Go Back  PPRuNe Forums > Ground & Other Ops Forums > Medical & Health
Reload this Page >

Covid-19 and first class medical

Medical & Health News and debate about medical and health issues as they relate to aircrews and aviation. Any information gleaned from this forum MUST be backed up by consulting your state-registered health professional or AME. Due to advertising legislation in various jurisdictions, endorsements of individual practitioners is not permitted.

Covid-19 and first class medical

Old 27th Jun 2020, 20:22
  #21 (permalink)  
 
Join Date: Jan 2015
Location: Banksville
Posts: 70
Likes: 0
Received 0 Likes on 0 Posts
It’s the long term effects I wonder about.
In US the military has said that anyone who’s tested positive is permanently unfit and cannot join the armed forces. (No word on how they’ll deal with existing members who have had the virus - discharge? Change of duty?)
That does make me wonder if they know a bit more about this virus than they’re letting on. Permanent lung/organ damage maybe, such that high level fitness cannot be achieved. Worrisome.
Joejosh999 is offline  
Old 27th Jun 2020, 20:37
  #22 (permalink)  
 
Join Date: May 2004
Location: Москва/Ташкент
Age: 54
Posts: 922
Received 3 Likes on 3 Posts
In US the military has said that anyone who’s tested positive is permanently unfit and cannot join the armed forces.
Is that so? Interesting to hear that.
flash8 is offline  
Old 27th Jun 2020, 20:49
  #23 (permalink)  
 
Join Date: Mar 2006
Location: USA
Posts: 2,513
Likes: 0
Received 0 Likes on 0 Posts
https://www.stripes.com/news/us/cont...might-1.628995
Check Airman is offline  
Old 27th Jun 2020, 21:41
  #24 (permalink)  
 
Join Date: Dec 2014
Location: Schiphol
Posts: 475
Likes: 0
Received 0 Likes on 0 Posts
Originally Posted by Joejosh999
It’s the long term effects I wonder about.
In US the military ... That does make me wonder if they know a bit more about this virus than they’re letting on. Permanent lung/organ damage maybe, such that high level fitness cannot be achieved. Worrisome.
Too early to say what long term effects will be... so it would surprise me that any organisation would take such a strong stand at this stage. What already is an issue to monitor though, is possible long term damage to parts of the nervous system and their effects. There have been studies published about that for at least two months. One example is persisting loss of smell and taste, even after mild cases. Such damage, if proven, will certainly set corona apart from the regular flu.
A more recent investigation wondered if neurological damage could explain loss of lung and organ functionality leading to deaths.
In line with this, an open question is if children and young people who get corona, but have no or mild symptoms, may still suffer neurological damage. They just dont know at this stage.
It is science.. science needs good data.. needs peer review .. and needs confirmation... this takes time...

Last edited by A0283; 27th Jun 2020 at 22:00.
A0283 is offline  
Old 27th Jun 2020, 22:27
  #25 (permalink)  
 
Join Date: Jan 2015
Location: Banksville
Posts: 70
Likes: 0
Received 0 Likes on 0 Posts
Check-Airman thanks for the updated report. I’d only sent the original in the Military Times.
i hope the desire to avoid hospitalization won’t cause Covid patients who want to preserve their eligibility to stay home when they should go into ED.
Joejosh999 is offline  
Old 28th Jun 2020, 01:06
  #26 (permalink)  
 
Join Date: Sep 2007
Location: Mediterranean
Posts: 146
Received 0 Likes on 0 Posts
Originally Posted by double_barrel
On BBC today


42-year old Scottish pilot

Presumably therefore he had a class 1 medical
That link wasn't readily accessible for me, however the following is:
https://www.reuters.com/article/us-h...-idUSKBN23O29W
janrein is offline  
Old 28th Jun 2020, 10:49
  #27 (permalink)  
 
Join Date: Jan 2012
Location: Below transition level
Posts: 363
Received 2 Likes on 2 Posts
Originally Posted by Joejosh999
It’s the long term effects I wonder about.
In US the military has said that anyone who’s tested positive is permanently unfit and cannot join the armed forces. (No word on how they’ll deal with existing members who have had the virus - discharge? Change of duty?)
That does make me wonder if they know a bit more about this virus than they’re letting on. Permanent lung/organ damage maybe, such that high level fitness cannot be achieved. Worrisome.
Such a blanket ban based on a positive PCR at time of illness or subsequent antibody test is foolish. Covid-19 has proved itself to be a multi-phasic disease in which the outcome may range from a simple respiratory illness to an acute respiratory and vascular one involving MODS, CSS and prolonged periods ventilated in the ITU. Any repercussions for ongoing health and capabilities can only be carried out after a period of recovery and an assessment of fitness within the guidelines dictating the requirements of the role.

Last edited by Fostex; 28th Jun 2020 at 14:56.
Fostex is offline  
Old 28th Jun 2020, 12:02
  #28 (permalink)  
 
Join Date: Jul 2013
Location: Kiwiland
Posts: 727
Likes: 0
Received 15 Likes on 4 Posts
In US the military has said that anyone who’s tested positive is permanently unfit and cannot join the armed forces. (No word on how they’ll deal with existing members who have had the virus - discharge? Change of duty?)
That does make me wonder if they know a bit more about this virus than they’re letting on. Permanent lung/organ damage maybe, such that high level fitness cannot be achieved. Worrisome.
Joejosh999 is offline
No they dont know anymore than we do - there are literally dozens of papers coming out daily in the civilian world about a pandemic that is less than a year old.

I think there are some concerns for aviation. Certainly the immune mediated vasculitis (inflammation of small blood vessels) and thromboembolism (clot formation) which are the causes of serious illness and death may persist for some time but this can be managed, as with heart attacks, by a minimum time to return to flying after re examination. The stiff lung issue isnt really a problem for a sedentary pilot and any effect on oxygen absorption can be easily tested on the ground. Equally, long term damage to kidneys or liver can be tested with a blood test. I am more worried about issues with the brain. The virus can produce everything from necrosis (dead cells) to encephalitis (inflammation of the brain). Some consequences such as stokes can be easily checked by examination, but we are now hearing of dementia, mood changes and even psychoses. Although there have been improvements in aviation medicine since the German Wings accident, the incidence of mental health issues causing an accident has been so rare (7 in 20 years) as to be low down in terms of testing and management. The Authorities will undoubtedly consider this problem and regrettably may need to over restrict return to flying duties until the pathology and testing are better understood.
Radgirl is offline  
Old 29th Jun 2020, 22:31
  #29 (permalink)  
 
Join Date: Aug 2016
Location: Europe
Posts: 704
Likes: 0
Received 0 Likes on 0 Posts
On the subtopic of mental health, does one necessarily need to test positive for the dreaded lurgy to get serious mental health issues under the present circumstances? Many of our brethren are out of their jobs or waiting for the axe to fall. Most are on a severely reduced income. Confinement, lack of social interaction, uncertainty over the future, fear for the health of self and loved ones and all the other "joys" coming with this pandemic can lead to mental health problems even without actual infection. How's that going to be tackled? For now, there's nothing in place to mitigate the psychological impact. Airlines in their vast majority don't give two pence about the welfare of those who made the shareholders rich. AMEs don't perform any psychological screening other than casual chat; even if they did, it's questionable whether they will defer someone for counselling. To make matters even worse, after Germanwings and Lubitz many pilots simply fear to admit to having coping difficulties out of fear of being stigmatized (not that schizophrenia and coping difficulties are anywhere near the same, but the general public doesn't put too much thought into it). In all honesty, I find this sort of problems far more likely to cause long-term trouble with someone than a mild case of COVID-19.
PilotLZ is offline  

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is On
HTML code is Off
Trackbacks are Off
Pingbacks are Off
Refbacks are Off


Thread Tools
Search this Thread

Contact Us - Archive - Advertising - Cookie Policy - Privacy Statement - Terms of Service

Copyright © 2024 MH Sub I, LLC dba Internet Brands. All rights reserved. Use of this site indicates your consent to the Terms of Use.