2021; 27(4): 397–401.
  3. Declaration of Helsinki [Internet] Ethical Principles for Medical Research Involving Human Subjects. https://www.wma.net/policies-post/wma-declaration-of-helsinki-ethical-principles-for-medical-research-involving-human-subjects/ (cited 2022 June 28).
  4. Dahl E. Coronavirus (Covid-19) outbreak on the cruise ship Diamond Princess. Int Marit Health. 2020; 71(1): 5–8.
  5. Public Health England [Internet]. Coronavirus (COVID-19): What is social distancing? https://ukhsa.blog.gov.uk/2020/03/04/coronavirus-covid-19-what-is-social-distancing/ (cited 2022 April 29).
  6. Yamahata Y, Shibata A. Preparation for quarantine on the cruise ship Diamond Pprincess in Japan due to COVID-19. JMIR Public Health Surveill. 2020; 6(2): e18821.
  7. IMO.org [Internet]. Designation of seafarers as key workers. https://wwwcdn.imo.org/localresources/en/MediaCentre/HotTopics/Documents/COVID%20CL%204204%20adds/Circular%20Letter%20No.4204-Add.35-Rev.11%20-%20Coronavirus%20(Covid-19)%20-%20Designation%20Of%20Seafarers%20As%20Key%20Workers%20(Secretariat).pdf (cited 2022 April 29).
  8. CDC [Internet]. Interim Guidance for Ships on Managing Suspected Coronavirus Disease 2019. https://www.cdc.gov/quarantine/maritime/recommendations-for-ships.html (cited 2022 April 29).
  9. World Health Organisation [Internet]. Operational consideration for managing COVID-19 cases and outbreaks on board ships. Interim guidance. https://apps.who.int/iris/handle/10665/331164 (cited 2022 April 29).
  10. French department of the sea [Internet]. Covid-19: Recommendations and conduct on board vessels flying the French flag. https://www.mer.gouv.fr/coronavirus-covid-19-recommandations-et-conduite-tenir-bord-de-navires-sous-pavillon-francais (cited 2022 April 29).
  11. Dengler D, von Münster T, Kordsmeyer AC, et al. [Prevention and management of COVID-19 outbreaks on merchant ships]. Zentralbl Arbeitsmed Arbeitsschutz Ergon. 2021; 71(6): 296–304.
  12. Dehours E, Roux P, Tabarly J, et al. French maritime procedures concerning the Ebola infection, experience of the French Tele-Medical Assistance Service (TMAS). Int Marit Health. 2015; 66(3): 184–185.
  13. Wahezi SE, Kohan LR, Spektor B, et al. Telemedicine and current clinical practice trends in the COVID-19 pandemic. Best Pract Res Clin Anaesthesiol. 2021; 35(3): 307–319.
  14. Sagaro GG, Battineni G, Chintalapudi N, et al. Telemedical assistance at sea in the time of COVID-19 pandemic. Int Marit Health. 2020; 71(4): 229–236.
  15. CRAPEM [Internet] Information for sailors. https://www.mer.gouv.fr/sites/default/files/2020-11/Informations%20%C3%A0%20l%E2%80%99intention%20des%20marins.pdf (cited 2022 April 29).
  16. Jezewska M, Leszczyńska I, Jaremin B. Work-related stress at sea self estimation by maritime students and officers. Int Marit Health. 2006; 57(1-4): 66–75.
  17. Lucas D, Jego C, Chresten JO. Seafarers mental health: What we know and impact of COVID 19 pandemic. Arch Malad Professionnelles Environnement. 2021; 82: 619–623.
  18. Sikorska K. Coronavirus disease 2019 as a challenge for maritime medicine. Int Marit Health. 2020; 71(1): 4.

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