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Medical Packages

For Seafarers

Nationally, the medical standards set by the Department of Health of the Philippines in conducting medical fitness examinations for seafarers primarily aim to maintain the safety of seafarers at sea in the performance of their duties, protecting their health, the health of their fellow crew members and passengers on board (Department of Health 2007, 18).

Internationally, the concerted efforts of World Health Organization (WHO), International Labour Organization (ILO) and International Maritime Organization (IMO) in harmonizing the varying national fitness standards for seafarers led to adoption of international medical guidelines that would ensure better understanding of seafaring life and effective provision of medical care to seafarers.

Both national and international guidelines as well as medical standards established by Protection and Indemnity (P & I) Clubs, Maritime Directorates, Trade Associations and Foreign Principals/Employers play a key role in the judicious evaluation of Pre-Employment Medical Examination (PEME) of seafarers.

Click the tabs to view Medical Packages:

Premedical Test (Screening Test)

  • specific medical test/s required by foreign principal or manning agency to be passed by a seafarer prior to proceeding with the PEME proper

Pre-Employment Medical Examination (PEME) for Seafarers

Click the tabs to view PEME Packages:

Basic DOH PEME Package for Overseas Work Applicants (Seafarers)

  • per DOH Administrative Order No. 2013-0006
  1. Medical History and Physical Examination
  2. Dental Examination
  3. Visual Acuity
  4. Color Perception
  5. Pure Tone Audiometry
  6. 12-Lead Electrocardiogram (for 40 years old and above)
  7. Chest X-ray (PA View)
  8. Blood Typing
  9. Complete Blood Count
  10. TPHA (RPR/VDRL and/or TPHA as updated by DOH)
  11. Urinalysis
  12. Serum Pregnancy Test (for female applicants)
  13. Stool Examination (for food handlers)

PEME A for New Candidates (Modified)

Note: The original PEME A Package was issued as a related document in DOH Administrative Order No. 2007-0025. With the issuance of the succeeding Basic DOH PEME Package—in DOH Administrative Order No. 2013-0006 that repeals previous administrative orders inconsistent with this order—PEME A is technically considered amended or revoked. Modifications made in this PEME A Package are not meant to disregard DOH Administrative Order No. 2013-0006. Components of the Basic DOH PEME Package are incorporated into PEME A to make this medical package a practicable option for principals and employers.

  1. Medical History and Complete Physical Examination
  2. Visual Acuity (Far and Near Vision)
  3. Color Perception Test (Ishihara)
  4. Audiometry (Pure Tone)
  5. Routine Urinalysis
  6. Stool Examination (for food handlers)
  7. Complete Blood Count and Blood Typing
  8. Chest X-ray (PA View)
  9. TPHA (RPR/VDRL and/or TPHA as updated by DOH)
  10. Hepatitis B Screening (HBs Ag)
  11. HIV
  12. ECG (12-Lead) (for 40 years old and above)
  13. Dental Examination
  14. Psychological Examination (optional)
  15. Serum Pregnancy Test (for female applicants)

PEME B for Serving Seafarers Below 40 Years Old (Modified)

Note: The original PEME B Package was issued as a related document in DOH Administrative Order No. 2007-0025. With the issuance of the succeeding Basic DOH PEME Package—in DOH Administrative Order No. 2013-0006 that repeals previous administrative orders inconsistent with this order—PEME B is technically considered amended or revoked. Modifications made in this PEME B Package are not meant to disregard DOH Administrative Order No. 2013-0006. Components of the Basic DOH PEME Package are incorporated into PEME B to make this medical package a practicable option for principals and employers.

  1. Medical History and Complete Physical Examination
  2. Visual Acuity (Far and Near Vision)
  3. Color Perception Test (Ishihara)
  4. Audiometry (Pure Tone)
  5. Routine Urinalysis
  6. Stool Examination (for food handlers)
  7. Complete Blood Count and Blood Typing
  8. Chest X-ray (PA View)
  9. TPHA (RPR/VDRL and/or TPHA as updated by DOH)
  10. Hepatitis B Screening (HBs Ag)
  11. HIV
  12. Dental Examination
  13. Psychological Examination (optional)
  14. Serum Pregnancy Test (for female applicants)

PEME C for Serving Seafarers 40 Years Old and Above (Modified)

Note: The original PEME C Package was issued as a related document in DOH Administrative Order No. 2007-0025. With the issuance of the succeeding Basic DOH PEME Package—in DOH Administrative Order No. 2013-0006 that repeals previous administrative orders inconsistent with this order—PEME C is technically considered amended or revoked. Modifications made in this PEME C Package are not meant to disregard DOH Administrative Order No. 2013-0006. Components of the Basic DOH PEME Package are incorporated into PEME C to make this medical package a practicable option for principals and employers.

  1. Medical History and Complete Physical Examination
  2. Visual Acuity (Far and Near Vision)
  3. Color Perception Test (Ishihara)
  4. Audiometry (Pure Tone)
  5. Routine Urinalysis
  6. Stool Examination (for food handlers)
  7. Complete Blood Count and Blood Typing
  8. Chest X-ray (PA View)
  9. TPHA (RPR/VDRL and/or TPHA as updated by DOH)
  10. Hepatitis B Screening (HBs Ag)
  11. HIV
  12. ECG (12-Lead) (for 40 years old and above)
  13. Fasting Blood Sugar (FBS)
  14. Total Cholesterol
  15. Triglyceride
  16. Creatinine
  17. Blood Uric Acid (BUA)
  18. Dental Examination
  19. Psychological Examination (optional)
  20. Serum Pregnancy Test (for female applicants)

PEME D for Food Handlers (Modified)

Note: The original PEME D Package was issued as a related document in DOH Administrative Order No. 2007-0025. With the issuance of the succeeding Basic DOH PEME Package—in DOH Administrative Order No. 2013-0006 that repeals previous administrative orders inconsistent with this order—PEME D is technically considered amended or revoked. Modifications made in this PEME D Package are not meant to disregard DOH Administrative Order No. 2013-0006. Components of the Basic DOH PEME Package are incorporated into PEME D to make this medical package a practicable option for principals and employers.

  1. PEME A, B, or C, as appropriate
  2. Stool Culture (optional)

MedWay PEME Package for Seafarers

  1. Laboratory Examinations
    • Complete Blood Count with Platelet Count
    • Blood Typing with Rh Factor
    • Erythrocyte Sedimentation Rate (ESR)
    • Routine Urinalysis
    • Routine Stool Examination
    • Fasting Blood Sugar (FBS)
    • Blood Uric Acid (BUA)
    • Kidney Function Tests (BUN, Creatinine)
    • Liver Function Tests (ALT, AST, Alkaline Phosphatase, Total Protein, Albumin, Globulin, Total Bilirubin, Direct Bilirubin, Indirect Bilirubin)
    • Lipid Profile (Total Cholesterol, LDL, HDL, Triglyceride, VLDL)
    • Electrolytes (Na, K, Cl)
    • Hepatitis Bs Antigen
    • TPHA
    • HIV
  2. Chest X-ray (PA)
  3. Medical History and Complete Physical Examination
  4. Visual Acuity (Far and Near Vision)
  5. Color Perception Test (Ishihara)
  6. Pure Tone Audiometry
  7. 12-Lead Electrocardiogram (for 40 years old and above)
  8. Pulmonary Function Test (Spirometry)
  9. Dental Examination
  10. Psychological Examination

Customized PEME Package for Seafarers

  • medical package customization targeted to the needs and requirements of principals, manning agencies and other foreign flags

Optional/Additional Tests

  1. Psychological Examination
  2. Serological Tests
    • HIV
    • Hepatitis B (Hepatitis Bs Antigen)
    • Hepatits C (Anti-HCV)
    • Hepatitis Profile
  3. Drug Tests
    • Methamphetamine
    • Tetrahydrocannabinol
    • Morphine/Opiate
    • Cocaine
    • Phencyclidine or PCP
    • Barbiturate
    • Benzodiazepine
  4. Alcohol Test (Ethanol)
  5. Pregnancy Test (Serum) - for females
  6. Erythrocyte Sedimentation Rate (ESR)
  7. Malarial Smear
  8. Kidney Function Tests
    • Blood Urea Nitrogen (BUN)
    • Creatinine
  9. Liver Function Tests
    • SGPT (ALT)
    • SGOT (AST)
    • Alkaline Phosphatase
    • Total Protein
    • Albumin
    • Globulin
    • Total Bilirubin
    • Direct Bilirubin
    • Indirect Bilirubin
  10. Electrolytes
    • Sodium (Na)
    • Potassium (K)
    • Chloride (Cl)
  11. Kidneys, Urinary Bladder (KUB) Ultrasound
  12. Hepatobiliary Tree (HBT) Ultrasound
  13. Pulmonary Function Test (Spirometry)
  14. Treadmill Exercise Test (TET)

Predeparture Test

  • specific medical test/s required by foreign principal or manning agency to be passed by a seafarer prior to embarkation


References:

Philippines. Department of Health. 2007. Administrative Order No. 2007-0025, Subject: Revised Guidelines for Conducting Medical Fitness Examinations for Seafarers. Posted September 12, 2007. Accessed October 20, 2012. http://home.doh.gov.ph/ao/ao2007-0025.pdf.

Philippines. Department of Health. 2007. Related Documents to Administrative Order No. 2007-0025. Accessed October 20, 2012. http://delrosariolaw.com/delrosario/filesupload/AO%20No.%202007-0025%20PEME%20for%20Seafarers%20Related%20Documents.pdf.

Philippines. Department of Health. February 7, 2013. “Annex K: Basic DOH PEME for Overseas Work Applicants.” In Administrative Order No. 2013-0006, Subject: Guidelines to “Rule XI: Role of DOH in the Omnibus Rules and Regulations Implementing the Migrant Workers and Overseas Filipinos Act of 1995, as Amended by Republic Act No. 10022.” Posted February 15, 2013. Accessed May 27, 2013. http://bhfs.doh.gov.ph/images/issuances/hospital/annex%20k.pdf.

For Land-based Overseas Workers

The operational guidelines governing the conduct of Pre-Employment Medical Examination (PEME) of overseas work applicants were issued to implement the functions of the Bureau of Health Facilities and Services of the Department of Health. These guidelines were promulgated to establish, regulate and upgrade the standards of medical services and examination (Department of Health 2003, 1). In unison with the requirements of foreign embassies, these operational guidelines determine for the most part the medical fitness of overseas workers.

Click the tabs to view Medical Packages:

Premedical Test (Screening Test)

  1. Chest X-ray
  2. HIV
  3. Hepatitis B Screening (HBs Ag)
  4. RPR/VDRL (and/or TPHA)
  5. Pregnancy Test (Serum)

Additional Test/s: as required by agency or employer

Pre-Employment Medical Examination (PEME) for Land-based Overseas Workers

Click the tabs to view PEME Packages:

Basic DOH PEME Package for Overseas Work Applicants (Land-based)

  • per DOH Administrative Order No. 2013-0006
  1. Medical History and Physical Examination
  2. Dental Examination
  3. Visual Acuity
  4. Color Perception
  5. 12-Lead Electrocardiogram (for 40 years old and above)
  6. Chest X-ray (PA View)
  7. Blood Typing
  8. Complete Blood Count
  9. TPHA (RPR/VDRL and/or TPHA as updated by DOH)
  10. Urinalysis
  11. Serum Pregnancy Test (for female applicants)
  12. Stool Examination (for food handlers)
  13. Psychological Examination

PEME for Land-based Overseas Workers (Phase 1)

  1. Complete Blood Count with Platelet Count
  2. Blood Typing with Rh Factor
  3. Routine Urinalysis
  4. Routine Stool Examination
  5. Hepatitis B Screening (HBs Ag)
  6. RPR/VDRL (and/or TPHA)
  7. HIV
  8. Chest X-ray (11 x 14 plate size)
  9. Medical History and Complete Physical Examination
  10. Visual Acuity (Far and Near Vision)
  11. Dental Examination
  12. Psychological Examination
  13. Serum Pregnancy Test (for female applicants)

Additional Tests

  1. 12-Lead ECG (for 40 years old and above)
  2. Additional tests depending on country of destination
    • Cyprus: Phase 1 + Hepatitis C Screening (Anti-HCV), Pure Tone Audiometry, DOH Medical Authentication
    • Korea: Phase 1 + SGOT (AST), SGPT (ALT), Cholesterol, Pure Tone Audiometry

PEME for Land-based Overseas Workers Bound for Malaysia

  1. Complete Blood Count with Platelet Count
  2. Blood Typing with Rh Factor
  3. Routine Urinalysis
  4. Routine Stool Examination
  5. Hepatitis B Screening (HBs Ag)
  6. Hepatitis C Screening (Anti-HCV)
  7. VDRL/RPR
  8. TPHA
  9. HIV
  10. Malaria Test
  11. Filaria Test
  12. Leprosy Test
  13. Fasting Blood Sugar (FBS)
  14. Blood Urea Nitrogen (BUN)
  15. Creatinine
  16. SGOT (AST)
  17. SGPT (ALT)
  18. Drug Test (Opiates/Cannabis/Amphetamine)
  19. Chest X-ray (11 x 14 plate size)
  20. Medical History and Complete Physical Examination
  21. Visual Acuity (Far and Near Vision)
  22. Color Perception Test (Ishihara)
  23. Audiometry (Pure Tone)
  24. Dental Examination
  25. Psychological Examination
  26. Serum Pregnancy Test (for female applicants)

Additional Test: 12-Lead ECG (for 40 years old and above)

Predeparture Test

  1. Pregnancy Test

Additional Test/s: as required by agency or employer


References:

Philippines. Department of Health. January 2, 2003. Administrative Order No. 1 s. 2003, Subject: Operational Guidelines in the Conduct of Pre-Employment Medical Examination of Overseas Workers and Seafarers. Posted February 5, 2003. Accessed September 23, 2012. http://home.doh.gov.ph/ao/ao1-03.pdf.

Philippines. Department of Health. February 7, 2013. “Annex K: Basic DOH PEME for Overseas Work Applicants.” In Administrative Order No. 2013-0006, Subject: Guidelines to “Rule XI: Role of DOH in the Omnibus Rules and Regulations Implementing the Migrant Workers and Overseas Filipinos Act of 1995, as Amended by Republic Act No. 10022.” Posted February 15, 2013. Accessed May 27, 2013. http://bhfs.doh.gov.ph/images/issuances/hospital/annex%20k.pdf.

For Local Employment Workers

Medical guidelines of companies, specifically concerning job position-related restrictions, are accorded top priority in deciding whether an applicant is fit to work or not. When conducting Pre-Employment Medical Examination (PEME) for local employment, due consideration is given to the company’s immediate need for the applicant to start the job. As such, time-saving measures are consistently being implemented by MedWay Healthcare Inc. through sensible follow-up schedule and, as much as possible, facilitating the medical workup and specialist referrals within the confines of the clinic.

Pre-Employment Medical Examination (PEME) for Workers for Local Employment

  1. Complete Blood Count with Platelet Count
  2. Routine Urinalysis
  3. Routine Stool Examination
  4. Chest X-ray (11 x 14 plate size)
  5. Medical History and Complete Physical Examination
  6. Visual Acuity (Far and Near Vision)
  7. Dental Examination
  8. Serum Pregnancy Test (for female applicants)

Additional Tests:

  1. 12-Lead ECG (for 40 years old and above)
  2. Hepatitis B Screening (HBs Ag) as required by employer
  3. Drug Test (THC/MET) as required by employer

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