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procedures on the kidneys or the genito-urinary tract, in
particular obstructions due to stricture or compression, shall be
assessed as unfit unless the applicant’s condition has been
investigated and evaluated in accordance with best medical
practice and is assessed not likely to interfere with the safe
exercise of the applicant’s licence or rating privileges.
6.3.2.19.1 Applicants who have undergone nephrectomy
shall be assessed as unfit unless the condition is well
compensated.
6.3.2.20 Applicants with acquired immunodeficiency
syndrome (AIDS) shall be assessed as unfit.
6.3.2.20.1 Applicants who are seropositive for human
immunodeficiency virus (HIV) shall be assessed as unfit unless
full investigation provides no evidence of clinical disease.
Note 1.— Evaluation of applicants who are seropositive for
human immunodeficiency virus (HIV) requires particular attention
to their mental state, including the psychological effects of
the diagnosis.
Note 2.— Guidance on the assessment of applicants who are
seropositive for human immunodeficiency virus (HIV) is contained
in the Manual of Civil Aviation Medicine (Doc 8984).
6.3.2.21 Applicants with gynaecological disorders that
are likely to interfere with the safe exercise of their licence and
rating privileges shall be assessed as unfit.
6.3.2.22 Applicants who are pregnant shall be assessed as
unfit unless obstetrical evaluation and continued medical supervision
indicate a low-risk uncomplicated pregnancy.
6.3.2.22.1 Recommendation.— For applicants with a
low-risk uncomplicated pregnancy, evaluated and supervised in
accordance with 6.3.2.22, the fit assessment should be limited
to the period from the end of the 12th week until the end of the
26th week of gestation.
6.3.2.23 Following confinement or termination of pregnancy,
the applicant shall not be permitted to exercise the
privileges of her licence until she has undergone re-evaluation
in accordance with best medical practice and it has been
determined that she is able to safely exercise the privileges of
her licence and ratings.
6.3.2.24 The applicant shall not possess any abnormality
of the bones, joints, muscles, tendons or related structures
which is likely to interfere with the safe exercise of the applicant’s
licence and rating privileges.
Note.— Any sequelae after lesions affecting the bones,
joints, muscles or tendons, and certain anatomical defects will
normally require functional assessment to determine fitness.
6.3.2.25 The applicant shall not possess any abnormality
or disease of the ear or related structures which is likely to
interfere with the safe exercise of the applicant’s licence and
rating privileges.
6.3.2.26 There shall be:
a) no disturbance of vestibular function;
b) no significant dysfunction of the Eustachian tubes; and
c) no unhealed perforation of the tympanic membranes.
6.3.2.26.1 A single dry perforation of the tympanic membrane
need not render the applicant unfit.
Note.— Guidance on testing of the vestibular function is
contained in Manual of Civil Aviation Medicine (Doc 8984).
6.3.2.27 There shall be:
a) no nasal obstruction; and
b) no malformation nor any disease of the buccal cavity or
upper respiratory tract
which is likely to interfere with the safe exercise of the applicant’s
licence and rating privileges.
Annex 1 — Personnel Licensing Chapter 6
23/11/06 6-6
6.3.2.28 Applicants with stuttering or other speech defects
sufficiently severe to cause impairment of speech communication
shall be assessed as unfit.
6.3.3 Visual requirements
The medical examination shall be based on the following
requirements.
6.3.3.1 The function of the eyes and their adnexa shall be
normal. There shall be no active pathological condition, acute
or chronic, nor any sequelae of surgery or trauma of the eyes
or their adnexa likely to reduce proper visual function to an
extent that would interfere with the safe exercise of the
applicant’s licence and rating privileges.
6.3.3.2 Distant visual acuity with or without correction
shall be 6/9 or better in each eye separately, and binocular
visual acuity shall be 6/6 or better. No limits apply to
uncorrected visual acuity. Where this standard of visual acuity
can be obtained only with correcting lenses, the applicant may
be assessed as fit provided that:
a) such correcting lenses are worn during the exercise of
the privileges of the licence or rating applied for or held;
and
b) in addition, a pair of suitable correcting spectacles is kept
　
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