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Int. J. Environ. Res. Public Health 2014, 11(11), 11931-11949; doi:10.3390/ijerph111111931

Surveillance of Hospital Contacts among Danish Seafarers and Fishermen with Focus on Skin and Infectious Diseases—A Population-Based Cohort Study

1
Research Unit of Clinical Epidemiology, Institute of Clinical Research, University of Southern Denmark, Odense 5000, Denmark
2
Center for Clinical Epidemiology, Odense University Hospital, Odense 5000, Denmark
3
Department of Occupational Health, Hospital of South Western Jutland, Esbjerg 6700, Denmark
4
National Institute of Occupational Health, Copenhagen 2100, Denmark
*
Author to whom correspondence should be addressed.
Received: 16 September 2014 / Revised: 11 November 2014 / Accepted: 12 November 2014 / Published: 18 November 2014
(This article belongs to the Special Issue Preventive Medicine)
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Abstract

Objectives: A systematic overview of time trends in hospital contacts among Danish seafarers and fishermen by job title and analyses on skin and infectious diseases. Methods: Occupational cohorts with hospital contacts 1994–1998 and 1999–2003. Standardized hospital contact ratios (SHCR) were estimated using national rates and ranked by SHCR size. Results: For non-officers in 1994–1998, infectious diseases had the highest SHCR, followed by neoplastic and endocrinal diseases; in 1999–2003 skin diseases were followed by endocrinal and gastrointestinal diseases. For fishermen in 1994–1998, nervous system, gastrointestinal, and skin diseases had the highest SHCRs; in 1999–2003 it was nervous system, skin, and lymphohematopoietic diseases. As for skin diseases, male fishermen and non-officer seamen generally had increased SHCRs, but engine room personnel specifically had a low SHCR for eczema (eight cases). Fishermen had high SHCRs for tuberculosis in both time periods (six and nine cases, respectively). Non-officer seamen on cargo ships had increased SHCRs for HIV in both time periods and for hepatitis in 1994–1999. Extending the follow-up until 2000 or 2005 showed similar results. Conclusions: Surveillance of seamen’s health gives useful information. The elevated SHCR for HIV infection among non-officers has not declined despite preventive information campaigns. Tuberculosis among fishermen may be due to infection on shore. Skin diseases had very high SHCRs, not due to cutaneous oil exposure. View Full-Text
Keywords: seamen; fishermen; hospital; epidemiology; occupational; disease; surveillance; risk; skin; infection seamen; fishermen; hospital; epidemiology; occupational; disease; surveillance; risk; skin; infection
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This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).

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MDPI and ACS Style

Kaerlev, L.; Jensen, A.; Hannerz, H. Surveillance of Hospital Contacts among Danish Seafarers and Fishermen with Focus on Skin and Infectious Diseases—A Population-Based Cohort Study. Int. J. Environ. Res. Public Health 2014, 11, 11931-11949.

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