1Institution for Health Care, Occupational and Sports Medicine dr. Fani Žunić Pedisić, Zadar, Croatia.
2University Hospital Centre Zagreb, Zagreb, Croatia.
Arh Hig Rada Toksikol. 2021 Dec 30;72(4):295-298. doi: 10.2478/aiht-2021-72-3597.
In Croatia, malaria was eradicated in 1964 and has since been imported, ten cases a year in average, mostly by Croatian migrant workers, seafarers in particular. About 80 % of registered cases were infected in Africa and the main reason for infection was negligence in the use of chemoprophylaxis. The aim of the study was to establish the incidence of malaria among Croatian seafarers from 2004 to 2014, how many of them took chemoprophylaxis properly, and whether malaria was acknowledged as occupational disease. To get our answers we analysed epidemiological surveys of the Croatian Institute of Public Health completed by patients and reviewed epidemiological bulletins and the national Register of Occupational Diseases. Over the investigated period, a total of 102 people fell ill with malaria, of whom 25 were seafarers. Seventeen did not take chemoprophylaxis at all and eight took them without following instructions. In addition, none of them had malaria recognised as occupational disease under Croatian law, nor is there any information that they exercised their rights in any other way. All this clearly points out that seafarers and their employers need to be informed much better about the benefits of preventive measures and their labour rights.
在克罗地亚,疟疾于 1964 年被根除,此后每年平均有 10 例输入病例,主要是克罗地亚移民工人,特别是海员。约 80%的登记病例是在非洲感染的,感染的主要原因是疏忽使用化学预防措施。该研究的目的是确定 2004 年至 2014 年期间克罗地亚海员疟疾的发病率,有多少人正确使用了化学预防措施,以及疟疾是否被确认为职业病。为了得到答案,我们分析了克罗地亚公共卫生研究所完成的患者流行病学调查,并审查了流行病学通报和国家职业病登记册。在所调查的期间,共有 102 人患疟疾,其中 25 人是海员。17 人根本没有服用化学预防药物,8 人没有按照说明服用。此外,根据克罗地亚法律,他们都没有将疟疾确认为职业病,也没有任何信息表明他们以任何其他方式行使了自己的权利。所有这些都清楚地表明,需要更好地向海员及其雇主通报预防措施的好处和他们的劳动权利。