ICAO sets Standards and Recommended Practices (SARPs) for international civil aviation in accordance with the consensus views of its 191 Contracting States in order to achieve an acceptable level of flight safety. The SARPs concerning medical provisions on medical fitness requirements of licence holders are contained in Annex 1 to the Convention on International Civil Aviation. Signatory States to the Convention are required to adjust their national rules and regulations to comply with ICAO Standards unless they file a "difference" with ICAO. If a State chooses not to apply ICAO Standards and instead imposes a lower national standard, another State may, if it wishes, prevent an aircraft operating to such reduced requirements from entering its own airspace. A State, however, may set higher (stricter) national standards than those of ICAO without any penalty.
The principal responsibilities of the Aviation Medicine Section are:
• Ensuring the medical provisions in Annex 1 remain up-to-date;
• Providing guidance to medical examiners and medical assessors concerning the interpretation and implementation of medical provisions. Written guidance is available free of charge in the Manual of Civil Aviation Medicine (Doc 8984);
• Editorial responsibility for the Manual on Prevention of Problematic Use of Substances in the Aviation Workplace (Doc 9654) and the Manual on Laser Emitters and Flight Safety (Doc 9815), which are available for purchase from the ICAO Online Store;
• Development of appropriate SARPs and guidance material to facilitate and harmonize preparedness planning for public health events that impact aviation such as serious communicable diseases, radionuclear and chemical accidents;
• Management of the programme “Collaborative Arrangement for the Prevention and Management of public health events in Civil Aviation” (CAPSCA);
• Provision of guidance to licensing authorities in Contracting States on medical provisions;
• Conducting and participating in regional seminars on aviation medicine and preparedness planning, conducting ICAO educational sessions at international aviation medicine scientific meetings, and presenting papers at such meetings.
For further information you may contact:
Dr. Anthony Evans
Chief, Aviation Medicine Section