Those pilots who are HIV positive or have asymptomatic AIDS may be certified if they meet certain conditions. A history of PCP as an initial presentation of HIV disease was first granted a Special Issuance by the Federal Air Surgeon in October 2000. Prophylactic medications for suppression of opportunistic infections are permissible. The pilot will also be required to undergo regular testing for neurocognitive function compared to other aviators. Cognitive testing by the CogScreen -Aeromedical Edition is strongly preferred although a battery of alternate tests is acceptable if the CogScreen is not available.
Continued certification is contingent on stability of the condition and repeat testing.
Neurocognitive testing is required annually for ATCs, First and Second Class certification, and every two years for Third Class certification. The current FAA protocol for certification of HIV positive pilots remains flexible and requirements may be added or deleted from those listed below. Each case is considered individually. Those pilots who have previously concealed treatment for their condition may be allowed Special Issuance Authorizations after they have released complete information about their condition and treatment, if they meet the above criteria. HIV Seropositivity Protocol .