DISEASE/DEATH
REPORTING For international flights arriving in the U.S., the Code of Federal Regulations [42 CFR 71.21(b)] requires pilots to report any illness or death among travelers, passengers, or crew to the CDC before arrival. Early reporting ensures a prompt ground response, which maximizes timely care, reduces the risk for spreading disease and minimizes travel disruption.
Should a death occur onboard, not only will you need to care for the deceased, but you will need to be aware of the emotions of other passengers. Comforting family and travel partners will be a major concern. Information given to your PIC includes the deceased’s name, approximate age, city of departure and countries visited this trip and condition that brought the passenger to your attention.
REQUIRED REPORTING
Because they may indicate a serious contagious illness, in addition to any onboard deaths, regulations REQUIRE a pilot report to CDC any of the following signs and symptoms:
• Fever that is reported to have lasted more than 48 hours.
• Fever of any duration accompanied by any one of the following:
• rash • jaundice • swelling of the lymph glands • persistent diarrhea
REQUESTED REPORTING
Other symptoms may also indicate a contagious illness that could pose a public health threat. Therefore, CDC REQUESTS the pilot also report any illness with the following conditions:
• Fever of any duration, in addition to any one of the following:
• difficulty breathing • headache with stiff neck • unexplained bleeding
The Basics 22
AIRCRAFT HYGIENE &
DISINFECTION There are no known reports of illness associated with drinking contaminated water from an aircraft. Nevertheless, the potential for serious illness exists, particularly for those with compromised health (e.g., individuals with chronic illness). An insufficient or non-existent quantity of potable water under pressure onboard the aircraft for drinking, culinary purposes and personal hygiene can have an impact on the health and welfare of not only the passengers but also the crew.
Aircraft disinfection procedures prevent the spread of disease and contain infection or contamination at the source. Routine cleaning of contaminated surfaces with detergent and water to remove soil and organic matter, followed by the proper use of disinfectants constitutes effective management of potential pathogens. A spill cleanup kit or biohazard kit may be necessary prior to cleaning if blood or other potentially infectious body fluids are involved. Reducing the number of infectious agents on surfaces minimizes the chances of transmitting germs onboard your aircraft.
Only disinfectants and detergents that are nationally approved for use on aircraft and have been approved by the original aircraft manufacturer should be used.
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