GCAQE
 


HEALTH INFORMATION

Health effects from exposure to contaminated air may vary from short term effects to long lasting chronic effects.

Doctors can refer to the Health Care Providers Guide below and may rely on traditional diagnoses such as Reactive Airways Disease, migraine headaches, or toxic encephalopathy. Alternatively, doctors may simply list symptoms such as deficits in attention, memory, and information processing, or difficulties with balance, for example. Finally some doctors may diagnose a crewmember with "inhalation injury" or "neurological injury from chemical exposure at work."

Some have proposed the term "Aerotoxic Syndrome" to describe the symptoms that affected crewmembers and passengers report after exposure, although this is not yet a universally accepted term. 

WHAT CAN BE DONE IF YOU SUSPECT EXPOSURE TO CONTAMINATED AIR AND ADVERSE EFFECTS OR  YOU ARE CONCERNED ABOUT...

1. HEALTH CARE PROVIDERS GUIDE:
Obtain a copy of the FAA funded Health Care providers Guide, by clicking the following links, both quick-reference Health Care Providers' Guide and Full version.

Ensure you take these to all medical appointments.

2. TCP BLOOD TEST - BLOOD STORED LOCALLY:
As the University of Washington is not accepting further blood samples you may choose to get your blood stored locally in your country until the test is fully developed.

Complete instructions on how to do this are posted here

April 2015 - To donate funding to the University of Washington research please contact the GCAQE.

3. NEUROTOXICITY BLOOD TEST:
Duke University Blood test for markers of damage to the central nervous system/brain - not specific to TCP. Blood is shipped to USA. There is a fee attached to this test. Further details click here.

4. RESPIRATORY TESTS:
A range of suggested respiratory tests can be found in the following published paper here.

5. NEUROPHYSIOLOGICAL ASSESSMENTS OF AUTONOMIC FUNCTION:
Information can be seen here.

6. NEUROPSYCHOLOGICAL TESTS:
The following published papers provide an indepth review of aircrew neuropsychological assessments:

Dr. Mackenzie Ross et al. - Cognitive function following reported exposure to contaminated air on commercial aircraft: methodological considerations for future researchers - 2011,

Dr. S. Mackenzie Ross - Cognitive function following exposure to contaminated air on commercial aircraft: A case series of 27 pilots seen for clinical purposes - 2008,

Dr. L. Coxon - Neuropsychological assessment of a group of BAe 146 aircraft crew members exposed to jet engine oil emissions - 2002,

7. OCCUPATIONAL PHYSICIAN ASSESSMENT:
It is recommended you consult with an occupational physician after an exposure. For further information please review the paper:

Dr. Andrew Harper - A survey of health effects inaircrew exposed to airborne contaminants - 2005 (courtesy of J Occup Health Safety - Aust NZ)

8. DOCUMENTATION:
Keep a calendar with a record of any symptoms, sick days, medical visits, or other important information including the aircraft registration, flight number, date and time, and keep records of documentation.

9. OTHER DATA:
Also bring your doctor a copy of the Safety Data Sheet for the product you were likely exposed to, the incident report that you filed with your airline, and your symptom calendar.

A review of the following published papers amy also be of interest:

Prof Abou-Donia - Autoantibody markers of neural degeneration are associated with post-mortem histopathological alterations of a neurologically-injured pilot - 2014

Vanessa Hausherr - Impairment Of Glutamate Signaling In Mouse Central Nervous System Neurons In Vitro By Tri-O-Cresyl Phosphate (TOCP) At Non-Cytotoxic Concentrations - 2014

Prof Abou-Donia - Autoantibodies to Nervous System-Specific Proteins Are Elevated in Sera of Flight Crew Members: Biomarkers for Nervous System Injury - 2013

Baker P., Cole T et al. - Identifying safer anti-wear triaryl phosphate additives for jet engine lubricants - 2012

Dr. S. Michaelis - Contaminated aircraft cabin air - 2011

J.Anderson (Murawski) - Case Study: Analysis of Reported Contaminated Air Events at One Major U.S. Airline in 2009-10 - 2011

Prof Abou-Donia - Organophosphorus ester-induced chronic neurotoxicity - 2005 (courtesy of J Occup Health Safety - Aust NZ)

Prof. C.Winder et al. - Aerotoxic syndrome: a descriptive epidemiological survey of aircrew exposed to incabin airborne contaminants - 2002 (courtesy of J Occup Health Safety - Aust NZ)

Additional data on health issues related to contaminated air exposure can be found at:

http://ashsd.afacwa.org/index.cfm?zone=/unionactive/view_article.cfm&HomeID=1396

http://www.aerotoxic.org

http://www.susanmichaelis.com


 

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