Saeme has worked around the world, controlling health, hygiene and sanitation on-board commercial and passenger ships and oil platforms. He has also participated in the preparation of new regulations on ship hygiene, sanitation, pharmacy, and minimum standards for cruise ship medical facilities, as well as the updating of the standards for pre-employment medical examinations for seafarers. In 1997, Saeme founded the International Maritime Health Organization,[2] and became its first president from 1997 to 2001.