July 11, 2001 2
AEROMEDICALSTANDARDS
July 11, 2001 3
AEROMEDICAL STANDARDS
OBJECTIVE: Establish appropriate medical standards for aviation personnel
Pilots
Air Traffic Controllers
Federal Air Marshals
July 11, 2001 4
MEDICAL STANDARDS FOR PILOTS
CARDIOVASCULAR:
- Myocardial Infarction- Angina Pectoris- Significant Coronary Heart Disease- Heart Transplant- Heart Valve Replacement- Pacemaker Implantation
DISQUALIFYING CONDITIONS
July 11, 2001 5
MEDICAL STANDARDS FOR PILOTS
NEUROLOGICAL:
- Unexplained disturbance of consciousness- Convulsive disorder- Epilepsy- Transient loss of system control
DISQUALIFYING CONDITIONS
July 11, 2001 6
MEDICAL STANDARDS FOR PILOTS
PSYCHIATRIC:
- Personality Disorder- Psychosis- Substance Abuse and Dependence- Bipolar Disorder
DISQUALIFYING CONDITIONS
July 11, 2001 7
MEDICAL STANDARDS FOR PILOTS
VISION:
CLASS 1 & 2
- Distance vision not correctable to 20/20- Near and intermediate vision (beginning at age 50) not correctable to 20/40
CLASS 3
- Distance vision not correctable to 20/40- Near vision not correctable to 20/40
DISQUALIFYING CONDITIONS
July 11, 2001 8
MEDICAL STANDARDS FOR PILOTS
HEARING:
- Inability to hear a conversational voice at 6 feet
OTHER:
- Diabetes Mellitus requiring medication - Any other condition the Federal Air Surgeon finds disqualifying
DISQUALIFYING CONDITIONS
July 11, 2001 9
COMPATIBILITY OF MEDICAL STANDARDS
July 11, 2001 10
Differences in Medical Certification SystemsFAA v. JAA
License JAAClass 1
JAAClass II
FAAClass I
FAAClass II & III
VALIDITY OFCERTIFICATE
Under 40 - 1 yr40 & over - 6 mos
Under 30 - 5 yrsUnder 50 - 2 yrs50 – 64 - 1 yr65 & over - 6 mos
6 mosSecond Class: 1 yr
Third Class: under 40 - 3 yrs 40 & over - 2 yrs
CHEST X-RAY At initial N/R N/R N/R
EEG At initial N/R N/R N/R
HEMOGLOBIN Every examination At initial N/R N/R
July 11, 2001 11
Differences in Medical Certification SystemsFAA v. JAA
LicenseJAA
Class IJAA
Class IIFAA
Class IFAA
Class II & III
ECG
At initial then:
Under 30 - 5 yrs30-39 - 2 yrs40-49 - annual50 & over - 6 mos
At initial then:
40-49 - 2 yrs50-64 - annual65 & over - 6 mos
At 35 then annuallyafter 40
N/R
AUDIOGRAM
At initial then:
Under 40 - 5 yrs40 & over - 2 yrs
At initial issue ofInstrument ratingthen:
Under 40 - 5 yrs40 & over - 2 yrs
N/A N/R
ENT EXAM
At initial then:
Under 40 - 5 yrs40 & over - 2 yrs
N/R N/R N/R
EYE EXAM
At initial then:
Under 40 - 5 yrs40 & over - 2 yrs
At initial N/R N/R
July 11, 2001 12
Differences in Medical Certification SystemsFAA v. JAA
LicenseJAA
Class 1
JAA
Class 2
FAA
First Class
FAA
Second Classand
Third Class
LIPID PROFILE At initial then age 40If two or morecoronary risk factors,at initial then age 40
N/R N/R
PULMONARYFUNCTION TESTS
At initial then peak flowat age 30, 35, 40 thenevery 4 years
Peak flow at initialthen, at age 40,then every 4 years
N/R N/R
URINALYSIS Every examination Every examination Every examination Every examination
July 11, 2001 13
CERTIFICATION
July 11, 2001 14
CLASSES OF CERTIFICATION
FIRST CLASS - Airline Transport Pilots - valid for 6 months
SECOND CLASS - Commercial Pilots - valid for 12 months
THIRD CLASS - Private Pilots - valid for 36 months thru age 39, 24 months at 40 years and over
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AEROMEDICAL CERTIFICATION2000
463,247 APPLICATIONS PROCESSED
10,911 SPECIAL ISSUANCES (WAIVERS) FOR
SIGNIFICANT MEDICAL CONDITIONS
July 11, 2001 16
MEDICAL CERTIFICATION OF AIRMENSpecial Issuances - Coronary Heart Disease
Class 1 Class 2 Class 3 TotalMyocardialInfarction
299 323 2,819 3,441
Bypass Surgery 256 295 3,197 3,748
Angioplasty 354 278 2,233 2,865
Stents 213 173 1,289 1,675
July 11, 2001 17
MEDICAL CERTIFICATION OF AIRMENSpecial Issuances - Cardiovascular
Class 1 Class 2 Class 3 TotalValve Replacement Bioprostheses 23 22 105 150
Mechanical 20 31 162 213
Pacemaker 16 42 211 269
Defibrillator 0 0 0 0
July 11, 2001 18
MEDICAL CERTIFICATION OF AIRMENSpecial Issuances - Substance Abuse
Class 1 Class 2 Class 3 TotalAlcoholism 981 221 381 1,583
Drug Dependence 51 17 9 72
July 11, 2001 19
MEDICAL CERTIFICATION OF AIRMENSpecial Issuances - Cardiovascular
Class 1 Class 2 Class 3 TotalValve Replacement Bioprostheses 23 22 105 150
Mechanical 20 31 162 213
Pacemaker 16 42 211 269
Defibrillator 0 0 0 0
July 11, 2001 20
MEDICAL CERTIFICATION OF AIRMENSpecial Issuances - Substance Abuse
Class 1 Class 2 Class 3 TotalAlcoholism 981 221 381 1,583
Drug Dependence 51 17 9 72
July 11, 2001 21
MEDICAL CERTIFICATION OF AIRMENSpecial Issuances - Transplants
Class 1 Class 2 Class 3 TotalLiver 2 7 26 35
Lung 0 0 1 1
Kidney 14 22 94 130
Heart 0 0 0 0
July 11, 2001 22
MEDICAL CERTIFICATION OF AIRMENSpecial Issuances
Class 1 Class 2 Class 3 TotalMonocularity 179 337 1,883 2,399
July 11, 2001 23
MEDICAL CERTIFICATION OF AIRMENSpecial Issuances - Diabetes
Class l Class ll Class iii Total
Non-Insulin 517 995 4,040 5,552
Insulin 0 0 338 338
Policy for consideration of Class 3 insulin using diabetics announced December 1996
July 11, 2001 24
MEDICAL CERTIFICATION OF AIRMENSpecial Issuances - AIDS/HIV
Class l Class ll Class iii TotalAIDS 0 0 0 0
HIV + Rx 9 8 22 39
HIV + No Rx 4 2 1 7
July 11, 2001 25
400,000
420,000
440,000
460,000
480,000
500,000
90 92 94 96 98 00
Total Applications Received
CY
July 11, 2001 26
0
5,000
10,000
15,000
90 92 94 96 98 00
Total Special Issuances
CY
July 11, 2001 27
0
1,000
2,000
3,000
4,000
90 92 94 96 98 00
Denials - Airmen Failed to Pursue
CY
July 11, 2001 28
0
100
200
300
400
500
600
90 92 94 96 98 00
Final Denials on the Merits
CY
July 11, 2001 29
0
1,000
2,000
3,000
4,000
90 92 94 96 98 00
Total Denials
CY
July 11, 2001 30
AEROMEDICAL CERTIFICATION2000
2,067 DENIALS (0.5% of all applications)
1,690 Failed to pursue or failed to provide
377 Final Denials (0.1% of all applications)
requested information