Knowledge

Keyword: public health

paper

New framework of port logistics in the post-COVID-19 period with 6th-generation ports (6GP) model

Paul Tae Woo Lee, Zhao Yu Song, Cheng Wei Lin, Jasmine Siu Lee Lam, Jihong Chen*

Since the outbreak of COVID-19, its impacts on the maritime transportation and logistics field have been multi-dimensional. In addition to the green shipping corridor proposed by the Clydebank Declaration in the United Kingdom in 2021, port digitalisation and decarbonisation of the maritime industry have become focal issues in the field. The industry needs a new framework to offset the negative impacts of the pandemic and to accommodate integrated technologies comprising of artificial intelligence (AI), blockchain, cloud systems, internet of things (IoT) and others, which have been applied to the industry. Having considered these circumstances, this paper aims to propose the 6th-generation ports model with smart port (6GP) as a new framework for the port logistics industry in the post-COVID-19 period. The proposed 6GP contributes to providing business development strategy and port development policy for stakeholders in the industry in the post-pandemic era reflecting focal challenges such as digitalisation, decarbonisation, sustainability and smart transformation. It also contributes to expanding port devolution theory from the fifth-generation ports (5GP) to 6GP.

Transport Reviews / 2024
Go to paper
paper

Pre-diabetes remission in lifestyle-mediated coaching of seafarers with newly diagnosed pre-diabetes

Olaf Chresten Jensen, Nailet Delgado Mujica, Maite Duque, Alejandro Martinez, Erik Haarløv, Finn Gyntelberg

Seafarers and fishers have inequity in health at work, with a higher risk of having metabolic syndrome. They are at increased risk of developing prediabetes, which can be reversed to normoglycemia based on the evidence from other industries. This study aims to educate and activate seafarers and fishermen with the support of coaches to reverse their prediabetes to stop the further development of diabetes type 2.
Methods
Random samples of seafarers and fishermen with newly diagnosed prediabetes and HbA1c levels ranging from 5.7%-6.4% from the maritime medical health examinations constitute the study population in a 16-week prediabetes coaching program. In addition to monthly Zoom meetings, they are asked to provide weekly reports via questionnaires on personal measurements and improvements in physical activity and diets.
Results
The preliminary data from 2 maritime clinics (n=405) show prevalences of prediabetes 18.8%, 36.4%, and 49.2% in the ages 20-29, 30-49, and 50+ years respectively, all p-values < 0.02. Analysis of the clinical data from the maritime health clinics and the questionnaires from the seafarers collected weekly will formulate the effect of the intervention. Summarizing data from various national prediabetes coaching fora will be the evidence base for remission of prediabetes. Conclusions A significant portion of seafarers have prediabetes with the potential to achieve remission of their pre-diabetes by eating healthy and being physically active. The goals are to lose at least 5%–7% of their starting weight, be accustomed to doing at least 150 min. of physical activity weekly, and follow a pre-diabetes-relevant dietary plan.

International Journal of Travel Medicine and Global Health / 2024
Go to paper
paper

Tackling Maritime Security in the Gulf of Guinea: Interactions Between Global Shipping and Ghanaian State Agents

Humphrey Asamoah Agyekum

Maritime security in the Gulf of Guinea is a challenge that straddles multiple players and sectors, and crimes like piracy cause disruptions to international trade and shipping. During the COVID-19 pandemic, the global shipping industry tried to keep maritime security on the agenda, while advocating for global security assemblages, specifically, transnational policing initiatives as part of the maritime security governance. Using the notion of narratives and assemblage thinking, it is argued that although global shipping and Ghanaian state agents agree on the problem, they differ on which maritime security governance infrastructure to deploy, resulting in tensions between the two parties.

African Security / 2024
Go to paper
paper

Perspectives on empowerment programs, and interventions in maritime settings: A systematic review

Sofie Buch Mejsner*, Fereshteh Baygi, Amit Timilsina, Nguen Pham Anh Tuan, Berit Misund Dahl, Leena Eklund Karlsson, Johan Lidmark, Ulrika Lödgberg, Maria Warne

Background: Evidence on workplace safety and health promotion interventions shows that the
interventions have failed to demonstrate substantial benefits for seafarers. It is therefore important to explore what is the evidence of interventions with empowering elements regarding seafarers’ safety and health. This study aims to examine what is known about health promotion interventions in a maritime setting and whether they include an empowerment perspective. And secondly, what were the effects of these efforts. Methods: We systematically searched PubMed and NLM Gateway (for MEDLINE), Institute of Scientific Information/Web of Science (ISI/WOS), and SCOPUS up to July 2022 by using standard keywords including empowerment in the maritime setting. Data extraction was done by three independent reviewers. The quality of included studies was assessed by using the critical appraisal checklists from Joanna Briggs institute. Results: From 3313 studies initially identified, 10 articles met the inclusion criteria and were included in this review. Interventions covered a wide range of topics such as educational interventions on safety, first aid training, weight management, healthy eating, sexual harassment, alcohol abuse, and cancer prevention training. None of the studies applied a specific theory or definitions of empowerment
even though their aim was to increase seafarers’ empowerment in these areas. Conclusion: The studies focused on improving the safety and health status of the seafarers, however, they had no explicit focus on participation and empowerment. Increasing research with an empowerment approach in maritime sector is recommended to enhance the feasibility and
success of the programs in this hard-to-reach occupation.

Journal of Transport and Health / 2024
Go to paper
paper

Perspectives on empowerment programs, and interventions in maritime settings: A systematic revie

Sofie Buch Mejsner*, Fereshteh Baygi, Amit Timilsina, Nguyen Pham Anh Tuan, Berit Misund Dahl, Leena Eklund Karlsson, Johan Lidmark, Ulrika Lögdberg, Maria Warne

Background: Evidence on workplace safety and health promotion interventions shows that the interventions have failed to demonstrate substantial benefits for seafarers. It is therefore important to explore what is the evidence of interventions with empowering elements regarding seafarers’ safety and health. This study aims to examine what is known about health promotion interventions in a maritime setting and whether they include an empowerment perspective. And secondly, what were the effects of these efforts. Methods: We systematically searched PubMed and NLM Gateway (for MEDLINE), Institute of Scientific Information/Web of Science (ISI/WOS), and SCOPUS up to July 2022 by using standard keywords including empowerment in the maritime setting. Data extraction was done by three independent reviewers. The quality of included studies was assessed by using the critical appraisal checklists from Joanna Briggs institute. Results: From 3313 studies initially identified, 10 articles met the inclusion criteria and were included in this review. Interventions covered a wide range of topics such as educational interventions on safety, first aid training, weight management, healthy eating, sexual harassment, alcohol abuse, and cancer prevention training. None of the studies applied a specific theory or definitions of empowerment even though their aim was to increase seafarers’ empowerment in these areas. Conclusion: The studies focused on improving the safety and health status of the seafarers, however, they had no explicit focus on participation and empowerment. Increasing research with an empowerment approach in maritime sector is recommended to enhance the feasibility and success of the programs in this hard-to-reach occupation. Systematic review registration number in PROSPERO: CRD42021260098.

Journal of Transport & Health / 2024
Go to paper
book

Energy Management and Operation Optimization of Seaport Microgrids

Nur Najihah Binti Abu Bakar

The emissions of the maritime sector caused by ship transportation and other fossil fuel sources pose a threat to the environment and human health. It drives an increasing interest in adopting electrification solutions to revolutionize the conventional maritime energy-intensive and highly polluting industry. Accordingly, this thesis is one of the pioneering attempts to implement a seaport microgrid and carbon capture shore power system of cold ironing at a port dedicated to sustainability while remaining competitive.
However, the technological and research gaps of the conventional port scheduling paradigm constitute challenges in a synergy between the two prominent maritime electrification systems of seaport microgrids and cold ironing. The incorporation of cold ironing into seaport operations introduces new challenges to handling workflow and the potential impact of such integration has not yet been quantitatively addressed. Developing strategic management to improve port performance is always an issue for the port operators. This research gap motivated this study to develop an integrated operation and energy management framework by executing forecasting and optimization techniques for coordinating these technologies toward the emission neutrality goal.
This thesis begins with an extensive review of the significant aspects of cold ironing technology and seaport microgrids. A range of factors associated with the varying demand for cold ironing in seaport microgrids, requiring advanced forecasting techniques, are described in Chapter 2. Another challenge is that the integration of cold ironing with limited capacities increases the complexity of the existing seaside operation at port namely the berth allocation problem (BAP) and quay crane allocation problem (QCAP). It prolongs the waiting time for the ships to be served at berth. Thus, a seaside operational optimization model is developed in Chapter 3 to cooperatively schedule BAP, QCAP, and cold ironing assignment problems (CIAP). Chapter 4 integrates bilevel optimization as an energy management system (EMS) framework to coordinate the joint cold ironing with the seaport microgrid concept, providing more flexibility in energy scheduling while remaining cost-effective. Finally, Chapter 5 presents the overall conclusions of the thesis, research contribution, and future recommendations.

Aalborg University Open Publishing / 2024
Go to book
paper

What is known about cardiovascular diseases among seafarers: A systematic scoping review and quality assessment

Solveig Boeggild Dohrmann*, Regina Fromsejer Heiberg, Line Wang Krenzen, Sofie Ronja Petersen, Jordan Thomas Adams, Jane Skov

Background: Seafarers are at an increased risk of developing cardiovascular diseases (CVDs), potentially due to a stressful working environment and behavioral risk factors. To develop better prevention strategies, it is important to elucidate the extent of this risk. Therefore, we conducted a systematic literature review on CVD in seafarers. Method: We conducted systematic searches in five databases. All studies investigating CVDs among occupational seafarers, published in articles or conference papers, were eligible for inclusion. The identified records were screened and reviewed by two independent researchers, who also evaluated the methodological quality of the included studies. Results: Three thousand nine hundred and seventeen records qualified for screening, and 55 were eligible for inclusion. Most of the studies were observational, including cohort, frequency, incidence or prevalence studies, and review of case records. Around half were assessed at risk of biased findings. Participants in the studies were primarily from North America or the European continent and work onboard transportation vessels. Many studies investigated CVDs as a cause of death, focusing on conditions such as CVD, ischemic heart disease, and myocardial infarction. Frequency of CVD conditions varied but indicate that seafarers face a greater risk compared to the reference populations or control groups. Environmental factors were mainly investigated as risk factors. Conclusion: Our results indicate a higher risk of CVDs among seafarers compared to reference or control groups. However, due to the variable quality of the evidence, well-designed studies are needed to establish the causes of cardiovascular mortality and morbidity in seafarers and to investigate behavioral aspects of cardiovascular risk.

American Journal of Industrial Medicine / 2024
Go to paper
book

Long-term exposure to residential transportation noise and mortality: A nationwide cohort study

Mette Sørensen, Kræftens Bekæmpelse, Department of Natural Science and Environment Ole Raaschou-Nielsen Aslak Harbo Poulsen, Kræftens Bekæmpelse Ulla Arthur Hvidtfeldt, Kræftens Bekæmpelse Jørgen Brandt Jibran Khan Steen Solvang Jensen Thomas Münzel, Johannes Gutenberg University Mainz Jesse Daniel Thacher, Kræftens Bekæmpelse, Lund University, Department of Laboratory Medicine

Studies have indicated that transportation noise is associated with higher cardiovascular mortality, whereas evidence of noise as a risk factor for respiratory and cancer mortality is scarce and inconclusive. Also, knowledge on effects of low-level noise on mortality is very limited. We aimed to investigate associations between road and railway noise and natural-cause and cause-specific mortality in the Danish population. We estimated address-specific road and railway noise at the most (LdenMax) and least (LdenMin) exposed façades for all residential addresses in Denmark from 1990 to 2017 using high-quality exposure models. Using these data, we calculated 10-year time-weighted mean noise exposure for 2.6 million Danes aged >50 years, of whom 600,492 died from natural causes during a mean follow-up of 11.7 years. We analyzed data using Cox proportional hazards models with adjustment for individual and area-level sociodemographic variables and air pollution (PM2.5 and NO2). We found that a 10-year mean exposure to road LdenMax and road LdenMin per 10 dB were associated with hazard ratios (95% confidence intervals) of, respectively, 1.09 (1.09; 1.10) and 1.10 (1.10; 1.11) for natural-cause mortality, 1.09 (1.08; 1.10) and 1.09 (1.08; 1.10) for cardiovascular mortality, 1.13 (1.12; 1.14) and 1.17 (1.16; 1.19) for respiratory mortality and 1.03 (1.02; 1.03) and 1.06 (1.05; 1.07) for cancer mortality. For LdenMax, the associations followed linear exposure-response relationships from 35 dB to 60–<65 dB, after which the function levelled off. For LdenMin, exposure-response relationships were linear from 35 dB and up, with some levelling off at high noise levels for natural-cause and cardiovascular mortality. Railway noise did not seem associated with higher mortality in an exposure-response dependent manner. In conclusion, road traffic noise was associated with higher mortality and the increase in risk started well below the current World Health Organization guideline limit for road traffic noise of 53 dB.

Environmental Pollution / 2023
Go to book
paper

Keeping the Port of Tema afloat during COVID-19: Media responses to user informational and conversational needs

Martin Arvad Nicolaisen, Casper Andersen, Phillip Stenmann Baun, Jonas Nii Ayi Aryee, Annette Skovsted Hansen

Two different media platforms played a key role in keeping Tema Port in Ghana afloat during the period immediately leading up to and during the three-week COVID-19 pandemic-related lockdown in late March–April of 2020. The one media platform, Eye on Port, is a weekly broadcast television show by the port’s authorities, which caters primarily to external commercial stakeholders of the port. The other platform is a closed WhatsApp forum used by stakeholders working at the operational level of the port. Both platforms served specific needs among their users, who had been restricted in their mobility but had to keep the port operational. Combining ‘scalable sociality’ with the concept of polymedia, we identify how the two media functioned to meet the different informational and conversational needs of their respective users. We argue that either medium alone could not fulfil the communicative needs necessary to keep the port operational during the early stage of the COVID-19 pandemic.

Journal of African Media Studies / 2023
Go to paper
paper

Projections of shipping emissions and the related impact on air pollution and human health in the Nordic region

Camilla Geels, Morten Winther, Camilla Andersson, Jukka-Pekka Jalkanen, Jørgen Brandt, Lise M. Frohn, Ulas Im, Wing Leung, and Jesper H. Christensen

International initiatives have successfully brought down the emissions, and hence also the related negative impacts on environment and human health, from shipping in Emission Control Areas (ECAs). However, the question remains as to whether increased shipping in the future will counteract these emission reductions. The overall goal of this study is to provide an up-to-date view on future ship emissions and provide a holistic view on atmospheric pollutants and their contribution to air quality in the Nordic (and Arctic) area. The first step has been to set up new and detailed scenarios for the potential developments in global shipping emissions, including different regulations and new routes in the Arctic. The scenarios include a Baseline scenario and two additional SOx Emission Control Areas (SE-CAs) and heavy fuel oil (HFO) ban scenarios. All three scenarios are calculated in two variants involving Business-AsUsual (BAU) and High-Growth (HiG) traffic scenarios. Additionally a Polar route scenario is included with new ship traffic routes in the future Arctic with less sea ice. This has been combined with existing Current Legislation scenarios for the land-based emissions (ECLIPSE V5a) and used as input for two Nordic chemistry transport models (DEHM and MATCH). Thereby, the current (2015) and future (2030, 2050) air pollution levels and the contribution from shipping have been simulated for the Nordic and Arctic areas. Population exposure and the number of premature deaths attributable to air pollution in the Nordic area have thereafter been assessed by using the health assessment model EVA (Economic Valuation of Air pollution). It is estimated that within the Nordic region approximately 9900 persons died prematurely due to air pollution in 2015 (corresponding to approximately 37 premature deaths for every 100 000 inhabitants). When including the projected development in both shipping and land-based emissions, this number is estimated to decrease to approximately 7900 in 2050. Shipping alone is associated with about 850 premature deaths during presentday conditions (as a mean over the two models), decreasing to approximately 600 cases in the 2050 BAU scenario. Introducing a HFO ban has the potential to lower the number of cases associated with emissions from shipping to approximately 550 in 2050, while the SECA scenario has a smaller impact. The "worst-case" scenario of no additional regulation of shipping emissions combined with a high growth in the shipping traffic will, on the other hand, lead to a small increase in the relative impact of shipping, and the number of premature deaths related to shipping is in that scenario projected to be around 900 in 2050. This scenario also leads to increased deposition of nitrogen and black carbon in the Arctic, with potential impacts on environment and climate.

Atmospheric Chemistry and Physics / 2021
Go to paper