Fishermen health in the southern Indian Ocean: retrospective study about incident pathology onboard,fishing campaigns from 2011 to 2014

• Main Author: Caous, Agathe
• Other Authors: Université de Bordeaux (UB), Paul Laforêt
• Format: Master Thesis
• Language: French
• Published: HAL CCSD 2016
• Subjects: Seafarer; Epidemiology; Incidence; Occupational health; Telemedicine; Naval medicine; Marin; Épidémiologie; Centre de consultation médicale maritime; Santé au travail; Médecine maritime; Télémédecine; [SDV.MHEP]Life Sciences [q-bio]/Human health and pathology; Kerguelen; Indian; Pillar; Saint-Paul; Antarc*
• Online Access: https://dumas.ccsd.cnrs.fr/dumas-01342806; https://dumas.ccsd.cnrs.fr/dumas-01342806/document; https://dumas.ccsd.cnrs.fr/dumas-01342806/file/Med_generale_2016_Caous.pdf

The French maritime zone is the second largest worldwide thanks to overseas French departement and territories scattered throughout all the oceans. The toothfish fishing is an economic pillar of Reunion Island in the Indian ocean where the fish is landed and exported. The exploitation of the seas is not effortless and fishing is one of the most dangerous occupation in the world. The objective of this study is to calculate the incidence of pathology on board of freezer-longliners operating in the exclusives economics zones around French sub-Antarctic’s islands of Kerguelen, Crozet and Saint-Paul. The criteria used to determine the medical event was derived from the medical report found in the database of the French telemedical assistance service (TMAS). 314 seafarers have been included in the study during 3 years from august 2011.61% were French and 39% non-European foreigners. The incidence have been 19.1 (IC95%:15.1-24.2) pathologies onboard for 1000 seafarers exposed per year. 82% of cases were dealt with on board. The harsh conditions of work and the remoteness of the fishing zone justifies a quality service of telemedecine. The study confirms the necessity of preventive medicine practices and fitness and the need for specific training of seafarers to relevant health issues according to international recommendations. La France est le deuxième domaine maritime mondial grâce à ses départements et territoires d’outre-mer dispersés dans tous les océans. La pêche industrielle est un pilier de l’économie de l’île de la Réunion où le poisson est débarqué puis exporté. Marin pêcheur est l’un des métiers les plus dangereux au monde. Cette étude a pour objectif de déterminer l’incidence des pathologies survenant à bord des palangriers-congélateurs qui pêchent la légine dans les zones économiques exclusives autour des îles subantarctiques françaises. Le critère de jugement pour « pathologie survenant à bord » était la présence d’un dossier au centre de consultation médicale maritime. 314 marins ont été inclus dans ...