title: [Protocols for the health surveillance of fisherman].
abstract: OBJECTIVE
  To define protocols for health surveillance of workers in the marine fishing sector for specific occupational risk factors, considering the latest and most advanced scientific knowledge.
  
  
  METHODS
  The specific literature was analyzed to identify the occupational risk factors to which fishermen are exposed. Then, for each risk factor a protocol for the relative health checkups and their time schedule was defined.
  
  
  CONCLUSIONS
  The risk factors to which fishermen are exposed are essentially noise, vibrations, solar and ultraviolet radiation, climatic agents (heat, cold, wind, rain, damp), chemical agents, shifts, work rate, night work, physical strain, stress, manual handling of loads, upper limb repetitive tasks, incongruous postures. The health protocols stipulate the health screening investigations to be carried out in all workers of a homogeneous group, and in-depth diagnostic investigations to be carried out in symptomatic workers. Complementary health investigations must be focused on a functional exploration of the organs specifically exposed to the risk factor. For hearing impairments due to noise exposure, the medico-legal measures with which the occupational health physician must comply, in cases of occupational disease, are indicated.
authors.affiliation: Dipartimento Interdisciplinare di Medicina, Sezione di Medicina del Lavoro "E.C. Vigliani", Università di Bari, Italy.
authors.forename: Leonardo
authors.initials: L
authors.lastname: Soleo
authors.forename: Emanuele
authors.initials: E
authors.lastname: Cannizzaro
authors.forename: Piero
authors.initials: P
authors.lastname: Lovreglio
authors.forename: Antonella
authors.initials: A
authors.lastname: Basso
authors.forename: Maria Nicolà
authors.initials: MN
authors.lastname: D'Errico
authors.forename: Enrico
authors.initials: E
authors.lastname: Pira
mesh_terms: D005398:Fisheries; D006801:Humans; D007558:Italy; D016272:Occupational Health / Q000331:legislation & jurisprudence*; D011159:Population Surveillance; D012307:Risk Factors