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 Maritime medicine
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 Str. Tepes Voda no. 24, Constanta

0341-455.455; 0772-166.088
Covid Testing

Maritime medicine

About

Constanta, the greatest harbor at the Black Sea. It is a fact well known that most of the Romanian maritime personnel lives in Constanta, here being the harbor as well as the main teaching institutions for naval and maritime domain. Thus, it was normal that the maritime medicine will be more emphasized here, in Constanta, throughout the increased interest of the medical clinics from Constanta regarding the maritime medicine and the seafarer’s medical exams, as well as through the interest shown by the foreign ship-owners in what concerns Constanta harbor and Romanian seafarers. And so, the need for development of the maritime medicine in Constanta appeared.

If maritime safety has seen significant development in recent years in Europe, maritime medicine has not had the same success. International fleet development and the emergence of multi-ethnic crews has increased the risks of occupational stress, work accidents, risk outbreaks, insomnia etc. Together with the advent of tele-diagnostic systems, it appears imperative, to harmonize the practice in maritime medicine.

At the core of our efforts is the desire to act according to the principles of ILO (International Labor Organization) - MLC 2006 (Convention for MLC) and IMO (International Maritime Organization) - STCW 2011.

We are members of IMHA (International Association of Maritime Health), an international organization of maritime medicine physicians who have decided to promote scientifically and to increase the health quality of seafarers, to achieve a common goal - maintaining safety and life at sea.

Who is responsible for medical examinations?
Any qualified doctor can perform medical examinations required as long as it is certified by the STCW Convention. The physician should be familiar with the details of maritime labor, as well as with the requirements imposed by it. Many companies have their own designated staff doctor. This is recommended because this doctor knows the work that takes place on board very well, having access to medical records and personal history of seafarers. According to ILO Convention 73/2126, Article 8, the employee is entitled to request a new examination in another clinic or another doctor if health certificate is not issued after the first checkup.

Who is responsible for the quality of the maritime medicine examinations?
There are many stakeholders in the maritime industry who are involved in maritime medicine clinics audit: ship owners, shipping management companies, crewing agencies, P & I Clubs and naval authorities. Each of these entities has its own system that is of interest for the accreditation of clinics. Quality methods, criteria, systems and qualifications of auditors varies from country to country and from shareholder to shareholder. It is therefore a pressing need for harmonization of auditing and accreditation systems.

What is the IMHA Quality program?
The program provides a quality assurance tool for medical facilities who conduct aptitude examinations for seafarers by setting up a system to ensure quality standards in working in clinics. These standards were developed in the absence of international standards, best practice guides or facilities for management, where aptitude examinations for seafarers are to be performed. National standards and guidelines are now variable or non-existent.

Seafarers Medical Certificates

GENERAL MEDICAL CERTIFICATES

  • ILO / MLC CERTIFICATE
  • PHYSICAL EXAMINATION
  • INTERNATIONAL VACCINATION BOOKLET
  • CHEMICAL TEST (BENZEN, LIVER function, KIDNEY funtion))
  • DENTAL CERTIFICATE
  • DRUG and ALCOHOL TEST (TDA)

FLAG MEDICAL CERTIFICATES

  • ANTIGUA & BARBUDA
  • BAHAMAS
  • BELIZE
  • BELGIUM
  • BERMUDA
  • DANEMARCA
  • FRANTA
  • HONG KONG
  • JISS
  • LIBERIA
  • MALTA
  • MARSHALL
  • MALAYSIA
  • NORVEGIA NIS (equivalent ENG-1)
  • PANAMA
  • SINGAPORE
  • VANUATU

OFFSHORE MEDICAL CERTIFICATES

  • OFFSHORE UK (OGUK / UKOOA)
  • OFFSHORE NORVEGIA (OLF)
  • OFFSHORE DIVING NORVEGIA
  • OFFSHORE HOLLAND (NOGEPA)

CRUISE MEDICAL CERTIFICATES

  • PRE-SEA AND PERIODIC Medical Certificate
  • AIDA
  • CARNIVAL
  • CRYSTAL
  • HOLLAND AMERICA
  • MSC
  • NCL (NORWEGIAN CRUISE LINE)
  • PRINCESS
  • PULLMANTUR
  • ROYAL CARIBEAN (for PEME)
  • REGENT - SEVEN SEAS Cruise
  • RIVER CRUISES SEA CHEFS
  • TUI
  • VIRGIN VOYAGES
  • WINDSTAR 

Credentialing / Approvals

MARITIME AUTHORITIES

OFFSHORE

CRUISE

COMPANIES

P&I CLUBS

 

FLAGS

NORVEGIA - Since 2008 - https://www.sjofartsdir.no/en/shipping/seafarers/approved-seafarers-doctors/

MALAIEZIA​ - Since 2001 - http://www.marine.gov.my/HEPP/doctorlist.pdf

LIBERIA​ - Since 2003 - http://www.liscr.com/liscr

VANUATU​ - Since 2012 - http://www2.vanuatuships.com​, Vanuatu Maritime Services Limited

BELGIA - Since 2018 - https://mobilit.belgium.be/en 

 

OFFSHORE

OIL & GAS UK (OGUK / UKOOA) - Since 2011 http://www.oilandgasuk.co.uk/knowledgecentre/doctors-list.cfm

 

CRUISE

CARNIVAL CRUISE LINE (CCL) – NORWEGIAN CRUISE LINE (NCL) – ROYAL CARIBBEAN (RCL)

HOLLAND AMERICA – for NIS​, AIDA​ - for Statutory Medicals

 

MEMBERSHIPS

IMHA (International Maritime Health Association) 
Since 2003 – http://imha.net
IMHA Office
Italiëlei 51, B-2000 Antwerp, BELGIUM
E-mail: imha@online.be

ISTM (International Society of Travel Medicine)
Since 2011
Webpage: www.istm.org
Email (ISTM Secretariat): istmwebmailer@shoreland.com
Headquarter: Decatur, United States

Medical Instructions for Seafarers

Offshore certificates conditions

Flags

APPROVALS MARITIME AUTHORITIES

  • NORWAY
  • ​BELGIA
  • MALAYSIA
  • VANUATU
  • LIBERIA

FLAG MEDICAL CERTIFICATES

  • ANTIGUA & BARBUDA
  • BAHAMAS
  • BELGIA
  • BELIZE
  • BERMUDA
  • DANEMARCA
  • FRANTA
  • HONG KONG
  • JISS
  • LIBERIA
  • MALTA
  • MARSHALL
  • MALAYSIA
  • NORVEGIA NIS (echivalent ENG-1)
  • PANAMA
  • SINGAPORE
  • VANUATU

Cruise

Examenul medical asigură interesul navigatorului, dar și interesul liniei de croazieră:

Este persoana potrivita sa-si desfasoare activitatea la bord?
Este capabilIa să facă față condițiilor de viata de la bord?
Din punct de vedere fizic și psihic este capabil să facă față urgențelor pe mare?
Există un risc ca membrul echipajului să necesite un tratament medical de urgență datorită condițiilor medicale preexistente?

 

COMPANIES:

AGENCIES:

Oil & Gas

https://www.mypos.eu/vmp/btn/BQAW1THSBA713

With experience of over 15 years in maritime medicine, we obtained a significant percentage of the market and have developed strong and lasting business relationships with some of the biggest players in the market crewing & shipping.

We have multiple certifications and international accreditations, recognitions and audits including:

  • ISO 9001:2015
  • Oil & Gas UK
  • NMD (Norwegian Maritime Directorate)
  • RNA (Romanian Naval Authority)

We have experience in conducting medical examinations for offshore staff for over 7 years and we are accredited by Oil & Gas UK (formerly UKOOA).

Based on the Hardanger Agreement seen below, as recognized members of Oil and Gas UK (former UKOOA) we can provide medical assessment for offshore companies in the UK, Norway and the Netherlands.

We are members of ISTM (International Society of Traveler Medicine) and of IMHA (International Association for Healthcare Maritima).

We have all the qualities of an ideal business partner, we are aware that time is money and therefore our medical staff evaluates each patient so that each medical form to be released in the shortest time possible. Flexibility is one of the essentials of our business relationship with every customer and the quality of medical services provided by our center will be to your expectations and will meet the company's needs quickly and efficiently.

Our price is customized according to each client, but every time we take into consideration our customer needs, the market trend as well as competition’s quotations, managing in this way to establish the best balance between price and quality.

P&I Clubs

Clubul solicită ca navigatorii originari din Bulgaria, India, Indonezia, Letonia, Filipine, Polonia, România, Federația Rusă și Ucraina să respecte cerințele programului American Club PEME după cum urmează:

Navigatorii trebuie să facă obiectul unui examen medical la o clinică aprobată de club. Clinicile aprobate de club au fost instruite să păstreze o copie a formularelor medicale PEME în cazul în care există întrebări cu privire la valabilitatea unui anumit PEME. Marinarul trebuie să păstreze copia originală cu autocolantul validat cu holograma de securitate validată. Cerințele pentru PEME nu vor fi considerate îndeplinite până când formularul american de examinare medicală pre-angajare a clubului va fi completat integral de către clinica aprobată de club.

American EMRP va fi valabil timp de doi ani, în conformitate cu prevederile Regulamentului 1.2 (Certificat medical), Standard A1.2, paragraful 7 (a) din Convenția privind munca în domeniul maritim din 2006, în virtutea căreia certificatele medicale ale navigatorilor eliberate în temeiul Convenția va avea valabilitate maximă de doi ani.

International Vaccinations

Do you travel for pleasure or for business pourposes and you don't want unpleasant experiences. More so, you don't want to be sick. Therefore it is good to take into account exposure to infectious agents.

In the medical cabinet for international vaccinations and travelers medicine, we offer the following services:

advice and support for the prevention of specific diseases from trips to remote destinations (food security guide, anti malaria chemoprophylaxis, etc.)

immunization and risk management

- vaccination to prevent yellow fever and the International Certificate of Vaccination (required for travel to countries in Africa and South America)

additional vaccinations recommended travelers: hepatitis, typhoid, meningococcal meningitis, tetanus, diphtheria, etc.

- prescribing prophylactic treatment for malaria in accordance with World Health Organization

 

Depending on where you go, the work you do there, your medical history, allergic reactions and a number of other factors that you should discuss during the medical consultation, the vaccinations you need will be established.

 

Previous vaccinations

If you have a previous international vaccination certificate, please bring it with you. You may need to get in touch with your doctor, and ask him to give you your immunizations sheet to date. During the consultation at the TMVC you will be given a vaccinations book for international vaccinations.

 

How long does the protection provided by the vaccination last?

The table below shows the typicall protection duration provided by different types of vaccines once vaccination has been completed. For some vaccines duration of protection is uncertain.

› Cholera (certificate) 6 months

› Diphtheria 10 years

› Flu vaccine (Fluvax) 1 year

› Hepatitis A (Havrix/Twinrix) > 10 years

› Hepatitis A (G Glob) 2mls 3 months

› Hepatitis A (G Glob) 5mls 6 months

› Hepatitis B (Engerix B/Twinrix) 10 years

› Japanese B Encephalitis 3 years

› Measles, Mumps, Rubella 15 years, lifetime

› Meningitis (Menomune/Mencevax) 1-3 years

› Pneumonia (Pneumovax) 5 years, lifetime

› Polio (Sabin) 10 years

› Rabies (pre exposure) 2-3 years

› Tetanus 5-10 years

› Typhoid (Typhim Vi) 3 years

› Typhoid capsules x 3 1 year

› Typhoid capsules x 4 5 years

› Typhoid (original injection) 3 years

› Yellow Fever 10 years

 

 

Wich vaccinations are for travelling abroad?

- General: hepatitis A / B, rabies, typhoid

Yellow fever: Central Africa, South America

Malaria (chemoprophylaxis): Central Africa, South America, Asia

Polio: India

 

There are several types of vaccinations for traveling abroad:

  • Mandatory vaccinations under The International Health Regulations specific to countries in Central Africa and South America. In this category belongs yellow fever vaccine.
  • The recommended vaccinations before any trip, are: hepatitis A and B vaccine, rabies vaccine, the vaccine against typhoid.
  • Routine vaccinations, especially for children, but not only refers to those received during childhood and can be resumed in adulthood in case the necessary (eg vaccine against diphtheria and tetanus, measles, rubella, mumps) .
  • Antimalaria chemoprophylaxis dose refers to administration of prophylactic drugs to prevent illness from malaria. It is recommended to those who go camping in Asia, South America or safari in Central Africa).