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VI. Mouth, nose, fauces, pharynx, trachea, esophagus, and

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XIX. Diseases of blood and blood-forming tissues.

84-86

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Defects not specifically mentioned in these regulations and hospitalization---.

"This pamphlet supersedes MR 1-9, 15 October 1942.

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1. Purpose.-a. The purpose of these regulations is to

(1) Set forth the standards of physical requirements for men procured for general military service.

(2) Prescribe permissible deviations from the general service standards for limited military service.

(3) Describe deviations from the above standards which are not acceptable for any class of military service.

b. So far as it applies to enlisted men AR 40-105 is superseded by these regulations. These regulations will apply to men in the following categories:

(1) Men enlisted or reenlisted in the Regular Army.

(2) Men for enlistment or reenlistment in the Regular Army Reserve,
Enlisted Reserve Corps, and Reservists on call to active service if
they have been in the inactive Reserve longer than 90 days.
(3) Men enlisted or reenlisted in the National Guard while in Federal
Service.

(4) Enlisted men of the National Guard on induction into Federal Service.
(5) Men enlisted in the Army of the United States.

(6) Men inducted into the Army under the provisions of the Selective Training and Service Act of 1940, as amended.

2. Publication.-a. These regulations are published for the information and guidance of all medical examiners who may be used by the Army.

b. Medical examiners should read every section of these regulations in order that they may have a broad knowledge concerning physical standards.

3. Objectives. The objective is to procure men who are physically fit for the rigors of general military service or for limited military service. Therefore, examining physicians will consider these standards as a guide to their discretion and not construe them too strictly or arbitrarily. The examination will be carried out with the utmost care in order that no individuals who are unfit for service will be accepted, only to be discharged within a short time on certificate of disability. All minor defects as well as disqualifying defects will be recorded in order to protect the Government in the event of future claims for disability compensation. The likelihood of subsequent claims on account of disability should be borne in mind by the examiners in considering the qualifications of registrants with questionable defects. Whenever a registrant is accepted for military duty but who, nevertheless, has a disease or other physical condition which although not disqualifying requires medical treatment, the nature of the condition and the need for treatment will be clearly stated on the report of physical examination.

4. Physical classification.-a. General service.-Physically qualified for general military service. Registrants will be recommended for assignment for general service if they meet the requirements therefor throughout the entire physical examination. In those borderline cases, where a question is raised as to whether an individual should be classified for general or limited service, preference will be given to his initial classification for general service if the chief medical examiner has reason to believe the man can perform general military service duty. b. Limited service.-Physically unfit for general military service, but qualified for limited military service. Individuals who fail to qualify for general service, and who do not fall below limited-service requirements in any phase of the examination will be recommended for assignment to limited service unless, because of multiple defects, the medical examiners recommend unqualified rejection as nonacceptable.

c. Nonacceptable.-(1) Physically unfit for any military service. All individuals who do not meet the physical requirements of general service, or limited service will be recommended as nonacceptable.

(2) Care will be taken that all defects found will be recorded fully and accurately on the report of physical examination. The defects will be listed in the summary of the physical examination report in the order of their importance. The irremediable, disqualifying permanent defect will be listed as number one and the others in the order of their importance. The major disqualifying defect may be physical or mental.

(3) Any individual recommended as nonacceptable will not be accepted unless specific directions to that effect have been issued by the War Department.

5. Defects not specifically mentioned in these regulations and hospitalization. a. If any individual is regarded by the medical examiners as physically unfit for military service by reason of physical or mental defects not specifically noted in these regulations, he will nevertheless be recommended as unsuitable for general service or for limited service, as the case may be. A brief statement of the reasons for the rejection will be entered on the report of physical examination. So far as practicable, however, the physical classification of individuals will conform to the specified requirements.

b. Hospitalization for a period not to exceed 3 days for men whose physical fitness for military service cannot be determined without hospital study is authorized. Military or other Government hospitals will be used for this purpose when practicable. When military or other Government hospitals are not available the use of civilian hospitals is authorized. Individuals will not be hospitalized when their fitness for military service can be determined otherwise.

c. All previous instructions in connection with physical standards which are in conflict with these regulations are rescinded.

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6. General service.—a. Individuals with acute pathological conditions, including acute communicable diseases except venereal diseases, from which in the natural course of the disease recovery occurs without sequelae, will be deferred until a final examination shows recovery has occurred without disqualifying sequelae.

b. Malaria, acute, or malaria, chronic, if mild.

c. Uncinariasis, if mild.

d. Remediable incapacity due to recent acute illness, surgical operations, injury, employment or environment in civil life, provided acceptance is deferred until recovery is complete. Following any major surgical operation an individual will be deferred for a sufficient period of time to insure complete recovery without sequelae. The minimum period of deferment following a major surgical procedure will be 3 months. The actual period of deferment longer than 3 months will depend upon the condition for which operated and upon the discretion of the medical examiners.

7. Limited service.-There are no general or miscellaneous defects to warrant initial selection for limited service which are not covered elsewhere in these regulations.

8. Nonacceptable.-a. Carcinoma or other malignant tumor or disease of any organ or part of the body.

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b. Active tuberculosis of any degree.

c. Leprosy or actinomycosis.

d. Late syphilis affecting the cerebrospinal or cardiovascular system or the viscera.

e. Chronic metallic poisoning, except argyria.

f. Mycotic infection of the lungs or other internal organs.

g. Acute rheumatic fever, or verified history of single or recurrent attacks of rheumatic fever within the previous 2 years.

h. Osteoarthritis or rheumatoid arthritis.

i. Active osteomyelitis of any bone or a substantiated history of osteomyelitis of any of the long bones of the extremities at any time.

j. Filariasis, trypanosomiasis, amoebiasis, or schistosomiasis.

k. Hodgkin's disease.

1. Uncinariasis, if more than mild.

m. Malaria, chronic, if more than mild.

n. Splenectomy for any cause, other than trauma or congenital hemolytic icterus.

0. Leukemia.

SECTION III

HEIGHT, WEIGHT, AND CHEST MEASUREMENTS

Table of standard and minimum acceptable measurements of height, weight, and circumference of chest---

Directions for taking height..

General service--

Limited service___.

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Nonacceptable---

General considerations--

9. Table of standard and minimum acceptable measurements of height, weight, and circumference of chest.

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