The U.S. Coast Guard has published a notice of changes to the medical and physical evaluation guidelines for specific medical conditions pertaining to the issuance of merchant mariner credentials.
The notice of changes (NVIC 04-08, CH-1) dated June 7 can be downloaded from the AMO Currents website. Please note: Enclosure 7 and Enclosure 8 can be found at the end of the document.
In the discussion portion of the notice of changes, the Coast Guard, among other things, noted:
- This notice changes the guidance found in the International Convention on Standards of Training, Certification and Watchkeeping (STCW) - reference (a) in NVIC 04-08 - concerning the evaluation of merchant mariner credential applicants seeking medical waivers under Title 46 Code of Federal Regulations (CFR) Chapter I, Subchapter B - reference (c) in NVIC 04-08 - for applicants with anti-tachycardia devices or implantable cardioverter-defibrillators (ICDs). This does not change the current guidance that ICDs are generally ineligible for waivers; however, it provides a new enclosure that describes the criteria that must be met in order to be considered for a waiver for anti-tachycardia devices or ICDs. The current version of reference (a) refers applicants to the National Maritime Center for guidance. This notice adds the established guidance to reference (a) in enclosure (7).
- This notice changes the guidance found in reference (a) concerning the evaluation of merchant mariner credential applicants seeking medical waivers under reference (c) for applicants with a history of seizures or convulsive disorders. This change provides detailed guidance on granting waivers to mariners with seizures. The current version of reference (a) refers applicants to the NMC for guidance. This notice adds the established guidance to reference (a) in enclosure (8).
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