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MINISTRY OF HEALTH
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SOCIALIST
REPUBLIC OF VIETNAM
Independence - Freedom - Happiness
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No.:
27/2006/QD-BYT
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Hanoi, September 21, 2006
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DECISION
ON SUPPLEMENTING 04 OCCUPATIONAL DISEASES
IN THE LIST OF COVERED OCCUPATIONAL DISEASES
MINISTER OF HEALTH
Pursuant to Article 106 of the
Labour Code dated June 23,1994 promulgating the list of occupational diseases;
Pursuant to Decree No. 49/2003/ND-CP
dated May 15, 2003 of the Government defining the functions, tasks, powers and
organizational structure of the Ministry of Health;
After obtaining the consent of
the Ministry of Labour - Invalids and Social Affairs in the official dispatch
No.2550/LDTBXH-ATLD dated July 26, 2006;
After consultation from Vietnam
General Federation of Labor in the official dispatch No. 1188/TLD dated July
20, 2006;
At the proposal of the Director
of Vietnam Department
of preventive medicine;
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Article 1. Supplementing 04 occupational diseases (with
diagnosis and inspection standard) in the list of covered occupational diseases:
1. Occupational bronchial asthma
(Diagnosis and inspection standard spciefied in Appendix 1).
2. Occupational carbon monoxide
intoxication disease (Diagnosis and inspection standard spciefied in Appendix
2).
3. Occupational black acne disease (Diagnosis and inspection standard spciefied in Appendix 3).
4. Occupational skin ulcer, onychia and paronychia (Diagnosis and inspection standard spciefied in Appendix 4).
Article 2. The laborers inspected to suffer from
diseases specified in Article 1 of this Decision shall be entitled to the
benefits specified in the Labor Code and guiding documents guiding the
implementation of the Labor Code.
Article 3. This Decision takes effect 15 days
after its publication on Official Gazette;
Article 4. The Chief of Office, Director of
Vietnam Department of preventive medicine and the departments and
administrations of the Ministry of Health, the Heads of the units under the
Ministry of Health, Directors of Service of Health of provinces and
centrally-affiliated cities, the Heads of Health sectors and the Heads of units
concerned are liable to execute this Decision. /.
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FOR THE MINISTER
DEPUTY MINISTER
Trinh Quan Huan
ANNEX 1
OCCUPATIONAL BRONCHIAL ASTHMA
(Issued together with Decision No. 27/QD-BYT September 21, 2006)
I. Pathogens
All occupations and jobs
involving exposure to or breath of perceptive agents or stimulants existing in
the working environment.
1. Essential perceptive agents:
1.1. Agents from botanical
origin : grains, flour, coffee, tea, tobacco ...
1.2. Agents
from animal origin: wool, dust from experimental animals, from mites, insects,
...;
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1.4. The organic compounds:
formaldehyde, phenylen diamine, isocyanates, especially toluene, diisocyanat,
phthalic anhydride, eppoxyresin, ...;
1.5. Antibiotics, enzymes such as
detergent, ...
2. Stimulant
Chemical stimulant causing asthma:
these are strong acids and alkalis, strong oxidizing agents (ammonia, chlorine,
hydrogen chloride, phosgen, nitrous oxide or SO2 ...).
II. Diagnostic instruction
1. Diagnostic subject: Laborers working in environment with perceptive agents or
stimulant;
2. Exposure time: Longer or equal to 2 weeks
3.
Diagnostic standard:
3.1. Clinical:
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Asthma recurs when exposed to allergens in the working environment.
- Entity (auscultatory): musical
rales and sonorous
rale.
3.2. Sub-clinical:
a) Measurement of respiratory
function: The forced
respiratory volume in the first second (FEV1)
after working shift decreases by ≥15% compared to the previous shift.
b) Positive allergen testing
(when the medical facility has adequate medical equipment and emergency
resuscitation)
III. Inspection instruction
1. Guarantee time: 07 days
2. Occupational asthma
without complication of cor pulmonale
2.1. Level 1: Loss of working
capacity from 5 -10%
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≥ 2 asthma episodes at night 1
month
b) Sub-clinical: Measurement of respiratory
function
FEV1 parameters in the normal range (≥ 80%) and
change in FEV1 <20%
2.2. Level 2: Loss of working
capacity from 11 - 20 %
a) Clinical: More than 01
asthma episode / 1 week but < 1 episode/ 1 day
Asthma episode at night >
2 episodes / 1 month
b) Sub-clinical: Measurement of respiratory
function
FEV1 parameters in the normal range (≥ 80%) and
change in FEV1 from 20 -
30%
2.3. Level 3: Loss of working
capacity from 21 - 30 %
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Nighttime asthma episode > 2 episodes / 1 month
b) Sub-clinical: Measurement of respiratory
function
FEV1 parameters from 60% - 80% and
change in FEV1 > 30%
2.4. Level 4: Loss of working
capacity from 31 - 40%
a) Clinical: Daytime asthma
episodes occur regularly
Nighttime asthma
episodes > 1 episode / 1 week
b) Sub-clinical: Measurement of respiratory
function
FEV1 parameters from 50 %- 59% and
change in FEV1 > 30%
2.5. Level
5: Loss of working capacity from 41 - 50%
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Nighttime asthma
episodes occur regularly
b) Sub-clinical: Measurement of respiratory
function
FEV1 parameters < 50 % and change in FEV1
> 30%
3. Occupational asthma with complication of cor
pulmonale
3.1. Heart failure class I
51 - 60 %
3.2. Heart failure class II
61 - 70 %
3.3. Heart failure class III
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3.4. Heart failure class IV
81 - 90 %
Note: Change in FEV1 applicable in
inspection standard is the increase of FEV1 value compared with
baseline after the use of bronchodilator (Measured in working days).
ANNEX 2
OCCUPATIONAL CARBON MONOXIDE
INTOXICATION DISEASE
(Issued together with Decision No. 27/QD-BYT September 21, 2006)
I. Pathogens
Working environment with
average CO concentration in 8 hours is ≥ 20mg/m3 of air or ≥ 40mg/m3 of air air for each time of exposure.
II. Diagnosis instruction
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The laborers working in environments with
average CO concentration in 8 hours is ≥ 20mg/m3 or
≥ 40mg/m3 of air for each exposure time and
recruitment medical examination record with conclusion of no clinical symptoms
in the organs and parts such as cardiovascular and neurological and other
symptoms like CO intoxication symptom.
2. Exposure time:
Depending on disease and CO in the
environment.
2.1. Acute disease : exposure
to high CO concentration in a short time.
2.2. Chronic disease : exposure
to CO concentration higher than the permitted concentration.
3. Diagnosis standard
3.1. Clinical: chronic
symptoms: headache, asthenia, dizziness or acuteness: coma
3.2. Sub clinical: Tested
before and during examination
Blood HbCO concentration ≥ 7.5%
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Note:
If the laborers are smokers and similar products, they should stop using them
for at least 24 hours before the test.
III. Inspection standard
No.
Clinical
and sub-clinical symptom
Guarantee time
Rate of loss of working capacity (%)
A.
Cardiovascular disease:
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1.
* Coronary artery disease:
1.1.
Ischemic
heart disease: Electrocardiogram changes upon stress test, meeting the
treatment well.
30 days
20 - 25
1.2.
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30 days
31 - 35
1.3.
Ischemic
heart disease: Electrocardiogram changes upon rest, episodes still
existing although being treated.
30 days
41 - 45
1.4.
Ischemic
heart disease: history of myocardial infarction, no heart failure
30 days
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1.5.
Ischemic
heart disease: history of myocardial infarction with complication of
heart failure
30 days
70 - 80
2.
* Arrhythmia
2.1.
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a)
Paroxysmal supraventricular tachycardia or ventricle under
treatment and stable
30 days
20 - 25
b)
Supraventricular tachycardia, episodes still existing
although being treated
30 days
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c)
Ventricular tachycardia, episodes still existing although
being treated
30 days
41 - 45
d)
Atrial
fibrillation treated and stable
30 days
35 - 40
dd)
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30 days
51 - 55
e)
Atrial
fibrillation treated without success but complication
30 days
71 - 75
2.2.
Slow beat:
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a)
Sick sinus syndrome without faint
complication, no pacemaker indication
30 days
15 - 20
b)
Sick sinus syndrome with faint complication,
pacemaker indication or under placement
30 days
31 - 35
c)
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30 days
20 - 25
d)
Second-degree atrioventricular block
30 days
31 - 35
dd)
Third-degree atrioventricular block
30 days
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2.3.
Ventricular
extrasystoles (ventricular or supraventricular):
30 days
a)
Atrial
ventricular extrasystoles to be treated
30 days
10 - 15
b)
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30 days
25 - 30
B.1.
Neuropathy
*
Cardiasthenia syndrome (without accompanying physical lesion):
1.1.
Mild degree, good response to treatment, low
impact on living and working
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15 - 20
1.2.
Moderate degree, limited response to
treatment, low impact on living and working
30 days
21 - 25
1.3.
Heavy
degree, frequent recurrence although being treated, affecting labor
productivity and living
30 days
31 - 35
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* Monoplegia (a hand or a leg) (Degree of paralysis
determined by the Scoring of Muscle Strengh)
2.1.
Mild
30 days
15 - 20
2.2.
Moderate
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31 - 35
2.3.
Heavy (Losing almost entire function)
30 days
51 - 55
2.4.
Complete paralysis (Losing entire function)
30 days
61 - 65
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* Paralysis of upper limbs
3.1.
Mild
30 days
31 - 35
3.2.
Moderate
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61 - 65
3.3.
Heavy (Losing almost entire
function)
30 days
81 - 85
3.4.
Complete paralysis (Losing entire function)
30 days
86 - 91
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* Paralysis of lower limbs
4.1.
Mild
30 days
31 - 35
4.2.
Moderate
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61 - 65
4.3.
Heavy (Losing almost entire
function)
30 days
81 - 85
4.4.
Complete paralysis (Losing entire function)
30 days
86 - 91
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* Lesion of the nerves V, VII peripheral,
IX, X, XI, XII, sciatica on one side (the lesion rate is based on the
inpsection standard of loss of working capacity - 1995).
6.
* Extrapyramidal syndrome
6.1.
Mild
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31 - 35
6.2.
Moderate
30 days
51 - 55
6.3.
Heavy
30 days
61 - 65
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Extremely heavy
30 days
81 - 85
C.
Dysfunction of the digestive, respiratory and
renal organs and the senses (based on the rate of lesion of viscera according
to the inpsection Standard of loss of working capacity - 1995).
ANNEX 3
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I. Pathogens
All occupations and jobs
involving direct exposure to industrial oil and grease and petroleum and oily
products.
II. Diagnosis instruction
1. Diagnosis subjects:
The laborers performing jobs
with direct exposure to industrial oil and grease and
petroleum and oily products.
2. Exposure time: Longer
or equal to 02 years
3. Diagnosis standard:
3.1. Clinical:
a) Body: Having fatigue,
headache, sleeping less, eating less, reducing memory loss
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- Hair breaking off or falling
out and sometimes hair not growing on skin surface but curling in hair
follicles;
- Hair pores having black
spots, the size of a grain of millet or sharp. There is sebum when prised off
with oily smell;
- Dry skin desquamated and
lichenification
- Skin darkening
3.2. Sub-clinical:
a) There are corns and oil
grains ( + ). When squeezing the pore, there are grain with size equal to a millet,
somewhat solid, dark color with oily smell;
b) Clear prick test ( + );
c) Alkaline neutralization test
by the Burchardt method: neutralizing capacity from 7 minutes or more.
Techniques of determining corns
and oil grains (+) and clear prick test ( + ) are essential;
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No.
Clinical
and sub-clinical symptom
Guarantee time
Rate of loss of working capacity (%)
A.
1.
Dry skin desquamated and lichenification, oily grain in
the pores. Skin darkening may occur or not on body areas such as:
*
Neck and face area: having symptoms and sequelae of black acne disease
but:
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1.1.
- Lesions <50% of the neck
and face area but without skin darkening, skin thickening and dry skin.
15 day
15 - 20
1.2.
- Lesion <50% of the neck and
face area but with skin darkening or skin thickening or dry skin or
- Lesion ≥50% of neck and face area but
without skin darkening, skin thickening or dry skin
15 day
21 - 25
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- Lesion ≥50% of neck and face area but with
skin darkening, skin thickening or dry skin
15 day
26 - 30
2
* Back
of hand and finger: Having symptoms and sequelae of
black acne
disease but:
2.1.
- Lesion in one side but without skin darkening,
skin thickening or dry skin
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5 - 10
2.2.
- Lesion in one side but with skin darkening,
skin thickening or dry skin or
- Lesion in both sides but without skin
darkening, skin thickening or dry skin
15 day
11 - 15
2.3.
- Lesion in both sides but one side with skin
darkening, skin thickening or dry skin and one side without skin darkening,
skin thickening or dry skin
15 day
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2.4.
- Lesion in both sides with skin darkening,
skin thickening or dry skin
15 day
21 - 25
3
* Forearm: Having symptoms and sequelae of the black acne disease
but:
3.1.
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15 day
3 - 5
3.2.
-Lesion<1/2 area of 01 forearm but with
skin darkening, skin thickening or dry skin or
- Lesion ≥1/2 area of 01 forearm but without
skin darkening, skin thickening or dry skin
15 day
6
- 10
3.3.
- Lesion ≥1/2 area of 01 forearm with skin darkening,
skin thickening or dry skin or
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15 day
11
- 15
3.4.
- Lesion in both forearms but one side with
skin darkening, skin thickening or dry skin and one without skin darkening,
skin thickening or dry skin
15 day
16 - 20
3.5.
- Lesion in both forearms with skin darkening,
skin thickening or dry skin
15 day
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4
* Arm: Having symptoms and sequelae of the black acne disease
but:
4.1.
- Lesion <1/2 area of 01 arm
but without skin darkening, skin thickening or dry skin
15 day
3
- 5
4.2.
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- Lesion ≥1/2 area of 01 arm but
without skin darkening, skin thickening or dry skin
15 day
6
- 10
4.3.
- Lesion ≥1/2 area of 01 arm but without skin
darkening, skin thickening or dry skin or
- Lesion in both arms but without skin
darkening, skin thickening or dry skin
15 day
11
- 15
4.4.
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15 day
16 - 20
4.5.
- Lesion in both arms but with skin darkening,
skin thickening or dry skin
15 day
21 - 25
5
* Back
of foot or toe: Having symptoms
and sequelae of the black acne disease but:
15 day
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5.1.
- Lesion in one side but without skin
darkening, skin thickening or dry skin
15 day
5
- 10
5.2.
-
Lesion in one side with skin
darkening, skin thickening or dry skin or
- Lesion in both sides but without skin
darkening, skin thickening or dry skin or
15 day
11 - 15
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- Lesion in both sides but one side with skin darkening,
skin thickening or dry skin and one side without skin darkening, skin
thickening or dry skin
15 day
16 - 20
5.4.
- Lesion in both sides with skin darkening,
skin thickening or dry skin
15 day
21 - 25
6.
* Shin: Having symptoms and sequelae of the black acne disease
but:
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6.1.
- Lesion <1/2 area of 01 shin
but without skin darkening, skin thickening or dry skin
15 day
3
- 5
6.2.
- Lesion <1/2 area of 01 shin
but with skin darkening, skin thickening or dry skin or
- Lesion ≥1/2 area of 01 shin
but without skin darkening, skin thickening or dry skin
15 day
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6.3.
- Lesion ≥1/2 area of 01 shin
but with skin darkening, skin thickening or dry skin or
- Lesion in both shins but without skin darkening, skin
thickening or dry skin
15 day
11
- 15
6.4.
- Lesion in both shins but one side with skin
darkening, skin thickening or dry skin and one side without skin darkening,
skin thickening or dry skin
15 day
16 - 20
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- Lesion in both shins but with skin
darkening, skin thickening or dry skin
15 day
21 - 25
7.
* Thigh: Having symptoms and sequelae of the black acne disease
but:
7.1.
- Lesion <1/2 area of 01 thigh but without skin darkening,
skin thickening or dry skin
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6 - 9
7.2.
- Lesion <1/2 area of 01
thigh but with skin darkening, skin thickening or dry skin or
- Lesion ≥1/2 area of 01 thigh but without skin darkening, skin
thickening or dry skin
15 day
10
- 15
7.3.
- Lesion ≥1/2 area of 01 thigh with skin darkening, skin thickening or
dry skin or
-Lesion in both thighs but without skin darkening, skin
thickening or dry skin
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16
- 20
7.4.
- Lesion in both thighs but one
side with skin darkening, skin thickening or dry skin and one side without skin darkening, skin thickening or dry skin
15 day
21 - 25
7.5.
- Lesion
in both thighs with skin darkening, skin thickening or dry skin
15 day
26 - 30
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* Area of shoulder, back,
chest and stomache and other positions: Having
symptoms and sequelae of the black
acne disease but:
8.1.
- Lesion ≥18% area of body but
without skin darkening, skin thickening or dry skin
15 day
15 - 20
8.2.
- Lesion ≤18% area of body but without skin darkening, skin thickening or
dry skin or
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15 day
21 - 25
8.3.
- Lesion from 19-30% area of body but with skin darkening, skin thickening or dry
skin or
- Lesion from 31-36% area of body but without skin darkening, skin thickening or
dry skin
15 day
26 - 30
8.4.
- Lesion from 31-36% area of body but with skin darkening, skin thickening or dry
skin
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15 days
31 - 35
Note:
- If the area of lesion is ≥20%
of body area affects the regulatory function, it is permitted to add back by
10%
- Persons who are unmarried youth and women ...
are added by 5-10% (back addition) due to aesthetic effect.
ANNEX 4
OCCUPATIONAL SKIN ULCER, ONYCHIA AND PARONYCHIA
(Issued together with Decision No. 27/QD-BYT September 21, 2006)
I. Pathogens
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II. Diagnosis instruction
1. Dignosis subjects: Laborers working in the prolonged humid or cold or both prolonged
humid and cold environment.
2. Exposure time: Longer or equal to 06 months
3. Diagnosis standard:
3.1. Clinical:
a) Skin with heterogeneous
clusters of lesion, namely: skin at the tip of limb is thin and glossy, the
skin folds on palm and sole is prominent, dirty gray thick skin or dark skin,
red and exfoliated skin, papules with oozing crust, edema papules, vesicles,
pustules, ulcer with rough edge at positions: tip of limb, finger skin, palm,
back of hand, forearm, arm, toe, sole, back of foot, shin, thigh, dorsum nasi
and earloble
b) Red inflammation between
fingers and toes with ambient yellow and decayed ulcer;
c) Fingernails and toenail:
Swelling red around fingernails and toenails, scaly skin with pus at times.
Fingernails and toenails lose the glossiness and become dirty gray; there are
on the nail surface with concave white dots with vertical and horizontal
stripes. The nails become thick, rough, slow growth, nail separated from nail
bed and nail loss;
d) Other symptoms: feeling
sore or itching in the lesion area and hot tense, tingling, painful and numbed
at fingers, forearm and shin,
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a) Measurement of skin pH:
Forearm pH ≥ 5.5
Back of hand pH ≥ 5.3
b) Direct dermatophyte and
nail fungus tests: (+) clear (in case of fungus infection)
c) Alkaline neutralization
test by the Burchardt method: neutralizing capacity from 7 minutes or more.
The skin pH and dermatophyte
and nail fungus tests are essential
III. Diagnosis instruction
No.
Clinical symptoms
Guarantee time
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A.
Skin with heterogeneous clusters of lesion: skin at the tip of limb is
thin and glossy, the skin folds on palm and sole is prominent, dirty gray
thick skin or dark exfoliated skin, papules with oozing crust, edema papules,
vesicles, pustules, ulcer; red inflamation between fingers and toes
with ambient yellow and decayed ulcer at body areas such as:
1.
Dorsum nasi with symptoms and
sequelae of skin ulcer but
1.1.
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≤ 3 months
3 - 5
1.2.
- Lesion of dorsum nasi and fungus test (+)
≤ 3 months
6 - 10
2.
Earlobe with symptoms
and sequelae of skin ulcer but:
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2.1.
- Lesion at one side with fungus test (-)
≤ 3 months
1 - 3
2.2.
- Lesion at one side with fungus test (+) or
- Lesion at both sides with fungus test (-)
≤ 3 months
4 - 7
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- Lesion at both sides with fungus test (+)
≤ 3 months
8 - 10
3
There
are symptoms and sequelae of skin ulcer on hands,
fingers and between fingers but:
3.1.
Lesion in 01 side and fungus test (-) if:
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+ Lesion in 3 - 5 fingers and between 3 - 4
fingers
≤ 3 months
5 - 9
10 - 15
3.2.
- Lesion in only one side and fungus test (+)
or
- Lesion in both sides and fungus test (-)
≤ 3 months
16 - 20
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- Lesion in both sides but: 01 side with
fungus test (-) and 01 side with fungus test (+)
≤ 3 months
21 - 25
3.4.
Lesion in both sides with fungus test (+)
≤ 3 months
26 - 30
4.
Forearm with symptoms
and sequelae of skin ulcer but:
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4.1.
- Lesion only <1/3 area of 01
forearm and fungus test (-)
≤ 3 months
3 - 5
4.2.
- Lesion only <1/3 area of 01 forearm and fungus test (+) or
- Lesion only >1/3 area of 01 forearm and fungus test (-)
≤ 3 months
...
...
...
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4.3.
- Lesion only ≥1/3 area of 01 forearm and
fungus test (+) or
- Lesion in both forearms and fungus test (-)
≤ 3 months
11 - 15
4.4.
- Lesion in both forearms but 01 forearm with fungus test (-) and
01 forearm with fungus test (+)
≤ 3 months
16 - 20
...
...
...
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- Lesion in both forearms with fungus test (+)
≤ 3 months
21 - 25
5.
Arm with symptoms and
sequelae of skin ulcer but:
5.1.
- Lesion <1/2 area of 01 arm and fungus test ( - )
...
...
...
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3 - 5
5.2.
- Lesion <1/2 area of 01 arm and fungus test ( + ) or
- Lesion ≥1/2 area of 01 arm and fungus test ( - )
≤ 3 months
6 - 10
5.3.
- Lesion ≥1/2 area of 01 arm and fungus test ( + ) or
- Lesion in both arms and fungus test ( - )
...
...
...
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11 - 15
5.4.
- Lesion in both arms but 01 arm with fungus
test
(-) and 01 arm with fungus test (+)
≤ 3 months
16-20
5.5.
- Lesion in both arms and fungus test (+)
≤ 3 months
...
...
...
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6.
There
are symptoms and sequelae of skin ulcer on foot,
toes and between toes but:
6.1.
Lesion only
in 01 side and fungus test (-) if:
a)
...
...
...
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≤ 3 months
5 - 9
b)
+ Lesion in 3 - 5 fingers and between 3 - 4
fingers
≤ 3 months
10 - 15
6.2.
- Lesion in one side and fungus test(+) or
- Lesion in both sides and fungus test(+)
...
...
...
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16 - 20
6.3.
Lesion in both sides but one side with fungus test (-) and one side with
fungus test (+)
≤ 3 months
21 - 25
6.4.
Lesion in both sides with fungus test (+)
≤ 3 months
26 - 30
...
...
...
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Shin
with symptoms and sequelae of skin ulcer but:
7.1.
Lesion < 1/3 area of 01 shin with fungus test (-)
≤ 3 months
3 - 5
7.2.
- Lesion < 1/3 area of 01 shin with fungus test (+) or
...
...
...
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≤ 3 months
6 - 10
7.3.
- Lesion ≥ 1/3 area of 01 shin with fungus test (+) or
-Lesion in both shins with fungus test (-)
≤ 3 months
11 - 15
7.4.
- Lesion in both shins but: 01 shin with fungus
test (-) and 01 shin with fungus test (+)
...
...
...
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16 - 20
7.5.
- Lesion
in both shins with fungus test (+)
≤ 3 months
21 - 25
8.
Thigh: with
symptoms and sequelae of skin ulcer but:
...
...
...
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- Lesion <1/2 area of 01 thigh and fungus
test (-)
≤ 3 months
7 - 10
8.2.
- Lesion =1/2 area of 01 thigh and fungus test
(+) or
- Lesion in 01 thigh and fungus test (-)
≤ 3 months
11 - 15
8.3.
...
...
...
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- Lesion in both thighs and fungus test (-)
≤ 3 months
16 - 20
8.4.
- Lesion in both thighs but one side with
fungus test (-) and one side with fungus test (+)
≤ 3 months
21 - 25
8.5.
- Lesion in both thighs and fungus test (+)
...
...
...
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26 - 30
B.
Fingernail and toenail:
1.
Fingernail and toenail of a limb: change in
color or rough with vertical and horizontal stripes or inflamation around
nail but without truncated or lost nail:
...
...
...
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- From 1 – 3 nails
≤6 months
(fingernail)
≤9 months
(toenail)
1 - 4
1.2.
- From 4 - 5 nails
≤6 months
(fingernail)
≤9 months
(toenail)
5 - 10
...
...
...
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Fingernail or toenail of a limb is
truncated or lost:
2.1.
- From 1 - 3 fingers
≤6 months
(fingernail)
≤9 months
(toenail)
5 - 10
2.2.
...
...
...
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≤6 months
(fingernail)
≤9 months
(toenail)
11 - 15
3.
Note:
- If there is lesion in any limbs,
the rate of loss of working capacity is added directly
- If there is lesion of nail from 03 limbs
or more, the rate of loss of working
capacity is added directly in any two limbs, the third limb onwards must be
back added.
≤6 months
(fingernail)
≤9 months
(toenail)
...
...
...
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Note:
- If the area of skin lesion is >20% of the
body area, it is permitted to add back 10% due to effect of regulatory
function.
- Persons who are unmarried youth and women ...
are added by 5-10% due to aesthetic effect for the truncation of ≥ 5
fingernails.