(a)
Is it believed necessary to carry opiates or drugs containing opiates and their respective derivatives in the .rst-aid kits of aircraft for use in case of emer-gency or in the kits carried by airlines for the relief of passengers suffering from certain diseases?
(b)
Do the regulations in a country prohibit the carriage of drugs containing opiates or their derivatives in limited quantities in .rst-aid kits on board aircraft on international .ights? If so, under what safeguards would you allow such drugs to be carried?
(c)
Do the regulations of that country prohibit a quali.ed crew member from administering subcutaneous or intravenous injections in case of emergency on international .ights?
Substantive replies were received from 28 Contracting States, Belgian Congo and Netherlands Antilles. In addition three States (Burma, Guatemala, Mexico) acknowledged receipt or had no comment to offer on the State Letter. Comments were also received from the United Nations European Of.ce, Division on Narcotic Drugs, IFALPA, the Aero Medical Association and the ATA (through the United States government).
I. Basic Principles of Aeronautics on International Narcotic Control
The Commission noted in 1957 that any use or carriage of narcotics was subject to control under international laws on narcotic drugs. The ECOSOC Division of Narcotic Drugs, referring to the ICAO State Letter, had indicated that any discus-sions ICAO has on the subject or any decisions or regulations they adopt would be of great importance for the work of its Commission on Narcotic Drugs in connec-tion with their preparation of a new Single Convention intended to codify all international treaties relating to narcotic drugs.
The Commission also noted that the international regulations on narcotic drugs consist of a complex system of several Conventions under the supervision of ECOSOC and its Committee on Narcotic Drugs. They were directed at establishing international control of all drugs causing addiction and the application of certain
503See C-WP/2372, 7/3/57 at p. 1.
principles as regards the manufacture, prescription, sale and traf.c of narcotic drugs. These had generally been introduced into national regulations to prevent any abuse and illicit traf.c. Here was nevertheless some lack of uniformity in the detailed application as not all States are parties to all Conventions. It was believed that the codi.cation of all existing treaties into a single Convention, planned by ECOSOC, in the near future, would promote uniformity. In principle, there was no intent in the international regulations to restrict the legitimate use of opiates or narcotic drugs for medical purposes and in case of emergencies. A number of States had adopted speci.c legal provisions for the carriage of such drugs in aircraft .rst-aid kits. Other States believed that effective control of their contents was dif.cult so as to prevent any possibility of abuse.
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