title: Deaths due to disease of seafarers on board Singapore ships.
abstract: Based on records kept in the Singapore Mercantile Marine Office, the paper presents the results of a study on deaths due to disease of seafarers on board Singapore ships. Out of a total of 373 deaths, altogether 69 fatalities were attributed to diseases. More than 65% (n=45) of theses deaths were due to circulatory diseases commonly associated with life-style factors, but only 24 cases had a specific and 9 cases had an unspecific diagnosis confirmed by a medical, practitioner. A total of 32 seafarers (46.4%) died of a sudden death and were found dead by their shipmates whereas 17 seafarers (24.6%) died on board after a short illness. In only two cases was it reported that Radio Medical advice had been sought indicating either a lack of interest of the ship's management or a lack of knowledge or information on the availability of such services. Eight of the fatalities who died on board had seen a doctor and been declared fit to stay on board, pointing to deficiencies in the port medical services or pressures on port doctors to avoid a costly repatriation. The mean annual mortality rate for deaths due to all causes was 26.5 per 10,000 seafarers and due to disease was 4.9 per 10,000 seafarers.
authors.affiliation: Department of Shipping and Transport Logistics, The Hong Kong Polytechnic University, Hung Hom, Kowloon, SAR. Detlef.Nielsen@polyu.edu.hk
authors.forename: D
authors.initials: D
authors.lastname: Nielsen
authors.forename: H L
authors.initials: HL
authors.lastname: Hansen
authors.forename: B M
authors.initials: BM
authors.lastname: Gardner
authors.forename: D
authors.initials: D
authors.lastname: Jungnickel
mesh_terms: D002423:Cause of Death; D006331:Heart Diseases / Q000453:epidemiology*; D006801:Humans; D008499:Medical Records; D008875:Middle Aged; D009326:Naval Medicine / Q000706:statistics & numerical data*; D012189:Retrospective Studies; D012846:Singapore / Q000453:epidemiology