DURING AN ATLANTIC XING SEVERAL PAX BECAME ILL. ENCOUNTERING POOR COM WITH GND ASSISTANCE; THE CREW MADE A DECISION TO DIVERT FOR MEDICAL ASSISTANCE.

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AFTER 4 HR DELAY DUE TO MECHANICAL TAXIING OUT THEN RETURN TO BLOCKS AND CHANGE PLANES; ONLY A FEW MINS BEFORE GOING ILLEGAL. ENRTE; THE CHIEF PURSER INFORMED ME A PAX WAS SICK BUT RESPONDING TO OXYGEN. AN RN WITH DIFFICULTY UNDERSTANDING ENGLISH WAS ONLY ONE TO RESPOND. WE SENT INFO TO DISPATCH THEN A SECOND; THIRD AND FOURTH PAX GOT SICK. MRS X GOT WORSE AND BETTER THAN WORSE. AIRPHONES WERE DISPATCHED INOP; 'SATVOICE' WAS TOO LOW PWR AND WOULDN'T WORK AND SUN SPOTS MADE LOC HF BAD SO WAS UNABLE TO UNDERSTAND COMPANY DOCTOR WHEN RN AND CHIEF PURSER SAID WE HAVE TO GET HER ON THE GND NOW SO I TOLD DISPATCH WE WERE GOING TO BIKF GOT CLRNC. ON THE GND A 5TH PAX COLLAPSED AND WAS TREATED BY PARAMEDICS. CALLBACK CONVERSATION WITH RPTR REVEALED THE FOLLOWING INFO: THE FLT WAS EBOUND TO EUROPE. THE MULTIPLE PROBS THAT PREVENTED GOOD COM WITH GND SUPPORT PERSONNEL LEFT LITTLE CHOICE; BUT TO GO WITH THE ADVICE OF ONBOARD NURSE TO MAKE THE DIVERT DECISION. THE PAX WAS DETERMINED AFTER THE FACT TO BE HAVING HEART PROBS RESULTING IN A FOUR DAY STAY IN THE HOSPITAL AT THE DIVERSION STATION. THE REMAINING PAX WITH HEALTH PROBS WERE FOUND TO HAVE UNRELATED PROBS WITH NO COMMON CAUSE.