Advice On Aerotoxic Exposure
If you feel inexplicably unwell following a flight and/or have experienced exposure to strong smelling fumes (similar to ‘wet dog’, sweaty gym shoes’, burning oil, vomit-like, chemical-type smells) or visible mist/ smoke on board a flight, it is important to see your GP within 48 hours and ask that body fluid tests are done straight away.
Your GP may be unaware of the effect of aerotoxic exposure and it may be helpful to refer them to: FREE DOWNLOAD
We also recommend that you document your experience:
- Time (if necessary with time zone)
- Type of aircraft / tail number if possible
- Type and extent of the fume event (smell? smoke?)
- Complaints/ symptoms
- Record the time of sampling of urine, blood, etc.
If you are unable to see a doctor straight away you should try to at least get 2x5ml samples of blood taken and 3 samples of urine, which you can store in the deep-freeze compartment of your fridge. Please remember to do this within 24-48 hours after the flightIf you are unable to see a doctor straight away then obtain samples of blood and urine and store them in the deep-freeze compartment of your fridge. We suggest you take 2 samples of blood and 3 samples of urine.
Auto Antibodies >>>> available upon request, please contact here.
DNA Test – can help determine if you are a poor detoxifier, most laboratories offer this test
Advice how to take and store blood/urine samples:
The ‘Fume Events Clinic’ of the University Göttingen recommends to:
1) Take samples for human biomonitoring in the urine:
- Collect 2-3 urine samples immediately after the fume event or after landing, refrigerate and freeze as soon as possible
- Note the time and date of each collection vessel
- Use proper urine cups which can be optained from the pharmacy, alternatively use clean, lockable containers (eg bottles).
2) Take samples for human biomonitoring in the blood –
- If possible, EDTA blood should be taken, let it be allowed to cool and freeze it as soon as possible.
- The disinfection of the skin area must NOT be carried out with a solvent-containing disinfecting agent before the blood is taken. Use a three percent aqueous hydrogen peroxide solution (AMR 6.2); If not available pleasetake note of the name of the disinfectant that has been used.
Samples for the Auto Antibodies Test must be taken and stored in a specific way.
BIOMONITORING after exposure on board aircraft, following smell and/ or visible fume events.
- Pesticides (d-phenotrin, permethrin and metabolites)
- 2,5-Hexandion (metabolite of n-hexan)
- o-Kresol (Metabolite of Toluol)
- Trikresylphosphat, Triphenylphosphat, Tributylphosphat
Determination of Organophosphate exposure and injury to the nervous system by Professor M. Abou-Donia:
- Auto Antibodies >>>> available upon request, please contact here
- DNA Test – can help determine if you are a poor detoxifier, most laboratories offer this test.