Hepatitis A/B/C

UK CAA Guidance on hepatitis

EASA AMC Med B.0.35: Infectious Hepatitis is disqualifying.  A fit assessment may be considered after full recovery.

Hepatitis A
   1. Hepatitis A infection is disqualifying.  Certification will be considered upon full recovery.

Hepatitis B
   1. Acute hepatitis B is disqualifying.  Certification may be considered upon full recovery (viral clearance).
   2. Chronic hepatitis B – Certification may be considered in pilots in the ‘immune tolerant’ or ‘inactive HBV carrier state’.

Pilots are required to submit a report from a liver specialist, to include:
   • History of infection;
   • Current symptoms;
   • Stability of condition;
   • Liver Function Tests;
   • HBV serology;
   • HBV DNA levels;
   • Alphafoetoprotein (AFP);
   • Report of ultrasound of the liver.

Requirement for treatment is disqualifying.

Hepatitis C
   1. Acute hepatitis C is disqualifying.  Certification may be considered upon full recovery (viral clearance).
   2. Chronic hepatitis C - Certification may be considered following successful treatment which has rendered the pilot disease free.

Pilots are required to submit a report from a liver specialist, to include:
   • History of infection;
   • Current symptoms including any CNS effects;
   • Stability of Condition;
   • Liver Function Tests;
   • HCV Serology;
   • HCV RNA and genotype;
   • Report of ultrasound of the liver including biopsy results if available.

Pilots may be required to undergo neuropsychological assessment.

Requirement for treatment is disqualifying; certification may be considered following successful treatment (sustained viral response).

Reference material
1. EASL Clinical Practice Guidelines: Management of chronic hepatitis B; Journal of Hepatology vol. 50 (2009) 227–242
2. EASL Clinical Practice Guidelines: Management of hepatitis C virus infection; Journal of Hepatology vol. 55 (2011) 245–264
3. Royal College of General Practitioners; Guidance for the prevention, testing, treatment and management of Hepatitis C in Primary Care; 2007