1 Name of unit must never exceed two lines Ref: for example project title / unit / yyyy.mm.dd Institute of Aviation Medicine Why has aviation medicine been so successful in establishing an international system compared to maritime medicine? Anthony S. Wagstaff Director, Institute of Aviation Medicine, Oslo, Norway Associate professor, University of Oslo
25
Embed
Session 2 4 - anthony wagstaff - nshc aviation medicine asw
The Norwegian Sea Health Conference 2014, Bergen, 27-28th August 2014
Welcome message from author
This document is posted to help you gain knowledge. Please leave a comment to let me know what you think about it! Share it to your friends and learn new things together.
Transcript
1
Name of unit must never exceed two lines
Ref: for example project title / unit / yyyy.mm.dd
Institute of Aviation Medicine
Why has aviation medicine been so successful in
establishing an international system compared to maritime
medicine?
Anthony S. Wagstaff Director, Institute of Aviation Medicine, Oslo, Norway
Associate professor, University of Oslo
The background for my views
• Institute of Aviation Medicine Oslo 22 years
• Military flight medical standards
– Rulemaking and clinical evaluation
• Civilian aeromedical centre (JAA – now EASA) in Norway 13 years.
• AME – military and civilian experience
• Specialist in occupational health.
• Vice president ESAM
Overview
• The big picture: Why do we do medical
examinations
• Some figures and comparisons
• Aviation Medical examinations harmonisation
in Europe
• Future improvements?
Big industries
• 3 billion airline passengers/yr
• 2 billion ferry passengers/yr, (20 million
cruise passengers/yr)
Why have we done medicals for
100 years?
1. Flight safety
2. Flight safety
3. Flight safety
If you think flight safety is
expensive
• Try an accident
Mean 2006-2010: 500 deaths in 2 000 000 000 = 2,5/10
mill/yr
Mean 2006-2010 500 deaths in 3 000 000 000 passengers : 1,6/10million/yr
Safety developments - comparison
• Shipping by a factor of 7in yrs:
– 1910: 1 hull loss/100/year
– 2012: 1 hull loss/670/year
• Aviation:
– Accident rate reduced by a factor of 50 in 50
yrs. since 1960´s
In other words
• Aviation has had huge growth
• Aviation medicine has followed
– Pressure cabin
– Oksygen requirements
– G-protection
– Crash protection
• So how are we doing?
Death risk of transportation 1999-2000 (Wikipedia)
Deaths/billion
journeys
Deaths/billion hours Deaths/billion
kilometers
Bus: 4,3 Bus: 11,1 Air: 0,05
Train: 20 Rail: 30 Bus: 0,4
Van: 20 Air: 30,8 Rail: 0,6
Car: 40 Water: 50 Van: 1,2
Foot: 40 Van: 60 Water: 2,6
Water: 90 Car; 130 Car: 3,1
Air: 117 Foot: 220 Space shuttle: 16,2
Bicycle: 170 Bicycle: 550 Bicycle: 44,6
Motorcycle: 1640 Motorcycle: 4840 Foot: 54,2
Space shuttle: 104
mill.
Space shuttle: 438000 Motorcycle: 108,9
What about the air crew: Are we
dealing with a high risk population?
• Civilian airline
aircrew
• Relative risk
Standardised mortality
• From disease – Low risk – Pilot SMR 0.56 (0.54-0.58)*
• From occupation – High risk – Pilot SMR 46 (39-54)*