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MED.B.040 Infectious Disease

ANNEX IV (Part-MED) · Regulation (EU) No 1178/2011 · EAR revision 25 Nov 2025

IRImplementing rule

MED.B.040Infectious Disease

(a)Applicants shall be assessed as unfit where they have a clinical diagnosis or medical history of any infectious disease which is likely to jeopardise the safe exercise of the privileges of the licence.

(b)Applicants who are HIV positive may be assessed as fit subject to satisfactory aero-medical evaluation. Such applicants for a class 1 medical certificate shall be referred to the medical assessor of the licensing authority.

IR · MED.B.040 — Regulation (EU) No 1178/2011 · Regulation (EU) 2019/27 · Aircrew Easy Access Rules · EAR revision 25 Nov 2025

AMCAcceptable means of compliance

AMC1 MED.B.040Infectious disease

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(a)Infectious disease General In cases of infectious disease, consideration should be given to a history of, or clinical signs indicating, underlying impairment of the immune system.

(b)Tuberculosis

(1)Applicants with active tuberculosis should be assessed as unfit. A fit assessment may be considered following completion of therapy.

(2)Applicants with quiescent or healed lesions may be assessed as fit. Specialist evaluation should consider the extent of the disease, the treatment required and possible side effects of medication.

(c)Syphilis Applicants with acute syphilis should be assessed as unfit. A fit assessment may be considered in the case of those fully treated and recovered from the primary and secondary stages.

(d)HIV positivity

(1)Applicants who are HIV positive may be assessed as fit with an OML if a full investigation provides no evidence of HIV associated diseases that might give rise to incapacitating symptoms. Frequent review of the immunological status and neurological evaluation by an appropriate specialist should be carried out. A cardiological evaluation may also be required, depending on the medication.

(2)Applicants with signs or symptoms of an AIDS-defining condition should be assessed as unfit.

(e)Infectious hepatitis Applicants with infectious hepatitis should be assessed as unfit. A fit assessment may be considered once the applicant has become asymptomatic. Regular review of the liver function should be carried out.

AMC · AMC1 MED.B.040 — Regulation (EU) No 1178/2011 · ED Decision 2019/002/R · Aircrew Easy Access Rules · EAR revision 25 Nov 2025

AMCAcceptable means of compliance

AMC2 MED.B.040Infectious disease

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(a)Tuberculosis

(1)Applicants with active tuberculosis should be assessed as unfit. A fit assessment may be considered following completion of therapy.

(2)Applicants with quiescent or healed lesions may be assessed as fit. Specialist evaluation should consider the extent of the disease, the treatment required and possible side effects of medication.

(b)HIV positivity

(1)Applicants who are HIV positive may be assessed as fit if a full investigation provides no evidence of HIV associated diseases that might give rise to incapacitating symptoms. Frequent review of the immunological status and neurological evaluation by an appropriate specialist should be carried out. A cardiological evaluation may be required, depending on the medication.

(2)Applicants with signs or symptoms of an AIDS-defining condition should be assessed as unfit.

AMC · AMC2 MED.B.040 — Regulation (EU) No 1178/2011 · ED Decision 2019/002/R · Aircrew Easy Access Rules · EAR revision 25 Nov 2025

All rules in SUBPART B – REQUIREMENTS FOR PILOT MEDICAL CERTIFICATES

Consolidated from the EASA Easy Access Rules (revision 25 Nov 2025, extracted 17 Aug 2026) for convenience. Not the official publication — verify against the Official Journal of the European Union and the EASA publications before operational use.

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