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2011 (pdf, 4 MB) - Universitätsklinikum Hamburg-Eppendorf

2011 (pdf, 4 MB) - Universitätsklinikum Hamburg-Eppendorf

WHO-Projekte External

WHO-Projekte External partners for this CONTRIBUTING project Summary of the project Target group and/or beneficiaries Events-opportunities for furthering the project Expected results of this project by 2012 (outcomes) Indicators of achievement (impact) Major Milestones Public health impact Global Funding source(s) No funds Dissemination List of outcomes already achieved by this project - Centre of Maritime Health and Safety, University of Southern Denmark - Alf Magne Horneland, Centre for Maritime Medicine, Haukeland University Bergen, Norway - AP Smith, Centre for Occupational Health Psychology, Cardiff, UK Seafaring is associated with a high level of mental, psychosocial and physical stress. In this project, the currently most important stressors will be identified by a comprehensive risk assessment including stress measurements on board. A focus is seafarer’s fatigue as a consequence of shipboard conditions (monotony, long shift hours (especially in two-watch systems), probably also reduced visual capacity and shipboard electromagnetic fields). Suitable strategies to prevent stress on board shall be developed including health protection and health promotion of seafarers. This includes the improvement of medical training courses for ship officers, anti-smoking/ -alcohol/ -stress campaigns. Further, important measures include accident prevention and skin protection. To evaluate the efficiency of proposed prevention measures intervention studies are planned. Seafarers, health staff of health/ labour institutions, ship owners, insurance agencies, trade unions of seafarers, medical education centres for ship officers - Development of a WHO questionnaire to evaluate stress on board. - Development of a questionnaire about work-related and not-workrelated sunlight exposure for the seafaring work-force - Cooperation with the International Maritime Health Association (IMHA) - Description of currently most important stress factors on board and development of suitable prevention strategies - Assessment of the risk of skin cancer caused by the work-related sun exposure - Evidence-based recommendations of stress prevention on board - Recommendations about shipboard skin protection - Measurement data on stressors on board (by 2013) - Testing intervention strategies (by 2014) Results and recommendations will be published at the IMHA as well as in international scientific journals. - Identification of major stress factors in seafaring by use of a shipspecific questionnaire - Developing a burnout questionnaire (burnout maybe an important consequence of high work-related stress) - Developing a study design for stress examinations on board - Start of a cross-sectional study to assess the skin status of seafar- 89

WHO-Projekte Progress on Project List of major outcomes already achieved by this project List of additional major outcomes expected from this project by 2012 Describe the impact or influence of this project ers. A skin doctor assessed the skin status of the seamen and asked for their individual sunlight exposure. - A questionnaire draft for evaluation seafarers’ stress was developed and is currently tested in different seafaring groups. - Several shipping companies were informed about the project’s intention to perform stress studies onboard their ships and they were asked for participation. Eight shipping companies have already given their declaration of consent for participation in the examination on board. - It is intended to include more than 500 seafarers in the crosssectional sunlight exposure study. - Performing a questioning of seafarers about work-related stress and burnout. - The project’s results about important stressors in seafaring were internationally published (Oldenburg M, Jensen HJ, Latza U, Baur X. Seafaring stressors aboard merchant and passenger ships. Int J Public Health. 2009; 54(2):96-105). - Until 2014, several voyages with container ships will occur to examine the seafarers’ stress level. - The findings of the burnout study and the experiences with the stress questionnaire will be published in international maritime journals. - Frequency of sunlight induced skin cancers of seafarers compared to other occupational groups. - Conceptual design for maritime specialists to measure stress on ships - Better understanding of the work-related stress and strain of seafarers - Development of evidence-based preventive measures to reduce shipboard stress - Development of skin protection strategies for seafarers Telemedicine on board (Objective 5) Project leader Dr. Marcus Oldenburg, Prof. Dr. Xaver Baur Partners (of the CC Network - Institute of Maritime and Tropical Medicine in Gdynia, Medical University of Gdansk, Poland - University of Brest, France - University of Southern Denmark, Esbjerg, Research Unit on Maritime Medicine Other partners CIRM, Rome, and the Norwegian Centre of Telemedicine Objective of the project Project outcome(s) and deadline(s) for The aim of this project is to promote the introduction of suitable telemedical equipment on board of ships without a physician to improve medical care of ill/injured seafarers The preliminary concept includes: - Ascertaining the number and suitability of telemedical equipment 90

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