• 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
    • Alpha-foetoprotein (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