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CAA Bill  
 
My Lords, in many ways I feel fortunate in that the appearance of this Bill at this stage will save me from tabling numerous questions relating to the health and safety of aircrew and passengers flying in British aircraft. I do not believe that I need to remind the noble Lord, the Minister, or other noble Lords of my track record in relation to ill health resulting from exposure to toxic chemicals.
 
Under Clause 7 of this Bill, the Secretary of State is “charged with the general duty of organising, carrying out and encouraging measures for safeguarding the health of persons on board aircraft.” The Civil Aviation Authority (the CAA) is required to “provide advice and assistance in connection with that function.” Noble Lords might be relieved to hear that I propose to confine my comments to this clause alone.
 
My Lords, I have recently tabled several written questions relating to flight safety and passenger and crew health on commercial aircraft during contaminated air events. A “contaminated air event” occurs when the air supply provided to the passenger cabin and cockpit, which should be clean air, becomes contaminated with engine oils or hydraulic fluids. One of the contaminants is an organophosphate known as TCP – hence my interest in this subject. Contaminated air events, which do not occur on all flights, appear to have caused pilots to become incapacitated or partially incapacitated. I wonder whether noble Lords are surprised as I was to learn that the air supply to the cabin and cockpit, known as ‘bleed air’ because it is bled off the engines, is not filtered in any way. Consequently, if this air becomes contaminated, passengers and crew inhale the contaminants. Even more surprising is the fact that commercial aircraft are not required to have contaminated air detection systems: passenger safety depends entirely upon pilots to take action if they suspect the air to be contaminated. My Lords, a pilot’s sense of smell is not checked at their medical examinations, and some contaminants, such as carbon monoxide, have no smell. Is it safe to rely upon a pilot who may be suffering the early effects of chemical poisoning to respond correctly to an incident? 
 
The more deeply I have inquired into these issues the more interesting they become. As long ago as 1977 a 34 year-old navigator on a US Air National Guard, Lockheed Hercules, was incapacitated and a paper was written by the senior medical doctor for the National Air Guard, Dr Wier. Dr Wier, who had treated the navigator, clearly realised that he had been exposed to and was suffering from the effects of contaminated air. In his paper, he stated that “Further investigation into the potential hazards from inhalation of synthetic oil fumes…….is definitely warranted”. 28 years later, on 10 October 2005 a British airline captain collapsed on the apron of AberdeenAirport and was vomited following a similar exposure. Whilst we are told that contaminated air events occur rarely – once in every 22,000 flights was the figure given in a Lords answer in 2000, this figure differs significantly from what the British Airline Pilots Association (BALPA) report. For example, in 2002, BALPA published the results of a survey of 105 responding pilots who experienced 1600 contaminated air events in Boeing 757’s, yet the CAA had less than 100 events on its database. My Lords, the discrepancy alarms me. Apparent under reporting on this scale should be a matter for concern, yet the noble Lord the Minister assures us that “...since all UK aircrew take aviation safety very seriously, there is no reason to believe that they would deliberately under-report occurrences involving impairment.” Of course aircrew take aviation safety seriously. Unless they are Kamikaze pilots, they want to get to their destination as much as do their passengers. Under reporting is a serious issue and should, I believe, be investigated. I understand that BALPA asked the CAA to carry out a joint campaign to encourage crews to report all contaminated air events, but the Authority declined. Additionally, according to BALPA, despite being asked to, the CAA has never contacted crews or their medical practitioners after contaminated air events in order to understand better the effects of exposures. I also understand that BALPA advised the CAA that TCP had been detected in commercial jet aircraft and that its members frequently recorded elevated levels of carbon monoxide. I do wonder, my Lords, just why it is the CAA declines to support seemingly sensible initiatives or follow up reports that concern passenger and crew health. Some conspiracy theorists apparently say that it is a well known fact that the aircraft with the highest number of reported events per aircraft manufactured is British made – the BAe 146. Others may suggest that it is simply because the CAA is totally funded by the industry, so the hand that feeds should not be bitten.
 
In 2000’ the CAA chief medical officer suspended a BAe 146 pilot’s medical certificate based upon the opinion of a neurophysiologist that the pilot was ‘probably suffering some sort of chemical exposure on a BAe 146’ and was, therefore, a threat to flight safety. In a written answer to Paul Tyler MP, now Lord Tyler on 9 February 2004 the Minister stated that the CAA was “not aware of any adverse long term health effects in flight crew that can be traced back to the cabin environment.” My Lords, the pilot is still grounded.
 
Following the Contaminated Air Conference in April 2005, the Aviation Health Working Group stated that: “Representatives of the Department of Transport and the Department of Health attended the recent international conference on contaminated air, but no new evidence on the presence or effect of low levels of organophosphates in aircraft cabins was presented.” I understand that, in fact, such evidence was presented. OP’s were detected in the cabins of Boeing 757 and BAe 146 aircraft and almost 20 doctors and scientists presented new papers with ground-breaking data. 
 
My Lords, despite publishing a paper in 2004 which indicated that air quality was within exposure limits, the sampling was never done during a contaminated air event. There appears to have been no attempt by the CAA to assess the long term effects. Both the Australian and United States aviation administrations clearly take matters considerably more seriously than does the CAA.
 
My Lords, whilst I recognise that cabin and cockpit air quality is only a very small factor in the health and safety concerns to be addressed in Clause 7, I would risk suggesting that it is a vital factor. There is some evidence that the CAA is somewhat reticent about carrying out its duty to protect air crews and the public from contaminated air events by not taking them as seriously as it should. I believe it is our duty to ensure that such a situation should not be allowed to continue. I seek the assurance of the Minister that this new Clause will allay my concerns.  
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A family holiday ruined

"When we boarded the aircraft we were all in excellent health. During the flight, my husband and I started feeling very light headed. We had head pain and felt very fatigued.
 
I could not control my bowels and was continuously in the lavatory...
 
About 48 hours after we arrived, we all developed severe flu like symptoms.
It got so bad that we had to seek medical attention and went to the emergency room at a Florida hospital ....
 
This has proven to be a great battle of red tape and ignorance. It has been an extreme mission and has demanded so much of me at a time when I am at my weakest.
 
 
To any passengers out there who have suffered ill health like this during and after flying, report it to the airline, the public health organizations, and anybody who will listen"

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The Travel journalist..
 
I stumbled onto your site while attempting to find information on what has happed to me.  I inhaled fumes in the cabin while awaiting a gate for a prolonged period .. I was very sick upon leaving the plane and it escalated until I was hospitalized two weeks ago.  Now ..  I have a serious lung problem and fatigue that makes even doing the dishes difficult. ....  

The 'irony' in this is I write a travel column and this is not what my readers want to hear!"

click here and read the full story