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Barrier-free flying: Successfully mastering air travel with illness or disability

For many people, flying is the fastest and most convenient way to travel long distances. However, for people with disabilities, chronic illnesses, or acute health conditions, flying often presents additional challenges. To ensure a safe and comfortable journey to your destination, thorough preparation and knowledge of special assistance services are essential.

This guide will show you how to plan your trip, what your rights are, and tips to help you make your flight stress-free and safe.

Rights of passengers with disabilities or health restrictions

Within the European Union, Regulation (EC) No. 1107/2006 applies, granting comprehensive rights to people with disabilities or reduced mobility. This regulation obliges airports and airlines to provide free assistance to ensure equal access to air transport for all travelers.

Your key rights:

Free assistance: Airports and airlines must provide wheelchairs, escort services, and other assistance when needed.

Accessible facilities: Airports are required to provide accessible restrooms, elevators, and check-in counters.

Priority boarding: If medical reasons apply, passengers with disabilities have priority for boarding and disembarkation.

Free transport of assistive devices: Medical devices and assistive devices such as wheelchairs or oxygen concentrators are transported free of charge.

Important: Notify the airline of your need for assistance at least 48 hours before departure to ensure all arrangements can be made.

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Airport assistance: support from the start

Before you travel, you can find out about the special services available at your departure airport. Many airports offer extensive support for people with disabilities or health restrictions.

Wheelchairs and Escort Services

Passengers with limited mobility can reserve a wheelchair in advance or use an escort service. Trained staff will accompany you from check-in through security to the gate, ensuring you board comfortably.

Accessible Check-In

Specially designated check-in counters offer ample space for wheelchairs and other assistive devices. The staff at these counters are trained to assist people with special needs and make the check-in process as easy as possible.

Special Security Checks

People with implants, prostheses, or other assistive devices can use alternative security checks. Instead of going through the metal detector, a manual screening by trained staff is often performed. Inform security personnel in advance of your special needs.

Communication aids for the hearing and visually impaired

Airports offer assistance such as sign language interpreters, tactile guidance systems, or special desks for written communication. These aids can be requested when booking.

Flying with assistance dogs: What you should know

For many people with disabilities, assistance dogs are an indispensable companion. Most airlines allow guide dogs or assistance dogs to travel free of charge if they are registered in advance.

Important requirements:

The dog must have official training as an assistance dog.
A certificate from the training organization may be required.
The dog must occupy a designated seat (usually at the passenger’s feet) during the flight.

Medical equipment and medicines on board

Travelers with health restrictions are permitted to carry all necessary medical devices and medications in their carry-on luggage. However, certain regulations must be observed:

Medications in Carry-On Luggage
Medications should be transported in their original packaging.
For prescription medications, it is advisable to carry a doctor’s certificate or a copy of the prescription.
Liquid medications are exempt from general carry-on baggage restrictions, but must be declared at security checkpoints.
Medical Devices
Portable oxygen devices, insulin pumps, or CPAP devices for the treatment of sleep apnea are generally permitted on board, but must be registered with the airline in advance.
Electric wheelchairs or other devices with batteries are subject to specific regulations. The battery, if present, must be disconnected and securely packaged.

Flying with chronic illnesses

People with chronic conditions such as cardiovascular problems, respiratory diseases, or diabetes should consult their doctor before traveling to determine their fitness to fly. In some cases, supplemental oxygen may be required on board. Many airlines offer this service upon prior arrangement.

Important Tips:

Always carry a list of your medications and dosages with you.
Make sure you drink plenty of water during the flight, as the dry cabin air can promote dehydration.
Exercise regularly to reduce the risk of thrombosis.

Flying during pregnancy

Pregnant women can generally fly without any problems, but a doctor’s note is required from the 36th week of pregnancy onward. Airlines have different regulations, so it’s advisable to check the airline’s policies well in advance.

Tips for pregnant women:

Wear comfortable clothing and compression stockings to prevent swelling.
Choose an aisle seat so you can easily stand up and move around.
Drink plenty of water to promote circulation.

Flying after operations or in case of acute illnesses

If you have recently undergone surgery or are suffering from acute illnesses such as the flu or gastrointestinal problems, you should consult a doctor before flying. The change in cabin air pressure can impair wound healing and circulation.

When you should not fly:

Uncontrollable bleeding or recently surgical wounds.

Contagious diseases such as the flu or gastrointestinal infections.

Severe respiratory illnesses or heart problems.

Tips for a pleasant and safe flight

Before your trip:

Notify the airline of your need for assistance early.
Obtain all necessary medical documents and certificates.
Pack important medications and aids in your carry-on luggage.

During the flight:

Exercise regularly to prevent circulatory problems.
Drink plenty of water and avoid caffeinated drinks.
Use special pillows or blankets for added comfort.

After arrival:

Check your health and rest if necessary.
Seek medical advice if symptoms such as dizziness, pain, or fatigue occur.