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the existing situation to the desired one - training, and improvement of preparedness plans, rather than
for audit purposes) of international airports against the ICAO SARPs, IHR (2005) and relevant
guidance material. In 2010, CAPSCA is active in three regions of the world (Asia Pacific, Africa and
the Americas); it is hoped to extend the project globally in future years. One of the main aims of the
project is to foster development of communication links and collaborative partnerships between the
public health and aviation sectors. Such an approach is considered essential to effective preparedness
planning in the aviation sector.
CONCLUSION
Although Article 14 of the Convention on International Civil Aviation places an onus on States to
take effective measures to prevent the spread of communicable disease by air navigation, little work
related to this Article was undertaken by ICAO until 2003 – up to this time the work programme of
the Aviation Medicine Section concentrated on the medical issues relating to the fitness of licence
applicants. However, since the appearance of SARS, much effort has been devoted to issues related to
the dissemination of communicable disease by air travel. Medical officers in the field of aviation
medicine can work with public health experts to help them understand the unique features of the
aviation environment and thereby significantly contribute to improved management of any future
outbreak of communicable disease, to the benefit of the global population.
REFERENCES
1 Convention on International Civil Aviation, International Civil Aviation Organization,
Montreal, Canada: http://www.icao.int/icao/en/m_about.html
2 International Health Regulations (2005), World Health Organization, Geneva, Switzerland:
http://www.who.int/ihr/en/
3 Case management of Influenza A (H1N1) in air transport, World Health Organization,
Geneva, Switzerland, 2009:
http://www.who.int/csr/resources/publications/swineflu/air_transport/en/index.html
ICAO Preliminary Unedited Version — March 2010 III-18-8
4 Guide to hygiene and sanitation in aviation, third edition, advance copy. World Health
Organization, Geneva, Switzerland, 2009:
http://www.who.int/water_sanitation_health/hygiene/ships/en/
5 Cumulative number of reported probable cases of severe acute respiratory syndrome (SARS).
World Health Organization, Geneva, Switzerland, 2004:
http://www.who.int/csr/sars/country/en/index.html
6 Communicable diseases/severe acute respiratory syndrome (SARS). International Civil
Aviation Organization, Montreal, Canada:
http://www.icao.int/icao/en/med/AvInfluenza_guidelines.pdf
7 Guidelines for States concerning the management of communicable disease posing a serious
public health risk. International Civil Aviation Organization, Montreal, Canada:
http://www.icao.int/icao/en/med/AvInfluenza_guidelines.pdf
8 Airport preparedness guidelines for outbreaks of communicable disease. Airports Council
International:
http://www.airports.org/aci/aci/file/ACI_Priorities/Health/Airport%20preparedness%20guidel
ines.pdf
9 Air transport and communicable diseases, International Air Transport Association:
http://www.iata.org/whatwedo/safety_security/safety/health_safety/aviation_communicable_d
iseases.htm
10 Annex 6 – Operation of Aircraft, Eighth edition, July 2001, International Civil Aviation
Organization, Montreal, Canada
11 Annex 11 – Air Traffic Services, Thirteenth edition, July 2001, International Civil Aviation
Organization, Montreal, Canada
12 Annex 14 – Aerodromes, Fifth edition, July 2009, International Civil Aviation Organization,
Montreal, Canada
13 Annex 9 – Facilitation, Twelfth edition, July 2005, International Civil Aviation Organization,
Montreal, Canada
14 Procedures for Air Navigation Services — Air Traffic Management (PANS-ATM, Doc 4444),
Fifteenth edition, 2007, International Civil Aviation Organization, Montreal, Canada
15 United Nations Development Programme, Central Fund for Influenza Action:
http://www.undp.org/mdtf/influenza/overview.shtml
— — — — — — — —
ICAO Preliminary Unedited Version — March 2010 III-18-9
APPENDIX
EXTRACT FROM THE
PROCEDURES FOR AIR NAVIGATION SERVICES — AIR TRAFFIC MANAGEMENT
(PANS-ATM, DOC 4444)
Chapter 16
MISCELLANEOUS PROCEDURES
. . .
16.6 NOTIFICATION OF SUSPECTED COMMUNICABLE DISEASES,
OR OTHER PUBLIC HEALTH RISK, ON BOARD AN AIRCRAFT
16.6.1 The flight crew of an en-route aircraft shall, upon identifying a suspected case(s) of
communicable disease, or other public health risk, on board the aircraft, promptly notify the ATS unit
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