Some of these projects are about being launched, others represents ideas for future development rather than a fully developed project waiting for start-up.
Occupational health services
NCMM will try to develop a model for state of the art of occupational health services in the maritime industry including surveillance and registration of health and working environment, health risk assessments based on knowledge, and the process of continuous improvement. This is of great importance in order to comply with MLC 2006.
NCMM will act as a supervisor for shipping companies who are implementing occupational health services.
NCMM is working with the establishment of an advanced telemedical coordination centre that will work closely together with the maritime radio services and joint rescue coordination centres (JRCC) in Norway.
IT-based support as a basis for decision-making will be developed,and handling of medical challenges will be integrated with the systems at the JRCC and the coastal terrestrial radio stations.
Data from the telemedical assistance service will be used to produce epidemiological statistics.
NCMM will employ state of the art telemedical methods to improve the process of diagnosis and treatment under supervision. This includes the use of interactive two-way video.
Joint use of the same technology and equipment across the borders of professions onboard is a possible way to faster implementation.
Cost-benefit assessment is being discussed. Today the market is decisive regarding investment in medical equipment, not always based on medical evidence and with regards to the possible beneficial outcome of the investment.
Watch schemes, sleep, fatigue and vigilance
There is little knowledge about this topic and NCMM has planned projects within this field. The projects lack funding and have therefore not yet started.
The project is waiting for an interested partner from the shipping industry and funding to be launched.
Testing of visual function
The process of medical selection of seafarers still uses insufficient methods for testing of the visual function. NCMM plans to develop a set of state of the art methods for testing the different components of visual function relevant for seafaring (e.g. contrast vision, vision under conditions of reduced light, perception of depth, field of vision, distortion). The planning is delayed because of lack of funding.
Norwegian Maritime Health Registry
NCMM’s mandate from the Norwegian Parliament states that “the centre shall register the incidence of diseases and accidents at sea”.
A draft for a project has been developed and has had preliminary discussions with the Norwegian Maritime Directorate, the Health Directorate and the Norwegian Data Inspectorate, where we have met a fair amount of understanding. Lack of funding and manpower is the main reasons for this work being postponed.
A reliable registration of health parameters, medical certifications, work related diseases and accidents, causes of death and other relevant parameters in the mobile and shifting population of seafarers offers a very challenging task.
The registry should be based on information technology that allows the extraction of relevant statistical data from different sources without offending the personal integrity of the individuals included.
There is little knowledge on which kind of movements ( pitch, roll, frequency etc.) of the ship that causes motion sickness. NCMM has started to develop models for the study of these factors, but so far the work has halted due to lack of funding..