Duty of notification and aviation safety—A study of fatal aviation accidents in the United States in 2015

Alpo Vuorio, Bruce Budowle, Antti Sajantila, Tanja Laukkala, Ilkka Junttila, Stein E. Kravik, Robin Griffiths

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

After the Germanwings accident, the French Safety Investigation Authority (BEA) recommended that the World Health Organization (WHO) and European Community (EC) develop clear rules for the duty of notification process. Aeromedical practitioners (AMEs) face a dilemma when considering the duty of notification and conflicts between pilot privacy and public and third-party safety. When balancing accountability, knowledge of the duty of notification process, legislation and the clarification of a doctor’s own set of values should be assessed a priori. Relatively little is known of the magnitude of this problem in aviation safety. To address this, the National Transportation Safety Board (NTSB) database was searched to identify fatal accidents during 2015 in the United States in which a deceased pilot used a prescribed medication or had a disease that potentially reduced pilot performance and was not reported to the AME. Altogether, 202 finalized accident reports with toxicology were available from (the year) 2015. In 5% (10/202) of these reports, the pilot had either a medication or a disease not reported to an AME which according to the accident investigation was causal to the fatal accident. In addition, the various approaches to duty of notification in aviation in New Zealand, Finland and Norway are discussed. The process of notification of authorities without a pilot’s express permission needs to be carried out by using a guidance protocol that works within legislation and professional responsibilities to address the pilot and the public, as well as the healthcare provider. Professional guidance defining this duty of notification is urgently needed.

Original languageEnglish
Article number1258
JournalInternational Journal of Environmental Research and Public Health
Volume15
Issue number6
DOIs
StatePublished - 13 Jun 2018

Fingerprint

Aviation Accidents
Aviation
Accidents
Safety
Legislation
Privacy
Social Responsibility
European Union
Finland
Norway
New Zealand
Health Personnel
Toxicology
Databases

Keywords

  • Accountability
  • Aeromedical practitioners
  • Aviation
  • Duty of notification
  • Fatal accident
  • Safety

Cite this

Vuorio, Alpo ; Budowle, Bruce ; Sajantila, Antti ; Laukkala, Tanja ; Junttila, Ilkka ; Kravik, Stein E. ; Griffiths, Robin. / Duty of notification and aviation safety—A study of fatal aviation accidents in the United States in 2015. In: International Journal of Environmental Research and Public Health. 2018 ; Vol. 15, No. 6.
@article{1120679d584e4558950fc1adc69432fe,
title = "Duty of notification and aviation safety—A study of fatal aviation accidents in the United States in 2015",
abstract = "After the Germanwings accident, the French Safety Investigation Authority (BEA) recommended that the World Health Organization (WHO) and European Community (EC) develop clear rules for the duty of notification process. Aeromedical practitioners (AMEs) face a dilemma when considering the duty of notification and conflicts between pilot privacy and public and third-party safety. When balancing accountability, knowledge of the duty of notification process, legislation and the clarification of a doctor’s own set of values should be assessed a priori. Relatively little is known of the magnitude of this problem in aviation safety. To address this, the National Transportation Safety Board (NTSB) database was searched to identify fatal accidents during 2015 in the United States in which a deceased pilot used a prescribed medication or had a disease that potentially reduced pilot performance and was not reported to the AME. Altogether, 202 finalized accident reports with toxicology were available from (the year) 2015. In 5{\%} (10/202) of these reports, the pilot had either a medication or a disease not reported to an AME which according to the accident investigation was causal to the fatal accident. In addition, the various approaches to duty of notification in aviation in New Zealand, Finland and Norway are discussed. The process of notification of authorities without a pilot’s express permission needs to be carried out by using a guidance protocol that works within legislation and professional responsibilities to address the pilot and the public, as well as the healthcare provider. Professional guidance defining this duty of notification is urgently needed.",
keywords = "Accountability, Aeromedical practitioners, Aviation, Duty of notification, Fatal accident, Safety",
author = "Alpo Vuorio and Bruce Budowle and Antti Sajantila and Tanja Laukkala and Ilkka Junttila and Kravik, {Stein E.} and Robin Griffiths",
year = "2018",
month = "6",
day = "13",
doi = "10.3390/ijerph15061258",
language = "English",
volume = "15",
journal = "International journal of environmental research and public health",
issn = "1661-7827",
publisher = "Multidisciplinary Digital Publishing Institute (MDPI)",
number = "6",

}

Duty of notification and aviation safety—A study of fatal aviation accidents in the United States in 2015. / Vuorio, Alpo; Budowle, Bruce; Sajantila, Antti; Laukkala, Tanja; Junttila, Ilkka; Kravik, Stein E.; Griffiths, Robin.

In: International Journal of Environmental Research and Public Health, Vol. 15, No. 6, 1258, 13.06.2018.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Duty of notification and aviation safety—A study of fatal aviation accidents in the United States in 2015

AU - Vuorio, Alpo

AU - Budowle, Bruce

AU - Sajantila, Antti

AU - Laukkala, Tanja

AU - Junttila, Ilkka

AU - Kravik, Stein E.

AU - Griffiths, Robin

PY - 2018/6/13

Y1 - 2018/6/13

N2 - After the Germanwings accident, the French Safety Investigation Authority (BEA) recommended that the World Health Organization (WHO) and European Community (EC) develop clear rules for the duty of notification process. Aeromedical practitioners (AMEs) face a dilemma when considering the duty of notification and conflicts between pilot privacy and public and third-party safety. When balancing accountability, knowledge of the duty of notification process, legislation and the clarification of a doctor’s own set of values should be assessed a priori. Relatively little is known of the magnitude of this problem in aviation safety. To address this, the National Transportation Safety Board (NTSB) database was searched to identify fatal accidents during 2015 in the United States in which a deceased pilot used a prescribed medication or had a disease that potentially reduced pilot performance and was not reported to the AME. Altogether, 202 finalized accident reports with toxicology were available from (the year) 2015. In 5% (10/202) of these reports, the pilot had either a medication or a disease not reported to an AME which according to the accident investigation was causal to the fatal accident. In addition, the various approaches to duty of notification in aviation in New Zealand, Finland and Norway are discussed. The process of notification of authorities without a pilot’s express permission needs to be carried out by using a guidance protocol that works within legislation and professional responsibilities to address the pilot and the public, as well as the healthcare provider. Professional guidance defining this duty of notification is urgently needed.

AB - After the Germanwings accident, the French Safety Investigation Authority (BEA) recommended that the World Health Organization (WHO) and European Community (EC) develop clear rules for the duty of notification process. Aeromedical practitioners (AMEs) face a dilemma when considering the duty of notification and conflicts between pilot privacy and public and third-party safety. When balancing accountability, knowledge of the duty of notification process, legislation and the clarification of a doctor’s own set of values should be assessed a priori. Relatively little is known of the magnitude of this problem in aviation safety. To address this, the National Transportation Safety Board (NTSB) database was searched to identify fatal accidents during 2015 in the United States in which a deceased pilot used a prescribed medication or had a disease that potentially reduced pilot performance and was not reported to the AME. Altogether, 202 finalized accident reports with toxicology were available from (the year) 2015. In 5% (10/202) of these reports, the pilot had either a medication or a disease not reported to an AME which according to the accident investigation was causal to the fatal accident. In addition, the various approaches to duty of notification in aviation in New Zealand, Finland and Norway are discussed. The process of notification of authorities without a pilot’s express permission needs to be carried out by using a guidance protocol that works within legislation and professional responsibilities to address the pilot and the public, as well as the healthcare provider. Professional guidance defining this duty of notification is urgently needed.

KW - Accountability

KW - Aeromedical practitioners

KW - Aviation

KW - Duty of notification

KW - Fatal accident

KW - Safety

UR - http://www.scopus.com/inward/record.url?scp=85048626143&partnerID=8YFLogxK

U2 - 10.3390/ijerph15061258

DO - 10.3390/ijerph15061258

M3 - Article

C2 - 29899311

AN - SCOPUS:85048626143

VL - 15

JO - International journal of environmental research and public health

JF - International journal of environmental research and public health

SN - 1661-7827

IS - 6

M1 - 1258

ER -