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Diving after COVID disease – what you should know

We would like to point out that all divers who were ill with COVID require a diving fitness examination with written proof from the doctor.

If you need a test for the return journey, we will organize it on site (for a fee).

Medical recommendations for the resumption of diving

Clinical studies have shown cases of severe damage to the lungs, heart, central nervous system and kidneys as a result of COVID-19 infection.

Divers are of particular concern in this context with regard to permanent heart and lung damage. Similar to other severe viral pneumonias, divers require a recovery period after infection with COVID-19 before resuming their sport. Depending on the severity of symptoms, the recovery process can take weeks or months.

Here are the common recommendations for resuming diving after COVID-19. Note that the recommendations for divers who tested positive for COVID-19 but were asymptomatic, as well as the recommendations for divers who showed symptoms but were not hospitalized, have been updated since the original recommendations were published in spring 2020. It is also possible that the recommendations vary slightly from country to country. These differences exist because regulations had to be established expeditiously to deal with a previously unknown form of the disease and there was not yet sufficient time for cross-country and cross-cultural coordination. However, we advise all divers to exercise caution.

Recommendations:

Divers who have tested positive for COVID-19 but have remained completely asymptomatic should wait at least 30 days from the first negative test before obtaining a certificate of fitness to dive and returning to diving.

Divers who are symptomatic of COVID-19 should wait at least 30 days from the first negative test and an additional 30 symptom-free days thereafter (for a total of two months) before obtaining a certification of fitness to dive from a diving medicine specialist.

Divers who have been hospitalized in connection with COVID-19 disease with or due to pulmonary symptoms should wait at least THREE months before obtaining a certification of fitness to dive from a diving medicine specialist. The examination should include a complete pulmonary function test (minimum FVC, FEV1, PEF25-50-75, RV and FEV1/FVC), exercise test with peripheral measurement of acid saturation and high-resolution computed tomography of the lungs to verify return to normal.

Divers hospitalized in connection with COVID-19 disease with or due to cardiac problems should wait at least THREE months before obtaining a certificate of fitness to dive from a specialist in diving medicine. The examination should include tests of cardiovascular functions, including ECG and exercise ECG, and determine normal function.

It is important that pulmonary and cardiovascular function tests be interpreted and validated by medical professionals with expertise in diving medicine. Please note that DAN Europe members, through their membership, are entitled to remote medical consultation advice from a diving physician in the DAN Europe network.

Decompression sickness

Almost all divers have heard of it: decompression sickness.

While our guides and divemasters point it out during the dives, and even though divers learn about it during their training, it can still happen – for whatever reason – that a diver suffers from decompression sickness. If this happens, it is important to react quickly and above all correctly.

We are very well equipped in Egypt and from all dive sites – boat or shore – we can reach a decompression chamber in a very short time.