December 2000
 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 



Sneezyjet & aeroclot


Elizabeth Holmes airs her concerns about cramped, bug ridden air flights

I have decided I don't like flying. Not long distances at least. It's not just the jetlag, although that's challenging enough, but the actual time spent on the plane.

On a recent flight to Detroit, my heart plummeted to new depths of despair as I boarded the shabby DC10 and saw the trial ahead of me; seven hours in the middle of a row of five - two passengers either side of me. Until that point, I had never known claustrophobia, which was to be heightened dramatically by an announcement on take-off with Concorde firmly fixed in my mind, that the first film to be shown was to be Gone in 60 Seconds. Not a fair choice of title I thought.

It wouldn't be so bad if it could be possible to cocoon yourself from the emissions of your fellow passengers, but when you're shoulder to shoulder and thigh to thigh there's little chance of that. The only option you have is to share the air with the sneezers, the coughers and, what seems worse somehow, the vomiters.

Air quality on planes is a major issue. As a cost-cutting exercise, airlines have gradually been whittling away the fresh air they provide for passengers and replacing it with around 50 per cent recycled air although some airlines are more generous than others. Not only is the air 'old', but the volume of air per passenger has been reduced and there are dramatic variations among airlines. On one, passengers can expect around 20 cubic feet of air per minute while on another, only eight cubic feet per minute is provided. In business class, currently costing at least £3,000 for a flight to Detroit, you can expect 60 cubic feet per minute while pilots can breathe easy with 150 cubic feet per minute.

Recycled air poses many health risks to passengers. Not only does the common cold have sitting targets and yes, I did succumb myself, but gastroenteritis and tuberculosis have been known to spread on planes with ease.

Farrol Kahn, director of the Aviation Health Institute suggests that air passengers should wear a respiratory flying mask for the duration of a flight. These can stop around 98 per cent of the bugs that bombard the body continually as air is inhaled, exhaled, recycled and inhaled again.

Although air quality on planes poses major health risks, the threat of developing a deep vein thrombosis (DVT) is a larger, more sinister cloud hanging over air travellers. Sudden unexpected death from this silent killer seems to be on the increase and there is significant anecdotal evidence to suggest that airlines are simply not putting passengers first when it comes to disseminating information on how to avoid this happening. And when it does happen, cabin crews do not seem equipped to deal with the situation, despite the fact that until airlines ensure they have a doctor on board each flight, it is they who must take action.
While flying back from the Far East earlier this year, my brother, a musician, saw a good friend and work colleague die from DVT. There was no one on board with the knowledge, means and equipment to save her life. He spent the remainder of the flight sitting with her body, which had been stretched out on the seats in the back row of the plane.

Shocking and tragic though the experience was, this is not a particularly rare occurrence on long flights. DVTs are the result of the thickening of the blood due to restricted circulation. Clots can then form which may travel around the body, with fatalities occurring if the clot reaches the heart, lungs or brain. One way of reducing the risk of developing a DVT is to get out of your seat and walk around the plane regularly throughout the flight. Some chance of that when you're packed in as tightly as a slave ship with no way out of your seat apart from, "excuse me, wake up, excuse me, would you mind letting me out so that I can exercise please?"!

Fluid loss on planes is another factor that increases the risks of DVTs. At high altitude, cabins have low humidity which has a dehydrating and so blood-thickening effect on the body. Drinking plenty of water, even sipping it continuously, is vital to ensure the body remains hydrated. Why, then, do airlines ply passengers with tea, coffee and alcohol - all diuretics that drain the body's fluid levels?

Cosmic radiation is yet another risk facing air passengers. A flight of around seven hours gives the equivalent of about two X-rays of radiation, so frequent flyers are at significant risk of being exposed to dangerous levels. One way of helping to combat the impact of this radiation is to take a good quality antioxidant before, during and after the flight.

Yet there are other, perhaps more pressing reasons why we should look again at our reliance on air travel, not least that it is the world's fastest growing source of greenhouse gases which, as we know too well down here, cause climate change. According to Friends of the Earth, a passenger taking a return flight from the UK to the USA can produce as much carbon dioxide as a motorist driving in the UK for a whole year. A humbling thought. Perhaps every flight ticket really should carry a government health warning.

The Bugstopper mask costs £10 + postage and is available from the Aviation Health Institute: 01865 739 681, www.aviation-health.org

Ginkgo Biloba has been shown to be an effective preventative treatment for DVTs. It helps to reduce the 'stickiness' of the blood therefore reducing the risk of clotting.

Aspirin works in a similar way as Ginkgo Biloba and taking one tablet before flying is a wise precaution, although it seems that there is less chance of experiencing an allergic reaction to Ginkgo Biloba than there is to aspirin.

Insist on having a seat as near to the front of the plane as possible. By the time the recycled air reaches passengers at the back of the plane, the passengers in the front rows who receive the air first will already have further contaminated it.

Before booking a flight, ask the airline direct questions about the health and safety of passengers. For example, does it insist on ensuring a doctor is on board each flight? What are the protocols for dealing with a passenger with a DVT? Can an aisle seat be guaranteed to aid circulation in your legs? What percentage of cabin air is recycled? If airlines are forced by passengers to focus on these issues, much needed improvements to health and safety on board planes may at last happen, even if it does result in a rise in ticket prices.

 

copyright New Insight 2000



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