||U.S. Department of Health and Human Services
||Public Health Service
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The edition of the publication that is hereby presented to the attention of our readers continues a brilliant tradition extending back for more than a hundred years. The very first edition of the present book was released by the Marine Hospital Service in 1881. All previous editions provided readers with the step-by-step instructions that were covering a huge variety of illnesses that could be faced underway. With this new release, the author's approach has changed a bit, taking into account all recent changes in medical practice and technology. The number of "how to" medical aspects included in this book has been limited; instead, the publication now is intended to identify when exactly there may be need for medical consultation, and it also describes how to perform a very basic physical examination and communicate all medical findings to the experts on shore. For sure, effective communication is one of the key aspects of consultation or medical treatment. The book is also focusing on the prevention of both chronic and acute diseases as it can significantly improve the quality of the mariners' life at sea and maximize the productivity of the crew members as well as their ability to perform the duties assigned to them.