ArticleTravel medicine and infectious disease
Cabin crew health and fitness-to-fly: Opportunities for re-evaluation amid COVID-19.
Article in Travel medicine and infectious disease. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
7 citing papers in PubMed, 23 citations in OpenAlex.
- Development of an interdisciplinary consensus statement for assessing fitness for work at heights in the South African construction industry: a virtual Modified Nominal Group Technique study.Journal of occupational medicine and toxicology (London, England) · 2026Article
- Mapping the evidence on the assessment of fitness to work at heights: a scoping review.BMJ open · 2025Article
- Approaches to Medical Emergencies on Commercial Flights.Medicina (Kaunas, Lithuania) · 2024Review
- Evaluating the Impact of the Pandemic Crisis on the Aviation Industry.Transportation research record · 2023Article
- COVID-19 pandemic and air transportation: Summary of Recent Research, Policy Consideration and Future Research Directions.Transportation research interdisciplinary perspectives · 2022Article
- Effects of animated pedagogical agent-guided loving-kindness meditation on flight attendants' spirituality, mindfulness, subjective wellbeing, and social presence.Frontiers in psychology · 2022Article
- Evaluation of fatigue and sleep problems in cabin crews during the early COVID-19 pandemic period.Travel medicine and infectious diseaseArticle
Corrections and comments
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Authors and funding
2 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Aircrew fitness-to-fly is among the elements that make aviation the safest form of long-distance transport. The health of cabin crew is a crucial determinant in carrying out safety-related duties. 'Fitness-to-fly' is associated with defined workplace conditions, for which airlines have a legal duty to ensure fitness for employment. We explored the literature on fitness-to-fly to obtain a pragmatic assessment of the challenges for aeromedical examinations. Regulations promulgated by aviation regulatory authorities and airline-internal policies have similar status and meaning, yet there is no harmonised approach internationally, and an inability to conform periodic medical assessments to actual operational fitness. The COVID-19 pandemic has highlighted the need to better understand fitness-to-fly criteria. Fitness-to-fly measures are mainly based on self-reported data and there is a need for a 'safety' factor for self-reports. Aeromedical evaluations should evolve from meeting medical standards to include pandemics as an element of the overall risk of aircraft operations. Re-evaluating criteria for fitness-to-fly assessment will further the goal of linking research to the actual needs of public health decisionmakers. If airlines are to resume operations at pre-pandemic levels, they must demonstrate to the public and public health agencies that fitness-to-fly assessment is appropriate and effective.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.