Work-site casualties and environmental risk assessment on Polish vessels in the years 1960-1999.
OBJECTIVE
To assess environmental risks of fatal incidents in the maritime work-site and guides for possible prevention.


METHODS
All casualties at the work-site in the years 1960-1999 among 25 525 seafarers employed on board Polish vessels were identified according to the ICD-10 classification. The main measure of risk: mean fatality rate per 1000 employees/year was calculated for external and internal causes of death. The impact of the maritime work environment was analysed.


RESULTS
668 seafarers died on board 405 Polish vessels, and 66 percent of deaths were from external causes. The mean fatality rate 1.17 per 1000, was five times higher for external (drowning, missing, other accidents) than for internal causes (circulatory system diseases): 412 deaths from accidents and 29 from disease. Despite modernization of the fleet, the environmental risk factors have strong impact on the mortality. The highest-risk groups were Baltic fishermen, seamen, deck crew, under 40 years of age.


CONCLUSIONS
The risk of casualties in maritime industry exceeds the acceptable level of 1 death per 1000 employees per year. Prevention should concentrate on maritime catastrophes and work-related accidents.
Clinic of Occupational and Internal Diseases, Institute of Maritime and Tropical Medicine, Medical University of Gdańsk, Poland. ocz@acmmit.gdynia.pl
Bogdan
B
Jaremin
D000293:Adolescent; D000328:Adult; D000368:Aged; D006801:Humans; D038801:International Classification of Diseases; D008297:Male; D008875:Middle Aged; D009026:Mortality / Q000639:trends*; D009326:Naval Medicine; D016272:Occupational Health; D011044:Poland; D018570:Risk Assessment; D012767:Ships / Q000145:classification*; D017132:Workplace