Beruflich Dokumente
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FOR
AIR TRAVELLERS
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CONTENTS
1. CABIN ENVIRONMENT………………………………… 1
5. MOTION SICKNESS……………………………………..6
! ! !
HEALTH TIPS FOR AIR TRAVELLERS
1. Cabin Environment
As the aircraft ascends, air escapes from the middle ear and the
sinuses, usually without causing problems.
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As the aircraft descends, air must be allowed to flow back into the
middle ear and sinuses in order to equalise pressure differences
("clearing the ears"). This is sometimes difficult, but discomfort
can be alleviated by swallowing, chewing or yawning; if the
problem persists, forceful expiration against a closed nose and
mouth will usually help.
People with ear, nose and sinus infections should avoid flying
because injury may result from inability to equalise pressure
differences. If problems arise during flight, detumescent nasal
drops may sometimes be helpful.
(d) Humidity
(e) Dehydration
Most venous thrombi do not cause any symptoms and are resorbed
without any consequences. Very rarely, however, small pieces of clot may
detach and be carried through the blood stream to the heart and onward
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into the lungs causing a pulmonary embolus. This usually occurs only
where there is already an extensive clot in the leg and may happen many
hours or days after the formation of the clot. It may result in serious
consequences including chest pain, shortness of breath and even sudden
death.
The risk of developing deep vein thrombosis is very small for travellers
unless they have pre-existing additional risk factors for thromboembolism,
which include:
Some researchers also suggest that, in addition, there may be a risk from
tobacco smoking, obesity and varicose veins. People in these risk
groups should seek medical advice before travelling.
Advice
Carrying out simple exercises at frequent intervals during the flight can
reduce the negative effects of prolonged immobility. Most airlines provide
helpful advice on in-flight exercises to stimulate the circulation and reduce
stiffness, discomfort and fatigue, as well as lowering the risk of developing
venous thrombosis.
In addition, passengers are advised to:
After arrival at the destination, the effects of the journey can be reduced
by gentle exercise to stimulate the circulation.
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3. Travellers with Special Needs
Most airlines have a policy for the carriage of medical passengers or those
with other special needs. IATA Member airlines have agreed on the
1
following general recommendations :
(a) Infants
Air travel is not recommended for infants less than 7 days old or
for premature babies. Changes in cabin pressure can cause
distress to infants, which can be alleviated by giving a bottle or
soother.
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Flying is generally safe for passengers with pacemakers.
However, unipolar lead pacing systems may be susceptible to
electronic interference during flight and guidance on the effect of
airport security screening devices should be obtained. Bipolar
lead pacing systems are not affected.
(d) Smokers
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another, as well as for personal health reasons, people with contagious
diseases should not travel by air.
Disinsection
5. Motion Sickness
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6. Stress, Fatigue, Jet Lag
Jet lag refers to the disruption of sleep patterns and other circadian
rhythms that result from abrupt changes in time zones. The adverse
effects of jet lag may lead to insomnia, indigestion, reduced physical and
mental performance and general malaise.
The effects of jet lag can be reduced by the use of effective strategies.
Travellers who take medication on a strict time schedule (e.g. insulin,
contraceptive pill) should seek medical advice.
• drink plenty of water and/ or juices before and throughout the flight;
• eat light meals and limit consumption of tea, coffee and alcohol before
and during the flight;
Most airlines operating international flights have a policy for dealing with
2
medical incidents on board . Cabin crew are trained to recognise and
manage a range of in-flight medical emergencies.
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Airlines carry first-aid kits on board all aircraft, to be used by the crew.
They may also carry,
" a medical kit for the use of doctors or other qualified trained
persons in treating in-flight medical emergencies, and
Cabin crew are trained in the use of first-aid materials and in carrying out
first-aid and resuscitation procedures. They are usually also trained to
recognise a range of medical conditions which may cause emergencies
on board and the appropriate measures to be taken during the flight.
" adversely affect the welfare and comfort of the other passengers
and/or crew members;
" require medical attention and/or special equipment during the flight; or
When cabin crew suspect that a passenger may be ill, the Commander
will be informed and a decision taken on whether the passenger is fit to
travel or presents a danger for other passengers or the safety of the
aircraft.
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9. Contraindications for Air Travel
!!!!!
1
References: IATA Resolution 700/Recommended Practice 1700
2 st
IATA Inflight Management Manual, 1 edition issued 1 July 2001
3
World Health Organisation (WHO) International Health Regulations
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