Handbook of Nautical Medicine

International cooperation on the health of seafarers began many years ago. As early as 1921, an international convention regarding this matter was presented to govern­ ments of maritime countries for ratification. The First World Health Assembly, in 1948,

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* Observations on the Diseases of Seamen, 1789

Handbookof N autical Medicine Edited by: W. H. G. Goethe . E. N. Watson . D. T.Jones With 38 Figures and 12 Tables

Springer-Verlag Berlin Heidelberg NewYorkTokyo 1984

Professor Dr. W. Hartrnut G. Goethe Scientific Director Bemhard-Nocht-Institut für Schiffs- und Tropenkrankheiten, Abt. für Schiffahrtsmedizin, Bemhard-Nocht-Straße 74,2000 Hamburg 4/FRG Dr. E. Norton Watson formerly Chief Medical Officer General Council of British Shipping, London/UK The Late Dr. Dilwyn T.Jones formerly Medical Officer Health Port and City of London/UK

ISBN-13 :978-3-642-69417-2 e-ISBN-13 :978-3-642-69415-8 DOI: 10.1007/978-3-642-69415-8 Library of Congress Cataloging in Publication Data. Main entry under titIe:

Handbook of nautical medicine. Bibliography: p. Includes index. 1. Medicine. Naval-Handbooks. manuals, etc. I. Goethe, W. H. G. (W. Hartrnut G.), 1923 - 11. Watson, E. N. (E. Norton), 1921 - III.Jones, D. T. (Dilwyn T.), 1927-1982 [DNLM: 1. Naval medicine-Handbooks. VG 460 H236] RC986.H29 1984616.9'8024 84-1211

Tbis work is subject to copyright. All rights are reserved, whether the whole or part ofthe material is concerned, specifically those of translation, reprinting, re-use of illustrations, broadcasting, reproduction by photocopying machine or similar means, and storage in data banks. Under § 54 ofthe German Copyright Law where copies are made for other than private use, a fee is payable to 'Verwertungsgesellschaft Wort', Munieh. ©Springer-Verlag Berlin, Heidelberg 1984 Softcover reprint of the hardcover 1st edition 1984

Tbe use of registered names, trademarks, ete. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. Product Liability: Tbe publisher can give no guarantee for information about drug dosage and application thereof contained in this book. In every individual case the respective user must check its accuracy by consulting other pharmaceuticalliterature.

2119/3020-543210

Contributors

Anderson, W. R, MD, Anderson Medical Group, Inc., San Pedro, California 90731, USA Badehaus, A, Dr. med., OMD, Port and Airport Health Authorities, Hamburg, FRG Bäter, H., Dr. med. dent., Lauenburg/Elbe, FRG Ball, Tb., Bernhard-Nocht-Institute for Nautical and Tropical Diseases, Department of Nautical Medicine, Hamburg, FRG EI Batawi, M. A, Prof. Dr. med., Chief Medical Officer, Office of Occupational Medicine, WHO, Geneva, Switzerland Boehm, H., Professor, Dr. rer. nat., Dipl.-Psych., Nautical School, Bremen, FRG Cox, RAF., MA, MB, BChir, MFOM, Medical Director, Phillips Petroleum Company Europe-Africa, London, UK Dolmierski, R, Professor, Dr. med., Director Institute of Maritime and Tropical Medicine, Gdynia, Poland Duffy, J. c., Professor Dr., Assistant Surgeon General, Office ofthe Surgeon General U.S. Public Health Service, Rockville, Md, USA Ebert, H., OMR Doz. Dr. sc. med., Medical Service ofthe Transport System ofthe GDR, Rost