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undergone a major surgical operation on the biliary passages
or the digestive tract or its adnexa with a total or partial
excision or a diversion of any of these organs should be
assessed as unfit until such time as the medical assessor,
having access to the details of the operation concerned,
considers that the effects of the operation are not likely to
cause incapacitation in flight.
6.4.2.15 Applicants with metabolic, nutritional or endocrine
disorders that are likely to interfere with the safe exercise
of their licence and rating privileges shall be assessed as unfit.
6.4.2.16 Applicants with insulin-treated diabetes mellitus
shall be assessed as unfit.
6.4.2.16.1 Applicants with non-insulin-treated diabetes
mellitus shall be assessed as unfit unless the condition is
shown to be satisfactorily controlled by diet alone or by diet
combined with oral anti-diabetic medication, the use of which
is compatible with the safe exercise of the applicant’s licence
and rating privileges.
Note.— Guidance on assessment of diabetic applicants is
contained in the Manual of Civil Aviation Medicine (Doc 8984).
6.4.2.17 Applicants with diseases of the blood and/or the
lymphatic system shall be assessed as unfit unless adequately
investigated and their condition found unlikely to interfere
with the safe exercise of their licence and rating privileges.
Note.— Sickle cell trait and other haemoglobinopathic
traits are usually compatible with fit assessment.
6.4.2.18 Applicants with renal or genito-urinary disease
shall be assessed as unfit unless adequately investigated and
their condition found unlikely to interfere with the safe exercise
of their licence and rating privileges.
6.4.2.18.1 Urine examination shall form part of the
medical examination and abnormalities shall be adequately
investigated.
Note.— Guidance on urine examination and evaluation of
abnormalities is contained in the Manual of Civil Aviation
Medicine (Doc 8984).
6.4.2.19 Applicants with sequelae of disease of, or surgical
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.
6.4.2.19.1 Applicants who have undergone nephrectomy
shall be assessed as unfit unless the condition is well
compensated.
6.4.2.20 Applicants with acquired immunodeficiency
syndrome (AIDS) shall be assessed as unfit.
6.4.2.20.1 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).
6.4.2.21 Applicants with gynaecological disorders that are
likely to interfere with the safe exercise of their licence and
rating privileges shall be assessed as unfit.
6.4.2.22 Applicants who are pregnant shall be assessed as
unfit unless obstetrical evaluation and continued medical supervision
indicate a low-risk uncomplicated pregnancy.
6.4.2.22.1 Recommendation.— For applicants with a
low-risk uncomplicated pregnancy, evaluated and supervised in
accordance with 6.4.2.22, 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.
6.4.2.23 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.
6.4.2.24 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.
Annex 1 — Personnel Licensing Chapter 6
　
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