July 11, 2001 2 AEROMEDICAL STANDARDS July 11, 2001 3 AEROMEDICAL STANDARDS OBJECTIVE: Establish...

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

July 11, 2001 15

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