Richard Westgate, died in December 2012, and his family believe he died because of “aerotoxic syndrome” – a term used to describe symptoms some believe are related to exposure to toxic cabin air.
It is a condition the aviation industry does not recognise.
At the start of an inquest in Salisbury into the death of the 43-year-old, coroner Dr Simon Fox QC said: “Exposure to organophosphate in the course of his employment as a commercial pilot is not a proper issue to be examined by this inquest.”
He said the inquest would look at whether Mr Westgate had died from an overdose, intended or not, of the insomnia drug pentobarbital, and whether he had been suffering from myocarditis, an inflammation of the heart muscle.
Mr Westgate, from Marlborough, Wiltshire, died at the Bastion Hotel in Bussum, Netherlands, while undergoing treatment.
His death was initially examined by retired senior coroner for Dorset Sheriff Payne who issued a report in February 2015 which raised concerns that more people could die unless action was taken.
He sent his Regulation 28 report to the chief executive of British Airways and the chief operating officer of the Civil Aviation Authority, both of which are represented at the inquest, as well as the Chief Coroner.
It states: “In my opinion, urgent action should be taken to prevent future deaths and I believe your organisation has the power to take such action.”
Mr Payne listed the matters of concern included “occupants of aircraft cabins are exposed to organophosphate compounds with consequential damage to their death”.
He added: “That impairment to the health of those controlling aircraft may lead to the death of occupants. There is no real-time monitoring to detect such components in cabin air.”
The Global Cabin Air Quality Executive (GCAQE) says that it is common practice for airlines to use warm, compressed air taken directly from aircraft engines to pressurise the cabin.
Their research suggests that this air, known as “Bleed Air”, can become contaminated with engine oils and hydraulic fluids leading to illness among cabin crew through repeated exposure.
The air industry has argued there is no threat to passengers or crew.
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