Review of recent scientific publications to support a decision on a change in the aeromedical certification of applicants for a commercial pilot license living with HIV

The report gives an overview of the work performed, results and recommendations of a literature review which was conducted to determine whether HIV seropositivity should per se preclude pilots from being issued with a medical certificate.

A steering committee composed of EASA staff and two external medical experts assembled a list of questions to be addressed based on a systematic literature review.

The literature review revealed that until now no specific research is available on the impact of HIV infection and its treatment on commercial pilots. There are, however, valuable findings from general HIV research on e.g. the impact of HIV infection and its treatment on mood disorders, cognitive performance and cardiovascular disease.

More specific research would be necessary to conclude whether there is a need to review EASA’s acceptable means of compliance on the subject.