Just curious how many maritime companies have made vaccination required for Mariners?
My company has.
I see openings coming from those who donât want the shot
Itâs kinda like schools in the USA. Most require vaccines before entry, polio, whooping cough, measles etc. Maritime? I worked at sea for over 40 years, civilian and military billets. All required vaccinations, the vaccination required depended on the area you were working in.
When it comes to the variety of drugs (not quantity) Ozzy Osborne has nothing on me. My second yellow international shot record book is about full. I didnât get my local health department to put my Covid19 shots in it but when I get back home I plan go back & try because some countries donât care about the CDC covid19 vaccine card but respect the 2ft long yellow book. I think some clients with representatives on board will require vessels crew to get vaccinated before some companies officially require it. Then companies will let employees choose if they want to go back to certain ships or not. I worked for clients who required all types of silly vaccines including the Anthrax vaccine that I managed to skip thank goodness. Iâm fine with the covid19 vax but really donât want the Anthrax vax. I hope that never gets in fashion again.
Not my company but one of our biggest clients is probably going to mandate it so the hands played. Gotta say I canât wait, tired of listening to the whack vaccine conspiracy theories from half of my fellow crewâŚ
Hi Everyone,
A few of you have asked my opinion on boosters:
Short answer: YES boost everyone, including yourselves.
First of all, this is really no different than any other âblindâ vaccination programâwhy do we give tetanus boosters every 10 years? Because a reasonable number of our populationâs antibodies have waned, and it is not cost effective to check everyoneâ Tetanus IgG titer and decide. In reality of course, some people needed a booster 6 years prior, and some may never need it. The ones that never need it are the ones who report âthat tetanus shot made me sickââsick how? Felt bad, arm swelled up for days- warm/ indurated, flu-like, low grade fever, possibly chills, LAD, etc. This is an Arthus reactionâIgG binding antigen leading to complement activation and all the signs that a person is infectedâŚbut they arenât of course. They need Advil, sometimes PDN x 3-4 days, Medrol dose pack, and reassurance that their immunity is ârobustâ. This can happen with any vaccine, but really never with the first vaccine series < 2 YO. Can certainly happen with Prevnar/ Pneumovax. Make a note of it when they are âdueâ and either check titers to show immunity or whatever.
So with Covid, there are issues: 1 this is all new and we donât know how âeffectiveâ these vaccines are long termâwe donât have the studies. 2 there are a group of people who had bona fide Covid infection and have some degree of immunity; 3 the lab tests for Covid immunity are hard to understandâŚwhat does it mean â>250â is 100 or 179 okay or what?? And also, remember, most people get some nice help from cytotoxic T cell activation, which canât be ordered. (BTW the patients most at risk IMOâpeople with low lymphs (steroids, organ-rejection meds), senescent lymphs (elderly)). Most âregular healthy kids (>5 YO) and adultsâ will respond nicely to the two Covid vaccines, with both T cell activation and antibody response. If patients get the shots, and maybe a booster, and âfelt nothing at allâ, I would wonder about their immunity and consider checking their titer.
Ideas:
No significant response to 2 vaccines: Boost about 6 months post vax.
Bad response to the first vaccine (most of these peeps had the real Covid infection): Check Covid titer 6-8 months later; if robust, recheck every 6 months
Mild response after 2nd vax: Get Booster, consider PDN 40mg day before and day of shot
Severe response after 2nd vax: Check Covid titer 6-8 months later; if robust, recheck every 6 months
My bias would be to alternate vaccine types between Moderna and Pfizer
I would not recommend a JNJ vaccine to any female between 12 and 65; esp ones on hormones or prior DVT/PTE
If a person has had a JNJ vaccine, I would swith over to Moderna for booster
Remind pts it is âhealthy / normal / sign of a good immune systemâ to feel not great for several hours or days after boosterââyour body is recognizing the virus and learning to fight it betterâ.
You can always check a titer and have more info, but we really donât know what a âgoodâ titer is or isnâtâŚat least I donât.
Make no mistakeâmore reactions are going to happenâI expect prob 50% of people will have a significantly uncomfortable reaction starting within several hours. The better someoneâs immune system, the sooner and possibly longer it will last. Treat them with steroids (PDN 40 x 3d, or 40 x 3d, 20 x 3d) + NSAIDS. There will be some odd reactionsâbut people are alive to talk about them. Patients must understand, we are trying to do the best we can with limited current information. At the end of the day, people have two choices: take your chances with the vaccine or take your chances with the virus.
The most telling recent statistic to me was from two days agoâa local hospitalist said â we have 340 pts hospitalized with covidâ300 were non or undervaccinated; 40 were vaccinatedâ. So vaccination is not foolproofâwe need to give our immune systems every chance to fight this thing. (Now I would be willing to wager that many of the 40 did not have good immunity; ie, they were on prednisone, elderly, etc etc).
Given my own history of a mild reaction post-second Pfizer shot, I will go get a Moderna shot. I will take PDN 20mg the day before and the day of, probably take Advil the day of and the day after, probably get it on a Friday. Be good to go Monday.
Also copying my partners to weigh in as they see fit.
Hope this helps. Chuck
Thatâs a reasonable program for a +65 year old or +50 year old in poor health to do for the rest of their lives when the alternative is a good risk of hospitalization or death.
But is it really reasonable or moral to ask an otherwise healthy 20 year old to do so?
A really interesting post. Many thanks.
That person he quoted is a quack.
I wasnât really asking advice on whether to take the vaccine or not just wondering if maritime companies were requiring it. That being said who is Chuck and why should anyone listen to his advice? Not a lot of context to that post.
Only two people have responded to leadsledâs question directly. What gives? Is it a secret or something?
Military Sea-prison Command has yet to mandate vaccines but will as soon as itâs fully FDA approved. That could happen tomorrow 23 August.
Yes
Actually this is an inter-office memo from a noted immunologist at a major hospital group to his staff.
Sadly, not according to some of the keyboard COVID medical âexpertsâ awash on social media.
I found this information interesting and did some research on personal titer. Makes sense.
My experience is with maritime companies that work out of the USA. I donât know of any that do not require vaccines. You either get the vaccines are you donât get the job. Yellow fever, typhoid, cholera, Covid or whatever you accept the vaccine or you donât get the job, There are good reasons for this policy. A more relevant question might be, :which companies let you opt out of being vaccinated?
I think you misunderstand the question because you are trying to split hairs. Iâm not asking if anyone agrees or disagrees or what your opinion on the vaccine is or if your past experience with yellow fever or whatever. I asked if your company requires it⌠I know of some that have and some that havenât. Iâm just curious if the majority have. Some companies that donât work foreign donât require any of those vaccines that you mentioned. Not all Mariners sail worldwide so itâs a relevant question even if itâs not relevant to your particular experience.
Nope. Not trying to split hairs your question was. âJust curious how many maritime companies have made vaccination required for Mariners?â
You asked, I answered.
You answered with a statement from a guy named Chuck with no context on who he was and didnât say âthe company I work for requires the vaccineâ. You said I should have asked a different question which would have given me the same answer⌠if I said how many companies donât require the vaccine wouldnât that tell me if the majority have? Itâs just being argumentative for no reason. Itâs cool though. You made your point or whatever. Not the point of the question but your point.