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Executive Summary - Fss.aero

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obvious lowering of blood fat levels. There was no record of consultation with the<br />

medical center’s dietician.<br />

The high blood fat condition when combined with several factors such as age, gender,<br />

and smoking would make it a high-risk group of heart disease. In this case, the pilot<br />

had matched the characteristics of the high-risk group. Autopsy of the pilot had<br />

determined that the pilot indeed succumbed to coronary disease.<br />

2.2.5 Comparison of Organizational Structures of the Aviation Medical Center,<br />

International Civil Aviation Organization, and the Federal Aviation<br />

Administration<br />

Distinguishing Feature of the Physical Examination of ICAO described:<br />

The International Civil Aviation Organization made the minimum requirement to<br />

flight safety, in order to make it easier for all countries to implement the procedure.<br />

Moreover, ICAO limited itself to only making physical examination standards on<br />

principle; it completely authorized the flight surgeon of each country to act and decide<br />

on the merits of medical knowledge, with protecting aviation safety as its highest goal.<br />

Presently, the civil aviators’ physical examination standards followed in the country<br />

was<br />

much more stringent than those of ICAO.<br />

Distinguishing Feature of the Physical Examination of FAA described:<br />

The American Federal Aviation Administration designated doctors to conduct<br />

physical examinations of aviation personnel. Because the United States was a big<br />

country, with a large number of aviation personnel, the FAA conducted more than<br />

500,000 physical examinations annually. Consequently, there was no<br />

way to<br />

centralize all the physical examinations, so it was necessary to designate authorized<br />

doctors to conduct these examinations. The number of the designated doctors was<br />

more than 5,000. Some of the doctors had to conduct physical examinations after<br />

undergoing few days training that resulted the inconsistency in the quality of the<br />

physical examinations. The examination doctor had limited examination items to<br />

check by using different equipments. During the physical examinations, the doctor<br />

would ask the examinee to self-describing the health conditions. However, if there<br />

were any concealment of the facts in the statement, there would be a US$ 250,000<br />

fine or jail time of not more than five years. The two sentences even could be jointly<br />

meted out (refer<br />

to Appendix 11 FAA Physical Examination Chart). Individuals who<br />

had<br />

undergone both the FAA physical examination and CAA physical examination<br />

could realize that CAA examination was more stringent than FAA examination. For<br />

32

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