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Biomedical subjects

S Tomaszunas

Publications and source records attributed to S Tomaszunas.

At least 19 recordsLinked to original sources

Work-related lost time accidents in deep-sea fishermen.

To evaluate the problem of work-related accidents and injuries in fishermen, a survey was conducted among crews of deep-sea fishing trawlers-factory ships of 3 large fishing companies, covering the period of 10 years (1977-1986). In the surveyed population of 10,475 men and a control group of 4,073 workers employed on shore, there were altogether 1,688 work-related accidents recorded, including 33 fatal accidents. Their incidence was 16.54 per 1000 per year (0.32 fatal cases per 1000 men per year). In the control group (n = 4,073 workers), the incidence was 27.98 per 1000 men (0.03 fatal accidents per 1000). There were more accidents recorded in the control group, than in fishermen. But the incidence of fatal cases was about 10 times higher among fishermen than among workers employed on shore. Among 33 fatal cases in fishermen, there were 12 cases of drowning, 6--injuries, 2--intoxications, 1--burn, and 12 cases sudden death at sea considered as "work-related accidents".

Absenteeism

Work-related accidents and injuries in Baltic fishermen.

Data on the incidence of work-related accidents and injuries in Baltic fishermen employed on medium-size and small fishing vessels were collected during 9 years, and were compared with this incidence in the control group of shore workers, and in a group of deep-sea fishermen surveyed previously. The non-fatal and fatal injuries in Baltic fishermen occurred much more frequently, than in deep-sea fishermen employed on large ocean-going trawlers-factory ships. This may be related to the difference in the conditions of work on various types of fishing vessels.

Absenteeism

Knowledge of seamen and fishermen on risk factors of diseases of the circulatory system.

A total of 1352 seafarers and deep-sea fishermen were interviewed with the use of a questionnaire regarding their knowledge on risk factors in cardiovascular diseases. A great majority of them knew about the harmful effect of tobacco smoking (88.4 per cent of persons interviewed), arterial hypertension (75.7 per cent), and diet rich in fats which contributes to increasing the level of serum cholesterol (75.2 per cent); only 43.2 per cent marked diabetes mellitus as a risk factor. The knowledge on the above risk factors was not enough to change their attitude and habits, with regard to smoking and diet. Preventive interventions should be intensified on ships in order to promote the health of crews. Maritime medicine staff should play more active role in this health promotion programme.

Attitude to Health

Morbidity, injuries and sick absence in fishermen and seafarers--a prospective study.

In the period 1986-1988 a prospective study comprising 30 crew members of deep-sea factory-trawlers (altogether 2468 fishermen) and 85 of the merchant navy vessels (total 2906 seafarers). At least one chronic ailment or a deviation from the norm was found in 32.5% of fishermen and in 45.4% of seafarers. On the average the seafarers were older than their counterparts fishermen by 2 years and 2 month. Traumas, fractures, wounds and injuries were the most often, the prevailing reason for the sick absence (619 days sick absence per 1000 fishermen and 1075 days sick absence per 1000 seamen annually). The most frequent in fishermen were: acute infections of the respiratory tract, skin diseases, diseases of the oral cavity and teeth, diseases of the articulations. The diseases of a highest prevalence in seafarers were: acute infections of the respiratory tract, diseases of the oral cavity and teeth, skin diseases, gastritis and duodenitis. There were noted 27 serious ailments and 9 accidents requiring repatriations on shore and home in fishermen and 18 such diseases and 21 accidents in seafarers.

Absenteeism

The work of ship's doctors of Polish Ocean Lines.

In 1984, during 201 voyages of cargo ships of Polish Ocean Lines having doctors on board, 30340 medical consultations were given to crew members, in 15506 cases of complaints and diseases. Doctors also consulted injured seafarers 2456 times in cases of injuries, wounds, contusions, broken bones, burns, scalds etc. During these 201 voyages, 33 cases of serious medical conditions were reported among crew members, which required disembarkation and hospital treatment abroad; in this number two cases of myocardial infarction ended fatally. There were also 13 casualties among seamen, which were treated in hospitals in foreign ports; all of them survived. One of the important health problems of seafarers were diseases of teeth, pulp, and periapical tissue. Such cases constituted the majority (66.9%) of all 1868 cases referred for consultation and treatment in foreign ports. Oral diseases prevention among seafarers needed improvement. The working time of doctors on board ship was under-utilized. To a greater extent they should be involved in training seafarers in first aid and primary health care, and in health education activities among seamen, during sea voyages. Materials presented in the paper may be of use in planning efficient and cost-effective health services for crews of ships.

Dental Care

Smallpox eradication in Rajasthan, India.

In 1962, when the smallpox eradication programme was launched in India, there were 3909 reported cases in Rajasthan. Mass vaccination was introduced but had little impact on the incidence of the disease; in 1970, 4074 cases were reported and in 1971, the reported incidence (4821 cases) was the highest in India. Changes in the vaccination technique, the use of a new and potent vaccine and the introduction of a new strategy based on surveillance and containment of outbreaks, rather than mass vaccination, brought good results. By 1972, only 1970 cases were reported and endemic smallpox was eliminated from Rajasthan before the launching of the intensified all-India compaign in July, 1973. In 1974, epidemics were occurring in the neighbouring states of Uttar Pradesh and Madhya Pradesh as well as in Bihar and West Bengal. But in that year, there were only 10 new smallpox outbreaks in Rajasthan, all originating from imported cases. The organization and progress of the eradication campaign and the history of smallpox eradication in Rajasthan are described in this communication.

Communicable Disease Control

[Filariasis].

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Brugia