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Table of Contents

1 Introduction to Nautical Medicine.- 1.1 The History of Nautical Medicine.- 1.2 The Ship’s Doctor, Yesterday and Today.- 1.3 The Ship’s Medical Centre and Medicine Chest.- 1.4 Medical Care on Ships Without a Doctor — Radio Medical Advice.- 2 The Seafarer’s Environment.- 2.1 Work and Recreation at Sea.- 2.2 Ship Design — its Effects on the Seafarer’s Physical and Mental Health.- 2.3 The Effect of the Macroclimate.- 2.4 The Microclimate of the Ship.- 2.5 The Ship’s Lighting.- 2.6 Noise and Vibration Aboard Ship.- 2.7 The Ship’s Water Supply.- 2.8 Waste and Waste-Water Disposal Aboard Ship.- 2.9 The Seafarer’s Food.- 2.10 Psychological Problems in Seafaring.- 2.11 Psychological Aspects of Work-load on Board.- 3 The Pathology of the Seafarer.- 3.1 The Occurrence, Frequency and Aetiology of Diseases and Trauma Among Seamen.- 3.2 Accidents in Seafaring.- 3.3 Gastro-Intestinal Diseases.- 3.4 Respiratory Diseases.- 3.5 Musculoskeletal Diseases.- 3.6 Venereal Diseases (“Sexually Transmitted Diseases”: STD).- 3.7 Skin Diseases.- 3.8 Cardiovascular System Diseases.- 3.9 Urologic Diseases.- 3.10 Mental Disease.- 3.11 Other Diseases (Neurological, Ophthalmic, ENT and Other Conditions).- 3.12 Dental Problems in Seafaring.- 3.13 The Sick Seafarer Ashore.- 4 Preventive Medicine Aboard.- 4.1 Health Education of the Seafarer.- 4.2 The Seafarer’s Personal Hygiene.- 4.3 Food Hygiene Aboard Ship.- 4.4 Alcohol, Drugs and Smoking in Seafaring.- 4.5 Infectious Diseases — Vaccination and Passive Immunization.- 4.6 DDD — Disinfection, Disinfestation and Deratting.- 4.7 International Health Regulations.- 5 Special Fields in Nautical Medicine.- 5.1 Health Standards — Fitness for Duty at Sea.- 5.2 Toxicology in Seafaring — Dangerous Goods.- 5.3 Health Problems onTankships Carrying Oil, Gas or Bulk Chemicals.- 5.4 The Fishing Fleet.- 5.5 The Female Seafarer.- 5.6 The Child at Sea.- 5.7 Health Care of Passengers.- 5.8 The Sea Pilot.- 5.9 Extreme Conditions Aboard Ship.- 5.10 Search and Rescue Medicine — Survival at Sea.- 5.11 Life-Saving Appliances.- 5.12 Offshore Medicine.- 5.13 Underwater Medicine and Diving.- 5.14 Forensic Nautical Medicine.- Sources of Information.