ACOEM�s Tips for Healthy Air Travel

PRE-FLIGHT MEASURES

Medical cautionary measures: Due to the effects of air cabin pressure (equivalent to being 5,000 to 8,000 feet above sea level), the body�s oxygen saturation percentage drops 6-8 points in a pressurized cabin. Less cabin pressure results in less oxygen — this can be a problem for those who suffer from heart and/or lung disorders.

  • Speak to a physician if you have a history of cardiac or pulmonary disease or cancer.
  • If you�ve had surgery, including eye or oral/dental, within the last month, check with your physician prior to flying.
  • If you wear contact lenses, consider wearing glasses during the flight, or using commercially available lubricating eye drops, as reduced cabin humidity can cause eye irritation.
  • If you have a cold or an infection — particularly ear, nose, and/or sinus infections — cancel your flight. Congestion can lead to pain, bleeding, and possibly a ruptured eardrum or sinus damage.
  • If you are pregnant, check with your physician before flying.
  • If you are diabetic, discuss what adjustments to make to your medication schedule if you are flying across multiple time zones.
  • It is dangerous to fly immediately after scuba diving. If you have been scuba diving, wait 12-24 hours (depending on the depths and number of dives performed) before flying.

Medications

  • Place all medication(s) — both prescription and over-the-counter — and any medical supplies (insulin syringes) in a carry-on bag. Not only will they be less likely to be lost, but they will not be exposed to temperature changes that occur in the cargo/storage area.
  • Bring a copy of the prescription and your physician�s contact information with you in case the medication is lost or stolen. Also, know the generic names of all your medications as brand names can vary.
  • Carry medications in the original bottles to help avoid security issues.
  • Take along extra medication(s) in case the return trip is delayed.

Personal habits

  • Drink fluids before and during your flight to avoid dehydration.
  • Limit your alcohol intake at least 24 hours before flying, particularly if you suffer from motion sickness.

DURING FLIGHT

Drinking and eating

  • Avoid alcohol and caffeine, which can contribute to dehydration. Drink plenty of fluids (aim for 8 ounces per hour). Water and fruit juices are best.
  • Request only bottled water or canned beverages, especially if you have a suppressed immune system.
  • Eat lightly.

Sleeping

  • Sleep on the plane to avoid jet lag.
  • Do not use an airline provided-blanket or pillow unless it is in a sealed package, to avoid germs on a previously used item.

Exercise

  • Flex and rotate your neck, back, shoulders, and ankles every 20-30 minutes to avoid stiffness. If sitting for more than 30 minutes, get up slowly; blood may have pooled, which can cause dizziness upon sudden standing.
  • Take a walk around the cabin every hour or two if flight safety permits.
  • If you are pregnant, request an aisle seat and walk about the plane when this is permitted during flight. Place the seatbelt low on your pelvis to avoid fetal injury.

Illness

  • If the person next to you is coughing, request to be moved if possible.

Source: American College of Occupational and Environmental Medicine, Elk Grove Village, IL.