The Collaborative Arrangement for the Prevention and Management of Public Health Events in Civil Aviation (CAPSCA) is a voluntary program managed by the International Civil Aviation Organization (ICAO), with support from the World Health Organization (WHO). Established in 2006, CAPSCA aims to unite various organizations at international, regional, national, and local levels. The goal is to enhance preparedness and response to public health events that impact aviation.
Annual CAPSCA meetings occur in each ICAO region, where stakeholders collaborate to develop and harmonize approaches to managing public health issues in aviation. CAPSCA also offers assistance visits to individual states and airports. During these visits, a small team of experts, typically including both aviation and public health personnel, conducts a gap analysis of local preparedness plans against ICAO Standards and WHO International Health Regulations (IHR). A confidential report follows, guiding states in improving their preparedness strategies.
A public health event is defined as any occurrence that poses an immediate threat to human health, necessitating swift action to protect the public. The IHR (2005) is a core WHO document that outlines the organization’s authority and responsibilities in responding to health threats globally. It serves as a key framework for managing the international spread of diseases while minimizing disruptions to travel and trade.
CAPSCA played a significant role during the COVID-19 pandemic, coordinating responses to various public health threats, including communicable diseases, chemical incidents, bioterrorism, volcanic ash, and food safety. The program aims to ensure public health protection, support safe air transport, and assist states in implementing ICAO Standards and IHR. CAPSCA also focuses on building capacities, facilitating collaboration, and training assessors to enhance state readiness for public health emergencies in aviation.
The collaboration between ICAO and WHO is vital. The IHR (2005) mandates WHO to maintain relationships with its member states and other international bodies, ensuring effective communication regarding public health risks. For instance, WHO has recommended updates to the Health Part of the Aircraft General Declaration to enhance aviation safety. This cooperation helps strengthen global norms and standards, ensuring adequate measures are taken to protect public health during international travel. Additionally, WHO works with member states to mobilize financial resources, particularly aiding developing countries in strengthening their public health capacities.









