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H

ea

l

th

BOS-PRD-0304.900001

Version 04. Original date: 25/05/2012. Version date: 31/12/2014. Valid version only on QMS site.Uncontrolled document when printed.

Procedure prepared by: BOS QHSE Coordinator. Approved by: BOS QHSES Manager. Validated by: BOS Quality Representative

9 / 15

‘D’ for Diagnosis

Consequently, any individual who becomes ill with a fever, even slight, or a flu-like illness while travelling in a

malaria-risk area and up to 1 year after returning home

should

seek prompt medical attention and

should

tell

the physician his travel history.

When leaving the vessel, a card or letter

shall

be provided. This is to provide information of your travel

history. Keep it in your wallet up to one year after your return. In case of illness, it

shall

be handed over to the

Doctor.

The most common symptoms of Malaria are fever, chills, headache, vomiting and diarrhoea. If you feel any

of those symptoms during or after your trip in sub-Saharan Africa, you must go and see a Doctor.

Any fever

shall

be considered as a Malaria case until proven otherwise.

Treated on time, impact on health is limited with no long-term effects. Malaria is a common and life

threatening disease in many tropical and subtropical areas. It is currently endemic in over 100 countries.

D

o not wait unti

l y

ou

return ho

m

e

b

efore see

k

in

g m

edica

l

treat

m

ent

.

4.

7

E

b

o

l

a Virus

D

isease

4.

7

.1

Genera

l

The Ebola Virus Disease (EVD) is a virus that can be quickly transmitted. 25% to 90% of those infected are

killed.

It can be transmitted by direct physical contact with infected dead or alive people or animals, through the

blood, urine, faeces, vomit, sweat, saliva, sperm, organs or any other bodily fluids. It can also be transmitted

by eating infected bats and bush meat.

The incubation period is between 2 and 21 days after exposure. The infected person is not contagious during

the incubation period. There is no cure and no vaccine at present. Prevention is key to fight EVD.

All detailed preventive and contingency measures are defined in

BOS Ebola Virus Disease Contingency

Plan

.

4.

7

.

2

Hyg

iene Preventive

m

easures

The following preventive measures

shall

be implemented as a minimum for vessels operating in EVD

contaminated countries:

a) All employees, visitors, crew, suppliers, etc.

shall

use the washing facility or sanitizers provided before

access is granted.

Efforts

should

be made to ensure that in-between the fingers are thoroughly washed.

b) Physical contacts

shall

be avoided (ie: hand shaking, kisses, etc.).

c) Functional washing facilities (including hand washing and washing machines)

shall

be available in all

vessels accommodations.

d) Provide hygiene consumables e.g. soaps and detergents, disinfectants e.g. bleach, hand sanitizers, paper

wipes, etc. in all locations and vessels. Alcohol-based sanitizers are the standard rubs for hand hygiene.

Household bleach (a dilute solution of sodium hypochlorite

—

about 5-6%). Mix a 10% solution. Use mixed

solution within 24 hours. (Always dilute and make fresh).

604