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Immunization schedule for Filipino seafarers 2013: A Marcdoc initiative
Recueil des re´sume´s
Plenary Session 6 Seafaring medical fitness, seafarer welfare 67
Integration of health and welfare services – IMHA and ICSW S. Idnani*, C. Idnani, N. Idnani Indus Seafarers Health and Welfare Center, Bardez, India E-mail address: [email protected] Introduction.– IMHA and the ICSW have been working closely to strengthen ties and to further working relations between the two organisations. Among their many objectives is the ILO MLC 2006, which is all set to come into force this year. This convention addresses also the very relevant issue of seafarers health and welfare. Both, IMHA and the ICSW have contributed significantly towards harmonizing seafarers health and welfare in this context, particularly in South Asia. A benchmarked working model is the South Asia programme that has worked with stakeholders to improve the facilities available to seafarers when they call at a port. The programme has concentrated upon capacity building of local committees and on providing funding for transport, medical needs, ship visiting and communication facilities. Emphasis has been laid on mental health, nutrition and life style changes to safeguard health. Seafarers are the unsung heroes of the seafaring trade; to make life more difficult are the threats to life relating to attacks of piracy. These needs make their health and welfare considerations more significant. Seafarers are to be given every access to health and welfare services on board almost near to that on land. Conclusions.– As a result of the South Asia Seafarers Work programme, welfare and health initiatives in the region are well integrated and work to benefit all Seafarers; these are proposed to be used in other regions to address the welfare and health needs of seafarers. Seafarers visiting ports can now look forward to better services as a result of this programme. http://dx.doi.org/10.1016/j.admp.2013.07.108
68
Repatriation rates in Filipino seafarers: A 3-year study of 3882 cases Abayaa,*, S. Roldana, J.C. Ongchangcoa, K. Tabutona, R.M. Ronquillob, R.F. Sarmientob a Health Metrics, Inc., Makati City, Philippines b Health Futures Foundation Inc., Quezon City, Philippines E-mail address: [email protected] Keywords: Occupational medicine, Repatriation, Epidemiology Objectives.– The aim of the study is to determine the most common causes of medical repatriation among Filipino seafarers. Their health issues would be important for health surveillance protocols, epidemiological studies, and national health policy determination. Methods.– We collected the data of known medical repatriations of Filipino seafarers during the years 2010-2012 from the claims and/or legal departments of different manning agencies in Manila. Data requested included age, position, type of ship, dates of embarkation and repatriation, and diagnosis. Results.– A total of 3,882 medical repatriation cases for the three-year period were collected representing 202 shipping companies and 1,981 vessels. The total number of deployments for this period was 221,035 Filipino seafarers. The rate of repatriations was calculated at 1.75%. The most common illnesses causing repatriations were also reviewed
and analyzed using the ICD-10 classification standards. The most common causes of repatriation were injuries (trauma), musculoskeletal disorders, digestive problems, and genitourinary illnesses. Data on the frequency distribution of repatriation dates is also presented. Conclusions.– This study attempts to describe a health profile of the Filipino seafarer and may serve as a benchmark in establishing standards of health care and illness/injury prevention. This may also serve as a guide for ship owners on their own crew’s individual health status, especially during their tours of duty. Likewise, these results may help government agencies to formulate policies for healthrelated issues of the Filipino seafarer and assist pre-employment medical exam doctors to identify and manage conditions that are at a high risk of medical repatriation. http://dx.doi.org/10.1016/j.admp.2013.07.109
69
Immunization schedule for Filipino seafarers 2013: A Marcdoc initiative C.M. Mendozaa,b,*, M.M. Calimagb,c,d, M.R. Bergantinb,e, M.I. Alcaraza, J.B. Abesamisa, S.E. Chinga, P.M. Tevesa, S.O. Salvadora, T.F. Gonzalesa a Maritime Clinics and Doctors Association (MARCDOC), Manila, Philippines b University of Santo Tomas, Faculty of Medicine and Surgery, Manila, Philippines c University of Santo Tomas Graduate School, Manila, Philippines d UST Research Cluster on Culture, Education and Social Issues, Manila, Philippines e UST Hospital Department of Medicine, Section of Infectious Diseases, Manila, Philippines E-mail address: [email protected] Keywords: Immunization, Seafarers, Filipino Objective.– To develop an immunization schedule for Filipino seafarers that shall serve as an easy reference for physicians. Methods.– A task force was created by MARCDOC. The committee did a systematic review of existing international and local vaccination guidelines. The major grouping of vaccines was based on the requirements of Filipino seafarers, their lifestyle and risk for vaccinepreventable illnesses. To develop the immunization plan which includes the schedule, indications, contraindications, precautions and route of administration, a systematic search of all BFAD-approved vaccines was generated so as to eliminate industry-biased recommendation. Results.– A table of Summary Recommendation on Immunization Schedule for Filipino Seafarers was generated using the 3Rs for easy recall, namely: routine are the regularly given vaccines that should have been given during childhood and booster vaccines needed to prevent common illnesses. These include tetanus, diphtheria, acellular pertussis, hepatitis A and B, varicella, MMR, measles, pneumococcal and influenza vaccines. Recommended are vaccines, e.g., HPV vaccine, chosen because of lifestyle risk among seafarers and the burden of cervical cancer among women. Required are those vaccines that a seafarer must receive depending on the country of destination. The list is derived from the WHO’s country-specific list of required vaccinations. Conclusion.– An immunization plan for Filipino seafarers has been generated based on known risk factors for vaccine-preventable diseases. The list for the routine, recommended and required vaccines took into consideration existing local and international guidelines, the burden of disease, and the travel requirements of Filipino seafarers. http://dx.doi.org/10.1016/j.admp.2013.07.110
555
Plenary Session 6 Seafaring medical fitness, seafarer welfare 67
Integration of health and welfare services – IMHA and ICSW S. Idnani*, C. Idnani, N. Idnani Indus Seafarers Health and Welfare Center, Bardez, India E-mail address: [email protected] Introduction.– IMHA and the ICSW have been working closely to strengthen ties and to further working relations between the two organisations. Among their many objectives is the ILO MLC 2006, which is all set to come into force this year. This convention addresses also the very relevant issue of seafarers health and welfare. Both, IMHA and the ICSW have contributed significantly towards harmonizing seafarers health and welfare in this context, particularly in South Asia. A benchmarked working model is the South Asia programme that has worked with stakeholders to improve the facilities available to seafarers when they call at a port. The programme has concentrated upon capacity building of local committees and on providing funding for transport, medical needs, ship visiting and communication facilities. Emphasis has been laid on mental health, nutrition and life style changes to safeguard health. Seafarers are the unsung heroes of the seafaring trade; to make life more difficult are the threats to life relating to attacks of piracy. These needs make their health and welfare considerations more significant. Seafarers are to be given every access to health and welfare services on board almost near to that on land. Conclusions.– As a result of the South Asia Seafarers Work programme, welfare and health initiatives in the region are well integrated and work to benefit all Seafarers; these are proposed to be used in other regions to address the welfare and health needs of seafarers. Seafarers visiting ports can now look forward to better services as a result of this programme. http://dx.doi.org/10.1016/j.admp.2013.07.108
68
Repatriation rates in Filipino seafarers: A 3-year study of 3882 cases Abayaa,*, S. Roldana, J.C. Ongchangcoa, K. Tabutona, R.M. Ronquillob, R.F. Sarmientob a Health Metrics, Inc., Makati City, Philippines b Health Futures Foundation Inc., Quezon City, Philippines E-mail address: [email protected] Keywords: Occupational medicine, Repatriation, Epidemiology Objectives.– The aim of the study is to determine the most common causes of medical repatriation among Filipino seafarers. Their health issues would be important for health surveillance protocols, epidemiological studies, and national health policy determination. Methods.– We collected the data of known medical repatriations of Filipino seafarers during the years 2010-2012 from the claims and/or legal departments of different manning agencies in Manila. Data requested included age, position, type of ship, dates of embarkation and repatriation, and diagnosis. Results.– A total of 3,882 medical repatriation cases for the three-year period were collected representing 202 shipping companies and 1,981 vessels. The total number of deployments for this period was 221,035 Filipino seafarers. The rate of repatriations was calculated at 1.75%. The most common illnesses causing repatriations were also reviewed
and analyzed using the ICD-10 classification standards. The most common causes of repatriation were injuries (trauma), musculoskeletal disorders, digestive problems, and genitourinary illnesses. Data on the frequency distribution of repatriation dates is also presented. Conclusions.– This study attempts to describe a health profile of the Filipino seafarer and may serve as a benchmark in establishing standards of health care and illness/injury prevention. This may also serve as a guide for ship owners on their own crew’s individual health status, especially during their tours of duty. Likewise, these results may help government agencies to formulate policies for healthrelated issues of the Filipino seafarer and assist pre-employment medical exam doctors to identify and manage conditions that are at a high risk of medical repatriation. http://dx.doi.org/10.1016/j.admp.2013.07.109
69
Immunization schedule for Filipino seafarers 2013: A Marcdoc initiative C.M. Mendozaa,b,*, M.M. Calimagb,c,d, M.R. Bergantinb,e, M.I. Alcaraza, J.B. Abesamisa, S.E. Chinga, P.M. Tevesa, S.O. Salvadora, T.F. Gonzalesa a Maritime Clinics and Doctors Association (MARCDOC), Manila, Philippines b University of Santo Tomas, Faculty of Medicine and Surgery, Manila, Philippines c University of Santo Tomas Graduate School, Manila, Philippines d UST Research Cluster on Culture, Education and Social Issues, Manila, Philippines e UST Hospital Department of Medicine, Section of Infectious Diseases, Manila, Philippines E-mail address: [email protected] Keywords: Immunization, Seafarers, Filipino Objective.– To develop an immunization schedule for Filipino seafarers that shall serve as an easy reference for physicians. Methods.– A task force was created by MARCDOC. The committee did a systematic review of existing international and local vaccination guidelines. The major grouping of vaccines was based on the requirements of Filipino seafarers, their lifestyle and risk for vaccinepreventable illnesses. To develop the immunization plan which includes the schedule, indications, contraindications, precautions and route of administration, a systematic search of all BFAD-approved vaccines was generated so as to eliminate industry-biased recommendation. Results.– A table of Summary Recommendation on Immunization Schedule for Filipino Seafarers was generated using the 3Rs for easy recall, namely: routine are the regularly given vaccines that should have been given during childhood and booster vaccines needed to prevent common illnesses. These include tetanus, diphtheria, acellular pertussis, hepatitis A and B, varicella, MMR, measles, pneumococcal and influenza vaccines. Recommended are vaccines, e.g., HPV vaccine, chosen because of lifestyle risk among seafarers and the burden of cervical cancer among women. Required are those vaccines that a seafarer must receive depending on the country of destination. The list is derived from the WHO’s country-specific list of required vaccinations. Conclusion.– An immunization plan for Filipino seafarers has been generated based on known risk factors for vaccine-preventable diseases. The list for the routine, recommended and required vaccines took into consideration existing local and international guidelines, the burden of disease, and the travel requirements of Filipino seafarers. http://dx.doi.org/10.1016/j.admp.2013.07.110
555