2. July 11, 2001 2 AEROMEDICAL STANDARDS

3. July 11, 2001 3 AEROMEDICAL STANDARDS OBJECTIVE: Establish appropriate medical standards for aviation personnel n Pilots n Air Traffic Controllers n Federal Air Marshals

4. July 11, 2001 4 MEDICAL STANDARDS FOR PILOTS CARDIOVASCULAR: - Myocardial Infarction - Angina Pectoris - Significant Coronary Heart Disease - Heart Transplant - Heart Valve Replacement - Pacemaker Implantation DISQUALIFYING CONDITIONS

5. July 11, 2001 5 MEDICAL STANDARDS FOR PILOTS NEUROLOGICAL: - Unexplained disturbance of consciousness - Convulsive disorder - Epilepsy - Transient loss of system control DISQUALIFYING CONDITIONS

6. July 11, 2001 6 MEDICAL STANDARDS FOR PILOTS PSYCHIATRIC: - Personality Disorder - Psychosis - Substance Abuse and Dependence - Bipolar Disorder DISQUALIFYING CONDITIONS

7. July 11, 2001 7 MEDICAL STANDARDS FOR PILOTS VISION: CLASS 1 & 2 - Distance vision not correctable to 20/20 - Near and intermediate vision (beginning at age 50) not correctable to 20/40 CLASS 3 - Distance vision not correctable to 20/40 - Near vision not correctable to 20/40 DISQUALIFYING CONDITIONS

8. July 11, 2001 8 MEDICAL STANDARDS FOR PILOTS HEARING: - Inability to hear a conversational voice at 6 feet OTHER: - Diabetes Mellitus requiring medication - Any other condition the Federal Air Surgeon finds disqualifying DISQUALIFYING CONDITIONS

9. July 11, 2001 9 COMPATIBILITY OF MEDICAL STANDARDS

10. July 11, 2001 10 Differences in Medical Certification Systems FAA v. JAA

11. July 11, 2001 11 Differences in Medical Certification Systems FAA v. JAA

12. July 11, 2001 12 Differences in Medical Certification Systems FAA v. JAA

13. July 11, 2001 13 CERTIFICATION

14. July 11, 2001 14 CLASSES OF CERTIFICATION FIRST CLASS - Airline Transport Pilots - valid for 6 months SECOND CLASS - Commercial Pilots - valid for 12 months THIRD CLASS - Private Pilots - valid for 36 months thru age 39, 24 months at 40 years and over

15. July 11, 2001 15 AEROMEDICAL CERTIFICATION 2000 n 463,247 APPLICATIONS PROCESSED n 10,911 SPECIAL ISSUANCES (WAIVERS) FOR SIGNIFICANT MEDICAL CONDITIONS

16. July 11, 2001 16 MEDICAL CERTIFICATION OF AIRMEN Special Issuances - Coronary Heart Disease

17. July 11, 2001 17 MEDICAL CERTIFICATION OF AIRMEN Special Issuances - Cardiovascular

18. July 11, 2001 18 MEDICAL CERTIFICATION OF AIRMEN Special Issuances - Substance Abuse

19. July 11, 2001 19 MEDICAL CERTIFICATION OF AIRMEN Special Issuances - Cardiovascular

20. July 11, 2001 20 MEDICAL CERTIFICATION OF AIRMEN Special Issuances - Substance Abuse

21. July 11, 2001 21 MEDICAL CERTIFICATION OF AIRMEN Special Issuances - Transplants

22. July 11, 2001 22 MEDICAL CERTIFICATION OF AIRMEN Special Issuances

23. July 11, 2001 23 MEDICAL CERTIFICATION OF AIRMEN Special Issuances - Diabetes n Policy for consideration of Class 3 insulin using diabetics announced December 1996

24. July 11, 2001 24 MEDICAL CERTIFICATION OF AIRMEN Special Issuances - AIDS/HIV

25. July 11, 2001 25 CY

26. July 11, 2001 26 CY

27. July 11, 2001 27 CY

28. July 11, 2001 28 CYCY

29. July 11, 2001 29 CY

30. July 11, 2001 30 AEROMEDICAL CERTIFICATION 2000 n 2,067 DENIALS (0.5% of all applications)  1,690 Failed to pursue or failed to provide  377 Final Denials (0.1% of all applications) requested information