Old list of diseases for conscripts of the Soviet army. The most detailed list of diseases exempting from the army
We are offering to you current list medical contraindications for military service.
As a rule, only people with obvious and severe pathologies, such as mental retardation, schizophrenia, blindness, deafness, missing limbs, etc., are completely unsuitable for the army.
In other cases, the question is either about treatment (then a delay is given and then a re-examination is required), or about the degree of dysfunction of certain organs.
Severe dysfunction (slurred speech, urinary and fecal incontinence, heart failure, etc.) is a reason for transfer to the reserve. In controversial cases, the decision remains with the medical commission.
Severe infections
Active pulmonary and extrapulmonary tuberculosis, HIV infection, leprosy - people with such diagnoses are not accepted into the army. Tuberculosis and syphilis can be cured, after which additional examination will be required.
Intestinal infections, bacterial and viral diseases, transmitted by arthropods, rickettsioses, gonococcal, chlamydial infection, some mycoses (diseases caused by fungi) and other infections with initial detection at the medical examination will serve as the reason for sending for treatment. If the infection cannot be treated, the conscript is considered unfit for service.
Neoplasms
Malignant and benign neoplasms serve as a contraindication to military service if the tumor is not subject to radical removal, there are metastases or significant dysfunction of any organs.
In addition, those who refused therapy for a tumor will not be accepted into the army. Persons undergoing treatment for neoplasms will be given a deferment and will be subject to re-examination in the future.
Obesity
Persons with obesity of 3 and 4 degrees are not suitable for military service. They are asked to undergo treatment, during which they are given a deferment. If treatment does not help, upon re-examination a conclusion is made about unfitness for service.
Diabetes
WITH diabetes mellitus of any form and any degree of severity, even in the absence of complications, are not accepted into the army. The disease cannot be cured, but corrected metabolic disorders in conditions military service does not seem possible.
Other endocrine diseases
Diseases thyroid gland, pituitary gland, adrenal glands, parathyroid and gonads, eating disorders, hypovitaminosis, gout are also contraindications for military service if they are accompanied by dysfunction of the relevant organs and cannot be controlled replacement therapy. If thyroid disease (goiter) prevents you from wearing military uniform, the conscript is also declared unfit for service.
Underweight (BMI)<18,5) будет причиной для направления на дополнительное обследование у эндокринолога и лечение.
Mental disorders
Mental retardation, personality disorders, schizophrenia, psychosis, delusional and other mental disorders (regardless of the cause of injury: trauma, tumor, infection, etc.) are contraindications for military service, which the conscript’s parents will be informed about by the psychiatrist who has him observed.
Drug and alcohol addiction
Addictions are a contraindication to military service, even in the absence of mental manifestations and symptoms. The diagnosis must be documented after examination in a hospital. In this case, the conscript must be registered and treated at a drug treatment clinic.
Epilepsy
All forms of epilepsy, except symptomatic, that is, those in which convulsive seizures are caused by some kind of brain damage, are a contraindication for conscription service. In case of symptomatic epilepsy, the examination is carried out according to the underlying disease.
Pathologies of the nervous system
Multiple sclerosis, paresis, paralysis, diseases and injuries of the brain and spinal cord, as well as the peripheral nervous system with consequences in the form of disruption of their functions of any degree - the reason for putting “unfit” in the column on military duty.
For temporary disorders of the central or peripheral nervous system, for example after an acute illness, exacerbation of a chronic disease, injury or surgical treatment, a deferment of 6 or 12 months is given. Then a re-examination is required.
Eye pathology
Retinal detachment and tears, glaucoma, severe pathology of the eyelids, conjunctiva, lens and other elements of the eye, strabismus in the absence of binocular vision, severe vision loss, severe farsightedness or myopia and, of course, blindness - all these are contraindications for military service. If the pathology does not cause a significant decrease in vision, the conscript is considered “fit with limitations.”
Hearing and vestibular disorders
Chronic otitis (bilateral or unilateral), bilateral persistent perforation of the eardrum, deafness or persistent hearing loss - these are not allowed into the army. Pathologies that can be cured are sent for treatment, and in the future a re-examination is necessary.
Vestibular disorders of any degree are contraindications for service, but this does not include seasickness and motion sickness in transport.
Heart pathologies
Heart failure (2, 3 and 4 functional classes), rheumatic heart lesions, heart defects, persistent conduction disorders and artificial pacemaker, coronary heart disease are one hundred percent “medical exemptions” from military service.
In case of heart failure FC 1, the conscript is considered “fit with minor restrictions.”
Hypertension and vascular pathologies
If a conscript is found to have an increase in blood pressure above 150/100, he is given a deferment and referred to a hospital for diagnosis. In the future, hypertension of 2 and higher degrees will serve as a medical exemption from service.
With grade 1 hypertension, the conscript is eligible with minor restrictions. With persistent vegetative-vascular disorders and hypotension, the conscript may be considered unfit for service.
In vascular pathology, the degree of disruption of the blood supply and the function of the relevant organs is assessed. If they are not there, the conscript is eligible with restrictions. Hemorrhoids are a contraindication when the process is severe.
Respiratory pathologies
Severe difficulty in nasal breathing, foul-smelling runny nose (ozena), purulent sinusitis with frequent exacerbations, damage to the larynx or trachea, lung diseases with severe or moderate impairment of respiratory function - these will not be taken into the army. If the breathing disorder is not severe, it is “fit with minor restrictions.” Advertising
Bronchial asthma
A conscript with bronchial asthma will be sent to the reserves. Moreover, regardless of the severity of the disease, frequency and severity of attacks. Once a diagnosis is made, it is also not removed.
Pathologies of teeth, jaws and digestive system
Absence of 10 or more teeth in one jaw, severe periodontitis and periodontal disease, jaw pathologies with impaired respiratory, olfactory, chewing, swallowing or speech functions; severe forms of colitis, enteritis, fistulas, all pathologies of the esophagus and intestines, accompanied by a violation of their function - all this will give at least a deferment from the army for the duration of treatment, or even force the medical board to write you off as a reserve.
Stomach ulcers and other digestive tract disorders
Peptic ulcer of the stomach and duodenum is a contraindication for military service. With gastritis, a conscript is fit with minor restrictions. In case of hepatitis and pancreatitis, the issue of the severity of the dysfunction is resolved. If a hernia is detected, surgical treatment is proposed, and then re-examination.
Psoriasis and other skin diseases
Psoriasis, systemic lupus erythematosus, common forms of alopecia or vitiligo, chronic urticaria, photodermatitis, scleroderma, ichthyosis, recurrent eczema will save you from military service. With atopic dermatitis, the issue is resolved depending on the frequency of exacerbations.
Curvature of the spine and other bone pathologies
Chronic diseases of the joints and spine, arthritis, osteo- and chondropathy with impaired joint function, scoliosis starting from degree 2, osteochondrosis with damage to 3 or more intervertebral discs, defects of the bones of the cranial vault, defects of the hand and fingers with impaired hand function - all these are reasons to dismiss you in reserve.
With spinal curvature, the question of suitability will depend on its shape, severity and severity of clinical manifestations.
Flat feet
The fate of a conscript with flat feet will depend on the severity of flat feet (its degree) and the presence of concomitant pathologies: arthrosis, contracture, exostoses.
Deformations of the arms and legs (including their significant shortening), which make it difficult to wear military uniforms and shoes, will cause transfer to the reserve.
Developmental defects
Congenital malformations will cause “unfitness for service” if there is a dysfunction of a certain organ (polycystic kidney disease, abnormal development of the genital organs, etc.). If the developmental anomaly does not affect the function (for example, doubling of the kidney while maintaining its function or microtia (congenital underdevelopment of the external ear), the conscript is considered eligible.
Lack of physical development
Height below 150 cm and weight less than 45 kg is a reason to send the conscript to an endocrinologist in order to find out the reason for such a severe lag in physical development. Then treatment and re-examination will be carried out.
Bedwetting is a reason not to join the army. However, the diagnosis requires multilateral medical confirmation: a therapist, urologist, neurologist, dermatovenerologist, psychiatrist.
Stuttering
Stuttering and other speech disorders in which it is difficult to understand or completely incomprehensible to others is a reason for dismissal from the reserve. The severity of stuttering is assessed during long-term dynamic observation in various situations, as well as on the basis of characteristics from the place of work or study.
Consequences of injuries
Injuries to any organs that cause disruption of their function, foreign bodies in the cranial cavity, eyes, mediastinum, abdominal cavity, extensive scars that limit movement in joints and wearing a military uniform, consequences of burns and frostbite - with such a pathology they will not be accepted into the army.
Food allergies
If there is a food allergy to the main foods included in army rations (such as flour products, cereals, potatoes, butter), the conscript is transferred to the reserve. In this case, the presence of allergies must be confirmed by skin tests and a relevant medical history.
Pathologies of the kidneys and reproductive system
Any kidney disease with impaired kidney function, with renal failure.
In case of pathology of the genital organs, the conclusion of the medical board will depend on the severity of the clinical manifestations. If symptoms are mild (for example, one testicle is missing), the conscript will be “fit with minor limitations.” Conscripts with infertility are fully fit for military service.
The portal site has prepared material in which they display the most detailed list of illnesses and diseases that give a conscript an exemption from the army and military service.
The article belongs to the portal site (OOO Etazh), copying without written permission prohibited.
Young men of pre-conscription age who are interested in the question of diseases that give the right to exemption from general military service, or, simply put, military service, can familiarize themselves with the most complete list of such pathologies presented below. So, you don’t have to worry about a summons from the military registration and enlistment office if you suffer from:
1. The presence of human immunodeficiency virus (HIV).
2. Leprosy.
3. Tuberculosis, in active form (regardless of whether sputum is produced or not) or clinically treated with residual effects in the form of components of the tuberculosis complex.
4. Syphilis - congenital, primary or late, if its clinical picture indicates a generalized lesion of the skeletal system or other organs and systems of the body.
5. Severe infectious intestinal diseases, including viral etiology, as well as zoonoses of bacterial origin, helminthiasis and similar ailments, if they are practically not curable or this process is associated with significant difficulties.
6. Candidiasis of internal organs, actino-, blasto- or chromomycosis, coccidioidosis, histoplasmosis, sporotrichosis, pheomycotic abscess and mycetoma.
7. Any cancer.
8. Benign neoplasms, if the dysfunction of the relevant systems and individual organs is sufficiently large.
9. Diseases of the hematopoietic system in the presence of functional disorders.
10. Eutheroid goiter.
11. Other diseases affecting the system of endocrine glands, in which even minor functional disorders are observed.
12. Subacute thyroiditis with periodic relapses.
13. Obesity (3rd degree only).
14. Diabetes mellitus, if the hypoglycemic index is within 8.9 mmol/l per day (this condition, by the way, can be quite easily corrected with the help of an appropriate diet).
15. Schizophrenia.
16. Endogenous psychoses.
17. Mental disorders classified as organic, even if the severity of such disorders can be called moderate. In addition, this item may include disorders of the psychotic and non-psychotic type, which are of a short-term, transient nature, caused by acute organic diseases or head injuries (signs of organic damage to the central nervous system are not observed in this case; after recovery, an asthenic syndrome may remain, the severity of which is insignificant ).
18. Somatomorphic and neurotic disorders (post-stress), even if the latter are expressed to a moderate degree, are short-term in nature and, after a favorable course, end with full compensation.
19. Mental and behavioral disorders caused by taking drugs that have psychoactivity.
20. Mental disorders of exogenous origin, including symptomatic ones. Painful manifestations in this case can be persistent and pronounced, or have a long duration or recur with moderate severity. This also includes long-term, up to three months, asthenia, which sometimes accompanies acute infectious diseases, even if there are no phenomena indicating organic disturbances in the activity of the central nervous system. A separate group can be divided into these disorders that occur as a result of acute poisoning with alcoholic beverages or substances that have a toxic effect on the body (narcotics).
21. Mental retardation.
22. Various personality disorders.
23. Epilepsy (except symptomatic).
24. Inflammatory diseases of the central nervous system, causing demyelination, as well as their consequences or residual effects, which led to a slight dysfunction of the central nervous system and are expressed in a combination of vegetative-vascular dystonia and asthenic syndrome with some signs of organic disorders that cannot be treated. If the patient’s condition subsequently improves, he undergoes a medical examination in accordance with paragraph “d”.
25. Degenerative diseases of the central nervous system of hereditary origin and neuromuscular diseases characterized by the presence of organic changes. There are two possible cases of their development: slow progression with mildly expressed symptoms (an example is syringomyelia, characterized by weak expression of dissociated sensitivity disorders, when trophic disorders, in particular, muscle tissue atrophy, are absent) and the absence of any progress for quite a long time. for a long time.
26. Vascular diseases, both spinal cord and brain:
- individual arterial aneurysms, the appearance of which was caused by intracranial clipping, as well as exclusion from the circulation (artificial thrombosis or balloonization);
- disorders of cerebral circulation, for example, hypertensive, cerebral crises or transient ischemia, which occur no more than twice a year, are transient in nature and are accompanied by unstable (less than a day) disorders of the central nervous system such as paresis, paresthesia, speech disorders or impaired coordination of movements that do not have negative consequences for the functioning of the nervous system;
- insufficiency of cerebral circulation in the initial stage or dyscirculatory encephalopathy (stage 1), characterized by pseudoneurotic syndrome, that is, emotional instability, memory problems, increased irritability, frequent dizziness and headaches, sleep disturbances and other symptoms;
- migraine in its various forms, if attacks of the disease last a long time - more than a day, and are repeated more than three times during the year;
- vegetative-vascular dystonia, if crises (attacks of acute anemia of the brain), leading to simple or convulsive loss of consciousness, occur more than once a month, which has documentary evidence.
27. Diseases of the peripheral parts of the nervous system, be it relapses of diseases of the nerve plexuses and the nerves themselves, which rarely worsen without increasing sensitivity, movement or trophic disorders, or the consequences of previously suffered exacerbations, which do not have significant severity and do not lead to significant dysfunction.
28. Injuries to the spinal cord and brain, as well as their consequences, and other lesions of the central nervous system, the appearance of which is caused by the influence of external factors. This may include such consequences of damage as traumatic arachnoiditis, which is not accompanied by an increase in intracranial pressure, the signs of which include asymmetry of the innervation of the cranium, anisoreflexia, mild sensory disturbances and similar neurological symptoms (usually they are combined with persistent symptoms of an asthenoneurotic nature and instability of the autonomic system). vascular system). A history of depressed skull fracture, if there are no signs of organic or functional disorders, also applies to this section of the classification. It should be clarified that the examination under clause “c” occurs only if the prescribed treatment has not led to positive changes in the patient’s condition and a decrease in the manifestations of the disease; the same approach is applied in the case of prolonged decompensation or its recurrence. If compensation for the clinical manifestations of the disease occurs, the patient’s condition improves, and his ability to perform military service is restored, the conscript will be examined under paragraph “d”.
29. Injuries to parts of the peripheral nervous system or their consequences, leading to a slight impairment of the functions of the limbs, for example, if the radial or ulnar nerve is damaged, which leads to a decrease in the strength of the muscles that extend the hand and, accordingly, limits its dorsal flexion.
30. Diseases of the orbit, eyelid, tear ducts, conjunctiva, in particular:
- blepharitis, which has a pronounced ulcerative nature, resulting in cicatricial degeneration of the edge of the eyelid and loss of eyelashes;
- conjunctivitis in a chronic form, exacerbating at least twice a year and leading to the accumulation of a large amount of infiltrate in the submucosal tissues, if treatment in a hospital did not have a pronounced therapeutic effect;
- trachomatous lesions of the conjunctiva, which are chronic;
- diseases of the ducts of the lacrimal glands with relapses of the pterygoid hymen, causing disturbances in visual functions and progressing despite the repeated use of surgical methods of treatment in inpatient conditions;
- ptosis (congenital or acquired), if the upper eyelid covers more than half of the pupil of one eye or a third or more of both when the forehead muscles are relaxed;
- conditions caused by reconstructive surgery associated with the installation of a lakoprosthesis.
31. Various diseases of other parts of the visual analyzer, which include the iris, sclera, ciliary body, cornea, choroid, vitreous body, lens, retina, optic nerve, namely:
- diseases in which the deterioration of the functions of the organ of vision progresses despite conservative and surgical treatment;
- conditions caused by a keratoprosthetic procedure to which one or both eyes were subjected;
- taperetinal abiotrophy, chronic uveitis or uveopathy, which are diagnosed in a hospital setting and are accompanied by an increase in intraocular pressure (keratoconus and keratoglobus);
- aphakia or pseudophakia (one or both eyes);
- degenerative-dystrophic changes in the fundus of the eye, if vision loss continues to progress, - posterior staphyloma, marginal retinal degeneration, multiple chorioretinal foci;
- the presence of a foreign body in the eye cavity that does not lead to tissue inflammation or dystrophic changes.
32. Detachment or rupture of the retina.
33. Glaucoma.
34. Visual acuity is 0.4 or less in one eye, if the other has 0.3-0.1 or less.
35. Diseases of the eye muscles, leading to disturbances in the coordination of movements of both eyes, in particular, their persistent paralysis due to diplopia.
36. Deafness, hearing loss or deaf-muteness.
37. Diseases of the middle ear, as well as the mastoid process, namely:
- otitis media in chronic form (unilateral or bilateral) accompanied by polyps, with granulation of the tympanic cavity in the presence of bone caries, which can be combined with chronic inflammation of the paranasal sinus;
- purulent otitis media in a chronic form (unilateral or bilateral), as a result of which difficult nasal breathing appears;
- a condition following surgical intervention to eliminate diseases of the middle ear, when the postoperative cavity is not completely epidermalized due to the presence of purulent or cholesteatoma masses or granulations;
- persistent dry perforation of the eardrums on both sides or a postoperative condition due to radical surgery, when the process of epidermization of the cavities is completely completed (examination is carried out according to columns 1 and 2 of the disease schedule).
38. Hypertension - its first stage, when blood pressure measured at rest exceeds 150-159 mm Hg. Art. (systolic) and 95-99 mm Hg. Art. (diastolic), respectively.
39. Coronary heart disease.
40. Rheumatism or other heart diseases of a rheumatic and non-rheumatic nature in the presence of heart failure characterized by moderate severity:
- zombified or combined acquired heart defects, regardless of the presence of heart failure;
- diseases leading to heart failure of the 4th functional class;
- isolated aortic heart defects, accompanied by heart failure of functional class 2-4;
- dilated or restrictive cardiomyopathy or hypertrophic cardiomyopathy in the presence of obstruction of the outflow tract in the left ventricle;
- isolated stenosis of the left atrioventricular orifice;
- persistent disturbances of heart rhythm and conduction with complete AV block, polytopic ventricular extrasystole, paroxysmal tachyarrhythmias, sick sinus syndrome, which are persistent and not amenable to therapeutic correction, with heart failure of the 2nd functional class;
- consequences of operations affecting the valvular heart apparatus, or implantation of an artificial pacemaker (heart failure of functional class 1-4);
- primary prolapse of the heart valves, including the mitral valve, myocardial cardiosclerosis, which are accompanied by disturbances of heart rhythm and conduction (possible heart failure of the 2nd functional class);
- repeated rheumatic attacks;
- hypertrophic cardiomyopathy, regardless of whether signs of heart failure of the 1st functional class are present or not;
- conditions that occur after surgery aimed at correcting congenital or acquired heart disease, implantation of an artificial pacemaker, if there is no heart failure.
41. Diseases and consequences of damage when it comes to the aorta, lymphatic vessels, arteries and veins (both main and peripheral), in particular:
- elephantiasis (2nd degree);
- post-thrombotic and varicose disease of the legs, in which the phenomena of venous insufficiency are chronic and of the 2nd degree of severity, accompanied by periodic swelling of the lower leg and foot, which occurs as a result of prolonged exercise (standing or walking) and disappears after rest;
- obliterating endarteritis, thromboangiitis, vascular atherosclerosis in the 1st stage, localized in the lower extremities;
- angiotrophoneurosis in the 1st stage;
- varicose veins of the spermatic cord of the 2nd degree of severity (when the spermatic cord descends below the level of the upper pole of the testicle, but testicular atrophy has not occurred), which is observed as a relapse, despite repeated surgical intervention (with a single relapse of the grounds for using p. “ c" no), if the patient refuses further treatment (if the examination is carried out according to the 3rd column of the disease schedule, paragraph "d" applies).
42. Neurocirculatory asthenia, if vegetative-vascular disorders are pronounced and persistent.
43. Hemorrhoids at stage 2 or 3 (nodes fall out).
44. Diseases and various injuries to the cervical parts of the trachea or larynx, which lead to persistent disruption of the breathing process with the occurrence of obstructive respiratory failure of the 1st degree or more.
45. Diseases of the pharynx, nasal cavity or paranasal sinuses, in particular purulent or polypous sinusitis, leading to persistent difficulty breathing through the nose, in cases where exacerbations occur more than twice during the year.
46. Other diseases of the respiratory system, including diseases of the bronchopulmonary apparatus in a chronic form (in the presence of pulmonary insufficiency of the 2nd degree), bronchiectasis, sarcoidosis of the 1st or 2nd stage (in the presence of positive results of histological studies).
47. Bronchial asthma, including that form in which short attacks occur less than once a day and can be easily eliminated with the help of bronchodilators, and also if during the period between exacerbations there are no symptoms, and the function lungs are normalized (with daily fluctuations in PSV or FEV being less than 30%, between attacks - more than 80%).
48. Periodontitis or severe periodontal disease with generalized tissue damage.
49. Disturbances in the eruption and development of teeth, when they are missing (or are replaced by a removable denture): 10 or more teeth on one jaw, 8 molars on one jaw, 4 molars on the upper and lower jaws on different sides.
50. Other diseases and changes in the teeth, their supporting apparatus, jaws or maxillofacial anomalies (congenital malformations do not belong to this group):
- chronic sialadenitis in the presence of frequent exacerbations; - defects of the lower jaw in the presence of grafts after surgery (if the examination takes place according to column 1 or 2 of the disease schedule);
- malocclusions of 2-3 degrees of severity (separation - more than 5 mm or chewing efficiency - less than 60%);
- actinomycosis affecting the maxillofacial area with satisfactory treatment results;
- osteomyelitis of the jaws in the event of sequestration and sequestration.
51. Gastric or duodenal ulcer.
52. Chronic pancreatitis.
53. Diseases of the esophagus, intestines (excluding the duodenum), peritoneum, namely:
- neuromuscular diseases or scar narrowing of the esophagus, if clinical manifestations require surgical intervention or the systematic use of methods such as
- bougienage or balloon dilatation;
- acquired fistulas - esophageal-tracheal or esophageal-bronchial;
- eating disorders (BMI no more than 18.5-19) and digestion that occur as a result of the removal of at least 1.5 m of the small intestine or at least 0.3 m of the large intestine;
- nonspecific ulcerative colitis or enteritis in a chronic form with severe digestive dysfunction;
- insufficiency of the anal sphincter (3rd degree);
- insufficiency of the anal sphincter (1st and 2nd degree);
- intestinal or fecal fistulas at the final stage of surgical treatment or an unnatural anus;
- prolapse of the rectum (all layers) due to walking or changing body position from horizontal to vertical - stage 3;
- rectal prolapse due to physical activity - stage 2;
- prolapse of the rectum during defecation - stage 1, as well as chronic paraproctitis, if exacerbations occur rarely;
- chronic paraproctitis, with exacerbations more than twice a year;
- chronic paraproctitis, if the fistulas open frequently or are persistent;
- cicatricial narrowings or neuromuscular diseases of the esophagus, if conservative treatment has led to satisfactory results;
- diverticula of the esophagus, the clinical manifestations of which do not require surgical intervention;
- Crohn's disease or nonspecific ulcerative colitis in a chronic form with periodic relapses, regardless of their frequency and the severity of functional disorders;
- enteritis in case of impaired secretory function, which is also characterized by nutritional disorders (BMI less than 18.5) and the presence of frequent exacerbations, when hospital treatment does not produce results and there is a need for re-hospitalization for a period exceeding two months;
- resection of at least 1 m of the small intestine or 20 cm of the large intestine with the imposition of a gastrointestinal anastomosis, if dumping syndrome does not occur often;
- peritoneal adhesions, which, due to violations of the evacuation function, require re-hospitalization, and the presence of adhesions must be confirmed by the results of laboratory tests - endoscopic, x-ray or laparotomy;
- peritoneal adhesions, as well as other diseases of the esophagus and intestines with minor functional changes.
54. Various hernias with moderate functional impairment.
55. Neurodermatitis.
56. Eczema.
57. Atropathies of inflammatory or infectious etiology, systemic lesions of connective tissues.
58. Surgical diseases and lesions of cartilage and large joints, osteopathy, chondropathy, as well as:
- pathological mobility or persistent contracture of one of the joints, leading to significant limitation of mobility;
- ankylosis of one of the large joints in a vicious position, fibrous ankylosis or the presence of an artificial joint;
- severe deforming arthrosis of large joints, in which gross bone growths of the articular ends reach 2 mm or more, and recurrent exacerbations with pain occur at least twice a year, or destruction of articular cartilage, if the radiograph indicates the presence of a joint space less than 2 mm wide and deformation of the limb axis occurs;
- aseptic necrosis of the femoral head;
- bone defect (1 cm or more), leading to limb instability4 - osteomyelitis, if there are sequestra and sequestral cavities or fistulas that open more than twice a year and do not heal for a long time;
- frequent dislocations of large joints, occurring more than three times a year as a result of minor physical exertion and characterized by relapses of synovitis of the joint and its severe instability, which leads to moderate atrophy of the muscles of the corresponding limb;
- dislocations of the shoulder joints, occurring less than three times a year, as well as their instability and synovitis after moderate physical activity;
- ankylosis of joints in a functionally advantageous position, if the functional compensation of the artificial joint is assessed as good (the examination is carried out according to column 3, item “b”);
- osteomyelitis, including primary in chronic form, exacerbations of which are observed annually;
- osteomyelitis, which rarely worsens - approximately every 2-3 years (sequestra and sequestral cavities are absent);
- stable contracture of any large joint, leading to a moderate limitation of range of motion;
- stable contracture of a large joint, if the restrictions of movement are insignificant;
- deforming arthrosis of a large joint in the presence of pain, if the radiograph indicates the presence of a joint space 2-4 mm wide; - hyperostosis, which creates obstacles to the normal movement of the limbs, as well as the wearing of military shoes, clothing and equipment.
59. Diseases of the spinal column or their consequences (congenital deformities and defects are not included in this group):
- Kümmel disease (traumatic spondylopathy);
- spondylitis of infectious origin, if exacerbations occur more than three times during the year;
- infectious spondylitis, exacerbations of which are rare;
- spondylolisthesis of 3-4 degrees with displacement of the vertebral body by a distance exceeding half of its transverse diameter, if there is instability of the spine, and the pain syndrome is pronounced and permanent;
- deforming spondylosis, involving the thoracic and lumbar regions, which is accompanied by deep tetra- and paraparesis (in this case, the function of the sphincters is impaired, amyotrophic lateral sclerosis syndrome is observed, pain, poliomyelitis, caudal, vascular or compression syndrome, as well as statodynamic disorders are expressed), in the case if treatment in a hospital setting lasting more than three months over a year did not have a sustainable effect;
- deforming spondylosis of the cervical spine, which is characterized by instability;
- spondylolisthesis of the 1st and 2nd degrees, accompanied by pain (the vertebral body is displaced by a quarter or half of its transverse diameter);
- widespread deforming spondylosis or intervertebral osteochondrosis in the presence of multiple massive coracoid growths at the joints of the vertebrae, if pain is noted;
- fixed curvatures of the spinal column, which include wedge-shaped deformations and rotation of the vertebral bodies in those places where the spine bends the most - kyphosis, scoliosis of the 4th degree, etc., if there is a sharp deformation of the chest and respiratory failure of restrictive type 3 th degree;
- osteochondropathy of the spinal column - kyphosis and scoliosis of the 3rd degree (structural and non-structural), if the deformation of the chest is moderate, and respiratory failure of a restrictive type is of the 2nd degree of severity;
- conditions caused by the removal of intervertebral discs (examination in columns 1 and 2);
- limited deforming spondylosis or intervertebral osteochondrosis, if more than three vertebral bodies or more than three discs are affected, respectively (anatomical signs of deformation are clearly visible and pain is present after significant physical activity);
- fixed curvatures of the spinal column of an acquired nature in the presence of rotation of the vertebrae - scoliosis of the 2nd degree, osteochondropathy kyphosis, leading to wedge-shaped deformation of more than three vertebrae (the height of their anterior surfaces is reduced by more than half);
60. Flat feet or other foot deformities, in particular:
- longitudinal and transverse flatfoot of the 2nd degree, leading to arthrosis of the second stage of the middle parts of the feet;
- longitudinal flatfoot of the 3rd degree, even if there are phenomena indicating the presence of deforming arthrosis of the middle parts of the feet and there is no valgus alignment of the heel bones;
- moderate deformities of the feet, if the disturbance of statics and pain are moderate;
- post-traumatic deformation of the calcaneus (Behler angle decreases from zero to minus ten degrees) with arthrosis of the subtalar joints;
- deforming arthrosis, affecting the first joint of the metatarsus, stage three (movements are limited - less than 10 degrees with plantar flexion, less than 20 with dorsiflexion).
61. Shortening the lower limb by 2-5 cm.
62. Osteochondrosis in case of extensive pain syndrome.
63. Deformations and defects of the fingers and hands, or their absence, or rather:
- absence on both hands of the first and second fingers to the metacarpophalangeal joint;
- absence of four fingers on both hands up to the distal ring of the main phalanx;
- absence of three fingers on both hands up to the metacarpophalangeal joint;
- absence of the hand to the level of the carpal joint or metacarpal bones;
- absence of both hands up to the level of the wrist joint;
- the absence of three fingers to the metacarpophalangeal joint on one hand and four to the distal end of the main phalanx on the other;
- absence of the 1st and 2nd fingers to the metacarpophalangeal joint, the 1st - to the interphalangeal joint and from the 2nd to 5th - to the distal end of the middle phalanx, or on each hand, 1st finger to the metacarpal -phalangeal joint;
- chronic dislocations and defects of more than three metacarpal bones;
- damage to the ulnar and radial arteries together or separately, which led to a sharp disruption of the blood supply to the fingers and hands; ischemic contracture of the small muscles of the hands may be observed;
-defects, destruction or consequences of arthroplasty of more than three metacarpophalangeal joints, as well as two of them;
- defects or old tendon injuries on more than three fingers;
- persistent contracture and severe trophic disorders - anesthesia, hypoesthesia and others, the cause of which was chronic damage to more than three fingers in total;
- old dislocations and osteochondropathy of the hand joint;
- false joints, osteomyelitis of more than three metacarpal bones in a chronic form; - dislocations and defects of two metacarpus bones; - carpal or lateral tunnel syndrome;
- chronic injuries of the tendons on two fingers (level of the metacarpal bone), the long flexor on the 1st finger;
- a combination of various injuries, which is accompanied by functional disorders of the hands, trophic disorder or circulatory disorders, expressed moderately.
64. Kidney diseases causing chronic renal failure:
- bilateral nephroptosis in the 3rd stage;
- the absence of one of the kidneys, if the second has any functional impairment;
- urolithiasis (if both kidneys are affected and treatment has not brought a satisfactory result), hydronephrosis, pyonephrosis, secondary pyelonephritis, which cannot be treated;
- pelvic dystopia of the kidneys;
- consequences of resection or plastic surgery of the bladder;
- urethral stricture, if it systematically or no more than twice during the year (in case of a satisfactory treatment result) requires bougienage;
- sclerosis of the bladder neck in the presence of vesicoureteral reflux or accompanied by secondary bilateral pyelonephritis or chronic hydronephrosis;
- the absence of a kidney or its non-functioning, in the case when the other one is working normally;
- urolithiasis, in the presence of attacks of renal colic more than three times during the year, with the passage of stones, if the excretory function is moderately impaired;
- unilateral nephroptosis in the 3rd stage or bilateral in the 2nd stage in the presence of constant pain, secondary pyelonephritis or vasorenal hypertension;
- sclerosis of the bladder neck, if there are secondary unilateral changes in the urinary system;
- unilateral pelvic dystopia;
- persistent symptomatic arterial hypertension, if correction with medications cannot be avoided, regardless of the severity of functional disorders (item “b”);
- the presence of single stones (up to 5 mm and more than 5 mm), if the excretory function is not impaired, and attacks of renal colic are rare (up to three times a year) - when confirmed by ultrasound and test data;
- unilateral nephroptosis in the 2nd stage, accompanied by secondary pyelonephritis or bilateral - if the clinical manifestations and functional disorders are insignificant;
- lumbar dystopia, if the excretory function is slightly impaired;
- cystitis, urethritis and other chronic diseases, frequent exacerbations of which require hospital treatment.
65. Endometriosis (clinical manifestations are moderate, exacerbations more than twice during the year);
66. Chronic prostatitis (in the presence of stones) or benign prostatic hyperplasia in the 1st stage.
67. Congenital heart defects (combined or combined, with or without heart failure).
68. Isolated congenital heart defects (heart failure FC 2-4).
69. Congenital anomalies of the respiratory organs (respiratory failure of the 3rd degree).
70. Congenital fixed curvature of the spinal column, if there is a sharp deformation of the chest and respiratory failure of the restrictive type of the 3rd degree, as well as the 2nd.
71. Congenital absence of the ears, cleft palate or lip, other congenital anomalies of the digestive organs, if there is a severe dysfunction, and the clinical manifestations are pronounced.
72. Congenital absence of one kidney or its functions, if there are functional disorders in the functioning of the remaining one, as well as if it functions normally.
73. Polycystic kidney disease with significant impairment of excretory functions or chronic renal failure.
74. Anomalies of the renal vessels, as confirmed by angiography, in the presence of vasorenal arterial hypertension and renal bleeding.
75. Osteosclerosis, osteopetrosis, marble disease.
76. Abnormalities of the genital organs (vaginal atresia or absence of the penis).
77. Absence of a limb segment.
78. Bone deformation, if the limb is shortened by more than 8 cm, as well as from 5 to 8 cm or from 2 to 5 cm.
79. O-shaped or X-shaped curvature of the lower extremities to a significant extent.
80. Other defects, deformations, diseases of the musculoskeletal system, if there is a slight, moderate or significant dysfunction.
81. Congenital ichthyosis, dominant ichthyosis, black and blackening recessive ichthyosis or ichthyosiform erythroderma.
82. Patent ductus or ventricular septal defect.
83. Dysplasia, double kidneys, horseshoe kidney, anomalies of the ureters and bladder.
84. Bilateral microtia.
85. Scrotal or perineal hypospadias.
86. Single solitary renal cysts with minor functional disorders.
87. Retention of one or two testicles in the inguinal canals, at their external openings or in the abdominal cavity.
88. Fistula of the urethra (from the root to the middle of the penis).
89. Dermoid cysts of the coccyx with relapses, despite radical surgical intervention performed more than three times.
90. Hereditary keratoderma of the palms or soles, leading to impaired hand function or difficulty walking.
The most common deferments from the army are deferments due to illness. Simply put, if you have health problems that are included in the list of illnesses from the Regulations on Military Medical Examination, then you will be given a deferment for a period of six months to a year
Suitability categories
- Fitness category B- limited fit for military service. If it's peacetime, then you don't go to serve.
- Fitness category D- not fit for military service. You're not going to serve anyway.
- Suitability category G- temporarily unfit for military service, deferred for 1-2 drafts.
Diseases for health deferment
Most of the diseases from the Schedule of Diseases are quite rare, so we will not touch on them. But if you don’t know whether your disease exempts you from military service, you need to familiarize yourself with the full list of diseases.
The most common are 4 diseases that give the right to health deferment:
- Poor eyesight
- Hypertonic disease
- Underweight/obese
Let's go through them briefly.
Poor eyesight
The minimum visual impairment for exemption from the army is myopia more than 6 diopters or farsightedness more than 8 diopters. If your vision is better than these indicators, then this type of deferment is not for you, since it will not be possible to imitate poor vision. Also, on a separate line is astigmatism- if the difference in refraction in the main eye meridians is more than 4 diopters, the conscript is exempt from military service.
Hypertension
To be released, you must have stage 2 hypertension, grade 1-2 (confirmed by 24-hour blood pressure monitoring). It is important to understand that if this disease is initially detected, you will not be exempt from military service, but will be given a deferment for six months. If, after six months, the presence of the disease is confirmed and there are the same consistently high blood pressure readings, then you can count on receiving a military ID. It is important to remember that draft board doctors often reclassify hypertension as vegetative-vascular dystonia and require documented fainting in order to be exempt from conscription.
Spine and orthopedic diseases
Such diseases include scoliosis of the 2nd degree, osteochondrosis and spondylosis, flat feet of the 3rd degree and other diseases. IMPORTANT: since October 2014, changes have been made to the Schedule of Diseases and now in order to obtain a military ID on the basis of such diseases, a documented impairment of function is required.
Underweight/obese
If back in 2013, on the basis of a low or high BMI (body mass index), it was possible to obtain a military ID, now, based on these indicators, only a deferment for 1 draft is granted. If during this time you do not find a disease with a dysfunction of an organ or system, which leads to an increased or decreased body mass index, then you will be called up, assigning fitness category B-3. You can find out more about the features of obtaining a deferment in this medical field.
If you are interested in how the presence of certain diseases can contribute to exemption from the army, then this article is for you. Young people of military age very often do not know all the intricacies of the law and their capabilities. Therefore, we will try to figure out how the presence of certain diagnoses can help a conscript avoid military service.
- Why can a certain illness help you get exemption from military service?
- How to find such a disease in yourself and correctly draw up documents that would confirm your grounds for release?
- At the end of the article you will be able to get a list of diseases with which you will definitely not be accepted into the army.
Why do illnesses help avoid service?
Everything is very simple here. The main purpose of conscription is to recruit a certain number of military personnel. This is done by a special body called the draft commission. Her main goal is to complete the summoning plan. And in order to ensure that only healthy people enter the army, the draft commission organizes a so-called medical examination.
On it, doctors, specialists from 7 different areas of medicine, study all the documents available in the conscript’s personal file that would indicate his state of health. All diseases that are in these documents are checked against a special schedule of diseases. It compares all diagnoses with a specific fitness category.
In particular, there are many diseases on the schedule that fall under the eligibility category. And all conscripts with this category of fitness are recognized as having limited fitness, they are released from military service, enlisted in the reserves and issued a military ID.
How to find non-conscription diagnoses and confirm them with documents?
As we said above, at the military registration and enlistment office you will be examined by 7 specialist doctors. Accordingly, you need to undergo a comprehensive medical examination in at least 7 main areas of medicine. You need to be examined by the following specialists:
- therapist
- surgeon
- neurologist
- psychiatrist
- otorhinolaryngologist
- dentist
- ophthalmologist
All examinations must be comprehensive, serious and aim to show the real state of health of the conscript. Having been examined in all main areas, you have a great chance of finding one or more grounds that will help you avoid service.
What is the most important thing in this procedure? The most important thing is the correspondence of the wording in medical reports and the names of diseases from the schedule. What do we mean?
For example, a doctor examining you can identify a disease. Next, he will write a medical report in which he will indicate it. However, most diseases have two or more wordings that refer to it. And if your Doctor specifies wording that is not in the schedule, then this medical report cannot become a Ground for exempting you from military service.
Therefore, you must find out exactly what formulation will help you avoid the army. Ask your doctor to indicate this exact wording in the medical document.
Next, all you have to do is attach copies of the documents received during the examination to your personal conscript file. Accordingly, the draft commission will be obliged to take them into account and make its decision, including on the basis of these papers.
If the decision does not take into account your real state of health, then you can appeal it as illegal. There are two ways to do this. Either file a complaint with a higher-ranking PC, or seek a reversal of the decision in court.
Diseases that you definitely won't be treated for
Below we give examples of the most common diseases that guarantee you category “B”. You can find out the full list in the Schedule of Diseases. You can download it by clicking the button below.
Atopic dermatitis falls under Article 62, paragraph b. Prerequisites:
The presence of lichenification of the skin, lupus erythematosus on the skin and a history of relapses within the last five years.
Bronchial asthma - paragraph B of Article 52. Conditions:
Having attacks once a day or less. Attacks are easily eliminated through the use of bronchodilators. Daily fluctuations in PEF, fluctuations in PEF or FEV1 are less than 20% of the expected values
Vegetative-vascular dystonia - paragraph B of Article 24. Conditions:
Crises should occur more than once within a month. In this case, they should be accompanied by fainting, simple or with convulsions. These facts must be documented.
Hypertension of the first or second stages - paragraphs b and c of Article 43. Conditions:
systolic pressure - from 140 to 179 mm Hg* or 160 mm Hg. and higher, diastolic - from 90 to 109 mm Hg. or 100 mm Hg. and higher
In this case, the presence of the disease must be confirmed by at least six months of Observation. This means that if the disease is diagnosed for the first time, a deferment is issued for a period of 6 months. If detected again, category “B” is assigned.
* millimeters of mercury.
Glaucoma clause in article 32. Conditions:
The stage of the disease must be advanced or more if the process occurs in one eye, or it can be initial if only one eye is affected. The presence of the disease must be confirmed by inpatient observation.
Personality disorder - paragraph B of Article 18. At least one of the points is present:
The presence of vegetative reactions, reactive states and effects, manifested in the form of breakdowns.
- Violation of gender identification and sexual preference.
Let's finish with the examples. You can download the full list by clicking on the button. There are diseases with which you cannot be called upon.
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