• The following are the requirements for the medical certification of aircrew, including guidance material issued by the UK CAA Medical Department in relation to Infectious diseases. 

    Implementing Rules

    Acceptable Means of Compliance

    Guidance Material

    MED.B.040 Infectious Disease

     

    (a) Applicants shall be assessed as unfit where they have a clinical diagnosis or medical history of any infectious disease which is likely to jeopardise the safe exercise of the privileges of the licence.

    CLASS 1 - AMC1 MED.B.040   

    (a) Infectious disease   General

    In cases of infectious disease, consideration should be given to a history of, or clinical signs indicating, underlying impairment of the immune system.

    (b) Tuberculosis

    (1) Applicants with active tuberculosis should be assessed as unfit. A fit assessment may be considered following completion of therapy.

    (2) Applicants with quiescent or healed lesions may be assessed as fit. Specialist evaluation should consider the extent of the disease, the treatment required and possible side effects of medication.

    (c) Syphilis
    Applicants with acute syphilis should be assessed as unfit. A fit assessment may be considered in the case of those fully treated and recovered from the primary and secondary stages.

    (e) Infectious hepatitis
    Applicants with infectious hepatitis should be assessed as unfit. A fit assessment may be considered once the applicant has become asymptomatic. Regular review of the liver function should be carried out.

    CLASS 2 - AMC2 MED.B.040 

    Infectious disease
    (a) Tuberculosis
    (1) Applicants with active tuberculosis should be assessed as unfit. A fit assessment may be considered following completion of therapy.

    (2) Applicants with quiescent or healed lesions may be assessed as fit. Specialist evaluation should consider the extent of the disease, the treatment required and possible side effects of medication.
     
     

    Infectious disease - General

    Refer to Malaria document for further guidance.

    (b) Applicants who are HIV positive may be assessed as fit subject to satisfactory aero-medical evaluation. Such applicants for a class 1 medical certificate shall be referred to the medical assessor of the licensing authority.  CLASS 1 - AMC1 MED.B.040   


    (d) HIV positivity

    (1) Applicants who are HIV positive may be assessed as fit with an OML if a full investigation provides no evidence of HIV associated diseases that might give rise to incapacitating symptoms. Frequent review of the immunological status and neurological evaluation by an appropriate specialist should be carried out. A cardiological evaluation may also be required, depending on the medication.

    (2) Applicants with signs or symptoms of an AIDS defining condition should be assessed as unfit.

    CLASS 2 - AMC2 MED.B.040   

    (b) HIV positivity

    (1) Applicants who are HIV positive may be assessed as fit if a full investigation provides no evidence of HIV associated diseases that might give rise to incapacitating symptoms. Frequent review of the immunological status and neurological evaluation by an appropriate specialist should be carried out. A cardiological evaluation may be required, depending on the medication.

    (2) Applicants with signs or symptoms of an AIDS-defining condition should be assessed as unfit.
     
     

    HIV infection

     

    Guidance material currently under review

    Pre-Exposure Prophylaxis (PrEP) for the Prevention of HIV Infection