In the report, sent to the chief executive of BA and the chief operating officer of the Civil Aviation Authority, the coroner raises five “matters of concern”, including that “organophosphate compounds are present in aircraft cabin air”; that “the occupants of aircraft cabins are exposed to organophosphate compounds with consequential damage to their health” and that “impairment to the health of those controlling aircraft may lead to the death of occupants”. He also says there is no real-time monitoring to detect failures in cabin air quality and that no account is taken by airlines of “genetic variation in the human species that would render individuals … intolerant of the exposure”.