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Tytuł artykułu

The Indigenous Fisherman Divers of Thailand: Diving-Related Mortality and Morbidity

Treść / Zawartość
Identyfikatory
Warianty tytułu
Języki publikacji
EN
Abstrakty
EN
The Urak Lawoi are indigenous fishermen on Thailand’s west coast. The population includes an estimated 400 divers who dive using surface-supplied compressed air. In a cross-sectional survey conducted among the 6 major communities of Urak Lawoi, questionnaire-based interviews were administered to active divers, ex-divers, and families or colleagues of divers who had died in the previous 5 years. Six deaths resulting from diving-related accidents were identified, indicating a diving-related mortality rate of approximately 300 per 100,000 person-years, while in the same 5-year period 11 divers had been disabled owing to diving-related events, indicating a diving-related disabling event rate of approximately 550 per 100,000 person-years. Among 342 active divers interviewed, one third reported having suffered from decompression illness, although based on reported current symptoms over 50% were classified as suffering from recurring non-disabling decompression illness. Physical examination conducted on a subset of 98 active divers revealed the presence of spinal injury (clonus, raised muscle tone, and heightened reflexes) and of joint damage (pain in one or more joint, crepitus, or restricted movement) in 24 and 30% respectively. Improved primary prevention and medical treatment are needed to reduce mortality and morbidity among this population.
Rocznik
Strony
147--167
Opis fizyczny
Bibliogr. 23 poz., tab., wykr.
Twórcy
autor
  • International Labour Office, Geneva, Switzerland
autor
  • Prince of Songkla University, Hatyai, Thailand
autor
  • Phuket Provincial Chief Medical Office, Phuket, Thailand
  • Ranong Provincial Health Office, Ranong, Thailand
  • Ministry of Public Health, Bangkok, Thailand
autor
  • Stoke Mandeville Hospital, Aylesbury, Buckinghamshire, UK
autor
  • West Middlesex University Hospital, Isleworth, Middlesex, UK
Bibliografia
  • 1.Aiyarak, S. ( 1991). Community intelligence in occupational diving disease. Phuket, Thailand: Office of the Phuket Provincial Chief Medical Office
  • 2.Ball, R. (1993). Effect of severity, time to recompression with oxygen, and re-treatment in forty-nine cases of spinal cord decompression sickness. Undersea Hyperbaric Medicine, 20, 133-145.
  • 3.Butler, W.P. (1995). Maine’s urchin divers: A survey of diving experience, medical problems, and diving related symptoms. Undersea Hyperbaric Medicine, 22(3), 307-313.
  • 4.Dean, A.G., Dean, J.A., Coulombier, D., Brendel, K.A., Smith, D.C., Burton, A.H., Dicker, R.C., Sullivan, K., Fagan, R.F., & Arner, T.G. (1995). Epi Info, version 6: A word-processing, database, and statistics program for public health on IBM-compatible microcomputers. Atlanta, GA, USA: Centers for Disease Control and Prevention
  • 5.Edmonds, C. (1996). Pearls from the deep: A study of Australian pearl diving 1988-1991. South Pacific Underwater Medical Society Journal, 26(1), 26-30
  • 6.Fox, A.J., & Collier, F.F. (1976). Low mortality rates in industrial cohort studies due to selection for work and survival in the industry. British Journal of Preventive and Social Medicine, 30, 225-230
  • 7.Ganter, R., (1994). The pearl-shellers of Torres Strait. Melbourne, Australia: Melbourne University Press.
  • 8.Gerth, W., & Vann, R. (1996). Development of Iso-DCS risk air and Nitrox decompression tables using statistical bubble dynamics models (Final Report, NOAA Award No. NA46RU0505). Silver Spring, MD, USA: National Oceanic and Atmospheric Administration.
  • 9.Gold, D., Geater, A., Aiyarak, S., Wongcharoenyong, S., & Juengprasert, W. (2000a). The indigenous fisherman divers of Thailand: Diving practices. International Journal of Occupational Safety and Ergonomics, 6(1), 89-112.
  • 10.Gold, D., Geater, A., Aiyarak, S., Wongcharoenyong, S., Juengprasert, W., Chuchaisangrat, B., & Griffin, M. (2000b). The indigenous fisherman divers of Thailand: Attitudes toward and awareness of hazards. Journal of Safety Research, 31( 1), 17-28.
  • 11.Gold, D., Geater, A., Aiyarak, S., Wongcharoenyong, S., Juengprasert, W., Chuchaisangrat, B., & Samakkaran, S. (in press). The indigenous fisherman divers of Thailand: Education and information as mechanisms for change. Journal of Safety Research.
  • 12.How, J., & Long, C.J. (1985). Rehabilitation of the paralyzed diver in Singapore. In J. Miller & J. Parmentier (Eds.), Rehabilation of the paralyzed diver (pp. 83-93). Bethesda, MD, USA: Undersea and Hyperbaric Medical Society.
  • 13.Jones, J., Ramirez, S., & Doty, S. (1993). The pathophysiologic role of fat in dysbaric osteonecrosis. Clinical Orthopaedics and Related Research, 296, 256-264.
  • 14.Kawashima, M., Tamura, H., Noro, Y., Takao, K., Kitano, M., Lchner, C., Taya, Y., Mano, Y., & Tsunosuc, T. (1995). Decompression sickness in divers, pathogenesis and prevention of dysbaric osteonecrosis (Occasional Papers 25, pp. 37-46). Kagoshima City, Japan: Kagoshima University, Research Center for the South Pacific.
  • 15.Kizer, K. (1982). Delayed treatment of dysbarism. Journal of the American Medical Association, 247, 2555-2558
  • 16.Lam, T., Yau, K , & O ’Kelley, F. (1985). Dysbaric hazard of a new fishing method in Hong Kong: Case report. British Journal of Industrial Medicine, 42, 209-210.
  • 17.Lee, H., Niu, K., Huang, K , Tsai, J., Shyu, R., Shiraki, K , Hong, S., & Lin, Y. (1994). Diving patterns of the fishermen in the Pescadores. Undersea Hyperbaric Medicine, 21(2), 45-58.
  • 18.Lutz, W., Chalmers, J., Hepburn, W., & Lockerbie, L. (1992). Health and community surveys (I and II). London, UK: Macmillian Press.
  • 19.Mohri, M., Torii, R., Nagaya, K., Shiraki, K., Eisner, R., Takeuchi, H„ Park, Y., & Hong, S. (1995). Diving patterns of the Ama divers of Hegura Island, Japan. Undersea Hyperbaric Medicine, 22(2), 137-143
  • 20.Park, Y., & Hong, S. (1991). Physiology of cold water diving as exemplified by Korean women divers. Undersea Biomedical Research, 18(3), 229-241.
  • 21.Stata Corporation. (1997). Stata statistical software: Release 5.0. College Station, TX, USA: Author.
  • 22.Wade, C., Hayashi, E., Cashman, T., & Beckman, E. (1978). Incidence of dysbaric osteonecrosis in Hawaii’s diving fishermen. Undersea Biomedical Research, 5(2), 137-147.
  • 23.Wong, R. (1996). How safe is pearl diving. South Pacific Underwater Medical Society Journal, 26(1), 49-60.
Typ dokumentu
Bibliografia
Identyfikator YADDA
bwmeta1.element.baztech-40135e99-a63c-431f-bee4-b1a5f957402a
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