{"title":"Factors influencing the occurrence of infectious diseases among crew members on board cruise ships: a systematic review.","authors":"Sheila Siame, Despoina Andrioti Bygvraa, Lynn M Hulse, Varvara Mouchtouri, Christos Hadjichristodoulou","doi":"10.5603/imh.98558","DOIUrl":"https://doi.org/10.5603/imh.98558","url":null,"abstract":"<p><p>Infectious diseases have been reported to adversely affect industries including tourism. Understanding the knowledge, attitudes, and practices of at-risk populations is crucial to implementing successful preventive and mitigative measures. This systematic review aimed to identify factors that affect the spread of infectious diseases among crew members on board cruise ships. A systematic search of Scopus, Web of Science, and Google Scholar was conducted, and nine studies were included in the final analysis. Findings revealed good knowledge levels, but misconceptions about transmission were common. Discriminatory attitudes and risky behaviors were also reported. Primary sources of information included the media, participatory educative sessions, healthcare providers and family and friends. There is a need to prioritize the initiation of participatory-focused health literacy interventions to enhance knowledge, and attitudes to modify the behavior of seafarers in relation to infectious diseases.</p>","PeriodicalId":45964,"journal":{"name":"International Maritime Health","volume":"76 1","pages":"63-70"},"PeriodicalIF":1.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144057610","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Comment: Decompression sickness of medical personnel of a hyperbaric centre: A report of cases during 25 years of activity.","authors":"Jan Risberg","doi":"10.5603/imh.103151","DOIUrl":"https://doi.org/10.5603/imh.103151","url":null,"abstract":"","PeriodicalId":45964,"journal":{"name":"International Maritime Health","volume":"76 1","pages":"72"},"PeriodicalIF":1.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144033974","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Comment on 'Critical Flicker Fusion Frequency Results During Oxygen Decompression in Standard HBOT Session - An Observational Study.","authors":"Joseph Tatoy Gudelos","doi":"10.5603/imh.103944","DOIUrl":"https://doi.org/10.5603/imh.103944","url":null,"abstract":"","PeriodicalId":45964,"journal":{"name":"International Maritime Health","volume":"76 1","pages":"71"},"PeriodicalIF":1.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144039272","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Medical causes of repatriation in commercial seafarers and offshore workers: a scoping review.","authors":"John Belliveau, W Shane Journeay","doi":"10.5603/imh.102582","DOIUrl":"10.5603/imh.102582","url":null,"abstract":"<p><strong>Background: </strong>Workers at sea including commercial seafarers and those working in offshore establishments have increased risk for occupational disease and injury. Due to limited medical resources in vessels and platforms, and the remote nature of the work, repatriation to a shore-based facility may be required for treatment. The objective of this review was to summarize the literature on medical causes of repatriation among commercial seafarers and offshore workers.</p><p><strong>Materials and methods: </strong>As per Joanna Briggs Institute (JBI) methodology for scoping reviews, a search for papers in English of Medline, Embase, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Scopus and Oceanic Abstracts was conducted. Studies that reported medical causes of repatriations in commercial seafarers and offshore workers were included. For the purposes of this study, commercial seafarers and offshore workers are defined as persons working in the maritime environment for three or more consecutives days. Recreational seafarers, passengers, and military personnel were excluded. Included papers underwent data extraction and medical causes of repatriation were classified into International Classification of Disease (ICD) 11th Revision codes.</p><p><strong>Results: </strong>The search yielded 33 publications including 27 retrospective studies and 6 case studies. 9 of 27 studies focused on offshore workers and 18 included seafarers. The most common causes of medical repatriation reported in the literature were injuries, poisonings, and other consequences of external causes (ICD-22, ICD-23) at 25.2%. Diseases of the digestive system, including dental, (ICD-13) comprised 15.9%, and the musculoskeletal system (ICD-15) was 13.3%.</p><p><strong>Conclusions: </strong>Gaps in the available literature included a lack of demographic and occupational information required to properly assess risk factors for occupational illnesses and injuries among seafarers. The data indicate that injuries, diseases of the gastrointestinal system, and musculoskeletal system are the most common literature-reported causes of repatriation in occupational seafarers. This work may support enhancements to onboard medical capability and medical standards for workers in the marine and offshore industries.</p>","PeriodicalId":45964,"journal":{"name":"International Maritime Health","volume":" ","pages":"97-114"},"PeriodicalIF":1.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144112081","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Yavuz Aslan, Ayşe Sena Yumbul Kardaş, Akın Savaş Toklu
{"title":"Assessing the clinical management and outcomes of venomous marine animal injuries in Turkey.","authors":"Yavuz Aslan, Ayşe Sena Yumbul Kardaş, Akın Savaş Toklu","doi":"10.5603/imh.102261","DOIUrl":"10.5603/imh.102261","url":null,"abstract":"<p><strong>Background and objectives: </strong>SCUBA diving is a widely popular activity in Turkey, surrounded by seas on three sides. While most marine creatures in these waters are harmless, a few poses significant risks, necessitating awareness and precautions for divers' safety. This report highlights the various harmful sea creatures found in Turkish waters, their potential injuries, and appropriate first aid responses.</p><p><strong>Materials and methods: </strong>Data were gathered from workshops, literature reviews, diving activities and case reports.</p><p><strong>Results: </strong>Notable harmful species include jellyfish, sea anemones, bristle worms, sea urchins, greater weever fish, and others. Injuries range from stings and bites to venom-induced symptoms, requiring immediate and specific medical interventions.</p><p><strong>Conclusions: </strong>The paper aims to enhance the recognition and management of harmful marine life encounters in Turkish waters, especially among emergency doctors and general practitioners.</p>","PeriodicalId":45964,"journal":{"name":"International Maritime Health","volume":"76 2","pages":"136-143"},"PeriodicalIF":1.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144545432","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Wanesa Wilczyńska, Joanna Szafran-Dobrowolska, Krzysztof Korzeniewski
{"title":"Neglected tropical diseases in East Africa on the example of Madagascar.","authors":"Wanesa Wilczyńska, Joanna Szafran-Dobrowolska, Krzysztof Korzeniewski","doi":"10.5603/imh.104769","DOIUrl":"10.5603/imh.104769","url":null,"abstract":"<p><p>Neglected tropical diseases (NTDs) are a group of tropical infections that are prevalent in tropical and subtropical countries; they usually stem from poor sanitation and poverty. People affected by NTDs are at risk of various disabilities, disfigurement, and social stigma. Most NTDs are chronic and debilitating illnesses whose treatment generates huge costs and puts a strain on individual and national budgets, especially in developing countries in Africa, Asia, and Latin America. The present article is a review of neglected tropical diseases which are found in East Africa; the study is based on the analysis of the NTDs prevalence in the Malagasy population. Madagascar is one of the poorest countries in the world. Approximately 35% of its residents do not have access to toilets and practice open defecation, and nearly 50% do not have access to safe drinking water. Other factors which are associated with a high prevalence of NTDs in local communities include limited access to healthcare, misinformation, and lack of food safety supervision.</p>","PeriodicalId":45964,"journal":{"name":"International Maritime Health","volume":"76 2","pages":"144-153"},"PeriodicalIF":1.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144545435","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Pilot study on the development of digitally supported health promotion for seafarers on sea.","authors":"Lorenz Scheit, Dorothee Dengler, Lukas Belz, Chiara Reck, Volker Harth, Marcus Oldenburg","doi":"10.5603/imh.102259","DOIUrl":"10.5603/imh.102259","url":null,"abstract":"<p><strong>Background: </strong>Seafarers are exposed to a variety of job-specific physical and psychosocial stressors. Health promotion on board is of great importance for the salutogenesis of this occupational group. Due to the difficult accessibility of seafarers, electronically supported health management can be highly valuable. However, surveys on the needs and interests of seafarers in health promotion regarding e-health applications have not yet been carried out.</p><p><strong>Material and methods: </strong>This pilot study uses a cross-sectional design to assess the need for digital health promotion for seafarers on board. This need was derived from the individual responses of 73 crew members on 3 merchant ships on health as well as addictive behavior, sports, coping strategies, and the level of knowledge regarding health-related issues. Conspicuous parameters on mental health and fatigue were compared to the general population.</p><p><strong>Results: </strong>It was found that 31.9% of seafarers were smokers and 80.6% were alcohol consumers. 82.4% of the seafarers practiced sport. The most common coping strategies for stress were calming down (44.6%), listening to music (32.1%), resting and sleeping (25.0%) and sports (25.0%). The evaluation of the PHQ-9 mental health questionnaires indicated that 85.4% of respondents had moderate to severe symptoms of a depressive mood. The average WHO-5 Well-Being Index resulted in level of 69.7% of the maximum possible score. Knowledge questions on health-related issues were answered correctly in less than 60% of cases. With regard to fatigue, there was an increased score for the Epworth Sleepiness Scale (ESS) in 33.8% and the Pupillary Unrest Index (PUI) was elevated in 47.7%.</p><p><strong>Conclusions: </strong>Nicotine and alcohol consumption is higher among the participating seafarers compared to a reference population living on land. Various coping strategies for managing stress are already used in the daily live. However, there is a demand and interest in acquiring more knowledge about health-promoting behavior. The risk of daytime sleepiness and depression is elevated among seafarers. This leads to key issues that should be taken into account for preventive medicine, health promotion and possible digitally supported health management on board.</p>","PeriodicalId":45964,"journal":{"name":"International Maritime Health","volume":" ","pages":"1-10"},"PeriodicalIF":1.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143048239","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ruhiyah Sakinah Kayati, Ali Nazilah, Raja Zirwatul Aida Raja Ibrahim
{"title":"Psychometric properties of Job Stress Scale among Malaysian Seafarers.","authors":"Ruhiyah Sakinah Kayati, Ali Nazilah, Raja Zirwatul Aida Raja Ibrahim","doi":"10.5603/imh.100896","DOIUrl":"https://doi.org/10.5603/imh.100896","url":null,"abstract":"<p><strong>Background: </strong>Job Stress Scale (JSS) by Parker and DeCotiis (1983) which consists of two dimensions: time stress and anxiety stress, is a relevant scale to seafaring context. The psychometric properties of JSS have yet to be examined in the Malaysian context.</p><p><strong>Aims: </strong>This study attempts to examine the reliability and validity of the Job Stress Scale (JSS) among Malaysian Seafarers.</p><p><strong>Methods: </strong>An online questionnaire was created and distributed to a convenience sample of 390 Malaysian seafarers from various social media platforms such as WhatsApp, Facebook, and LinkedIn.</p><p><strong>Results: </strong>The results support JSS as a multi-dimensional construct with two-dimension, time stress and anxiety stress. The JSS also has established convergent and discriminant validity. For validation through correlation with other related measures, organizational justice and work stress were correlated.</p><p><strong>Conclusions: </strong>The JSS has established psychometric properties and can be proposed to be used as a tool to assess work stress among seafarers.</p>","PeriodicalId":45964,"journal":{"name":"International Maritime Health","volume":"76 2","pages":"154-164"},"PeriodicalIF":1.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144545437","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"17th International Symposium on Maritime Health, 11-14 June 2025, Rotterdam, The Netherlands.","authors":"","doi":"10.5603/imh.106679","DOIUrl":"https://doi.org/10.5603/imh.106679","url":null,"abstract":"","PeriodicalId":45964,"journal":{"name":"International Maritime Health","volume":"76 suppl","pages":"1-101"},"PeriodicalIF":1.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144545445","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}