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71 âNotification of Suspected Communicable Diseases, or Other Public Health Risk, on Board an Aircraftâ 16.6.1 The flight crew of an en-route aircraft shall, upon identifying a suspected case(s) of com- municable disease, or other public health risk, on board the aircraft, promptly notify the ATS [air traffic services] unit with which the pilot is communicating, the information listed below: a) aircraft identification; b) departure aerodrome; c) destination aerodrome; d) estimated time of arrival; e) number of persons on board; f) number of suspected case(s) on board; and g) nature of the public health risk, if known. 16.6.2 The ATS unit, upon receipt of information from a pilot regarding suspected case(s) of com- municable disease, or other public health risk, on board the aircraft, shall forward a message as soon as possible to the ATS unit serving the destination/departure, unless procedures exist to notify the appropriate authority designated by the State and the aircraft operator or its designated representative. 16.6.3 When a report of a suspected case(s) of communicable disease, or other public health risk, on board an aircraft is received by an ATS unit serving the destination/departure, from another ATS unit or from an aircraft or an aircraft operator, the unit concerned shall forward a message as soon as possible to the public health authority (PHA) or the appropriate authority designated by the State as well as the aircraft operator or its designated representative, and the aerodrome authority. Note 1.âSee Annex 9âFacilitation, Chapter 1 (Definitions), Chapter 8, 8.12 and 8.15, and Appen- dix 1, for relevant additional information related to the subject of communicable disease and public health risk on board an aircraft. Note 2.âThe PHA is expected to contact the airline representative or operating agency and aero- drome authority, if applicable, for subsequent coordination with the aircraft concerning clinical details and aerodrome preparation. Depending on the communications facilities available to the airline representative or operating agency, it may not be possible to communicate with the aircraft until it is closer to its destination. Apart from the initial notification to the ATS unit whilst en-route, ATC communications channels are to be avoided. 19/11/09 No. 2 16-8 Air Traffic Management (PANS-ATM) 22/11/07 Note 3.âThe information to be provided to the departure aerodrome will prevent the potential spread of communicable disease, or other public health risk, through other aircraft departing from the same aerodrome. Note 4.âAFTN (urgency message), telephone, facsimile or other means of transmission may be used. Appendix B iCAO document 4444, paragraph 16.6