海员保健医疗公约 CONVENTION No.164 Convention concerning Health Protection andMedical Care for Seafarers

a medical doctor as a member of the crew，taking into account， inter alia， such factors as the duration， nature andconditions of the voyage and the number of seafarers on board.Article 9

　　1. All ships to which this Convention applies and which do not carry adoctor shall carry as members of the crew one or more specified persons incharge of medical care and the administering of medicines as part of theirregular duties.

　　2. Persons in charge of medical care on board who are not doctorsshall have satisfactorily completed a course approved by the competentauthority of theoretical and applied training in medical skills. Thiscourse shall comprise——

　　（a） for ships of less than 1 600 gross tonnage which ordinarilyare capable of reaching qualified medical care and medical facilitieswithin eight hours， elementary training which will enable such persons totake immediate， effective action in case of accidents or illnesses likelyto occur on board ship and to make use of medical advice by radio orsatellite communication；

　　（b） for all other ships， more advanced medical training， includingpractical training in the emergency/casualty department of a hospitalwhere practicable and training in life-saving techniques such asintravenous therapy， which will enable the persons concerned toparticipate effectively in co-ordinated schemes for medical assistance toships at sea， and to provide the sick or injured with a satisfactorystandard of medical care during the period they are likely to remain onboard. Wherever possible， this training shall be provided under thesupervision of a physician with a thorough knowledge and understanding ofthe medical problems and circumstances relating to the seafaringprofession， including expert knowledge of radio or satellite communicationmedical services.

　　3. The courses referred to in this Article shall be based on thecontents of the most recent edition of the International Medical Guide forShips， the Medical First Aid Guide for use in Accidents involvingDangerous Goods， the Document for Guidance-An International MaritimeTraining Guide published by the International Maritim

e Organization， andthe medical section of the International Code of Signals as well assimilar national guides.

　　4. Persons referred to in paragraph 2 of this Article and such otherseafarers as may be required by the competent authority shall undergorefresher courses to enable them to maintain and increase their knowledgeand skills and to keep abreast of new developments， at approximatelyfive-year intervals.

　　5. All seafarers， during their maritime vocational training， shallreceive instruction on the immediate action that should be taken onencountering an accident or other medical emergency on board.

　　6. In addition to the person or persons in charge of medical care onboard， a specified crew member or crew members shall receive elementarytraining in medical care to enable him or them to take immediate effectiveaction in case of accidents or illnesses likely to occur on board ship.Article 10

　　All ships to which this Convention applies shall provide all possiblemedical assistance， where practicable， to other vessels which may requestit.Article 11

　　1. In any ship of 500 or more gross tonnage， carrying 15 or moreseafarers and engaged in a voyage of more than three days' duration，separate hospital accommodation shall be provided. The competent authoritymay relax this requirement in respect of ships engaged in coastal trade.

　　2. In any ship of between 200 and 500 gross tonnage and in tugs thisArticle shall be applied where reasonable and practicable.

　　3. This Article does not apply to ships primarily propelled by sail.

　　4. The hospital accommodation shall be suitably situated， so that itis easy of access and so that the occupants may be comfortably housed andmay receive proper attention in all weathers.

　　5. The hospital accommodation shall be so designed as to facilitateconsultation and the giving of medical first aid.

　　6. The arrangement of the entrance， berths， lighting， ventilation，heating and water supply shall be designed to ensure the comfort andfacilitate the treatment of the occupants.

　　7. The number of hospital berths required shall be prescribed by thecompetent authority.

　　8. Water closet accommodation shall be provided for the exclusive useof the occupants of the hospital accommodation， either as part of theaccommodation or in close proximity thereto.

　　9. Hospital accommodation shall not be used for other than medicalpurposes.Article 12

　　1. A standard medical report form for seafarers shall be adopted bythe competent authority as a model for use by ships' doctors， masters orpersons in charge of medical care on board and hospitals or doctorsashore.

　　2. The form shall be specially designed to facilitate the exchange ofmedical and related information concerning individual seafarers betweenship and shore in cases of illness or injury.

　　3. The information contained in the medical report form shall be keptconfidential and shall be used for no other purpose than to facilitate thetreatment of seafarers.Article 13

　　1. Members for which this Convention is in force shall co-operate withone another in promoting protection of the health of seafarers and medicalcare for them on board ship.

　　2. Such co-operation might cover the following matters：

　　（a） developing and co-ordinating search and rescue efforts andarranging prompt medical help and evacuation at sea for the seriously illor injured on board a ship through such means as periodic ship positionreporting systems， rescue co-ordination centres and emergency helicopterservices， in conformity with the provisions of the InternationalConvention of Maritime Search and Rescue， 1979， and the Merchant ShipSearch and Rescue Manual and IMO Search and Rescue Manual developed by theInternational Maritime Organization；

　　（b） making optimum use of fishing vessels carrying a doctor andstationing ships at sea which can provi

de hospital and rescue facilities；

　　（c） compiling and maintaining an international list of doctors andmedical care facilities available world-wide to provide emergency medicalcare to seafarers；

　　（d） landing seafarers in port for emergency treatment；

　　（e） repatriating seafarers hospitalised abroad as soon aspracticable， in accordance with the medical advice of the doctorsresponsible for the case， which takes into account the seafarer's wishesand needs；

　　（f） arranging personal assistance for seafarers duringrepatriation， in accordance with the medical advice of the doctorsresponsible for the case， which takes into account the seafarer's wishesand needs；

　　（g） endeavouring to set up health centres for seafarers to——

　　（i） conduct research on the health status， medical treatmentand preventive health care of seafarers；

　　（ii） train medical and health service staff in maritimemedicine；

　　（h） collecting and evaluating statistics concerning occupationalaccidents， diseases and fatalities to seafarers and integrating andharmonising them with any existing national system of statistics onoccupational accidents， diseases and fatalities covering other categoriesof workers；

　　（i） organising international exchanges of technical information，training material and personnel， as well as international trainingcourses， seminars and working groups；

　　（j） providing all seafarers with special curative and preventivehealth and medical services in port， or making available to them generalhealth， medical and rehabilitation services；

　　（k） arranging for the repatriation of the bodies or ashes， inaccordance with the wishes of the next of kin， of deceased seafarers assoon as practicable.

　　3. International co-operation in the field of health protection andmedical care for seafarers shall be based on bilateral or multilateralagreements or consultations among Members.Article 14

　　The formal ratifications of this Convention shall be communicated tothe Director-General of the International Labour Office for registration.Article 15

　　1. This Convention shall be binding only upon those Members of theInternational Labour Organization whose ratifications have been registeredwith Director-General.

　　2. It shall come into force twelve months after the date on which theratifications of two Members have been registered with theDirector-General.

　　3. Thereafter， this Convention shall come into force for any Membertwelve months after the date on which its ratification has beenregistered.Article 16

　　1. A Member which has ratified this Convention may denounce it afterthe expiration of ten years from the date on which the Convention firstcomes into force， by an act communicated to the Director-General of theInternational Labour Office for registration. Such denunciation shall nottake effect until one year after the date on which it is registered.

　　2. Each Member which has ratified this Convention and which does not，within the year following the expiration of the period of ten yearsmentioned in the preceding paragraph， exercise the right of denunciationprovided for in this Article， will be bound for another period of tenyears and， thereafter， may denounce this Convention at the expiration ofeach period of ten years under the terms provided for in this Article.Article 17

　　1. The Director-General of the International Labour Office shallnotify all Members of the International Labour Organization of theregistration of all ratifications and denunciations communicated to him bythe Members of the Organization.

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