Maritime medicine in Ukraine: the present-day state and some lines of its reforming
Examined the role of the Ukrainian Research Institute of Transport Medicine in the structure of marine medicine in Ukraine. A scheme for reform of maritime medicine in Ukraine based on scientific research experts from the Instituteof Transport Medicine.
Gespeichert in:
| Datum: | 2011 |
|---|---|
| 1. Verfasser: | |
| Format: | Artikel |
| Sprache: | English |
| Veröffentlicht: |
Фізико-хімічний інститут ім. О.В. Богатського НАН України
2011
|
| Schriftenreihe: | Актуальні проблеми транспортної медицини |
| Schlagworte: | |
| Online Zugang: | http://dspace.nbuv.gov.ua/handle/123456789/136568 |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| Назва журналу: | Digital Library of Periodicals of National Academy of Sciences of Ukraine |
| Zitieren: | Maritime medicine in Ukraine: the present-day state and some lines of its reforming / A.I. Gozhenko // Актуальні проблеми транспортної медицини. — 2011. — № 3 (25). — С. 9-12. — англ. |
Institution
Digital Library of Periodicals of National Academy of Sciences of Ukraine| id |
irk-123456789-136568 |
|---|---|
| record_format |
dspace |
| spelling |
irk-123456789-1365682018-06-17T03:04:29Z Maritime medicine in Ukraine: the present-day state and some lines of its reforming Gozhenko, A.I. Материалы 11 Международного симпозиума по морской медицине Examined the role of the Ukrainian Research Institute of Transport Medicine in the structure of marine medicine in Ukraine. A scheme for reform of maritime medicine in Ukraine based on scientific research experts from the Instituteof Transport Medicine. Розглянуто роль Українського НДІ медицини транспорту в структурі морської медицини Україну. Запропоновано схему реформування морської медицини в Україну на основі наукових розробок фахівців Інституту медицини транспорту. Рассмотрена роль Украинского НИИ медицины транспорта в структуре морской медицины Украины. Предложена схема реформирования морской медицины в Украине на основе научных разработок специалистов Института медицины транспорта. 2011 Article Maritime medicine in Ukraine: the present-day state and some lines of its reforming / A.I. Gozhenko // Актуальні проблеми транспортної медицини. — 2011. — № 3 (25). — С. 9-12. — англ. 1818-9385 http://dspace.nbuv.gov.ua/handle/123456789/136568 613.68 en Актуальні проблеми транспортної медицини Фізико-хімічний інститут ім. О.В. Богатського НАН України |
| institution |
Digital Library of Periodicals of National Academy of Sciences of Ukraine |
| collection |
DSpace DC |
| language |
English |
| topic |
Материалы 11 Международного симпозиума по морской медицине Материалы 11 Международного симпозиума по морской медицине |
| spellingShingle |
Материалы 11 Международного симпозиума по морской медицине Материалы 11 Международного симпозиума по морской медицине Gozhenko, A.I. Maritime medicine in Ukraine: the present-day state and some lines of its reforming Актуальні проблеми транспортної медицини |
| description |
Examined the role of the Ukrainian Research Institute of Transport Medicine in the structure of marine medicine in Ukraine. A scheme for reform of maritime medicine in Ukraine based on scientific research experts from the Instituteof Transport Medicine. |
| format |
Article |
| author |
Gozhenko, A.I. |
| author_facet |
Gozhenko, A.I. |
| author_sort |
Gozhenko, A.I. |
| title |
Maritime medicine in Ukraine: the present-day state and some lines of its reforming |
| title_short |
Maritime medicine in Ukraine: the present-day state and some lines of its reforming |
| title_full |
Maritime medicine in Ukraine: the present-day state and some lines of its reforming |
| title_fullStr |
Maritime medicine in Ukraine: the present-day state and some lines of its reforming |
| title_full_unstemmed |
Maritime medicine in Ukraine: the present-day state and some lines of its reforming |
| title_sort |
maritime medicine in ukraine: the present-day state and some lines of its reforming |
| publisher |
Фізико-хімічний інститут ім. О.В. Богатського НАН України |
| publishDate |
2011 |
| topic_facet |
Материалы 11 Международного симпозиума по морской медицине |
| url |
http://dspace.nbuv.gov.ua/handle/123456789/136568 |
| citation_txt |
Maritime medicine in Ukraine: the present-day state and some lines of its reforming / A.I. Gozhenko // Актуальні проблеми транспортної медицини. — 2011. — № 3 (25). — С. 9-12. — англ. |
| series |
Актуальні проблеми транспортної медицини |
| work_keys_str_mv |
AT gozhenkoai maritimemedicineinukrainethepresentdaystateandsomelinesofitsreforming |
| first_indexed |
2025-07-10T01:39:47Z |
| last_indexed |
2025-07-10T01:39:47Z |
| _version_ |
1837222161580818432 |
| fulltext |
ACTUAL PROBLEMS OF TRANSPORT MEDICINE �#3 (25), 2011
АКТУАЛЬНЫЕ ПРОБЛЕМЫ ТРАНСПОРТНОЙ МЕДИЦИНЫ � № 3 (25), 2011 г.
9
System of health care is always based
and depends on the state system and the
latter determines the tasks of medicine and
sources of its financing.
In the former USSR and
Ukraine as its part existed budget
system of health care which
functioned according to either
territorial or industrial principle. So
existed two forms of health care
organization: according to the
territory a person dwells and
according to the branch of industry
he works. Water transport medicine
was a part of industrial one and it
maintained medical care of the
workers of marine, river and fishing
fleet and coastal infrastructure of
water transport. Between ministry
of health care and ministry of ma�
rine fleet existed an agreement
which allowed to enlist the resourc�
es of fleet for medical supply of
seafarers. As the whole system of
health care , water transport
medicine consisted of
establishments of prophylactic and
clinical medicine.
The following 20 years were
filled with social and economic
changes in all spheres including
health care system. Under the new
conditions ministry for health care
took into consideration the
recommendation of the Research institute
for medicine of transport, created instead
of the All�Union research Institute for water
УДК 613.68
MARITIME MEDICINE IN UKRAINE: THE PRESENT�DAY STATE
AND SOME LINES OF ITS REFORMING
Gozhenko A.I.
Ukrainian Research Institute for Medicine of Transport
Examined the role of the Ukrainian Research Institute of Transport Medicine in the
structure of marine medicine in Ukraine. A scheme for reform of maritime medicine in Ukraine
based onscientific research experts from the Institute of Transport Medicine.
Keywords: marine medicine, health of seafarers, medical selection
Ministry of health care of the USSR/ UkrSSR
(chief supernumerary specialist on maritime medicine)
All-Union Research Institute for Water
Transport Hygiene
Prophylactic Medicine
Clinical medicine
Sanitary-and Epidemi-
ologic Service for Water
Transport
Marine hospitals and
polyclinics
Chief State Doctor for
water transport
Port hospitals and poly-
clinics
Central station for sani-
tary-and-epidemiology
on water transport
Regional stations for
sanitary-and-
epidemiology
On water transport)
Ship doctors
a Seafarer
SYSTEM OF HEALTH CARE IN THE USSR
Merits Demerits
Universal character
(medical aid was given to every-
one)
Economic insolvency – the state
has not Enough resources
Prophylactic character Passive parasitical character of
humans
Early medical examination –
monitoring
System character -from prophy-
lactics to rehabilitation
Free of charge
Materials of the 11th International
Symposium on Maritime Health
Материалы 11 Международного
симпозиума по морской медицине
АКТУАЛЬНЫЕ ПРОБЛЕМЫ ТРАНСПОРТНОЙ МЕДИЦИНЫ � № 3 (22), 2011 г.
10
ACTUAL PROBLEMS OF TRANSPORT MEDICINE �#3 (25), 2011
transport Hygiene, and did reorganization of
medical supply for the water transport work�
ers.
Change of economic social formation
and transfer from socialist to capitalist sys�
tem of production based on private proper�
ty led to the necessity of re�organization of
the whole system of health protection for the
workers of water transport. The state is not
any more economically responsible for
health protection of the worker of a definite
industry. The employees began to finance
health protection, for example medical fit�
ness examinations. According to IMF rec�
ommendations liquidation of industrial med�
icine began and all port in�patient and out�
patient departments start to work accord�
ing to territorial principle. The institution of
ship doctors has been liquidated. Diminish�
ing of crews twice and more promoted this
process as well, besides bases for rest and
shop service have been liquidated, too.
Modern state of medical supply of
M i n is t ry o f H e a lth C a re o f U k ra in e
(C h ie f S u p e rn u m e r a ry S p e c ia li s t O n M a ri tim e M e d ic i n e )
U k ra in i a n re se a r ch i n s ti tu te f o r
m e d ic in e o f tra n sp o rt
Pr o p h yl a c ti c M e d ic i n e
C lin i c a l m e d i c in e
C h ie f s t a te d o c t or o f th e
w a t e r t ra n sp o rt
R e gi o n a l s t a tio n s fo r S a n i-
t a ry a n d e p id e m i o lo g y
C e n t ra l s t a ti o n f o r sa n i-
ta ry -a n d -e p id e m io lo g y
o n w a t e r tra ns p or t
T e r rit o ria l e s ta b l ish -
m e n ts
M e d ic a l c o m m i ss i on s
( d iffe re n t fo r m s o f
p ro p e rt y)
S e a fa r e r
O f fic e r o n
B o a rd S hi p
water transport is presented on the scheme.
The given scheme proves that the united
system with a vertical of management is
kept in this country.
And again the whole medical system
is based on the scientific recommendations
of the research institute.
Very important is a complete preserv�
ing of prophylactic direction in maritime
medicine – i.e. services for epidemiology
and sanitary. A number of seafarers is treat�
ed now in specialized in�patients depart�
ments that raised the treatment efficacy and
reduces economical expenses. A very spe�
cific link are commissions for medical fitness
and periodical examinations of seafarers.
These commissions are formed in state and
private medical establishments and have
corresponding licenses issued by the Min�
istry of Health Care of Ukraine. These com�
missions includes medical psychologists
who do obligatory psychological tests. Per�
mission for of going to voyage is issued on
S tr uc tur e o f th e re s e a rc h ins t it u te
H e a lth C a re
P r op h y l a x is C lin i c s M a rit im e M e d ic in e
A S e a fa r e r’s S t a te o f H e a lth
ACTUAL PROBLEMS OF TRANSPORT MEDICINE �#3 (25), 2011
АКТУАЛЬНЫЕ ПРОБЛЕМЫ ТРАНСПОРТНОЙ МЕДИЦИНЫ � № 3 (25), 2011 г.
11
the basis of the commission’s specialists
conclusions, results of laboratory and func�
tional tests. Quality control of these commis�
sions work is an important task the research
institute is working at.
The research institute works out sci�
entific grounds of seafarers’ adaptation to
the conditions of the world ocean, studies
influence of ship’s labour factors on a hu�
man, labour and rest regimes and improves
all the stages of seafarers’ medical service.
It is especially important under the present
day conditions of fleet development:
� intensification of seafarers’ labour
regimes;
� extension of psychoemotional loads;
� diminish of physical loads (hypokinesia,
hypodynamia);
� growing epidemiological dangers.
Present day the volume of medical aid
rendered to seafarers is changed consider�
ably and the first medical aid is rendered by
specially trained officers. The first medical
aid rendering should be improved first of all
by improvement of the officers medical skills
training and introduction of telemedical
technologies for seafarers consultations
which is the institution’s once more field of
activity.
A definite prespass of a part of re�
sponsibility from the state to a seafarer him�
self takes part in the modern system of
seafarers medical supply. So, a seafarer
should occupy more active position in the
control of his own health, its support and,
of course,
Restoration, i.e. medical rehabilitation.
Such change of the approaches to
health preservation will both diminish state
budget expenses and raises motivation of a
seafarer and ship�owner in seafarer’s health
supply. Introduction of electronic case his�
tory and further creation of a single com�
plete data base of seafarers and lists of
seafarers’ medical commissions will pro�
mote this organizationally.
All this will allow to create national
system of seafarers’ health care which may
be joined with medical systems of other
states and used outside of Ukraine.
Below the scheme of the new maritime
medicine is given:
State enterprise “Ukrainian Research
Institute for Medicine of Transport”
MANAGERIAL DEPARTMENT
ECONOMIC DEPARTMENT
DEPARTMENT FOR
RESEARCHES ORGANIZATION
Department of the methods of indus-
trial traumatism and occupational
diseases prophylaxis
DEPARTMENT FOR
HYGIENE AND
TOXICOLOGY
CLINICAL
DEPARTMENT
MEDICAL CLINICAL CENTRE
FOR OCCUPATIONAL HEALTH
centre for maritime
medicine
unit for prophylaxis and
treatment
unit for rehabilitation
consultative unit
DEPARTMENT FOR
HYGIENE AND
EPIDEMIOLOGY ON
TRANSPORT
Centre for new
medical technolo-
gies
Laboratory for ex-
perimental and
clinical pathology
Scientific-and-practical
department for maritime
medicine (c. Kherson)
Scientific –and- practical
department for medicine and
prophylaxis
Laboratory for
drinking water
hygiene
Sector for wa-
ter sanitary and
chemical in-
vestigations
Sector for water
microbiological in-
vestigations
Laboratory for
general hygiene
and physical fac-
tors
Laboratory for
sanitary and eco-
logical chemistry
Laboratory for labour
hygiene and indus-
trial ecology
Sector for hygienic regulation of industrial and
domestic wastes disinfection
Sector for hygiene and
toxicology of danger-
ous cargoes and urgent
medical actions
Sector for experimental
psychophysiology and
psychology of extreme
situations
Laboratory for indus-
trial and ecological
toxicology
Sector for hygiene and
toxicology of burn
Sector for hygiene and
toxicology of heavy
metals
АКТУАЛЬНЫЕ ПРОБЛЕМЫ ТРАНСПОРТНОЙ МЕДИЦИНЫ � № 3 (22), 2011 г.
12
ACTUAL PROBLEMS OF TRANSPORT MEDICINE �#3 (25), 2011
Впервые поступила в редакцию 26.08.2011 г.
Рекомендована к печати на заседании
редакционной коллегии после рецензирования
Резюме
МОРСКАЯ МЕДИЦИНА В
УКРАИНЕ: СОВРЕМЕННОЕ СОСТОЯНИЕ
И НЕКОТОРЫЕ НАПРАВЛЕНИЯ
РЕФОРМИРОВАНИЯ
Гоженко А.И.
Рассмотрена роль Украинского НИИ
медицины транспорта в структуре морс�
кой медицины Украины. Предложена схе�
ма реформирования морской медицины
в Украине на основе научных разработок
специалистов Института медицины
транспорта.
Ключевые слова: морская медицина,
здоровье моряков, медицинский отбор
Резюме
МОРСЬКА МЕДИЦИНА В УКРАЇНІ:
СУЧАСНИЙ СТАН І ДЕЯКІ НАПРЯМКИ
РЕФОРМУВАННЯ
Гоженко А.І.
Розглянуто роль Українського НДІ
медицини транспорту в структурі морсь�
кої медицини Україну. Запропоновано
схему реформування морської медицини
в Україну на основі наукових розробок
фахівців Інституту медицини транспорту.
Ключові слова: морська медицина,
здоров’я моряків, медичний відбір
УДК 331.91;656.6�051
SECURITY OF SEAFARERS IN THE MARITIME LABOUR
CONVENTION, 2006 ILO (MLC)
D. Raul Garcia Bercedo*, Amaia Castaсos Urkullu**, Irwin Purnawarman***
* University of Basque Country (UPV/EHU) Spain.
** University of Basque Country (UPV/EHU) Spain and SEMM SPANISH SOCIETY
OF MARITIME MEDICINE
*** Head of Industrial Health at Pertamina. Indonesia
In the year 2010 which marks the year of seafarers, Spain has ratified the Maritime
Labour Convention, 2006 of the International Labour Organization. Becoming the first EU
member to ratify.
This important Maritime Labour Convention, also called “super convention”, was
adopted by the 94th (Maritime) Session of the International Labour Conference held in
Geneva in February 2006. To ratify the MLC, 2006, Spain implemented a decision of the
Council of the European Union 2007, which allows member countries to ratify in the interests
of the European Community and invites them to do so before December 31, 2010.
The objectives of this paper are to introduce and analyze the contents of the
Convention in relation to safety and prevention of occupational accidents in the maritime
environment.
To do this will be discussed in the text of the agreement in relation to Rule 4.3 � Health
and safety protection and accident prevention which is designed to ensure that the working
environment of seafarers on board ships promotes safety and health at work.
From this analysis conclusions that will ratify the importance of this agreement to
ensure decent working conditions for seafarers.
Keywords: Occupational accidents, occupational safety, accident prevention,
seafarers, international convention.
|