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Sickle cell trait and military service.
Journal of the Royal Naval Medical Service
|January 1, 1990
Summary
Individuals with sickle cell trait can generally serve in the Royal Navy without issue. However, specific roles like military diving are restricted due to safety concerns and operational demands.
Area of Science:
- Military Medicine
- Hematology
- Public Health
Background:
- Sickle cell trait is often misunderstood as a handicap.
- Efforts are ongoing to educate the public about sickle cell trait.
- The Armed Forces' policies on sickle cell trait require review.
Purpose of the Study:
- To evaluate the fitness of individuals with sickle cell trait for military service.
- To assess risks associated with sickle cell trait in military occupations.
- To inform policy regarding recruitment and role allocation.
Main Methods:
- Review of existing evidence on sickle cell trait and military fitness.
- Analysis of risks in various military roles.
- Consideration of safety requirements for different branches.
Main Results:
- Recruitment into the Royal Navy is generally acceptable for those with sickle cell trait.
- A small excess risk of sudden unexplained death during training exists.
- Exclusion from diving, submarine, and aircrew service is largely justified, with potential for helicopter aircrew roles.
Conclusions:
- Current regulations for military service and sickle cell trait are largely justified by safety considerations.
- Screening and counseling for sickle cell trait in recruits could improve understanding and management.
- Policy adjustments may allow individuals with sickle cell trait in specific non-pilot aircrew roles.