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-   -   Toxic Cabin Air/Aerotoxic Syndrome (https://www.pprune.org/rumours-news/506344-toxic-cabin-air-aerotoxic-syndrome.html)

beamender99 17th Feb 2014 14:04

BBC News - Airline pilots' health fears over polluted air
( includes a video clip )


Airline pilots' health fears over polluted air

Airline pilots are taking legal action following claims they are suffering from a condition known as 'aerotoxic syndrome' caused by the inhalation of engine fumes.
Inside Out spoke to several pilots who claim that the condition has damaged their health and ability to fly.
Dr Jenny Goodman, an expert in environmental medicine, and Dr Michel Mulder, an aviation medical consultant, believe toxins in aircraft are the reason the pilots became ill.
But the medical establishment and civil aviation authorities refute their claims that aircraft toxins can damage the nervous system.
The Department for Transport says there is no conclusive proof that cabin air exposures cause ill health in commercial aircraft crews, whether in general or during 'fume' incidents.
Inside Out's Jacey Normand talks to solicitor Frank Cannon who is taking legal action on behalf of deceased pilot Richard Westgate who believed he was being poisoned by cabin air.

Inside Out is broadcast on Monday, 17 February at 19:30 GMT on BBC One North West and nationwide for seven days thereafter on the iPlayer.

Uplinker 23rd Feb 2014 10:23

MrDK, stop being such an anorak you idiot.

If "fumes" is good enough for the Oxford English Dictionary, (thanks cantiflas), then it's good enough for me. I think you will also find that chemists use FUME cabinets or cupboards in which to do their experiments, not 'vapour' cabinets.

Why not address the question instead of the semantics?

Dream Buster 19th Mar 2014 08:47

Accident: Condor B753 near Las Palmas on Mar 22nd 2013, odour on board causes 2 flight attendants to pass out

On Mar 18th 2014 the CIAIAC released an interim statement stating:

"In April 2013 the health of one of the flight attendants who had been onboard during the flight of 22 March 2013 worsened, requiring hospitalization. The symptoms presented were overall muscle fatigue, in particular proximal of the lower limbs, difficulty walking, sensory disorder, trouble concentrating and general fatigue. She was released from the hospital and continued treatment on an out-patient basis. The symptoms persisted and her health did not show improvement, even worsening at times to the point where she had to be hospitalized. As of the date of this interim report, she still has not been able to return to work. Although the tests performed on her have not been able to identify the cause of the symptoms afflicting her, the medical report from the hospital indicated poisoning caused by some type of neurotoxin."

= No evidence.

proteus6 19th Mar 2014 18:13

Cabin air
 
The CAA paper is worth a look
http://www.caa.co.uk/docs/33/CAPAP2004_04.PDF

Aluminium shuffler 19th Mar 2014 19:16

Well, that stinks to high heaven! The CAA report bangs on about whether or not certain compounds will"difinitely" cause the symptoms. Well, hanging by the neck and shooting the head doesn't definitely kill people either - there have been numerous survivors of each. Likewise being hit by lightning or drowning. They are hiding behind the difference between a definite outcome, which can never be guaranteed in any event, and likely outcomes.

It's a known fact that TCP produces organophosphates, and it's been well established in agriculture that organophospates are very damaging neurotoxins. WHy the authorities refuse to link the two and agree that aircrew and pax are being routinely poisoned and insist on saying there is no evidence, despite so many documented events, is entirely due to corruption. Perhaps the various authorities, manufacturers and airlines, all complicit in this, should be facing terrorism charges? Anyone else conducting wilful indiscriminate poisoning on this scale certainly would.

Dream Buster 19th Mar 2014 21:20

Two different views, but only one can be correct:

https://www.youtube.com/watch?v=lO7KpNNimt0

https://www.youtube.com/watch?v=Wmxm1OyBprg

proteus6 20th Mar 2014 17:04

Caa report
 
At least the CAA report is based on facts"
The conclusions from Phase 2 were that the ducts
were contaminated with a carbonaceous material containing chemicals entirely consistent with the pyrolysis products of aircraft engine oil."
How can they set safe limits when there is no data, you cannot say 0 ppm is a safe limit or you will never fly.

Aluminium shuffler 20th Mar 2014 19:13

The trouble with assessing only pyrolised ducts is that at those extreme temperatures, most of the harmful vapours are probably burnt away or inert - it's at typical bleed temperatures that the problem exists, and the report seems to have deliberately avoided that.

Dream Buster 13th Apr 2014 10:35

Tombstone Boeing Warning
 
We'll be looking for TOMBSTONES: A Boeing engineer's DEADLY warning about toxic cabin air | Health | News | Daily Express

cactusbusdrvr 13th Apr 2014 18:12

Most of the focus here seems to be on the issue of oil fume in the air conditioning and pressurization system. Which is understandable given the carcinogenic properties of turbine oil.

My worst experiences with fumes/vapor/smells have been after deicing. And it seems to have worsened in the last decade. I don't know if that is due to me being older but I suggest that it may be more due to the fact that we use a lot more type 4 fluid these days. It used to be that we were deiced and that was it. Now we have type 1 and type 4 fluid put on during the same process. I know I am very careful about having the packs off and the ditching switch on during deice but you have to turn the packs back on afterwards and that stuff does drip and spread and finds its way back into the A/C system.

I would like to see more attention given to the mix of fluids we are deiced with. All I can do now is run the packs on high and put on my mask if it gets too bad. It does go away after 30 minutes or so but I have received an airplane later in the day that had a deice smell and I knew it had been at least 7 hours since it had been deiced.

Dream Buster 24th Apr 2014 08:44

Flight International - Time to Clear the Air.
 
http://aerotoxic.org/wp-content/uplo...4-Articles.pdf

Pittsle 31st Jul 2014 08:35

Maybe it is really serious...

British Airways pilot Richard Westgate died from toxic fumes on planes, research suggests | News.com.au

The study:
http://www.welt.de/bin/case-study-130712813.pdf

blind pew 31st Jul 2014 09:54

Thanks for posting the report...frightening reading.

BOAC 31st Jul 2014 10:18

While the UK appears to be in a state of denial on this, Australia has been very active, possibly due to the number of 146's flying there and believed to have fumes problems. About time we woke up.

shortfinals 31st Jul 2014 10:28

The Westgate case study story has just gone up on Flightglobal: BA crew autopsies show organophosphate poisoning - 7/31/2014 - Flight Global

Professor Mohamed Abou-Donia, the guy who identified Gulf War Syndrome, has this to say about what he saw from Westgate's autopsy: “In all my specialised tests for neuro-specific auto-antibodies he was the worst by far,” he says. “The air transport industry constantly overlooks vital components of OP poisoning: the combined effects of multiple compound exposure – repeated low-dosage exposure is just as dangerous as a single large dose (often more so) – and the genetic predisposition to toxicity of the individual’s genes.”

Wake up guys. There are remedies for this problem. Use them.

DevX 31st Jul 2014 10:33

Interesting report, thanks for posting. I do know of at least one major engine manufacturer that takes this issue extremely seriously and is making positive steps to eliminate the possibility of cabin odour by carrying out a 'sniff test' on each engine prior to despatch to the customer.

Nemrytter 23rd Jun 2015 15:52


I remember an AME telling me that 'The jury was still out on aerotoxic...' - This was a DOCTOR!!!
And a bloody good one by the sound of it.

Flying Lawyer 23rd Jun 2015 16:12

Health Effects of Contaminants in Aircraft Cabin Air
Professor Michael Bagshaw MB BCh MRCS FFOM DAvMed DFFP FRAeS

Summary Report, Version 2.6
Latest version (October 2013)

Full paper here: https://www.airpilots.org/file/1277/...ort-oct-13.pdf



CONCLUSION

There has been an increase in reported incidents of in-flight smoke/fume events since 1999, with a small number of crew members reporting adverse health effects which they associate with the events.
The source of oil contamination of engine bleed air was identified in early versions of the BAe 146 and the Boeing 757 and suitable modifications were implemented. A range of chronic health effects continue to be reported by some crew members.

The toxic effects of organophosphates are specific and are due to impairment of neurotransmission in the peripheral nerves, giving rise to muscular weakness and paralysis. In terms of medical toxicology, it is impossible to explain the wide range of symptoms and signs reported by some crew members as a unified result of TCP exposure.
Symptoms reported by some crew members who have been exposed to fumes in the cabin, particularly when emergency oxygen masks are used, are the same as those seen in acute or chronic hyperventilation. Obviously not every case of ‘aerotoxic syndrome’ is caused by hyperventilation, but it offers a plausible explanation for some reported events.
In some cases, the symptoms may be due to irritation associated with enhanced chemical sensitivity to certain volatile organic compounds.

The reported symptoms are wide-ranging with insufficient consistency to justify the establishment of a medical syndrome. It has been noted that many of the acute symptoms are normal symptoms experienced by most people frequently; some 70% of the population experience one or more of them on any given day.

Individuals can vary in their response to potential toxic insult because of age, health status, previous exposure or genetic differences.
In addition, it can be difficult to disentangle the physical, psychological and emotional components of well-being, and there is no doubt that different people will respond in different ways on different occasions.
It is not understood why most occupants of pressurised aircraft do not report symptoms despite having the same exposure as those who do.

Finally, so far as scientific evidence has been able to establish to date, the amounts of organophosphates to which aircraft crew members could be exposed, even over multiple, long-term exposures, are insufficient to produce neurotoxicity.
Investigations of aircraft cabin air world-wide have failed to detect levels of TCP above well-established and validated occupational exposure limit values. The partial pressure in the alveolar gas mixture of any TCP contamination of the cabin air is so low that it is unlikely to cross the alveolar membrane.

Genetic or particular susceptibility to a particular adverse effect of certain chemicals on the part of an individual does not alter the need for there to have been a sufficient chemical exposure to cause the injury or damage. For the reasons set out above, the possible exposure levels to ToCP on aircraft are so low relative to what is required to create a toxic effect through inhalation that a toxic injury is simply not medically feasible with current understanding.

Aviation medical professionals throughout the world continue to monitor the scientific evidence and remain receptive to objective peer-reviewed evidence.

silverstrata 23rd Jun 2015 17:26

The dreaded 146
 
I too was on the 146, and have been retired early due neurological ill health. This is a problem, and I would hope some of the posters on these threads show a bit more concern. It could be you next....

silverstrata 23rd Jun 2015 18:02


Snuggles

When thinking of oil fumes from a chemical standpoint it is a valid question, really. "Oil" is a mix of several hydrocarbons, each with its own ignition point. Oil can evapourate, thus "oil vapour" (or, mostly "fuel vapour" in aviation world) and it can burn, thus "oil smoke" but it is hard to define "oil fume" chemically.

That, is a load of old men making shoes.

The word 'fume' was derived from the French fumer and the Latin fumare meaning 'smoke' or 'steam'. And if you did not know that, then how have you been decoding TAFs and METARs all these years? Ah, you probably weren't....

So a fume is basically visible particulates in the air. And if you have ever seen a 146 APU have a fume event, you would know that 'fume' is the correct appellation. A 146 with an overheating APU is a bit like doing evacuation drills with a smoke generator.

However - I always thought that the 146's blue cabin smoke was coming form the overheating packs, not the APU itself. The fume events only happened in the morning when the pack went banzai and could not control its temperature, and had nothing to do with the APU itself. The engines could have the same effect, if you had not warmed everything up with the APU.

And talking of fume events and ill health - what sort of oil were they putting in those smoke generators, when we did smoke training?

plhought 26th Jun 2015 03:08


And talking of fume events and ill health - what sort of oil were they putting in those smoke generators, when we did smoke training?
It's a vegetable based oil. Basically margarine. Had to buy some for the company x-mas party ;)

Pacific Blue 29th Jun 2015 08:48

Boeing sued by flight attendants over toxic fumes that leaked into the cabin | Daily Mail Online

olandese_volante 3rd Jul 2015 00:00



And talking of fume events and ill health - what sort of oil were they putting in those smoke generators, when we did smoke training?
It's a vegetable based oil. Basically margarine.
Apparently for smoke training they use the same type of smoke generators as those used in entertainment venues and stage effects.
These use a mixture of water and glycol or glycerine, colloquially referred to as smoke juice. The smoke they produce has a characteristic sweet smell.

Glycol is somewhat toxic and slightly irritating, but you'd have to inhale a relatively large quantity of the stuff to suffer any serious ill effects.

Incidentally, glycol also occurs in some cabin fume events. De-icing fluid contains a significant amount of glycol, and it is not uncommon for some de-icing fluid to be ingested by the engines and consequently the glycol vapours finding their way via bleed air and air conditioning packs into the cabin.

Smoke machines using mineral oil based fluids are said to exist, but I never encountered one in my thirty year stage career, and I'd stay well clear if I did. Bleah.

ShotOne 3rd Jul 2015 17:54

"I'd stay well clear"...If only flight crew confronted with a fume event had that option

Pacific Blue 3rd Jul 2015 18:53

Death of BA worker blamed on cabin fumes | The Sunday Times

deptrai 3rd Jul 2015 20:24

for those who don't have a subscription to read the article linked in the previous post in full, look here

Pacific Blue 13th Jul 2015 20:07

http://www.aeroinside.com/item/6020/british-airways-b772-near-london-on-jul-12th-2015-fumes-in-cockpit-rnl

aox 6th Apr 2017 17:31

The inquest of Richard Westgate has opened in Salisbury.

(BBC South Today TV)

Gibair 6th Apr 2017 18:02

Just saw a clip on the news saying his death was not related to cabin fumes.

http://www.itv.com/news/2017-04-06/t...coroner-rules/

DaveReidUK 6th Apr 2017 19:06

The linked clip doesn't say that at all.

Afterglow 6th Apr 2017 21:24

Angry
 
Judge for yourselves - I think all the comment that is required is this extract of the summary from the scientific paper on Richards autopsy written by amongst others a world expert in neuro-toxology:


We report here the case of a 43-year old airline pilot who presented with neurological deficits and other symptoms. The pilot died without regaining good health. In vivo blood had been collected ante mortem. Analysis of the serum confirmed grossly elevated levels of serum autoantibody biomarkers for neuronal cell degeneration compared with a control group. At autopsy, various tissues underwent histopathological assessment. Brain and spinal tissues exhibited axonal degeneration and demyelination. Peripheral nerves showed T-lymphocyte infiltration and demyelination. T-lymphocytes had infiltrated the heart muscle tissue. The post-mortem tests and pathological examination of the nervous system confirmed the autoantibody biomarker results. Differential diagnosis showed that the work environment, clinical condition, histopathology and serum biomarkers for nervous system injury are consistent with organophosphate-induced neurotoxicity. The results also indicated that the inferred exposure to organophosphates sensitized the nervous system and heart tissue towards further injury.

Nemrytter 7th Apr 2017 08:01

Got a link to the actual paper?

Afterglow 7th Apr 2017 09:35

Yes of course:

Autoantibody markers of neural degeneration are associated with post-mortem
histopathological alterations of a neurologically injured pilot

pulse1 7th Apr 2017 10:14

This local news would appear to be relevant:

Inquest into death of BA pilot will not consider aerotoxic syndrome (From Bournemouth Echo)

plhought 7th Apr 2017 12:24


Originally Posted by silverstrata (Post 9021989)
However - I always thought that the 146's blue cabin smoke was coming form the overheating packs, not the APU itself.

The 146/RJ packs use air bearings - no oil in them...

Chris2303 7th Apr 2017 15:27


Originally Posted by pulse1 (Post 9732192)

I was under the impression that an inquest was required to consider ALL factors into a death.

sidtheesexist 7th Apr 2017 19:44

I think I might be displaying the symptoms..........could have sworn I saw a post on this thread about somebody having a quiet word with the Coroner.....
Has that post been voluntarily removed or God forbid, have we got censorship on these forums?
For the record, my personal opinion on this contentious subject:
I think the vast majority of modernish jet engines have been leaking small amounts of oil ( organophosphate) into cabin air for many years. Therefore, all persons on board airliners have been exposed to same. I would think that a very small percentage of persons are highly sensitive to OP and suffer terribly from exposure to same.

I suspect that all the vested interests ( and there are many) realise the potential costs of liability and are very happy to see the theory of AeroToxic Syndrome rubbished and discredited at every opportunity.

lomapaseo 7th Apr 2017 20:03

Excellent summary in your first paragraph. To the point and positive assessment

However your concluding paragraph, provides nothing more than your single vote of your opinion and serves nil towards any solution beyond status quo.

It is that part of your message that gets rubbished

DaveReidUK 7th Apr 2017 21:11


Originally Posted by Chris2303 (Post 9732519)
I was under the impression that an inquest was required to consider ALL factors into a death.

In a case like this, the Coroner is largely dependent on the findings of a post-mortem.

Unless the PM specifically attributes the death to Aerotoxic Syndrome, that possibility will be given no more weight than a multitude of other possible factors.

Nemrytter 8th Apr 2017 07:07

Great, thanks.:ok:


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