Physical, psychological and behavioural responses of aircraft occupants to volcanic emissions

Abstract Volcanic eruptions produce plumes of ash, gas and aerosols that present a risk to aviation at all standard flight levels. Here, we investigate atmospheric dispersal of volcanic emissions, whether and how they infiltrate aircraft, and whether ground-level public health exposure thresholds can be related to the pressurised cabin environment. We then review the limited evidence for physical and mental health, and behavioural impacts, resulting from volcanic emissions entering aircraft. Serious health risks are considered low for healthy individuals, but respiratory irritation is likely for a high exposure scenario to sulfur dioxide (SO2). Asthmatics are particularly sensitive to SO2, with even relatively low, short exposures, potentially resulting in severe respiratory impacts. Negative group behaviours are not expected but individual distress is possible. Communicating this evidence to the aviation industry may result in more informed decision-making on flightpath alterations and triggering of emergency protocols, both before and during volcanic emission encounters.