stance any of the 3 frequencies has a loss of more than 70 db, or in the second instance more than 90 db, the literal designation will be higher, i.e., further from "A" in the alphabetical series. [41 FR 11298, Mar. 18, 1976] § 4.86 Hearing aids. The evaluations derived from this schedule are intended to make proper allowance for improvement by hearing aids. Examination to determine this improvement is therefore unnecessary. § 4.86a Conversational voice in feet. The column and row containing entries in feet will not be used for the purpose of determining service-connection or evaluation except in the rating of those unusual cases where no other data are available. In those cases showing no loss by spoken voice on induction but showing loss by spoken voice on discharge, evaluation will be deferred pending examination by controlled speech and pure tone apparatus. In those cases showing loss for spoken voice on induction, the footage equivalents on table V 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. [41 FR 11298, Mar. 18, 1976] § 4.87 Determinations of auditory acuity. By impairment of auditory acuity is meant the organic hearing loss for speech. Rating 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 re 6294 Rated Column C, One Far Row A, Other Ear Table V----- 6295 Rated Column B, One Ear Row B, Other Ear Table V.. 6296 Rated Column B, One Ear Row A, Other Ear Table V... 6297 Rated Column A, One Ear Row A. Other Ear Table V... [41 FR 11300, Mar. 18, 1976] Rating 6304 Malaria 10 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 quinine or other specific for malaria. Schedule of ratings-systemic § 4.88a quire 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 casos 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 i 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 6305 Rating 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 fee-basis 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. Filariasis Initial infection with severe lymphangitis or lymphadenitis 100 30 6316 Pronounced; marked mental changes, moist dermatitis, inability to retain adequate nourishment. exhaustion, and cachexia....... Severe; with the symptoms below, with variable nervous or mental symptoms and bodily vigor impaired. Moderately severe; with stomatitis, persistent diarrhea, and symmetrical dermatitis. Moderate; with presence of stomatitis, or achlorhydria, or recurring diarrhea..-Mild; vague digestive disturbances, loss of appetite, and weight, Blight diarrhea, headache and vertigo-----Brucellosis (Malta or undulant 100 100 100 100 100 60 40 20 10 |