Air Force Flying Physical
Medical Examination Standards
Blood, Blood-Forming Tissue, and Immune System Diseases. Flying Classes I, IA, II and III:
Hematocrit values outside the range of 38 to 50 percent for men and 36 to 47 percent for women should be evaluated. The lowest permissible hematocrit for certification is 32 percent. Decreasing hematocrit values, even within the range of normal, may be an indication for work-up. Loss of 200 cc or more of blood is disqualifying for at least 72 hours. Platelet phoresis is disqualify ing for 72 hours.
Anemia of any etiology.
Polycythemia. Waiver is not favorably considered if the hematocrit is above 55 percent.
Hemoglobinopathies and thalassemias.
Homozygous hemoglobin abnormalities.
Sickle cell disease or heterozygous sickling disorders other than sickle cell trait.
Sickle cell trait if the individual has a history of symptoms associated with a sickling disorder or symptomology attributable to intravascular sickling during decompression in an alti tude chamber. Review and certification by proper authority (see Attachment 9) is required for all aircrew members with sickle cell trait after evaluation as outlined in paragraph 16.7..
Hemorrhagic states and thromboembolic disease:
Coagulopathies.
Thromboembolic disease, except for acute, non-recurrent conditions.
Thrombocytopenia or thrombocytosis. Platelet counts less than l00,000/mm3 or greater than 400,000 mm3 should be evaluated. Thrombocytosis greater than 750,O0O/mm3 is not walverable.
Platelet dysfiinctions.
Leukopenia (granulocytopenia). White blood cell counts should fall within the range of 3,500 to 12,000 cells/mm3--counts in the range of 750 to 3500 cells/mm3 should be fully evaluated. Granulocyte counts of less than 750 cells/mm3 are not waiverable.
All leukernias and other myeloproliferative disorders.
All lymphomas including mycosis fungoides and Sezary syndrome.
Plasma cell dyscrasias.
Multiple myeloma.
Macroglobulinemia.
Immunodeficiency syndromes, primary or acquired. Confirmed presence of Human Immunodeficiency Virus (HIV) or antibody. AFMOA/SGOA retains waiver authority for all flying classes.
Generalized lymphadenopathy or splenomegaly until the cause is corrected.
Information derived from Air Force Instruction 48-23, Current as of Dec 2000.
