Science and Technology - Fifth Report
Here you can browse the report together with the Proceedings of the Committee. The published report was ordered by the House of Lords to be printed 15 November 2000.
CONTENTS
REPORT
CHAPTER 1: SUMMARY AND RECOMMENDATIONS
RECOMMENDATIONS
A higher profile for health
Fitness to fly
Deep Vein Thrombosis
Seating
Ventilation
Air quality
Transmission of infection
Filtration
Noise
Stress
In-flight medical emergencies
Research
Information for passengers
Complaints procedures
OTHER MAIN FINDINGS
A higher profile for health
Fitness to fly
Deep Vein Thrombosis
Seating and space
Ventilation
Availability of oxygen
Temperature and humidity
Cabin air contaminants
Transmission of infection and filtration
Stress
Air travel and vulnerable individuals
Cosmic radiation
Research
The role of journalism
Customer focus
Competitiveness
CHAPTER 2: BACKGROUND TO THE INQUIRY
The development of mass civil aviation
BOX 1: The growth and nature of UK air travel
Reasons for the Inquiry
Sub-Committee Membership
Call for Evidence
Evidence received
Structure of this Report
Abbreviations
CHAPTER 3: REGULATORY ARRANGEMENTS
International Civil Aviation Organisation
World Health Organisation
Joint Aviation Authorities
European Union
Civil Aviation Authority
Other UK health regulators
Federal Aviation Administration
Non-regulatory organisations
The safety focus of regulation
PRINCIPAL HEALTH-RELATED REGULATORY REQUIREMENTS
Aircraft cabin structure and pressurisation
Ventilation
Aircrew licensing
Seating and space
In-flight medical emergencies
Cosmic and other ionising radiation
CHAPTER 4: ELEMENTS OF HEALTHY CABIN AIR
Carbon dioxide
CABIN ATMOSPHERE CONTAMINATION
Insect control
Tobacco smoke
Volatile organic compounds
Tri-ortho-cresyl phosphate (TOCP)
Carbon monoxide
Ozone
Other cabin atmosphere contaminants
CHAPTER 5: PROVIDING A HEALTHY CABIN ENVIRONMENT
Environmental Control System
Air re-circulation
Air filtration
CABIN HUMIDITY
CABIN TEMPERATURE
PRESSURISATION
MONITORING OF AIR QUALITY
CHAPTER 6: DEEP VEIN THROMBOSIS, SEATING
AND STRESS
Description and terminology
Natural history
Risk factors
BOX 2: Predisposing factors for DVT
General incidence
DVT in air travellers
Information and research needs
People at risk
BOX 3: Postulated risk factors for DVT
BOX 4: Interim precautionary and preventative
advice on DVT
Preventive and precautionary measures
SEATING AND SPACE
Marketing
Passenger choice
Cabin space
COMFORT, STRESS AND HEALTH
Combined effects
BOX 5: Factors associated with stress and
air travel
Jet-lag
CHAPTER 7: OTHER MEDICAL CONCERNS
TRANSMISSION OF INFECTION
Airborne transmission
Contact transmission
Biting insects
Crowding and disease transmission in aircraft
Cabin ventilation and filtration
Potentially infective passengers
Post-flight contact tracing
THE CABIN ENVIRONMENT AND VULNERABLE INDIVIDUALS
Notification of special circumstances
Cardio-vascular conditions
Respiratory disease
Ear, nose and throat conditions.
Pregnancy and infants
Flying after surgery
Neuro-psychiatric disorders
Other conditions
Idiosyncratic reactions
IN-FLIGHT MEDICAL EMERGENCIES
Management of emergencies
CHAPTER 8: WIDER ISSUES
RESPONSIBILITY FOR HEALTH
COMPLACENCY ABOUT HEALTH
LACK OF BASIC FACTUAL MATERIAL
Demography of the flying public
Epidemiology of air-travellers' health
Knowledge of the relationship between cabin
factors and health
Knowledge base for medical advice to flyers
LACK OF ACCESSIBLE HEALTH INFORMATION
Information for the public
The role of journalism
BOX 6: Examples of headlines
Information for health professionals
POOR RECOGNITION OF FITNESS TO FLY ISSUES
AIRLINES' HANDLING OF THE TRAVELLING PUBLIC
Complaints procedures
CHAPTER 9: GENERAL CONCLUSIONS
Lack of background knowledge
Pre-flight information
Information before take-off
Competitiveness
Conclusion
APPENDIX 1: Sub-Committee
II
APPENDIX 2: Call for Evidence
APPENDIX 3: Witnesses
APPENDIX 4: Summaries of individual submissions
APPENDIX 5: Note of visit to British Airways
Maintenance, Cardiff
APPENDIX 6: Abbreviations and technical terms
used in this Report
Note
Pages of this Report are numbered in bold type. Written
and oral evidence received by the Committee is published in a
separate volume (HL Paper 121-II) in which the pages are numbered
in ordinary type. (As noted in Appendix 3, some written evidence
is summarised in Appendix 4 of this volume and not printed in
volume II.)
In the text of the Report:
Q refers to a question in oral evidence; and
p refers to a page of written evidence.
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