The appearance of COVID-19 in maritime transport has been an exceptional challenge for all stakeholders in this sector, mainly for seafarers who have been caught between the need to keep supply chains operational and the limitations imposed by administrations to prevent the spread of the virus. With these objectives in mind, international institutions and organizations have developed a long series of regulations that have emerged in parallel with the measures established to control the pandemic. This article compiles the recommendations and regulations on health management established for this sector, as well as the implications of this entire process on fatigue and stress in seafarers. Issues such as difficulties experienced in crew changes and repatriation, extended working hours, social isolation caused by mobility limitations in ports, limited medical equipment and services available, health care restrictions in some ports, the need to quarantine, and the possibility of being infected have been reported, among others, as causes of increased fatigue and stress among seafarers, as well as an upturn in anxiety, depression and other psychiatric disorders in this group. Thus, despite the efforts of the international maritime community to regulate the problematic areas related to the outbreak of the pandemic with the aim of keeping seafarers free of coronavirus and facilitating the continuity of maritime transport, its levels of fatigue and stress have increased notably, demonstrating that these efforts have neither been sufficient nor effective regulations have been developed that specifically take into account how COVID-19 and actions aimed at the continuity of maritime transport have affected and may continue to affect seafarers’ mental health.
Prevalence of podiatric pathologies in see workers and ground workers that use labor footwearPrevalencia de patologías podológica en trabjadores del mar y trabajadores de tierra que utilizan calzado laboral AbstractObjective: the present work is to study and to compare the prevalence of dermatological pathologies in the foot of a workers' sample of the sea in relation with a workers' sample of land. Methods: A sample of 94 participants, average age 41,29 ± 10,603 years came to an ambulatory center where autoinformed information was registered, they determined the labor activity.Results: The group of workers of the sea proved to be a major prevalence of fractures (p= 0,003), pharmacological treatment (p=0,003) and podiatric pathologies (p=0,013) that the workers of land Conclusions: The bad conditions of dampness joined the use of the labor footwear generate on the low member a negative impact, provoking an increase of the prevalence of certain podiatric pathologies of the workers of the sea in comparison with the population who is not employed at the sea.Key Words: Foot; Pathology; Healthy Worker Effect. ResumenObjetivos: estudiar y comparar la prevalencia de patologías dermatológicas en el pie de una muestra de trabajadores del mar en relación con una muestra de trabajadores de tierra. Material y Métodos: Una muestra de 94 participantes, edad promedio 41,29 ± 10,603 años acudieron a un centro ambulatorio donde se registraron datos autoinformados, se determinaron la actividad laboral. Resultados: El grupo de trabajadores del mar mostró mayor prevalencia de fracturas (p = 0,003), tratamiento farmacológico (p = 0,003) y patologías podológicas (p = 0,013) que los trabajadores de tierra. Conclusiones: Las malas condiciones de humedad unidas al empleo del calzado de laboral genera sobre el miembro inferior un impacto negativo, provocando un aumento de prevalencia de las ciertas patologías podológicas de los trabajadores del mar en comparación con la población que no trabaja en el mar.Palabras Clave: Pie, Patologías, Efectos sobre la salud del trabajador.
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