Page 388 - UK AirCrew Regulations (Consolidated) March 2022

Part MED - ANNEX IV - Medical

(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.
(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.
(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.
MED.B.040 AMC2 Infectious diseases
(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.
(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.
MED.B.045 Obstetrics and Gynaecology
(a) Applicants who have undergone a major gynaecological operation shall be assessed as
unfit. However, they may be assessed as fit after full recovery.
(b) Pregnancy
(1) In the event of pregnancy, an applicant may continue to exercise her privileges until
the end of the 26th week of gestation only if the AeMC or AME considers that she is
fit to do so.
(2) For holders of a class 1 medical certificate who are pregnant, an OML shall apply.
Notwithstanding point MED.B.001, in that case, the OML may be imposed and
removed by the AeMC or AME.
(3) An applicant may resume exercising her privileges after recovery following the end
of the pregnancy.
MED.B.045 AMC1 Obstetrics and gynaecology
(a) Gynaecological surgery
Applicants who have undergone a major gynaecological operation should be assessed as
unfit. A fit assessment may be considered if recovery is complete, the applicant is
asymptomatic, and the risk of secondary complication or recurrence is minimal.
(b) Pregnancy
(1) A pregnant licence holder may be assessed as fit with an OML during the first 26
weeks of gestation, following review of the obstetric evaluation by the AeMC or AME
who should inform the medical medical assessor of the licensing authority.
(2) The AeMC or AME should provide written advice to the applicant and the
supervising physician regarding potentially significant complications of pregnancy.
MED.B.045 AMC2 Obstetrics and gynaecology
(a) Gynaecological surgery
Applicants who have undergone a major gynaecological operation should be assessed as
unfit until recovery is complete, the applicant is asymptomatic, and the risk of secondary
complication or recurrence is minimal.
(b) Pregnancy
(1) A pregnant licence holder may be assessed as fit during the first 26 weeks of
gestation following satisfactory obstetric evaluation.
(2) Licence privileges may be resumed upon satisfactory confirmation of full recovery
following confinement or termination of pregnancy.
MED.B.050 Musculoskeletal System
(a) Applicants who do not have sufficient sitting height, arm and leg length and muscular
strength for the safe exercise of the privileges of the licence shall be assessed as unfit.
However, where their sitting height, arm and leg length and muscular strength is sufficient
for the safe exercise of the privileges in respect of a certain aircraft type, which can be
demonstrated where necessary through a medical flight or a simulator flight test, the
applicant may be assessed as fit and their privileges shall be limited accordingly.
(b) Applicants who do not have satisfactory functional use of the musculoskeletal system to
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