15.6 Are ship’s staff provided with appropriate medical care and access to health promotion programs, and Is there evidence that visits to a qualified medical doctor or dentist are arranged without delay in ports of call, when required?
Record in comments the method of health promotion and related education programs on board the ship.
・The medical care should be provided free of charge and be comparable to workers ashore
・Include health promotion and education programmes
・An up-to-date list of radio contacts where medical advice can be obtained should be readily available
(ILO MLC Pocket Checklist, 2012)
Health promotion might include:
・Health Awareness Material displayed in crew rest rooms/ mess rooms
・Training films shown to crew
・Working in hot and sunny environments -Heat Stroke/Sunburn.
・Dangers of dehydration
・Healthy lifestyle – balanced diet, adequate sleep and regular exercise
・Protection from Mosquito/insect bites
Health protection and medical care, including essential dental care should be available and free of charge to all seafarers. The medical log and visit reports are kept up to date. A standard medical report form is used for both onshore and on-board medical personnel and the completed forms are kept confidential.
(ILO MLC pocket checklist, 2012)
Health Promotionの箇条書きにすいては”Might include”なので、すべてやっていないとFindingsになるということもないとは思いますが、上記の”Health Promotion”のなかで特に一般的にやっている可能性が低いと思われるのがDehydration、Mosquito、Heat Stroke/Sunburnです。
上記についてどのように船員にPromotionしようかと悩むと思います。
ハード面の対策としては熱中症予防のためのポカリを配ったり、虫刺され防止のための虫よけスプレーを配ったりするのも良いと思います。
一方で、教育も必要になります。その際はCDCなど、様々な機関から有用な文章が出ていますので、活用してみてください。
How to tell if you’re dehydrated onboard: Signs and symptoms
Sun Exposure at Work | Outdoor | CDC
Skin at work: Outdoor workers and sun exposure – HSE
また、上記を周知・教育したことのship education reportを作るのも検船対策として忘れずに行った方が良いと思います。