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Aviation medicine

R B Rayman1, J R Davis

  • 1Aerospace Medical Association, Alexandria, Va.

JAMA
|June 1, 1994
PubMed
Summary
This summary is machine-generated.

Pilots with human immunodeficiency virus (HIV) may fly, as there is no increased risk of tuberculosis transmission on aircraft. In-flight medical events are rare and often managed by physician passengers.

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Area of Science:

  • Aviation Medicine
  • Infectious Disease Transmission

Background:

  • Debate exists regarding the permissibility of pilots with human immunodeficiency virus (HIV) operating aircraft.
  • In-flight medical emergencies occur approximately three times daily.
  • Physicians, as passengers, provide medical assistance in 85% of these emergencies.

Purpose of the Study:

  • To evaluate the risks associated with pilots infected with human immunodeficiency virus (HIV).
  • To assess the likelihood of tuberculosis transmission in the unique environment of a commercial airliner.

Main Methods:

  • Review of existing evidence on HIV in pilots.
  • Analysis of in-flight medical emergency data.
  • Assessment of tuberculosis transmission risks on commercial flights.

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Main Results:

  • No evidence suggests tuberculosis is more likely to be contracted on a commercial airliner compared to other public conveyances.
  • In-flight medical emergencies are infrequent and typically managed by medical professionals on board.

Conclusions:

  • The presence of human immunodeficiency virus (HIV) in pilots does not appear to pose an elevated risk for tuberculosis transmission.
  • Current data do not support barring pilots with HIV from flying based on infectious disease concerns.