tus. In those cases showing loss for spoken voice on induction, the footage (metric) equivalents on table VII will be used to determine the extent of hearing loss at induction for comparison with the results of examination by controlled speech and pure tone. § 4.87 [41 FR 11298, Mar. 18, 1976, as amended at 43 FR 45358, Oct. 2, 1978] § 4.87 Determinations of auditory acuity. By impairment of auditory acuity is meant the organic hearing loss for speech. 53-118 0-85--12 TABLE VII-RATINGS FOR HEARING IMPAIRMENT (WITH DIAGNOSTIC CODE) [41 FR 11298, Mar. 18, 1976, as amended at 41 FR 34257, Aug. 13, 1976; 43 FR 45358, Oct. 2, 1978] § 4.88 Malaria. As active disease, and for 6 months' convalescence Rat ing 6300 Cholera, Asiatic: 0000 10 10 6301 In rating disability from malaria, once identified by clinical and laboratory methods, or by clinical methods alone where the disease is endemic, the clinical course of the disease, the frequency and severity of recurrences, the necessity for and the reaction to medication, should be the basis of evaluation, not the presence or absence of parasites. When there have been relapses following the initial course of treatment, further relapses are to be expected and for some time the veteran must be given the benefit of the doubt as to unexplained fever of short duration, controlled by medication specific for malaria. [29 FR 6718, May 22, 1964, as amended at 43 FR 45361, Oct. 2, 1978] Hemoglobinuric fever (blackwater fever). A complication of aestivoautumnal malaria. As active disease, and for 1 year's convales cence 6302 Leprosy (Hansen's Disease): As active disease and for 1 year's convales cence NOTE: Rate residuals as disfigurements, etc. The 100 percent rating applies to the active contagious disease requiring institutional care. Noncontagious cases will be treated under the appropriate schedule, for example, "The Skin". 6304 Malaria: Clinically active so as to require hospital treatment for a contemplated or elapsed period of 14 days or more; or with a combination of cerebral symptoms, enlarged spleen, anemia or other severe symptoms... Clinically active so as to require intensive treatment; recently active with 3 or more relapses over past 6 months; or old cases with marked general impairment of health Recently active with 2 relapses in past 6 months; or old cases with anemia Recently active with one relapse in the past year; or old cases with moderate disability.. NOTE (1): The evaluations under Code 6304 are to be assigned on the basis of dates and frequency of recurrences and relapses and severity of significant residuals, if any, based on the clinical records of the service department or other acceptable evidence relating to the period of service, or on medical evidence relating to the period after discharge, recording sufficient clinical findings, when considered in accordance with all other data of record, to support the conclusion that there exists a compensable or higher degree of disability from malaria. Hereafter, service connection will not be conceded based on notation in service records of history alone furnished by the veteran, nor will compensable ratings be assigned based on the veteran's unsupported claim or statement; however, determinations heretofore made will not be reversed on the basis of this change in policy. The evidence of others under oath may be accepted to establish frequency of relapses or recurrences over a period of 1 year only. from date of last medically confirmed relapse or recurrence in service or subsequently. NOTE (2): When evaluations are based on frequency of recurrences or relapses only, they will be assigned for a period of 1 year only from date of discharge or date established by medical evidence of record. At the expiration of this period, if medical evidence warranting an extension is not of record, the veteran will be notified that his compensation will be discontinued unless he submits evidence from a physician showing recurrent attacks or other disabling effects of malaria. After a malaria rating has run 24 months, an extension, if warranted, will carry ending date at expiration of 36 months from initial date of compensable rating. When this rating is assigned, veteran will be notified of ending date and of requirement that, to have rating continued or resumed after that date, he must report to Veterans Administration hospital, or outpatient clinic, or to a Veterans Administration feebasis physician during an actual relapse of the disease. Following the expiration of the 36 months' period and the veteran's compliance with the requirement to report as indicated in this note, a prepared slide of the veteran's blood smear will be read in the local Veterans Administration laboratory, and, if the interpretation is positive, the prepared slide will be mailed in a suitable container addressed to the Director, Compensation and Pension Service, with proper identification of the veteran, including C-number and time and place of smear, before further acceptance of the diagnosis of malaria for rating purposes. 6305 Filariasis: Initial infection with severe lymphangitis or Chronic, with repeated recurrences and tenden- Chronic, following any recurrence, symptomatic.... Pronounced; marked mental changes, moist dermatitis, inability to retain adequate nourishment, exhaustion, and cachexia. Severe; with the symptoms below, with variable Moderately severe; with stomatitis, persistent Mild; vague digestive disturbances, loss of ap- 6316 Brucellosis (Malta or undulant fever): Chronic forms: Severe, with frequent febrile episodes.. Moderately severe, with febrile episodes not more frequently than once in 3 months....... Moderate, with infrequent febrile episodes, but with fatigability, moderate depression, etc. 100 100 |