Roberts Stephen E
Unit of Health-Care Epidemiology, Department of Public Health, University of Oxford, Old Road, Oxford OX3 7LF, UK.
Int Marit Health. 2003;54(1-4):7-25.
To establish and analyse the causes and circumstances of all deaths among British seafarers who were working in flags of convenience merchant shipping between 1976 and 1995, to compare mortality with British seafarers employed in British merchant shipping, and to discuss implications for health and safety.
A retrospective longitudinal study of occupational mortality, based on official mortality files.
Out of a total of 200 deaths in flags of convenience shipping, illnesses caused 68 deaths, accidents 91, homicide 3, suicide 7, drug and alcohol intoxication 4, and disappearances at sea and other unknown causes 27. Deaths from non-natural causes and, in particular, maritime disasters accounted for a significantly higher proportion of all deaths in flags of convenience than in British shipping. The maritime disasters largely involved small cargo ships foundering or disappearing in bad weather.
Although mortality rates could not be calculated, because of the unavailability of population information, British seafarers who work for flags of convenience registries appear to be at increased risk of mortality through maritime disasters, as well as through occupational accidents and suicide. Many of the occupational accidents, such as asphyxiation in cargo holds, were caused by hazardous working practices, and the disappearances of small cargo ships raises questions about their seaworthiness. Future efforts should focus on investigating the mortality and health of seafarers working in flags of convenience ships, and on improving mortality and population information systems for these registries.
确定并分析1976年至1995年间在悬挂方便旗商船工作的英国海员的所有死亡原因及情况,将其死亡率与受雇于英国商船的英国海员进行比较,并探讨对健康与安全的影响。
基于官方死亡率档案进行职业死亡率的回顾性纵向研究。
在悬挂方便旗航运的200例死亡案例中,疾病导致68例死亡,事故导致91例,他杀3例,自杀7例,药物和酒精中毒4例,海上失踪及其他不明原因27例。非自然原因导致的死亡,尤其是海难,在悬挂方便旗航运的所有死亡案例中所占比例显著高于英国航运。海难主要涉及在恶劣天气中沉没或失踪的小型货船。
由于缺乏人口信息,无法计算死亡率,但在悬挂方便旗注册机构工作的英国海员似乎因海难、职业事故和自杀而面临更高的死亡风险。许多职业事故,如货舱窒息,是由危险的工作方式造成的,小型货船的失踪引发了对其适航性的质疑。未来的工作应集中于调查在悬挂方便旗船舶上工作的海员的死亡率及健康状况,以及改善这些注册机构的死亡率和人口信息系统。