Chapter Two-Class A Medical Standard
Article 15
Airman to be classified as passing Class A shall pass the standards set out in this Chapter.
Article 16
An airman shall not have any diseases, whether congenital or acquired, impairing normal functioning of his physical or mental condition to the extent that it affects his ability to safely perform his duties.
Article 17
The medical standards for mental and neurologic systems are as follows:
1.Mental illnesses- none of the followings shall be found in the airman’s medical history or had by the airman the latter of which is confirmed by verification:
(1) schizophrenia spectrum and other psychotic disorders.
(2) severe neurotic, stressor-related disorders and somatoform disorder.
(3) a personality disorder or disorganized behavior that is severe enough to have repeatedly manifested itself by overt acts.
(4) psychoactive substance-related disorders and addiction.
(5) behavioral and emotional disorders with onset usually occurring in childhood and adolescence.
(6) mental illnesses severe enough to affect the airman’s ability to safely perform duties.
2.Diseases of neurologic system- none of the followings shall be found in the airman’s medical history or otherwise:
(1) epilepsy.
(2) disturbance of consciousness without identified causes.
(3) cerebral vascular diseases.
(4) migraine and/or headaches, collectively cause the disturbance of neurologic functions.
(5) any other progressive of non-progressive central, peripheral or automatic nervous system diseases severe enough to affect the airmen’s ability to safely perform duties.
3. Head injuries- none of the followings shall be found in the airman’s medical history or otherwise:
(1) head trauma to the intra cranial and the brain tissues or cerebral meninges remain partially injured.
(2) head trauma to dura mater.
(3) after brain surgery, injury to skull bone.
(4) any other trauma of head severe enough to affect the airmen’s ability to safely perform duties.
4. No spinal injury severe enough to affect the airmen’s ability to safely perform duties shall be found.
Article 18
During surgical examinations, none of the followings which affect the airmen’s ability to safely perform duties shall be found:
1. Any wounds, injuries, complications after operations or congenital or acquired physical malformation.
2. Sequels in functions, caused by any progressive disease or all congenital or acquired diseases in the aspect of bones, joints, muscles or tendons.
3. Diseases or complications after operations in the aspect of digestive system or its connected organs.
4. Complications after operations in the aspect of thoracic wall, ribs or mediastinum.
5. Any kidneys or urinary tract diseases or the complications therefor after operations.
Article 19
The examination standards in respect of internal medicine are as follows:
1. No disease or malfunction that affects the airmen’s ability to safely perform duties shall be found.
2. In respect of heart, no coronary artery disease shall be had or found in the medical history.
3. None of the followings which affect the airmen’s ability to safely perform duties shall be found:
(1) severe hypertrophic cardiomyopathy or dilated cardiomyopathy.
(2) left bundle branch block of heart.
(3) congenital heart disease.
(4) valvular heart disease.
(5) Arrhythmia: atrial flutter, sustained atrial fibrillation, paroxymal supraventricular tachycardia needing medications after ablation, ventricular tachycardia or sick sinus syndrome.
(6) abnormal atrioventricular conduction: Mobitz II second degree atrioventricular block, third degree atrioventricular block and atrioventricular dissociation.
(7) having had pericarditis, endocarditis or myocarditis.
(8) heart murmurs.
4. The systolic blood pressure shall be 140 mmHg or lower; the diastolic blood pressure shall be 90 mmHg or lower.
5. No apparent abnormality, either functional or structural, in circulatory system.
6. No acute diseases in lung tissues, mediastinum or pleura, or asthma requiring medication for control.
7. No spontaneous pneumothorax shall be found in medical history.
8. No chronic obstructive lung diseases with or without complication.
9. No verified diagnosis of active tuberculosis.
10. No malfunction or disease in gastrointestinal tract, liver, gallbladder or pancreas, so severe that affect the airman’s ability to safely perform duties.
11. No disease in urinary tract or genital organs, so severe that affect the airman’s ability to safely perform duties.
12. No local or systemic lymphadenopathy, splenomegaly or blood diseases, so severe that affect the airman’s ability to safely perform duties.
13. No malignant tumor.
14. No dysfunction in metabolism, nutrition or endocrine system, so severe that affect the airman’s ability to safely perform duties.
15. No type Ⅰ diabetes mellitus, or any other type D.M.(diabetes mellitus) requiring medication for control.
16. No uncured syphilis or its sequelae.
17. No Acquired Immunodeficiency Syndrome evaluated to have safety concerns when performing duties.
18. Pregnant airwomen shall be suspended for air duty and shall be entitled to resume.
Article 20
The standards for eye examinations are as follows:
1. Both eyes and the adnexa shall be in normal condition. There shall be no diagnosis of any acute or chronic pathological condition that will probably interfere progressively with the normal condition to the extent that the airmen become unable to safely perform their duties.
2. Normal fields of vision of each the right and the left eyes.
3. The equilibum function of the right and left eyes muscles shall be normal.
Article 21
Visual acuity shall be as follows:
1. The distant visual acuity in each (either right or left) naked eye or the eyes corrected with spectacles or monofocal, non-tinted contact lenses shall be 20/20. However, in case of corrective visual acuity, the airmen shall wear those corrective lenses when they are performing the duties privileged by the certificates issued to such airmen.
2. The near vision in each (either right or left) naked eye or the eyes corrected with spectacles or monofocal, non-tinted contact lenses shall be 20/40. However, in case of corrective vision, the airmen shall wear those corrective lenses when they are performing the duties privileged by the certificates issued to such airmen.
3. For the airmen aged 50 or more, the intermediate visual acuity in each (either right or left) naked eye or the eyes corrected with spectacles or monofocal, non-tinted contact lenses shall be 20/40. However, in case of corrective visual acuity, the airmen shall wear those corrective lenses when they are performing the duties privileged by the certificates issued to such airmen.
4. The ocular movement shall normal. The vertical phoria shall not be over one (1) prism diopter in heterophoric case and shall not be over six (6) prism diopters in each esophoric and exophoric cases.
5. The night vision shall normally function.
6. The eyes shall have normal stereopsis function. The depth perception shall not be over than 50 second farc.
7. Applicants whose uncorrected distant visual acuity in either eye is worse than 20/200 shall be required to provide a full ophthalmic report every five years.
The airmen by ways of corrections other than those corrective methods mentioned above, to meet the standards of visual acuity set out in the paragraphs 1 through 2 of this Article 21, shall be verified by CAA.
Article 22
Airmen shall be able to perceive the colors necessary to safely perform the airmen’s duties.
Article 23
In respect of the examinations for ear, nose and throat, none of the followings which affect the airmen’s ability to safely perform duties shall be found:
1. Diseases of middle ear or inner ear.
2. Diseases of mastoid process.
3. Unhealed perforations of the eardrum.
4. Blockage of the Eustachian tube.
5. Malfunction of vestibulum.
6. The abnormal nasal passages in two sides.
7. Deformity of upper respiratory tract.
8. Other pathological conditions in, or diseases of, ear, nose or throat.
Article 24
The standards for hearing acuity examinations are as follows:
1. The unaided hearing acuity of each (right and left) ear, shall demonstrate the ability to hear the 35 dB or less of a signal at the frequency of 500, 1000 or 2000 hertz (cycles per second) and to hear the 50 dB or less of a signal at the frequency of 3000 hertz (cycles per second).
2. While the better ear (either right and left) of a airman shall demonstrate the ability to hear the 30 dB or less of a signal at the frequency of 1000 or 2000 hertz (cycles per second), the poorer ear shall demonstrate the ability to hear the 50 dB or less of the signal at the same frequency.
Article 25
In respect of the examination for mouth, none of the followings which affect the airmen’s ability to safely perform duties shall be found:
1. Speech difficulty, unclear speech or having stuttering.
2. Deformity or other pathological conditions.
Article 26
Airmen shall not have any communicable diseases which are statutorily classified by the Act of Prevention and Control of Communicable Diseases (of the Republic of China).