Biomechanics and Medicine in Swimming XI
Biomechanics and Medicine in Swimming XI
Biomechanics and Medicine in Swimming XI
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for this paper is a comb<strong>in</strong>ation of operational experience from the East<br />
Africa region <strong>and</strong> field material derived from a safety at sea project <strong>in</strong>itiated<br />
by the Lake Victoria Bas<strong>in</strong> Commission. It is therefore based upon<br />
participatory observations, <strong>in</strong>terviews, <strong>and</strong> <strong>in</strong> regard to the legislative<br />
background, a review of relevant rules <strong>and</strong> regulations. Case studies are<br />
presented of a SAR non-governmental organization from the developed<br />
world <strong>and</strong> one from the develop<strong>in</strong>g world.<br />
descrIPtIon oF sAr orGAnIZAtIons: FroM A<br />
deVeloPed countrY And FroM A deVeloPInG<br />
countrY<br />
SAR operations are dependent on an equation based on survivability<br />
<strong>and</strong> time. Survivability is a function of local conditions like water temperature,<br />
ability to swim, <strong>and</strong> the use of life sav<strong>in</strong>g equipment. This part<br />
of the equation thus provides us with an idea of how long a person <strong>in</strong><br />
distress can survive. Time is a function of distance <strong>and</strong> speed of the<br />
rescuer. Put very simply the two are l<strong>in</strong>ked together; the longer the<br />
survivability the longer the time the rescue mission can take, either to<br />
cover longer distances or perform<strong>in</strong>g with lesser speed. On Lake Victoria,<br />
for example, with an average water temperature of 24-26 degrees<br />
centigrade, the problem of hypothermia is not an immediate concern.<br />
However, with limited swimm<strong>in</strong>g ability <strong>and</strong> experience, <strong>and</strong> the lack of<br />
personal flotation devices (life jackets) or other life sav<strong>in</strong>g devices, survivability<br />
is still low. Paired with an almost total lack of rescue capacity<br />
the situation becomes very serious.<br />
A recent example from a ferry accident on Lake Victoria shows a<br />
less than 50% survivability even though many local fishermen came to<br />
the rescue - 26 of 50 passengers drowned. Here the SAR organization<br />
has a task to fill, decreas<strong>in</strong>g the number of accidents <strong>and</strong> <strong>in</strong>creas<strong>in</strong>g the<br />
survivability when an accident does occur. Be<strong>in</strong>g <strong>in</strong> place with dedicated<br />
resources for search <strong>and</strong> rescue, it can also save lives when all the other<br />
<strong>in</strong>itiatives have been fruitless.<br />
SAR organisations are <strong>in</strong> many countries run as voluntary organisations,<br />
or as Non-Governmental Organizations (NGO’s). A nongovernmental<br />
SAR association can assume full responsibility for all<br />
SAR operations <strong>in</strong> coastal waters, with special emphasis on sav<strong>in</strong>g lives<br />
among the fish<strong>in</strong>g population or leisure boaters (the non IMO fleet).<br />
Operat<strong>in</strong>g models for this are available <strong>in</strong> several countries around the<br />
world. The normal setup is a national association with a small coord<strong>in</strong>at<strong>in</strong>g<br />
head office, also responsible for fundrais<strong>in</strong>g. The SAR stations<br />
are locally adm<strong>in</strong>istered units supported by the mother organization.<br />
There exist different examples of levels of governmental support <strong>and</strong><br />
the share of voluntary <strong>in</strong>volvement. In Norway the government supports<br />
the Norwegian Sea Rescue Society enabl<strong>in</strong>g it to run 24 permanently<br />
manned rescue stations. Another 14 rescue stations are manned<br />
with tra<strong>in</strong>ed voluntary crews funded by memberships <strong>and</strong> donations.<br />
In Sweden, the Swedish Sea Rescue Society (SSRS), founded <strong>in</strong> 1907,<br />
<strong>and</strong> hence hav<strong>in</strong>g celebrated it’s 100 th anniversary <strong>in</strong> 2007, is one of the<br />
world’s lead<strong>in</strong>g <strong>in</strong>dependent SAR organizations. The SSRS operates<br />
approximately 64 rescue stations with about 140 rescue craft manned<br />
by some 1800 volunteers. All boats have been f<strong>in</strong>anced through private<br />
donations from <strong>in</strong>dividuals <strong>and</strong> organisations or through local fundrais<strong>in</strong>g.<br />
This model is extremely successful; tak<strong>in</strong>g care of more than 70%<br />
of all emergencies relayed through the Maritime Rescue Coord<strong>in</strong>ation<br />
Center (MRCC) <strong>in</strong> Gothenburg. The Swedish Sea Rescue Society<br />
receives no contributions at all from taxes or public funds, but is exempted<br />
from value added tax <strong>in</strong> regard to costs directly related to SAR<br />
operations. The examples above have one th<strong>in</strong>g <strong>in</strong> common; the volunteer<br />
part of the work is performed by <strong>in</strong>dividuals with basically a stable<br />
<strong>in</strong>come <strong>and</strong> a permanent liv<strong>in</strong>g place. Their engagement replaces other<br />
leisure activities; <strong>in</strong>stead of play<strong>in</strong>g tennis you spend a couple of hours a<br />
week ma<strong>in</strong>ta<strong>in</strong><strong>in</strong>g the rescue boat <strong>and</strong> tra<strong>in</strong><strong>in</strong>g with the rest of the crew.<br />
Your professional life allows you to be on st<strong>and</strong>-by <strong>and</strong> to man the rescue<br />
boat with<strong>in</strong> 15 m<strong>in</strong>utes from a call-out. This can be compared to a<br />
“Volunteer Fire Brigade”. Furthermore, the potential “clients” have the<br />
chaPter6.medic<strong>in</strong>e<strong>and</strong>watersafety<br />
f<strong>in</strong>ancial strength to contribute to the organization through donations,<br />
gifts <strong>and</strong>/or membership.<br />
In develop<strong>in</strong>g countries the liv<strong>in</strong>g conditions are different, someth<strong>in</strong>g<br />
that has to have an impact on how a rescue service is set up. A<br />
permanent <strong>and</strong> paid professional crew is required to ensure that there<br />
is a guaranteed core of competence. This will enable the SAR service<br />
to build competence, to ma<strong>in</strong>ta<strong>in</strong> a high level of tra<strong>in</strong><strong>in</strong>g <strong>and</strong> over time<br />
ga<strong>in</strong> necessary experience. Complemented with a group of volunteers <strong>in</strong><br />
tra<strong>in</strong><strong>in</strong>g, to be used for activities <strong>in</strong> addition to the core SAR operations;<br />
this comb<strong>in</strong>ation will create flexibility, redundancy, <strong>and</strong> a high state of<br />
preparedness.<br />
In December 2006 the first volunteer rescue station <strong>in</strong> East Africa<br />
was launched as a part of the National Lake Rescue Institute (NLRI)<br />
<strong>in</strong> Ug<strong>and</strong>a. As a true development station it went <strong>in</strong>to operation on the<br />
border lake between Ug<strong>and</strong>a <strong>and</strong> the Democratic Republic of Congo,<br />
Lake Albert. The station itself was built upon two 40 ft steel conta<strong>in</strong>ers<br />
<strong>and</strong> the rescue craft a locally built wooden boat with a 25 hp outboard<br />
eng<strong>in</strong>e. The crew was <strong>in</strong>itially all volunteer local fishermen tra<strong>in</strong>ed by<br />
an <strong>in</strong>ternational SAR volunteer from the Swedish Sea Rescue Society.<br />
S<strong>in</strong>ce its establishment the Lake Albert rescue station <strong>in</strong> Kaiso alone<br />
has saved more than 255 people <strong>in</strong> distress (no data exist however, for<br />
people saved by wear<strong>in</strong>g an NLRI lifejacket). For the NLRI this establishment<br />
was a milestone. After nearly five years of struggle the first<br />
station outside its headquarters was at last <strong>in</strong> operation. Soon to follow<br />
was a partnership station with the Ug<strong>and</strong>an Wildlife Authority (UWA)<br />
<strong>in</strong> Queen Elisabeth National Park, where the equipment <strong>and</strong> tra<strong>in</strong><strong>in</strong>g<br />
were provided by NLRI <strong>and</strong> the crew consisted of UWA park rangers.<br />
S<strong>in</strong>ce then more stations have followed, partnership stations as well as<br />
<strong>in</strong>dependent stations, <strong>and</strong> today more than 50 crew members have been<br />
tra<strong>in</strong>ed towards an <strong>in</strong>ternationally accepted st<strong>and</strong>ard.<br />
Putt<strong>in</strong>g the NLRI <strong>in</strong>itiative <strong>in</strong> perspective it <strong>in</strong>itially focused on<br />
Lake Victoria, where the number of casualties ranges up to an estimated<br />
5000 per year. A tra<strong>in</strong>ed crew, based on NLRI headquarter employed<br />
personnel, manned a small boat with a 25 hp outboard eng<strong>in</strong>e based just<br />
outside the Ug<strong>and</strong>an capital, Kampala. When a corporate social responsibility<br />
project, f<strong>in</strong>anced by a mult<strong>in</strong>ational oil company, was negotiated,<br />
the focus turned temporarily to Lake Albert. In this area oil prospect<strong>in</strong>g<br />
was tak<strong>in</strong>g place <strong>and</strong> the oil company wanted to manifest its presence<br />
by contribut<strong>in</strong>g to the local community. Support<strong>in</strong>g the NLRI exist<strong>in</strong>g<br />
community based <strong>in</strong>itiatives to establish a rescue service on that lake<br />
was one of the chosen projects. F<strong>in</strong>anc<strong>in</strong>g the rescue station as such was<br />
the first step, recruit<strong>in</strong>g <strong>and</strong> tra<strong>in</strong><strong>in</strong>g a crew towards an <strong>in</strong>ternational<br />
st<strong>and</strong>ard as first responders to maritime <strong>and</strong> environmental emergencies<br />
was the second, <strong>and</strong> f<strong>in</strong>ally sea safety awareness tra<strong>in</strong><strong>in</strong>g <strong>and</strong> <strong>in</strong>formation,<br />
the third. The latter was performed with the station <strong>and</strong> the crew<br />
as a platform. In addition to the emergency response capability the local<br />
sp<strong>in</strong>-off has s<strong>in</strong>ce become obvious; life vest production <strong>and</strong> promotion,<br />
fishermen’s clubs, football tournaments, kids’ sea safety tra<strong>in</strong><strong>in</strong>g <strong>and</strong> <strong>in</strong>formation<br />
etc. Without a susta<strong>in</strong>able f<strong>in</strong>ancial solution it is unlikely that<br />
the development will cont<strong>in</strong>ue <strong>and</strong> the death rate on the great lakes<br />
will cont<strong>in</strong>ue to be appall<strong>in</strong>gly high. Currently a project funded by the<br />
African Development Bank is attempt<strong>in</strong>g to f<strong>in</strong>d a private-public partnership<br />
solution to this very problem, but eventually it will depend on<br />
political will <strong>and</strong> <strong>in</strong>volvement.<br />
dIscussIon<br />
The case study above shows that local <strong>in</strong>itiatives can make a difference.<br />
For commercial traffic, operat<strong>in</strong>g with<strong>in</strong> the framework of IMO regulations,<br />
governmental organizations can enforce <strong>in</strong>ternational safety regulations<br />
thus decreas<strong>in</strong>g the accident rate <strong>and</strong> the need of SAR operations.<br />
Operat<strong>in</strong>g offshore furthermore <strong>in</strong>creases the need of equipment<br />
suitable for the specific environment of the high seas, <strong>and</strong> this activity<br />
is more suitable for a governmental body. However, <strong>in</strong> other waters <strong>and</strong><br />
for other categories of maritime activities, the non-governmental SAR<br />
organization is a vital complement; cooperat<strong>in</strong>g with (<strong>and</strong> with<strong>in</strong>) the<br />
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