【法规名称】
【法规编号】 58708 什么是编号？
【正 文】
第7页 CAP 478O MERCHANT SHIPPING (SEAFARERS) (MEDICAL EXAMINATION) REGULATION
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[接上页] Recurrent peptic ulceration or unsatisfactory operation result-B. Notes: (1) No seafarer with proved ulceration should return to seafaring until free from symptoms, and on an ordinary diet without treatment for at least 3 months following evidence of healing on gastroscopy. Whenever possible evidence of healing should be supported by endoscopic findings. (2) Cimetidine maintenance therapy. The duodenal ulceration relapse rate while on treatment is too high for safe seafaring. Cirrhosis of Liver-B. Pancreatitis-All cases where alcohol is an aetiological factor-B. Pancreatitis with associated gall bladder disease-after complete surgical cure of the gall bladder condition and resolution of the pancreatitis-A or E on case assessment. Recurrent pancreatitis-B. 7. Skin Special care is required in passing fit for service in the tropics if there is a history of skin trouble. Catering staff in particular should have no focus of skin sepsis. Any condition liable to be aggravated by heat, sea air, oil, caustics or detergents may have to be B. Fungus Infections-D. Acne-most cases-A, but severe cases and those with cystic acne-B. Psoriasis-most cases can be A, but some widespread or ulcerated cases should be D for treatment. Severe cases resistant to treatment or frequently relapsing-B. Sensitization Dermatosis-D. Refer for dermatological opinion. Acute Eczema-D. No man should return to duty until skin is completely healthy. Recurrent Eczema-B. Furunculosis-D. All other cases-D for investigation. Disposal will depend upon the nature of the condition, probability of recurrence or necessity for long term treatment. 8. Sexually Transmissible Diseases All cases of acute infection are D while under treatment. Cases under surveillance having finished treatment will usually be fit for normal service but restricted service may be necessary if facilities for supervision are inadequate. In all cases evidence of satisfactory tests of cure should be produced. 9. Genito-Urinary System Hypospadias-minor degree-A. Enlarged Prostate-D for investigation. Hydrocele-small and symptomless-A; large and/or recurrent-B; if operation desired-D. Abnormality of the Primary or Secondary Sexual Characteristics-D for investigation, upon which final decision will rest. Intra-abdominal or ectopic testis-D if treatment desired; otherwise B. Kidney and Bladder Diseases-All cases of proteinuria, glycosuria or other urinary abnormalities should be referred for investigation. Urinary Obstruction-from any cause-D for investigation. B if not remediable. Acute Urinary Infection-D. Recurrent cases should not be accepted unless full investigation has proved satisfactory. Acute Nephritis-D. Subacute or Chronic Nephritis or Nephrosis-B. Renal or Ureteric Calculus-D for investigation and any necessary treatment. An isolated attack of renal colic with passage of small calculus may be A after a period of observation, provided urine and renal functions remain normal and there is no clinical and radiological evidence of other calculi. Recurrent stone formation-B. Removal of Kidney-provided the remaining kidney is healthy with normal function-E. Such cases are unsuitable for service in the tropics or other conditions of high temperature. Renal Transplant-B. Incontinence of Urine-B. 10. Endocrine Disease or Metabolic Disorder Diabetes Mellitus- All cases requiring insulin-B. All gluiosuria cases should be considered diabetic unless proved to be otherwise.Maturity Onset Diabetic- Cases controlled by food restriction only and not requiring insulin or other drugs may be accepted. An initial period of 6 months to cover sick leave and later restricted service should be allowed to achieve this result. Thereafter, accepted cases should be subject to medical review at intervals of 6 months.All other cases of Endocrine Disease-D for investigation upon which decision will depend. A degree of obesity, with or without complications, adversely affecting exercise tolerance/mobility/general health-D for treatment. A set of height/weight tables should be used making allowance for up to 20% excess weight but none for age. Refractory or Relapsing Cases-B. 11. Central Nervous System Any type of Epilepsy-B. A single epileptic fit-provided that the past medical history is clear and investigation has shown no abnormality; re-entry could be considered after one year without any treatment. Fainting Attacks-D for assessment. Recurrent attacks with complete or partial loss of consciousness should be B. Organic Nervous Disease-usually B. Some minor localised disorders not causing symptoms or incapacity and unlikely to progress may be A. Migraine-slight infrequent attacks responding quickly to treatment-A. Frequent attacks causing incapacity-B. Psychosis-B. Psychoneurosis-D for assessment. Chronic or recurrent-B. 12. Alcohol Abuse If affecting health by causing physical disability or behavioural disorder-B. 13. Drug Dependence Dependence on dangerous drugs-B. |
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