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SAMI Briefing Maritime Labour Convention FAQs and Text March 2013

SAMI Briefing Maritime Labour Convention FAQs and Text March 2013

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Health protection, medical care, welfare <strong>and</strong> social security protectionwhen completed, <strong>and</strong> its contents shall be kept confidential <strong>and</strong> shall only be used tofacilitate the treatment of seafarers.3. Each Member shall adopt laws <strong>and</strong> regulations establishing requirements foron-board hospital <strong>and</strong> medical care facilities <strong>and</strong> equipment <strong>and</strong> training on ships thatfly its flag.4. National laws <strong>and</strong> regulations shall as a minimum provide for the followingrequirements:(a) all ships shall carry a medicine chest, medical equipment <strong>and</strong> a medical guide, thespecifics of which shall be prescribed <strong>and</strong> subject to regular inspection by the competentauthority; the national requirements shall take into account the type of ship,the number of persons on board <strong>and</strong> the nature, destination <strong>and</strong> duration ofvoyages <strong>and</strong> relevant national <strong>and</strong> international recommended medical st<strong>and</strong>ards;(b) ships carrying 100 or more persons <strong>and</strong> ordinarily engaged on internationalvoyages of more than three days’ duration shall carry a qualified medical doctorwho is responsible for providing medical care; national laws or regulations shallalso specify which other ships shall be required to carry a medical doctor, takinginto account, inter alia, such factors as the duration, nature <strong>and</strong> conditions of thevoyage <strong>and</strong> the number of seafarers on board;(c) ships which do not carry a medical doctor shall be required to have either at leastone seafarer on board who is in charge of medical care <strong>and</strong> administering medicineas part of their regular duties or at least one seafarer on board competent toprovide medical first aid; persons in charge of medical care on board who are notmedical doctors shall have satisfactorily completed training in medical care thatmeets the requirements of the International <strong>Convention</strong> on St<strong>and</strong>ards of Training,Certification <strong>and</strong> Watchkeeping for Seafarers, 1978, as amended (“STCW”);seafarers designated to provide medical first aid shall have satisfactorily completedtraining in medical first aid that meets the requirements of STCW;national laws or regulations shall specify the level of approved training requiredtaking into account, inter alia, such factors as the duration, nature <strong>and</strong> conditionsof the voyage <strong>and</strong> the number of seafarers on board; <strong>and</strong>(d) the competent authority shall ensure by a prearranged system that medical adviceby radio or satellite communication to ships at sea, including specialistadvice, is available 24 hours a day; medical advice, including the onward transmissionof medical messages by radio or satellite communication between a ship<strong>and</strong> those ashore giving the advice, shall be available free of charge to all shipsirrespective of the flag that they fly.Guideline B4.1 – Medical care on board ship <strong>and</strong> ashoreGuideline B4.1.1 – Provision of medical care1. When determining the level of medical training to be provided on board shipsthat are not required to carry a medical doctor, the competent authority should requirethat:(a)ships which ordinarily are capable of reaching qualified medical care <strong>and</strong> medicalfacilities within eight hours should have at least one designated seafarer with theapproved medical first-aid training required by STCW which will enable suchpersons to take immediate, effective action in case of accidents or illnesses likely55

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