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From: peter mitchell <treetop_bay@...>

Sent: Sun, October 18, 2009 3:28:31 PM

Subject: Exxon..!

Signed inductions

Are basicall a full medical induction

With an empasis on Malaria

With a questionnaire (or rather a legal document) showing that the participant

has understood all main points

.... and signed (of course)

Anti-malaria dispensation log (probable incorrect english term)

Is a log of anti-malarial meds

One sheet per employee

ou give them their meds, they sign, you keep track of consumption

An added opportunity to do malaria sensibilisation

Proves that the employer

Tried real hard to get everybody to take the meds

Without crossing the line into compulsory compliance

Thanx

 

P.

From: Brault <c_brault (DOT) com>

Subject: Re: [Remotemedics. co.uk] West Africa Malarone Testing

@groups. com

Date: Monday, 19 October, 2009, 3:29

 

You have to go way back to 2000 with Exxon in Cameroun

On a worldbank financed pipeline project

It had been decided on a purely medical basis to use Savarine as malarial

prohylaxis

(Malarone was on the market at that point but avoided as to not introduce

premature resistances)

But...

After three (ExPAt)(Malarial) deaths (All three, Back state side)

They rapidly switched to Malarone

And a very tight Anti-Malarial Induction and CONTROL

(Random blood sampling for Malarone sirique levels)

I actually thought for a while that there was a quick reagent test available

But no

....At great expense and some logistical hurdles

The bllod samples are being shipped to a lab in the UK

For mass spectrometry analysis (Katching!!! )

So that is the Exxon angle

Said policy still in application in Cameroun

Not too sure about other places in Africa

And to how this policy translate's into with various levels of subcontractors

 

____________ _________ _________ __

From: Rundle <jeremy.rundle@ gmail.com>

@groups. com

Sent: Sun, October 18, 2009 5:25:20 AM

Subject: RE: [Remotemedics. co.uk] West Africa Malarone Testing

Morning ,

It's a first I have heard of compulsory and random testing in these area,

although it might be a requirement of Exxon. I worked there on a Jackup for

Shell with no testing. The only testing that was done while I worked there

was done by myself on suspected cases. Malarone seemed to be the anti

malarial of choice although I am not in favour of it cause it makes you feel

like crap. We got out medication from South Africa. The only strange thing

you might come across is something the locals call " papa bugs " . It's a

flying insect that f killed on your skin secretes an acid type fluid that

leaves a nasty burn. This insect even made it offshore. Other than that,

Malaria (some locals get it more than twice a year) and the usual ailments.

Note though, they have the habit of treating you like a normal clinic and

come see you for meds and ailments either just before going home or directly

after coming onboard. Our OIM didn't like that and put a stop to it quick.

As well as being woken up at 02:00 for headache tablets.

Angola there's should not be any security threats provided you follow the

normal " safety rules " in a foreign country. There's been a few cases of

stolen passports and cash due to stupidity of the holder (ladies of the

night in hotel rooms) EG and Congo used to be another matter with it being

either recent conflict areas or in close proximity to Nigeria.

I will get hold of the guys I know that's still working there and send you

more info.

Regards

J

From: @groups. com

[mailto:RemoteSuppo rtMedics @groups. com] On Behalf Of peter mitchell

Sent: 17 October 2009 11:02 AM

@groups. com

Subject: [Remotemedics. co.uk] West Africa Malarone Testing

 

Good morning from a snow storm in Greenland,

Can someone working offshore down Equitorial Guinea - Congo - Angola areas

advise me

about the anti malria requirements for the oil companies as we may be headed

that way soon to all 3 areas.

I understand that anti malaria medication is compulsory and random testing

is done to ensure compliance so I would like to ask for information on how

this testing is done and who does it, we are a small vessel with 45 POB and

would be working for Exxon and Shell.

Also any hints on getting medical resupplies and any particular ailments

common to the area bearing in mind we would only be ashore for crew changes,

oh yes and what are safety problems while passing through on crew change ?

Thanxaheep.

P.

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in chad random urine based check for malone, doxy etc; levels was mandatory.

exxon employees got malarone for free from clinic all contractors had to provide

thier employees with anti malaria meds as well as send staff for random urine

level testing. Program was and is adminstered by SOS out of the states. 50% of

all staff have to be tested each year. If you have a large compound it takes up

a serious amount of time over a year not to mention serious cost. basicly had

5-10 people a day arriving at the clinic for testing.

Cheers

Tom G

From: c_brault@...

Date: Mon, 19 Oct 2009 05:28:17 -0700

Subject: Re: Exxon..!

________________________________

From: peter mitchell <treetop_bay@...>

Sent: Sun, October 18, 2009 3:28:31 PM

Subject: Exxon..!

Signed inductions

Are basicall a full medical induction

With an empasis on Malaria

With a questionnaire (or rather a legal document) showing that the participant

has understood all main points

.... and signed (of course)

Anti-malaria dispensation log (probable incorrect english term)

Is a log of anti-malarial meds

One sheet per employee

ou give them their meds, they sign, you keep track of consumption

An added opportunity to do malaria sensibilisation

Proves that the employer

Tried real hard to get everybody to take the meds

Without crossing the line into compulsory compliance

Thanx

P.

From: Brault <c_brault (DOT) com>

Subject: Re: [Remotemedics. co.uk] West Africa Malarone Testing

@groups. com

Date: Monday, 19 October, 2009, 3:29

You have to go way back to 2000 with Exxon in Cameroun

On a worldbank financed pipeline project

It had been decided on a purely medical basis to use Savarine as malarial

prohylaxis

(Malarone was on the market at that point but avoided as to not introduce

premature resistances)

But...

After three (ExPAt)(Malarial) deaths (All three, Back state side)

They rapidly switched to Malarone

And a very tight Anti-Malarial Induction and CONTROL

(Random blood sampling for Malarone sirique levels)

I actually thought for a while that there was a quick reagent test available

But no

....At great expense and some logistical hurdles

The bllod samples are being shipped to a lab in the UK

For mass spectrometry analysis (Katching!!! )

So that is the Exxon angle

Said policy still in application in Cameroun

Not too sure about other places in Africa

And to how this policy translate's into with various levels of subcontractors

____________ _________ _________ __

From: Rundle <jeremy.rundle@ gmail.com>

@groups. com

Sent: Sun, October 18, 2009 5:25:20 AM

Subject: RE: [Remotemedics. co.uk] West Africa Malarone Testing

Morning ,

It's a first I have heard of compulsory and random testing in these area,

although it might be a requirement of Exxon. I worked there on a Jackup for

Shell with no testing. The only testing that was done while I worked there

was done by myself on suspected cases. Malarone seemed to be the anti

malarial of choice although I am not in favour of it cause it makes you feel

like crap. We got out medication from South Africa. The only strange thing

you might come across is something the locals call " papa bugs " . It's a

flying insect that f killed on your skin secretes an acid type fluid that

leaves a nasty burn. This insect even made it offshore. Other than that,

Malaria (some locals get it more than twice a year) and the usual ailments.

Note though, they have the habit of treating you like a normal clinic and

come see you for meds and ailments either just before going home or directly

after coming onboard. Our OIM didn't like that and put a stop to it quick.

As well as being woken up at 02:00 for headache tablets.

Angola there's should not be any security threats provided you follow the

normal " safety rules " in a foreign country. There's been a few cases of

stolen passports and cash due to stupidity of the holder (ladies of the

night in hotel rooms) EG and Congo used to be another matter with it being

either recent conflict areas or in close proximity to Nigeria.

I will get hold of the guys I know that's still working there and send you

more info.

Regards

J

From: @groups. com

[mailto:RemoteSuppo rtMedics @groups. com] On Behalf Of peter mitchell

Sent: 17 October 2009 11:02 AM

@groups. com

Subject: [Remotemedics. co.uk] West Africa Malarone Testing

Good morning from a snow storm in Greenland,

Can someone working offshore down Equitorial Guinea - Congo - Angola areas

advise me

about the anti malria requirements for the oil companies as we may be headed

that way soon to all 3 areas.

I understand that anti malaria medication is compulsory and random testing

is done to ensure compliance so I would like to ask for information on how

this testing is done and who does it, we are a small vessel with 45 POB and

would be working for Exxon and Shell.

Also any hints on getting medical resupplies and any particular ailments

common to the area bearing in mind we would only be ashore for crew changes,

oh yes and what are safety problems while passing through on crew change ?

Thanxaheep.

P.

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