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10 Appendices

Appendix (iv)

Why PEME?

The following is an extract from a bachelor thesis by Marcus Waserbrot at Chalmers University regarding Pre-Engagement

Medical Examination (PEME). From this thesis we can see that having a PEME will save cost and prevent illnesses. The thesis
compared regular government required medical examinations in the Philippines compared with The Swedish Club’s PEME

carried out at two approved clinics in the Philippines.

In one case a crew member suffered from unspeciied intestinal obstruction along with other conditions such as dehydration
and hypertension and was air lifted from the vessel. The doctor stated that it was likely that the crew member would have died

if he had stayed one more day on the vessel. Furthermore the doctor believed that a thorough PEME would have found that

the crew member had a serious medical condition. As a result, the claim’s total cost arose to approximately USD 600,000.

Graph 10.1 Most common medical conditions for From the graph to the left, the most common reasons for

not complying with PEMEnot being in compliance with The Swedish Club’s PEME is

Limit: USD claims 1 - uncappedrelated to gallstone or gall polyps and kidney conditions such
as kidney stones or kidney disease. The third most common
Period: 2011-2014
reason, called other, includes various types of medical Type of vessel: All vessel types

conditions with low frequency that could not be categorised Type of claim: Illness
in remaining categories. In this case, cardiovascular disease

could be seen as the second largest category if it would be

combined with hypertension, which also is a condition of
the cardiovascular system. Furthermore, claims related to

conditions of the cardiovascular are the claim category with

the highest frequency for illness claims, which also has a
higher average claim cost at USD 47,115 in relation to other

illness claim categories.

Gallstone/polyps 25%
Kidney13%

Other13%

Cardiovascular disease 10%
Diabetes8%

Hepatitis7%

Elevated BMI5%
Liver function 5%

Hypertension5%

Hearing defect 3%
Hyperuricemia2%

Positive drug test 1%

Dental issues 1%
Pulmonary tuberculosis 1%

Bronchial asthma1%

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