2025 Annual Report
In 2025, MedAire provided medical and security assistance across every phase of aviation operations. Overall medical case volume grew 13.8% year-over-year, with the strongest growth coming from Fit To Fly assessments.
Section 01
In an evolving geopolitical landscape, aviation operators face complex security decisions that directly impact flights. MedAire's digital tools have become essential components of our clients' risk management strategies. In 2025, our mobile application supported critical decision-making through 31,953 total sessions across 1,504 client organizations.
The Middle East (~40%), Africa (25%), and South Asia (20%) drove the majority of security requests. MedAire supported decisions across airspace and ground movement with a blend of 24/7 security team access and on-demand portal intelligence.
Section 02
48.2%
of all cases in 2025
+18.6%
year-over-year growth
#1
fastest-growing service category
Passenger Fit-to-Fly assessments outpaced both in-flight medical cases (up 12.2%) and overall case growth (up 13.8%). While MedAire actively added more clients throughout 2025, the category growth signals that aviation professionals increasingly recognize the value of preventive medical screening.
Fit to fly denials (17%) are typically linked to acute, unstable conditions, with respiratory, gastrointestinal, and neurological cases most common, alongside cardiovascular issues and recent surgery or injury.
Emerging Trend
Dermatological cases showed the strongest year-over-year growth. This increase was primarily driven by the introduction of 'cosmetic surgery' as a distinct category, following rising case volumes observed in 2024. This will enable MedAire to accurately monitor trends, as medical tourism continues to rapidly increase.
Section 03
In-flight medical cases represented 39.6% of total case volume in 2025, with MedLink handling over 180 calls daily. Year-on-year trends across these categories remain consistent and predictable.
Number of cases (2025)
Key Insight: HOW DO PATTERNS SHIFT BETWEEN GROUND AND AIR?
Conditions that are visible or physical, such as musculoskeletal issues and pregnancy, appear nearly 10 times more frequently in pre-flight assessments than in-flight, demonstrating effective gate-level screening. Neurological events show a different pattern entirely: despite representing 12.7% of pre-flight assessments, they surge to 38.2% of in-flight cases. Many neurological events present without prior indication, making them inherently difficult to predict through pre-flight assessment.
Section 03 - Part 2
In 2025 MedAire saw a 1.68% diversion rate, representing a decrease from 2024. When diversions can cost operators between $15,000 and $200,000 per incident, expert medical guidance that accurately distinguishes manageable situations from true emergencies protects both passenger safety and operational efficiency.
Highest Severity
6.8%+ diversion rate
Cardiovascular events triggered a diversion rate exceeding 6.8% - more than four times the overall average. Roughly one in fifteen cardiovascular cases required an immediate landing, making them the highest-severity category despite representing only 5.7% of in-flight cases.
Manageable In-Flight
<1% diversion rate
Gastrointestinal issues, despite ranking second in in-flight prevalence at 22.9%, had a diversion rate below 1% - showing these cases are generally manageable with proper onboard protocols and physician guidance.
Section 04
Crew Support cases represented 8.1% of total volume in 2025. This service provides assistance to crew members down route when they face medical concerns while traveling on duty, helping airlines maintain operational continuity when crew health issues could affect scheduling.
23%
Gastrointestinal
Food poisoning, gastroenteritis, vomiting
20%
Injury / External
Cabin odor events, falls
12%
Ears, Nose & Throat
Including blocked ears
11%
Respiratory
Predominantly upper respiratory infections
8%
Musculo-skeletal
Back pain, strains and sprains
Seasonal Patterns
Respiratory cases peak in winter, while injuries increase during high-movement periods.
Hub Concentration
Major cities drive volume. London alone accounts for 17.6% of cases, enabling targeted provider coverage.
Clinical Impact
Only 3.2% require hospitalization & 42.9% of cases involve medical team coordination.
End-of-Week Concentration
45.2% of cases occur from Friday to Sunday.
Supporting Safer Operations
Across every stage -- from pre-trip screening to in-flight medical guidance and crew support -- MedAire's expertise is increasingly embedded into day-to-day operations. This model combines 24/7 access to experienced clinicians and security specialists, with digital tools that support faster, more informed decision-making.
Passenger Safety
Pre-flight screening to in-flight response
Crew Wellbeing
Down-route support and clinical care
Operational Continuity
Smarter decisions, fewer diversions