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07/22/02
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Med i ci ne
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AEROMEDICALSTANDARDS
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AEROMEDICAL STANDARDS
OBJECTIVE: Establish appropriate medical standards for aviation personnel
Pilots
Air Traffic Controllers
Federal Air Marshals
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CLASSES OF CERTIFICATION
First Class: Airline Transport (100,469) Pilots - Valid for 6 Months
Second Class: Commercial Pilots, Flight (131,972) Engineers, Flight Navigators, and
Air Traffic Controllers who are notFAA Employees - Valid for 12Months
Third Class: Private Pilots, Recreational Pilots, (380,449) or Student Pilots - Valid for 24 or
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FLIGHT DUTIES AND OPERATIONSNOT REQUIRING MEDICAL
CERTIFICATES
– Flight Attendants– Gliders– Free Balloons– Ultralights
• Single Occupant• Recreational Use • If Unpowered, Weigh Less Than 155 lbs.• If Powered, Weigh Less Than 254 lbs.• Fuel Capacity No Greater Than 5 gals.• Not Capable of More Than 55 knots
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MEDICAL STANDARDS FOR PILOTS
CARDIOVASCULAR:
- Myocardial Infarction
- Angina Pectoris
- Significant Coronary Heart Disease
- Heart Transplant
- Heart Valve Replacement
- Pacemaker Implantation
DISQUALIFYING CONDITIONS
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MEDICAL STANDARDS FOR PILOTS
NEUROLOGICAL:
- Unexplained disturbance of consciousness- Convulsive disorder- Epilepsy- Transient loss of system control
DISQUALIFYING CONDITIONS
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MEDICAL STANDARDS FOR PILOTS
PSYCHIATRIC:
- Personality Disorder
- Psychosis
- Substance Abuse and Dependence
- Bipolar Disorder
DISQUALIFYING CONDITIONS
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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
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MEDICAL STANDARDS FOR PILOTS
HEARING:
- Inability to hear a conversational voice at 6 feet
OTHER:
- Diabetes Mellitus requiring medication
- Any other condition, medication or treatment the Federal Air Surgeon finds disqualifying
DISQUALIFYING CONDITIONS
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CERTIFICATION
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AEROMEDICAL CERTIFICATION2001
455,257 APPLICATIONS PROCESSED
12,719 SPECIAL ISSUANCES (WAIVERS) FOR
SIGNIFICANT MEDICAL CONDITIONS
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MEDICAL CERTIFICATION OF AIRMENSpecial Issuances - Coronary Heart Disease
Class 1 Class 2 Class 3 TotalMyocardialInfarction
298 327 3,057 3,682
Bypass Surgery 290 293 3,458 4,041
Angioplasty 377 300 2,305 2,982
Stents 236 209 1,757 2,202
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MEDICAL CERTIFICATION OF AIRMENSpecial Issuances - Cardiovascular
Class 1 Class 2 Class 3 TotalValve Replacement Bioprostheses 28 24 116 168
Mechanical 29 28 161 218
Pacemaker 19 36 206 261
Defibrillator 0 0 0 0
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MEDICAL CERTIFICATION OF AIRMENSpecial Issuances - Substance Abuse
Class 1 Class 2 Class 3 TotalAlcoholism 1,057 246 417 1,720
Drug Dependence 53 15 10 78
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MEDICAL CERTIFICATION OF AIRMENSpecial Issuances - Transplants
Class 1 Class 2 Class 3 TotalLiver 2 5 31 38
Lung 0 0 1 1
Kidney 18 18 101 137
Heart 0 0 0 0
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MEDICAL CERTIFICATION OF AIRMENSpecial Issuances
Class 1 Class 2 Class 3 TotalMonocularity 185 348 1,975 2,508
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MEDICAL CERTIFICATION OF AIRMENSpecial Issuances - Diabetes
Class l Class ll Class III Total
Non-Insulin 559 1,011 4, 507 6,077
Insulin 0 0 364 364
Policy for consideration of Class 3 insulin using diabetics announced December 1996
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AEROMEDICAL CERTIFICATION2000
3,184 DENIALS (0.7% of all applications)
– 2,617 Failed to pursue or failed to providerequested information
– 567 Final Denials (0.1% of all applications)
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400,000
420,000
440,000
460,000
480,000
500,000
90 92 94 96 98 00
Total Applications Received
CY
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0
2,000
4,000
6,000
8,000
10,000
12,000
90 92 94 96 98 00
Total Special Issuances
CYce Me
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0500
1,0001,5002,0002,5003,0003,5004,000
90 92 94 96 98 00
Total Denials
CYce Me
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ospace
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Med i ci ne
