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Air Force Flying Physical

Medical Examination Standards

Systemic and Miscellaneous Causes for Rejection.

Flying Classes II and 111.

1. Recurrent decompression sickness (DCS). A single episode of DCS does not require waiver. All episodes of DCS require a minimum of 72 hours DNIF. Consultation with USAF SAMIAFIC (Hyperbaric Medicine) and concurrence of MAJCOMISG is required before RTFS. In cases of DCS with neurological manifestations, a normal examination by a neurologist is required before RTFS.

2. Malignancies. History or presence of malignant tumor, cyst or cancer of any sort. Basal cell carcinomas and carcinoma-in-situ of the cervix which have been adequately excised (as evidenced by pathology report, or basal cell carcinoma which have been treated by electrodessica tion and curretage by a dermatologist credentialed to perform this procedure), are exempted from tumor board action but are reported to tumor registry and are not disqualifying. Childhood malig nancy considered cured may be considered for waiver on a case-by-case basis.

3. Benign tumors which interfere with function or the wear of equipment and tumors which are likely to enlarge or be subjected to trauma during military service or show malignant potential.

4. Following bleomyocin chemotherapy, AFMOA/SGOA may consider granting a FCJJC waiver with the following restrictions:

"No assignment to aircraft requiring routine use of oxygen equipment. Waiver from altitude chamber exposure. Ground training without supplemental oxygen is accept able." These restrictions must be annotated in the remarks section of the AF Form 1042.

5. Bone marrow donation, aircrew may be returned to flying duty after 24 hrs after the procedure upon clearance of the attending flight surgeon.

6. Airsickness in flying personnel is not cause for medical disqualification unless there is medical evidence of organic or psychiatric pathology. If airsickness is of such chronicity or sever ity as to interfere with the performance of flying duties by a rated officer, his or her potential for further use in rated duties are addressed by a Flying Evaluation Board. Copies of these cases are sent through medical channels to AFMOA/SGOA for review before convening a board. Airsick ness experienced by nonrated personnel (other than UPT or UNT students) while enrolled in fly ing courses is medically disqualifying if it is of such severity or chronicity as to interfere with the performance of flying duties. Final determination of medical qualification in these cases are made by the MAJCOM/SG.

7. Any allergic condition which requires desensitization therapy.

8. Eosinophilic granuloma.

9. Gaucher's disease.

10. Schuller-Christian disease.

11. Letterer-Siwe's disease.

12. Chronic metallic poisoning.

13. Residual of cold injury, such as deep-seated ache, paresthesia, hyperhidrosis, easily traumatized skin, cyanosis, ankylosis, amputation of any digit, or cold urticana.

14. Heat pyrexia (heat stroke or heat exhaustion) if a reliable history indicates an abnor mally lowered heat tolerance threshold.

15. History of malignant hyperthermia.

16. Syphilis, congenital or acquired. A history of primary or secondary syphilis is not disqualifying provided:

The examinee has no symptoms of disease.

There are no signs of active disease and no residual thereof.

Serologic VDRL testing rules out reinfection.

There is a verified history of adequate treatment.

There is no evidence or history of CNS involvement.

17. Parasitic infestation, all types until adequately treated.

18. History of sensitivity or a demonstrated sensitivity of sufficient severity to require permanent exemption from any immunization required by appropriate directives.

19. History of food-induced anaphylaxis.

20. Other congenital or acquired abnormalities, defects or diseases which preclude satis factory performance of flying duty.

21. Miscellaneous conditions such as porphyria, hemochromatosis, amyloidosis.

22. Inflammatory idiopathic diseases of connective tissue.
23. Lupus erythematosus (acute, subacute, or chronic).

24. Active tuberculosis in any form or location, or substantiated history of active tuber culosis within the previous 2 years.
25. Sarcoidosis.

26. History of malignancy.

Flying Classes I and IA. In addition to the above:

1. Motion sickness experienced in aircraft, automobiles, or water craft after the age of 12 with any significant frequency. Any history of motion sickness is completely explored.

Information derived from Air Force Instruction 48-23, Current as of Dec 2000.

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