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i!



SECTION 11
CERTIFICATION ACTIVITY



Table V.F

AIRMEN WITH DEFECTIVE COLOR VISION
BY CLASS AND SEX
December 31, 1966

and Technic

43

Class Frequency
Issued Male Female
’ First 397 1
Second 1,704 1
Third 7,440 20
TOTAL 9,541 22
Source; Civil’ Aeromedical Institute, Administrative

al Branch, Medical Statistical Section,

FAN AC 67-4980



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SECTION |
AVIATION MEDICAL EXAMINER INFORMATION



Table Iv.C

ACTIVE AIRMEN BY TYPE OF
FLYING AND CLASS*
December 31, 1966

Class Type Of Flyin,
Issued Business Pleasure+
First 44,605 16,769
Second 59,308 107,312
Third 38,330 308, 969
TOTAL 142,243 433,050

*Totals are based on active a

months.

irmen within the past 26

+If type of flying was not given, it was classified

as "pleasure,"

Source;

Civil Aeromedical Institute, Administrative

and Technical Branch, Medical Statistical Section,

27



Table II.G

AEROMEDICAL CERTIFICATION BRANCH
MEDICAL QUALIFICATION SECTION
CORRESPONDENCE ACTIVITY
Calendar Year 1966

Activity Number
Certification

Issued, Corrected or Duplicate Certificates 3,647

Eligibility Letters 8,942

Issued or Duplicate Waivers 2,903
Further Action Necessary

Information Requested 20,382

Medical Flight Test Authorization 251

Case Summary for the Federal Air Surgeon 111
Information Requested From the Branch

Telegram Replies to Airmen/Agency Offices 554

Letter Replies to Airmen 63

Replies to Insurance Companies 162
Initial Denial Letters 1,341
Miscellaneous Correspondence* 8,834

*Includes Refund Letters, Charge Letters, Second Request Letters, Requests

for Return of Medical Certificate, and other miscellaneous letters.

Source: Civil Aeromedical Institute, Aeromedical Certification Branch,

Medical Qualification Section.

15



Table III.D

APPEALS CONSIDERED BY
THE FEDERAL AIR SURGEON

1961-1966

Year Certified Denied Total
1961* 70 204 274
1962 189 372 561
1963 147 472 619
1964 149 711 860
1965 242 661 903
1966 119 344 463

TOTAL 916 2,764 3,680

*Incomplete figures for January through March 1961.

Source:

Office of Aviation Medicine, Aeromedical
Standards Division,

20



SECTION Ii
REFERRALS AND DENIALS



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12



Table I.E

ACTIVE AVIATION MEDICAL EXAMINERS' HIGHEST LEVEL
OF FAA SEMINAR TRAINING BY REGION
December 31, 1966

Total First Second

Region AME's Phase* Phase*
Eastern 1,452 342 748
Southern 761 228 345
Central 1,364 373 713
Southwestern 726 249 359
Western 1,370 351 760
Alaskan 52 9 23
Pacific 38 1 21
TOTAL 5,763 1,553 2,969

*The First Phase and Second Phase were previously referred to
as General Training and Advanced Training respectively.

Source: Civil Aeromedical Institute, Aeromedical Certification
Branch, Aviation Medical Examiner: Section.



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a if

Table III.G

STATUS OF AIRMEN WHO. HAVE BEEN
GRANTED EXEMPTIONS*

1961-1966
Status Of Number Of
Airman Airmen
Exemptions Have Been Granted 417
Are Currently Active Airmen 259
Have Died 1

Grant Terminated:
Adverse Change in Condition or Failed to Furnish

Required Information 18
Currently Meet Medical Standards - Grant No
Longer Necessary 10

For Various Personal Reasons Have Not Validated
Their Grants 119

*Although airmen may have been granted more than one exemption,
they have only been counted once.

Source: Civil Aeromedical Institute, Aeromedical Certification
Branch,

23



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Table I.A

DESIGNATED FAA AVIATION MEDICAL EXAMINERS BY REGION

Annually
January 1, 1965 thru January 1, 1967

Aviation Medical Examiners

January 1, January 1, January 1,

Region 1965 1966 1967
Eastern 1,383 , 1,432 1,452
Southern 62. 695 761
Central 1,36! 1,312 1,364
Southwestern 68 687 726
Western 1,42 1,356 1,370
Alaskan 4 48 . 52
Pacific 3 36 38

SUBTOTAL 5,559 5,566 5,763
Military* a “ 707 693
International 150 159 : 170

TOTAL 6,237 6,432 6,626

*Denotes military installations’ designations rather than

individual physicians.

Source: Civil Aeromedical Institute, Aeromedical Certification
Branch, Aviation Medical Examiner Section.



Table II,E

ANNUAL RECORD OF PHYSICAL EXAMINATIONS
SUBMITTED TO COMPUTER
Calendar Year 1966

First Second Third
Action Class Class Class Total
Certified
Clear 58,977 87,974 127,225 274,176
Limited 13,259 30,379 51,377 95,015
Waiver 594 1,246 1,337 3,177
Limited and Waiver 1,189 4,552 1,971 ~ 7,712
Special Restriction 157 793 5,148 6,098
Special Restriction & Waiver 33 173 233 439
Exemption MAP 15 34 124 173
FAS Approval 4 5 8 17
AME Denied - FAS Approved 5 3 8 16
SUBTOTAL 74,233 125,159 187,431 386,823
Denied
AME, RFS, AMCB 175 374 1,239 1,788
FAS . L 2 “1 4
AME, FAS 4 4 6 14
MAP 10 6 23 39
Administrator - - 1 1
Legal or Administrative 18 24 78 120
Granted by MAP & Later Denied - - - -
SUBTOTAL 208 410 1,348 1,966
Pending* 596 983 * 3,214 4,793

TOTAL PHYSICAL EXAMINATIONS** 75,037 126,552 191,993 393,582

New Applications*** 8,226 18,690 81,957 108,873

*Pending total reflects the status of the examination on input and does
not reflect the number of pending cases on hand at the end of the year.

**Actual applications accepted on tape in calendar year 1966.

*#kAn application receipt is considered a "new application" if the airman
has made no indication of previous FAA Physical Examination and if the total
flying time equals the last six months flying time. 1,077 or 1.0% new appli-
cations were denied, 1,999 or 1.8% were pending, and 105,797 or 97,2% were
issued for a total of 108,873 new applications,

Source: Civil Aeromedical Institute, Administrative and Technical Branch,
Medical Statistical Section,



aS fi

Table I,D

AVIATION MEDICAL EXAMINER TRAINING
SEMINARS AND ATTENDANCE

1960-1966

Year Seminars Attendance
1960 | 1 49°
1961 16 1,030
1962 24 1,433
1963 13 1,152
1964 9 1,406
1965 10 * 1,595
1966* 7 1,186

TOTAL 80 7,852

*Two scheduled seminars were cancelled due to severe limitations

of travel funds within the agency.

Source:

Branch, Aviation Medical Examiner Section,

Civil Aeromedical Institute, Aeromedical Certification



Table III,B

’ MEDICAL REJECT PATTERN
Calendar Year 1966

: Major Category Minor
Reject Totals Percent Category Percent
Visual 56, 003 25.8
Distant Vision 19,306 8.9
Near Vision 13,888 6.4
Intraocular Tension 4,065 1.9
Field of Vision 3,627 1.7
Color Vision 5,516 2.5
Variation in Distant Vision 4,873 2.2
Esophoria or Exophoria 3,861 1.8
Right or Left Hyperphoria 867 0.4
Hearing 6,612 3.0
Hearing 6,612 3.0
Blood Pressure/Pulse 13,651 6.3
Blood Pressure 4,447 2.1
Pulse 9,204 4.2
Medical History 39,733 18.4
Previous Denial Indicated 2,738 1.3
Medical History 35,726 16,5
Previous Exam on Tape Denied 827 0.4
Previous Exemption Case 276 0.1
New Exemption Case 166 Qt
Other Medical Conditions , 45,059 20,8 .
Denied. or Pending 9,699 4.5
Urinalysis 2,855 1.3
Pathology Codes 8,978 4.1
Abnormalities (Items 25-48) 11,897 5.5
Medication 11,630 5.4
Administrative 55,796 25.7
First Class by Military 290 0.1
Matches Link Record 5,136 2.4
Special Case 352 0.2
Previous Pending 3,130 1.4
Clerical Reject 11,587 5.3
Class Issued Higher than Applied For 2,961 1.4
First Class over 60 Years of Age 182 0.1
Coded Previous Waiver 10,461 4.8
Resubmit Exam to Computer 3,968 1.8
Date of ECG for First Class Exams 6,688 3.1
State Code 938 0.4
Date of Examination 588 0.3
No Match between New and Previous Exams* 2,447 11
Other 7,068 3.3
TOTAL CARDS 216,854 100.0

*This edit was implemented on September 27, 1966.

Source: Civil Aeromedical Institute, Administrative and Technical Branch,
Medical Statistical Section,

18





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al

REGIONAL ACTIVITIES OF THE

Table I.G

AVIATION MEDICAL EXAMINER PROGRAM

Calendar Year 1966

Number
of AME's Denied Pending

Region Designated Designation Action Separation
Eastern 85 2 15 48
Southern 89 6 10 10
Central 123 17 12 107
Southwestern 76 46 30 44,
Western 49 89 19 85
Alaskan 9 - - 12
Pacific 5 - - 1

TOTAL 436 160 86 307

Source: Regional Flight Surgeon Monthly Activity Reports.


fet

| . Table I,F

PHYSICAL EXAMINATIONS PERFORMED BY
AVIATION MEDICAL EXAMINERS*
| , Fiscal Year 1966

| Examinations Number Percent of Total
Performed AME's Examinations AME's Examinations

0 263 - 4.6 -

L 1-14 1,634 11,703 28.5 3.8

15-29 1,239 26,362 21.7 “8.5

30-49 1,018 38,951 17.8 12.6

| ‘ 50-99 849 58,382 14.8 18.9

100-299 591 94,519 10.3 30.5

300-599 78 31,055 1.4 10.0

600-999 28 21,328 0.5 6.9

| 1000-1999 16 18,533 0.3 6.0

2000 and over 4 8,592 0.1 2.8

ly TOTAL 5,720 309,425 100.0 100.0

4 *Does not include military or international Aviation Medical Examiners

or examinations performed by them.

| Source: Civil Aeromedical Institute, Aeromedical Certification Branch,
Aviation Medical Examiner Section.



SECTION V

MEDICAL CHARACTERISTICS
OF AIRMAN POPULATION |



Table IV.A

REGIONAL DISTRIBUTION OF AIRMEN BY
EFFECTIVE STATUS OF CERTIFICATE*
December 31, 1966

Total
First Second Third Active

Region Class Class Class Airmen Pending Denied
Eastern 9,835 20,839 83,694 114, 368 445 959
Southern 6,286 12,578 39,984 58,848 91 . 575
Central , 7,260 19,244 91,608 118,112 267 1,056
Southwestern 3,784 12,018 41,487 57,289 156 : 607
Western 10,860 24,776 84,076 119,712 343 1,112
Alaskan 189 1,014 2,908 4,111 6 33
Pacific 238 396 739 1,373 1 8

U.S. TOTAL 38,452 90,865 344,496 473,813 1,309 4,350
Military+ 19 41,334 44,645 85,998 56 583
International 1,248 1,696 3,454 6,398 31 101

TOTAL 39,719 133,895 392,595 566,209 1,396 5,034

*These figures are based on a 25-month summary from the computer tape files.

+Military airmen were tabulated on the basis of the physical examination being
performed by a military aviation medical examiner.

Source: Civil Aeromedical Institute, Administrative and Technical Branch,
Medical Statistical Section.

24



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32



Table IL1.E

RECONSIDERATION ACTIONS BY
THE FEDERAL AIR SURGEON
January 1963 - December 1966

First Second Third
Pathology Class Class Class Total
Issued :
Eye’ 34 103 115 252
Ear, Nose, Throat 2 1 7 10
Respiratory 2 4 10 16
Cardiovascular 25 43 87 155
Abdominal - 8 17 25
Nervous/Mental 17 24 107 148
Bone/Joint 1 3 6 10
Muscles - 1 3 4
Miscellaneous 2 10 25 37
TOTAL 83 197 377° 657
Denied
Eye 53 204 110 367
Ear, Nose, Throat 3 4 7 14
Respiratory 4 7 37 48
Cardiovascular 98 184 646 928
Abdominal 7 14 44 65
Nervous /Mental 58 119 340 517
Bone/ Joint - 4 “13 17
Muscles - 2 7 9
Miscellaneous 14 47 162 223
TOTAL 237 585 1,366 2,188

Source: Office of Aviation Medicine, Aeromedical Standards

Division.

21



Section

Table of Contents

V. MEDICAL CHARACTERISTICS OF AIRMAN POPULATION

A.

B

c.

D.
gE.

F

Selected Critical Pathology Codes of Active Airmen by
Class Issued

Active Airmen by Number of Restrictions Carried,
Class and Sex

Frequency of Restrictions Among Active Airmen by
Class and Sex

Airmen with Waivers by Class and Sex

Airmen with Cataracts by Age and Class

Airmen with Defective Color Vision by Class and Sex

iii

Page

36

37

38
41
42
43


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aA



Table V.A

SELECTED CRITICAL PATHOLOGY CODES OF
ACTIVE AIRMEN BY CLASS ISSUED*

December 31, 1966

Pathology First Second Third
| Code Class Class Class Total
121 Diplopia 11 42 69 122
134 Aphakia 12 53 209 274
| 135 Cataract 24 194 554 772
139 Glaucoma 15 74 149 238
143 Fails Color Signal Test 8 115 344 467
L 161 Contact Lenses 84 468 3,094 3, 646
162 Blindness or Absence of Either Eye 27 219 1,608 1,854
264 Mute - - 25 25
* 431 Myocardial Disease 5 38 176 219
[ 441 Coronary Artery Disease 4 9 26 39
464 Fibrillation 7 25 64 96
484 Hypertension with Heart Pathology 2 11 26 39
| 485 Hypertension with Medication 37 192 686 915
506 Complicated Ulcer 62 160 299 521
602 Cerebrovascular Accident 9 17 45 71
605 Convulsive Reaction 5 20 29 34
620 Degenerative Disease - Brain - - 13 13
631 Degenerative Disease - Spinal Cord 2 140 15 31
661 Psychoneurosis 49 165 369 583
ql 665 Psychosis - 9 14 23
666 Manic-Depressive Reaction 1 3 6 10
667 Schizophrenia 1 11 22 34
| 668 Personality Disorder or Abnormal Personality 16 37 71 124
684 Character Behavior Disorder 5 21 51 77
691 Mental Deficiency - - 1 1
922 Alcoholism 5 43 117 165
| 923 Drug Addiction - 1 5 6
935 Diabetes, Controlled by Diet 50 187 347 584
936 Diabetes, Insulin** 1 2 6 9
| 937 Diabetes, Other Hypoglycemic Drugs** 1 10 40 51
965 Collagenous Diseases - 5 3 8
Prefix 8 - Neoplasms 58 235 545 838
| Prefix 7 - Deformed by Amputation 19 142 659 820
} Prefix 6 - Deformed by Limitation of Motion Al 258 1,297 1,596

I

*Counts include history of and/or present condition of the pathologies noted,

**Totals reflected under Pathology codes 936 and 937 refer
of diabetes controlled by insulin or other hypoglycemic drugs.
currently certified who presently require insulin or other hypog

control of diabetes,

Source:
Statistical Section,

36

to airmen with a history

No airmen are
lycemic drugs for

Civil Aeromedical Institute, Administrative and Technical Branch, Medical



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Table II.C

MEDICAL CERTIFICATION SYSTEM

1964-1966
Activity : 1964 1965 1966
Receipts
Applications for Medical Certification 294,734 330,617 387,537
Electrocardiograms for First Class Pilots 15,823 17,100 18,802
Miscellaneous Correspondence* 22,676 27,961 43,499

Review Activity

Applications Containing Medical or Clerical

Problems 117,838 107,371 131,359
Applications Referred to Regional Flight

Surgeons 20,723 13,474 6,983
Medical Certification Decisions by Federal .

Air Surgeon 860 903 463
Petitions Considered by Administrator 300 380 373
Number of Abnormalities Detected in Electro-

cardiograms+ 893 3,899 3,907

*Includes information requested by the Aeromedical Certification Branch and
inquiries from airmen or regional offices,

+Change of screening procedures in 1965 accounts for increase of abnormal-
ities detected.

Source: Civil Aeromedical Institute, Aeromedical Certification Branch;
Aeromedical Standards Division.

11



— — & & -

Section

itt. -

Iv.

Table of Contents

REFERRALS AND DENIALS

Medical Reject Pattern (Chart)
Medical Reject Pattern (Table)

Cases Referred to Regions by the Aeromedical
Certification Branch

Appeals Considered by the Federal Air Surgeon
Reconsideration Actions by the Federal Air Surgeon
Petitions Granted or Denied by the Administrator

Status of Airmen Who Have Been Granted Exemptions

GENERAL AIRMAN POPULATION DATA

A,

Regional Distribution of Airmen by Effective Status
of Certificate

Active Airmen's State of Residence by Sex and Class
of Certificate Issued

Active Airmen by Type of Flying and Class
Age Distribution of Medically Certified Airmen (Chart)

Age Distribution of Medically Certified First Class
Airmen (Chart)

Age Distribution of Medically Certified Second Class
Airmen (Chart)

Age Distribution of Medically Certified Third Class
Airmen (Chart)

Age Distribution of Active Airmen by Class and Sex (Table)
Airmen by Occupation Code, Class and Sex
Age Distribution of Airline Pilots (Chart)

Age Distribution of Airline Pilots (Table)

di

Page

17
18

19
20
21
22

23

24

25
27

28

29

30

31

33

34

35



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19



Section

Table of Contents.

I, AVIATION MEDICAL EXAMINER INFORMATION

TI,

A.

A

Designated FAA Aviation Medical Examiners by Region
Medical Practice of Aviation Medical Examiners

Regional Coverage of Aviation Medical Examiners
Versus Physicians

Aviation Medical Examiner Training Seminars
and Attendance .

Active Aviation Medical Examiners' Highest Level
of FAA Seminar Training by Region

Physical Examinations Performed by Aviation Medical
Examiners

Regional Activities of the Aviation Medical Examiner
Program

Aviation Medical Examiner Data

CERTIFICATION ACTIVITY

A.

B.

Airman Applications for Medical Certification
Receipts of Medical Certificate Applications by Class
Medical Certification System

Medical Applications Processing by the Aeromedical
Certification Branch

Annual Record of Physical Examinations Submitted
to Computer

Aeromedical Certification Branch Computer Tape File

Aeromedical Certification Branch Medical Qualification
Section Correspondence Activity

Regional Activities of the Medical Certification Program

Page

10
11

12

13
14

15
16



few
| Table v.D
AIRMEN WITH WAIVERS
BY CLASS AND SEX
December 31, 1966
Class Frequency
Issued Male Female
b First 1,475 6
Second 8,593 179
[ Third : 8,240 491
| TOTAL 18, 308 676
il Source: Civil Aeromedical Institute, Administrative

and Technical Branch, Medical Statistical Section,

4l



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Table IIL.F

PETITIONS GRANTED OR DENIED BY
THE ADMINISTRATOR*

=

1961-1966
. First Second Third
Pathology Class Class Class Total
Granted ;
Eye. 9 15 22 46
Ear, Nose, Throat - 1 - 1
Respiratory - - 4 4
Cardiovascular 6 28 243 277
Abdominal 1 - 6 7
Nervous/Mental - 12 62 74
Bone/Joint - - 1 1
Muscles - - -
Miscellaneous - 1 8 9
TOTAL 16 57 346° 419
Denied
Eye 6 59 21 86
Ear, Nose, Throat - 1 - 1
Respiratory 3 1 8 12
Cardiovascular 102 153 400 655
Abdominal 2 4 13 19
Nervous/Mental 40 69 152 261
Bone/Joint 1 3 3 7
Muscles - - 2 2
Miscellaneous 7 10 74 91
TOTAL 161 300 673 1,134

*Counts are based on number of petitions considered rather than

Source: Office of Aviation Medicine, Aeromedical Standards
Division.

22

the number of airmen petitioning.



F,

G.

Table I.H

AVIATION MEDICAL EXAMINER DATA*
December 31, 1966
Number of Designated Aviation Medical Examiners
Ratio of Aviation Medical Examiners to Airmen
Ratio of Physicians to General Population
Ratio of Airmen to General Population

Percentage of Aviation Medical Examiners
Who Are Qualified Pilots

Percentage of Aviation Medical Examiners
Who Were Military Flight Surgeons

Percentage of Aviation Medical Examiners
Who Participate in Accident Investigation

Percentage of Aviation Medical Examiners
Who Have Received First Phase Seminar Training

Percentage of Aviation Medical Examiners
Who Have Received Second Phase Seminar Training

population,

+Based on civilian airmen only.

5,763
1:82+
1:702

1:413

471%¢

15%

74%

78%

52%

*Figures are based on U.S, non-military Aviation Medical Examiner

Tan Aviation Medical Examiner may have been classified in all or
only one of these categories.

Source:

Branch, Aviation Medical Examiner Section,

Civil Aeromedical Institute, Aeromedical Certification



Table V.E

AIRMEN WITH CATARACTS BY AGE AND CLASS
November 25, 1966

Class of Medical Certificate

First Second Third

Age Group Class Class Class Total
Less than 20 - - 12 12
20 - 24 © 1 9 37 47
25 - 29 - 24 60 . 84
30 - 34 4 16 61 81
35 - 39 2 26 76 104
40 - 44 6 33 84 123
45 - 49 5 34 79 118
50 ~ 54 1 19 53 73
55 - 59 3 18 41 62
60 - 64 2 7 31 40
65 and over - 6 21 27
TOTAL 24 192 555 771

Source; Civil Aeromedical Institute, Administrative and Technical Branch,
Medical Statistical Section.

42



Table II.B

RECEIPTS OF MEDICAL CERTIFICATE
APPLICATIONS BY CLASS*

1960-1966

. First Second Third
Year Total Class Class Class
1960 237,509 33,964 84,715 118,830
1961 , 237,311 33,936 84,644 118,731
1962 254,142 36,342 90,647 127,153
1963 271,764 38,862 96,933 135,969
1964 294,734 42,147 105,126 147,461
1965 330,617 52,006 109, 600 169,011
1966 387,537 73,903 124,593 189,041

*Class distribution for 1960 through 1964 was compiled by applying
percentages based on the 1964.computer count to actual applications
received per year, The 1965 class distributions were achieved by
applying percentages based on card counts of applications performed
during 1965 to the total receipts for the year. Class distribution
for 1966 was based on the percentages compiled from the Quarterly
Record of Physical Examinations Computer Submission Summary Report
(AC 8500-3),

Source: Civil Aeromedical Institute, Administrative and Technical
Branch, Medical Statistical Section.

10