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H

ea

l

th

BOS-

P

RD-0

3

04.900001

x

E

x

p

i

r

y

date

o

f

a

ll

med

ic

a

l

dr

u

gs

onboard and

order

i

ng

rep

l

en

i

s

h

ments

i

n

good t

i

me

pr

i

or

to

e

x

p

i

r

y

.

T

h

i

s

,

h

o

w

ever

,

shall

not

app

l

y

to

t

h

e

c

h

e

cki

ng

and

rep

l

a

c

ement

o

f

c

ontro

ll

ed

dr

u

gs

wh

ic

h

are

i

n

t

h

e

d

i

re

c

t

c

are

o

f

t

h

e

M

aster

.

T

h

e

i

nventor

y

m

u

st be

c

arr

i

ed o

u

t

m

onth

ly

b

y

M

edica

l

Officer

and a

person

o

f

h

i

s

/h

er

c

h

o

ic

e

.

Di

sposa

l

o

f

e

x

p

i

red med

ici

ne onboard

:

Med

ic

a

l

dr

u

gs

:

t

h

e

y

s

hould

be

destro

y

ed

i

n

i

n

ci

nerator

. I

f

no

i

n

ci

nerator

ava

il

ab

l

e

onboard

,

dr

u

gs

to

be

d

i

sposed as

per

G

arbage Management

P

l

an

depend

i

ng on

t

h

e pa

ck

age

t

y

pe

.

F

or

a

ll

nar

c

ot

ic

s

(

e

.

g

.

Morp

h

i

ne

/

T

ramado

l)

:

R

e

q

u

est

G

u

i

dan

c

e

to

L

o

g

istic

M

ana

g

er

.

4

.

5

.

5 Use of

C

ontro

ll

ed Dr

u

g

s

I

n

t

h

e

event

t

h

at

t

h

e

u

se

o

f

a

c

ontro

ll

ed

dr

u

g

i

s

ne

c

essar

y

,

t

h

i

s

shall

on

l

y

be

done

i

n

t

h

e

presen

c

e

o

f

bot

h

t

h

e

M

aster

and

t

h

e

M

edica

l

Officer

and

a

c

are

fu

l

re

c

ord

o

f

t

h

e

date

,

t

i

me

and

amo

u

nt

o

f

t

h

e

dr

u

g

u

sed

shall

be

k

ept and

s

i

gned

b

y

bot

h

t

h

e

M

aster

and

t

h

e

M

edica

l

Officer

.

Med

ic

a

l S

tores

o

f

C

ategor

y A

(

a

ll

vesse

l

s

F

ren

c

h

Fl

ag

e

xc

ept

S

u

r

f

er

3

2

0

t

y

pe

) i

s

c

ompr

i

sed o

f

4

parts

:

N

ar

c

ot

ic

s

(

Morp

h

i

ne

), li

st

I, li

st

II

and med

ici

ne

w

i

t

h

o

u

t

pres

c

r

i

pt

i

on

.

T

h

e med

ici

ne

f

o

ll

o

w

i

ng

t

h

e

nar

c

ot

ic

s

reg

u

l

at

i

on

,

t

h

e

li

st

I

or

li

st

II

reg

u

l

at

i

ons

, c

an

on

l

y

be

u

sed

w

i

t

h

med

ic

a

l

pres

c

r

i

pt

i

on

.

4

.

6

M

a

l

aria

4

.

6

.1

Genera

l

I

nternat

i

ona

l

trave

l c

an

pose

var

i

o

u

s

r

i

s

k

s

to

h

ea

l

t

h

.

A

ll i

nd

i

v

i

d

u

a

l

s

, i

n

cl

u

d

i

ng

sea

f

arers

,

should

re

c

e

i

ve

adv

ic

e

on

potent

i

a

l

h

a

z

ards

i

n

t

h

e

i

r

dest

i

nat

i

on

and

u

nderstand

h

o

w

to

best

prote

c

t

t

h

e

i

r

h

ea

l

t

h

.

P

l

ann

i

ng

,

appropr

i

ate

prevent

i

ve meas

u

res

and

c

are

fu

l

pre

c

a

u

t

i

ons

c

an

s

u

bstant

i

a

ll

y

red

u

c

e

t

h

e

r

i

s

k

o

f

a

cci

dents

and

ill

ness

.

A

l

t

h

o

u

g

h

t

h

e med

ic

a

l

pro

f

ess

i

ona

l

s

c

an

prov

i

de

h

e

l

p

and

adv

ic

e

, i

t

i

s

t

h

e

sea

f

arers

o

w

n

respons

i

b

ili

t

y

to

u

nderstand

t

h

e

i

nvo

l

ved

r

i

s

k

s

and

to

ta

k

e

t

h

e ne

c

essar

y

pre

c

a

u

t

i

ons

f

or

t

h

e

i

r

j

o

u

rne

y

.

T

h

e

C

ompan

y

should

assess

t

h

e

r

i

s

k

o

f

trop

ic

a

l

d

i

sease

d

u

r

i

ng

a

pro

j

e

c

t

r

i

s

k

assessment

and

as

and

wh

en

needed

or

re

q

u

i

red

b

y

t

h

e

cli

ent

a Ma

l

ar

i

a

and ot

h

er

trop

ic

a

l

d

i

seases management

p

l

an

should

be

dra

w

n

u

p

and

i

mp

l

emented onboard t

h

e

vesse

l

s

.

4

.

6

.

2 African

t

y

pe of

M

a

l

aria

Ma

l

ar

i

a

i

s

t

h

e

n

u

mber

one

i

n

f

e

c

t

i

o

u

s

d

i

sease

i

n

s

u

b

-S

a

h

aran

and

c

entra

l

Af

r

ic

a

. T

h

i

s t

y

pe

o

f

Ma

l

ar

i

a

(C.F

a

lci

par

u

m

) c

an

be

dead

l

y

and

i

s

a

ser

i

o

u

s

t

h

reat

to

h

ea

l

t

h

.

P

rote

c

t

i

ng

aga

i

nst

C.F

a

lci

par

u

m

(

and

ot

h

er

mos

q

u

i

to

borne

d

i

seases

) i

s

as

stra

i

g

h

t

f

or

w

ard

as

A

B C D. F

o

ll

o

w

t

h

e

‘

A

B C D’

to

prevent

c

ontra

c

t

i

ng

Ma

l

ar

i

a

.

‘

A

’

for Awareness

Ma

l

ar

i

a

i

s

transm

i

tted

to

hu

man

be

i

ngs

b

y

t

h

e

b

i

te

o

f

an

i

n

f

e

c

ted

f

ema

l

e mos

q

u

i

to

o

f

ma

l

ar

i

a

transm

i

tt

i

ng

A

nop

h

e

l

es

spe

ci

es

. T

h

i

s

d

i

sease

i

s

preventab

l

e

and

c

u

rab

l

e

. B

u

t

t

h

i

s

d

i

sease

c

an

kill,

ear

l

y

d

i

agnos

i

s

and

treatment

are

essent

i

a

l.

A

l

w

a

y

s

re

q

u

est

a

c

h

e

ck-

u

p

i

f

y

o

u

are

u

n

w

e

ll

and

s

u

spe

c

t ma

l

ar

i

a ma

y

be

t

h

e

c

a

u

se

.

A

s

k

f

or

fu

rt

h

er

i

n

f

ormat

i

on

i

f

an

y

t

h

i

ng

i

s

not

cl

ear

.

B

est

w

a

y

to

h

ave

a

q

u

ick

and

c

erta

i

n

d

i

agnos

i

s

i

s

to

h

ave

a med

ic

a

l

adv

ic

e

b

y

means

o

f

a

t

h

ick

and

t

h

i

n

b

l

ood

smear

f

or ma

l

ar

i

a

paras

i

tes

. T

o

enab

l

e

an

ear

l

y

d

i

agnos

i

s

,

ma

l

ar

i

a

rap

i

d

tests

are

ava

il

ab

l

e

onboard

.

T

h

i

s ma

l

ar

i

a

rap

i

d

test

shall

be

u

sed

i

f

med

ic

a

l

adv

ic

e

i

s

not

i

mmed

i

ate

l

y

poss

i

b

l

e

(

e

.

g

.

wh

en

t

h

e

vesse

l i

s

pro

c

eed

i

ng

).

V

ers

i

on

0

5

. O

r

i

g

i

na

l

date

:

2

5/

0

5/

2

01

2

.

V

ers

i

on date

:

3

1

/

1

2

/

2

01

5

.

V

a

li

d

vers

i

on

on

l

y

on

Q

M

S

s

i

te

.

U

n

c

ontro

ll

ed do

c

u

ment

wh

en

pr

i

nted

.

P

ro

c

ed

u

re prepared b

y:

BOS

QH

S

E

C

oord

i

nator

.

A

pproved

b

y:

BOS

QH

S

E

Manager

.

V

a

li

dated

b

y:

BOS

Qu

a

li

t

y

R

epresentat

i

ve

.

8

/

1

6

798