RESOLUTION OF THE MINISTRY OF DEFENCE OF THE REPUBLIC OF BELARUS

of March 14, 2016 No. 7

About approval of the Instruction about procedure for passing of medical examination in the medical and flight commissions of Armed Forces of the Republic of Belarus

Based on subitems 7.4 and 7.46 of Item 7 of the Regulations on the Ministry of Defence of the Republic of Belarus approved by the Presidential decree of the Republic of Belarus of December 7, 2006 No. 719 "Questions of the central bodies of military management of Armed Forces of the Republic of Belarus", parts five of Item 6 of the Regulations on military-medical examination approved by the resolution of Council of Ministers of the Republic of Belarus of June 1, 1998 No. 868, the Ministry of Defence of the Republic of Belarus DECIDES:

1. Approve the enclosed Instruction about procedure for passing of medical examination in the medical and flight commissions of Armed Forces of the Republic of Belarus.

2. Declare invalid the resolution of the Ministry of Defence of the Republic of Belarus of January 19, 2009 No. 2 "About approval of the Instruction about procedure for medical examination of faces of aircrew of aircraft of Armed Forces of the Republic of Belarus" (The national register of legal acts of the Republic of Belarus, 2009, No. 68, 8/20441).

3. This resolution becomes effective after its official publication.

It is approved Minister of Health of the Republic of Belarus March 9, 2016

V.I.Zharko

Approved by the Resolution of the Ministry of Defence of the Republic of Belarus of March 14, 2016 No. 7

The instruction about procedure for passing of medical examination in the medical and flight commissions of Armed Forces of the Republic of Belarus

Chapter 1. General provisions

1. This Instruction determines:

1.1. procedure for passing of medical examination in the medical and flight commissions (further - VLK) in peace and wartime:

1.1.1. persons from among aviation personnel of Armed Forces.

For the purposes of this Instruction the aircrew (the pilots, navigators, glider pilots, aeronauts, members of flight crews, the military personnel performing flight task onboard the aircraft) and non-flying aviation personnel (the military personnel performing management and management of flights treat aviation personnel of Armed Forces (further - heads of flights), parachutists);

1.1.2. persons from among the aircrew consisting in inventory;

1.1.3. the citizens arriving in institutions of higher education in which training of aircrew on specialties (to the directions of specialties, specializations) for Armed Forces, and also citizens sent for education to the organizations of foreign states for training of aircrew, for specialties (the directions of specialties, specializations) for Armed Forces of the Republic of Belarus is performed (further - military educational institutions on training of aircrew);

1.1.4. cadets of military educational institutions on training of aircrew (further - cadets);

1.2. formulations of the conclusions of the medical and flight commissions;

1.3. procedure for registration, consideration and approval of the conclusions of VLK;

1.4. requirements to the state of health of persons determined in subitems 1.1.1-1.1.4 of this Item.

2. In Armed Forces medical examination is carried out to VLK for:

2.1. determinations:

the validity of persons from among aviation personnel to flight work, to flights on gliders, hang-gliders, paraplanes, light and extralight aircrafts, to accomplishment of flight tasks onboard the aircraft, to parachute jumps, to management and management of flights (further - management of flights) for health reasons;

the validity of the citizens arriving in military educational institutions on training of aircrew and cadets to training in military educational institutions in training of aircrew for health reasons and to physical development;

categories of the validity to military service of persons from among aviation personnel, cadets recognized unusable to flight work, flights, flight training, parachute jumps, management of flights for health reasons;

causal relationship with passing of military service of mutilations (wounds, injuries, contusions), diseases which received faces from among aviation personnel, cadets;

contraindications for health reasons to accomplishment of flight work, flights, parachute jumps, management of flights in the states with adverse climatic conditions, in the territories of radioactive pollution owing to catastrophic crash on the Chernobyl NPP, other radiation accidents;

2.2. identifications of persons from among aviation personnel and cadets needing carrying out physical examination, treatment, medical prevention, medical rehabilitation, prosthetics and other actions (further - medical support);

2.3. control of implementation of physical examination, treatment and medical rehabilitation in the military organizations of health care for the purpose of preserving high professional performance of persons from among aviation personnel.

3. Requirements to the state of health of persons from among aviation personnel, the faces from among aircrew consisting in inventory, the citizens arriving in military educational institutions on training of aircrew, cadets are established in the schedule of diseases according to appendix 1 to this Instruction.

Changes in requirements to the state of health of persons from among aviation personnel on wartime are determined according to appendix 2 to this Instruction.

4. Medical examination is carried out:

in VLK of the Air Force and troops of air defense of Armed Forces (further - the Air Force and troops of air defense);

in VLK of public institution "432 awards of the Red Star the main clinical medical center of Armed Forces of the Republic of Belarus" (further - 432 GVKMTs);

in VLK of military commissariats of areas (Minsk) (further - military commissariats of areas).

5. The commission chairman, the vice-chairman of the commission (no more than two), members of the commission (the doctor-surgeon, the therapist, the neurologist, the otorhinolaryngologist, the ophthalmologist, the dentist), the secretary of the commission are part of VLK. In case of medical examination of the citizens arriving in military educational institutions on training of aircrew, VLK are included also the dermatovenereologist and the psychiatrist-narcologist, and in case of medical examination of female citizens - the doctor-obstetrician-gynecologist. In case of need VLK can be included and doctors of other specialties.

6. For performing medical examination in VLK specialists doctors are provided with medical property and the equipment according to the list of medical property and the equipment according to appendix 3 to this Instruction.

7. In case of medical examination of persons from among aviation personnel, the faces from among aircrew consisting in inventory of the citizens arriving in military educational institutions on training of aircrew of cadets of military educational institutions on training of aircrew specialists doctors of VLK except this Instruction are guided by other documents on military-medical (medical and flight) examination existing in Armed Forces.

8. To persons from among aviation personnel, requirements to the state of health according to the schedule of diseases and sort of aircraft are imposed on the citizens arriving in military educational institutions on training of aircrew, cadets of military educational institutions on the training of aircrew, persons from among aircrew consisting in inventory in case of medical examination.

In case of medical examination in VLK of the requirement to the state of health of the citizens arriving in military educational institutions on training of aircrew, cadets of military educational institutions on training of aircrew, persons from among aviation personnel, the faces from among aircrew consisting in inventory are shown on the next columns of the schedule of diseases:

the column I - the citizens arriving in military educational institutions on training of aircrew;

columns II-V - pilots, navigators and cadets of military educational institutions on training of aircrew of fighter aircrafts, attack planes, strike fighters;

columns III-V - pilots, navigators and cadets of military educational institutions on training of aircrew of bombers;

columns IV-V - pilots, navigators and cadets of military educational institutions on training of aircrew of transport and piston planes;

the column V - pilots, navigators and cadets of military educational institutions on training of aircrew of helicopters;

the column VI - the members of flight crews, glider pilots, aeronauts, the military personnel performing flight tasks onboard the aircraft, parachutists;

the column VII - heads of flights.

Medical requirements to the state of health of persons from among aviation personnel go down with increase of number of the column of the schedule of diseases. Persons from among aircrew which are carrying out flights on aircraft of several types will be examined according to the column of the schedule of diseases providing higher requirements to the state of health.

Medical examination and the physical examination of persons preceding it from among aviation personnel are performed annually in out-patient or stationary conditions with the frequency established in this Instruction.

Extraordinary medical examination is carried out:

in case of changes in the state of health;

in case of breaks in flight work over six months;

after aviation incidents and serious aviation incidents with damage of the aircraft;

in case of transfer to aircraft of other types on which for work on columns of the schedule of diseases higher medical requirements to the state of health are imposed;

in case of the direction in foreign states with adverse climatic conditions, in the territory of radioactive pollution owing to catastrophic crash on the Chernobyl NPP, other radiation accidents and upon return from them (with stay term more than three months);

in case of arrival of persons from among aircrew in military educational institutions on flight profile of preparation;

in complex diagnostic cases according to the solution of VLK Air Force and troops of air defense.

Extraordinary medical examination is carried out in stationary conditions.

9. The conclusion about the validity to flight work, flights, flight training, parachute jumps, management of flights on Articles of the schedule of diseases providing individual assessment of the validity to flight work, flights, flight training, parachute jumps, management of flights, persons from among aviation personnel, cadets is taken out in cases:

good tolerance of ad hoc methods of inspection;

good tolerance of flights according to medical control of the state of health of persons from among aircrew in the intercommission period;

focus for flight work;

when the data containing in the office characteristic, medical documents and (or) the medical characteristic confirm capability osvidetelstvuyemy for health reasons to fulfill duties of military service (flight work) on the held military position and military specialty (specialty on the held military position);

positive opinion of the commander and the chief of health service of military unit on feasibility of leaving at flight work.

10. Requirements according to flight specialty and sort of aircraft are imposed to persons from among aircrew in case of medical examination in VLK. If the state of health of the pilot or navigator completely meets the requirements stated in the corresponding graphs the conclusion about the validity to flight work in the formulations provided in Item 46 of this Instruction is taken out.

In case of incomplete compliance of the state of health to the specified requirements the conclusion about the limited validity on this or one of the subsequent columns to V inclusive is taken out. To pilots and navigators whose state of health does not meet the requirements stated in the column V, and other members of crews - in the column VI the conclusion about worthlessness to flight work is taken out.

It is limited suitable for flight work the persons allowed according to the column corresponding to their belonging to sort of aircraft, and also recognized suitable for flight work on the columns containing lower requirements to the state of health are considered.

The pilots and navigators exempted from educational and training parachute jumps are not considered restrictedly as suitable.

To persons from among aviation personnel which state of health does not meet the requirements specified in columns VI-VII of the schedule of diseases the conclusion about worthlessness to flights, parachute jumps, management of flights is taken out.

To the citizens arriving in military educational institutions on training of aircrew which state of health does not meet the requirements specified in the column I of the schedule of diseases to cadets whose state of health does not meet the requirements specified in columns II-V of the schedule of diseases the conclusion about worthlessness to flight training is taken out.

The serviceman recognized unusable to flight work, flights, flight training, parachute jumps, management of flights determines category of the validity to military service.

11. Persons from among aircrew arriving in military educational institutions on training of aircrew on education full-time courses shall not have restrictions to flight work and the medical contraindications determined in the list of medical contraindications to flight work, flights, parachute jumps, management of flights in the state with adverse climatic conditions in the territories of radioactive pollution owing to catastrophic crash on the Chernobyl NPP, other radiation accidents according to appendix 4 to this Instruction (further - the list of medical contraindications).

Persons from among aircrew recognized according to the conclusions of VLK suitable for flight work on Articles of the schedule of diseases providing individual assessment of the validity to flight work are fit for training in military educational institution in training of aircrew in absentia of education.

12. Medical examination is carried out according to the list of categories of the citizens who are subject to medical examination in VLK according to appendix 5 to this Instruction.

Chapter 2. Procedure for passing of medical examination of the citizens arriving in military educational institutions on training of aircrew and cadets of military educational institutions on training of aircrew

13. The citizens who are not passing military service and arriving in military educational institutions on training of aircrew undergo preliminary medical examination in VLK of military commissariats of areas, and final - in VLK Air Force and troops of air defense.

The military personnel, graduates of organization of education "The Minsk Suvorov Military School" (further - MSVU) arriving in military educational institutions on training of aircrew undergo preliminary and final medical surveys in VLK Air Force and troops of air defense.

14. The citizens who are not passing military service, the military personnel, graduates of MSVU having go for preliminary medical examination:

normal color sensation;

visual acuity not below 1,0 on each eye without correction;

arterial pressure is not higher than 130/80 mm of mercury column and not lower than 105/60 mm of mercury column (without administration of drugs);

the body weight index at the age of 18-25 years is not lower than 18,5 of kg/sq.m and not above kg/sq.m 29,9;

height is at least 160 cm and no more than 186 cm;

length of legs at least 80 cm;

length of hands at least 76 cm;

growth in sitting position at least 80 cm and no more than 97 cm.

Before the direction on preliminary medical examination in military commissariat (separate division of military commissariat) of the area (city) or in military unit on the citizen arriving in military educational institution on training of the aircrew meeting the specified requirements the card of medical examination of the citizen arriving in military educational institution on training of aircrew in form according to appendix 6 to this Instruction on which there shall be photo of 4 x 6 cm in size certified by impress of a seal with the image of the State Emblem of the Republic of Belarus is drawn up.

To it clinical blood test, the general analysis of urine, blood glucose research, research on availability of infection with human immunodeficiency virus (further - HIV infection) and serological reactions to syphilis, markers of viral hepatitis B and C, research calla on eggs of helminths, dysenteric group and tsist of protozoa, crops from pharynx and nose on diphtheria, fluorographic (radiological) research of bodies of thorax in two projections, X-ray analysis of nizhnegrudny and lumbar departments of backbone in two projections, X-ray analysis of okolonosovy bosoms, electrocardiography (further - the ECG) in 12 assignments at rest, veloergometrichesky test are carried out. Besides, ultrasound examination of thyroid gland, abdominal organs, kidneys, ekhokardioskopiya, voice-frequency audiometriya, electroencephalography which shall be drawn up on forms of the state (military) organization of health care where researches were conducted are carried out, to have the signature and personal seal of the doctor. On medical indications also other researches are conducted.

15. In case of preliminary medical examination of the citizens who are not the military personnel results of the conducted medical researches, statements from medical documents, data on condition on accounting from psychoneurological, narcological, antitubercular and skin and venereologic dispensaries (offices, the centers) are studied.

Military personnel goes for preliminary medical examination with the medical book in which results of profound and control physical examinations shall be reflected.

16. Prior to medical examination to the citizens arriving in military educational institutions on training of aircrew measurement of body temperature and anthropometry are carried out. Laboratory, radiological, tool researches are conducted in cases if they were not earlier executed or require refining. The next researches are obligatory:

check of color sensation, visual acuity (with cutting signs for values 0, and 1,0), refractions using skiaskopiya or refractometry in the conditions of rest and tsikloplegiya;

check of nasal breath, sense of smell, hearing on the shepotny speech, barofunktion of ears.

17. Final medical examination is carried out after final professional and psychological selection and assessment of physical fitness not earlier than in a day after arrival on medical examination.

Before completion of medical examination it is not allowed to involve citizens in works and sporting events.

18. Before final medical examination the chairman of VLK acquaints members of the commission with materials of preliminary medical examination.

19. To the citizens arriving in military educational institutions on training of aircrew before final medical examination clinical blood test, the general analysis of urine, measurement of body temperature, anthropometry are carried out, they are inspected by the dentist, the provided results of researches specified in Item 14 of this Instruction are studied, and in case of doubtful results of researches they are carried out repeatedly.

20. Responsibility for completeness of physical examination and the conclusion on the specialty are born by the specialist doctor, and for work as a part of VLK and justification of its conclusion - the chairman of VLK. Further medical examination of citizens at whom one of specialists doctors of VLK revealed the disease interfering receipt in military educational institutions on training of aircrew stops and taken out the conclusion of VLK about worthlessness to flight training.

To citizens at whom the diseases interfering receipt in military educational institutions on training of aircrew are not revealed special researches are conducted:

vestibulometriya - tests with continuous or intermittent cumulative impact of accelerations of Coriolis (further - NKUK or PKUK);

testing in pressure chamber for shipping of moderate degrees of hypoxia and differences of barometric pressure.

It is forbidden carry out testing in pressure chamber and vestibulometriya in one day.

21. Results of medical examination of the citizen and the conclusion of VLK register in the book of protocols of meetings of VLK in form according to appendix 7 to this Instruction, in the card of medical examination of the citizen arriving in military educational institution on training of aircrew, and to the serviceman, besides, in the medical book. All medical documents of the citizens recognized in case of final medical examination unusable to receipt in military educational institutions on training of aircrew (the card of medical examination of the citizen arriving in military educational institution on training of aircrew, the statement from the medical record of the ambulatory patient and other medical documents characterizing the state of health of the citizen) from VLK Air Force and troops of air defense go to military commissariats of areas.

On the citizens recognized according to the conclusions of VLK unusable to receipt in military educational institutions on training of aircrew in the book of protocols of meetings of VLK the detailed description of the reason of worthlessness becomes.

22. The citizen arriving in military educational institution on training of aircrew for refining of the diagnosis of disease can be directed to physical examination in stationary conditions and medical examination in VLK 432 GVKMTs.

23. The citizens recognized in case of final medical examination unusable to receipt in military educational institutions on training of aircrew and VLK, not concordant with the conclusion, can appeal it in public institution "Central military-medical commission of Armed Forces of the Republic of Belarus" (further - TsVVK) or in court.

24. In case of medical examination of citizens of other states directed to training in flight specialties in military educational institutions of the Republic of Belarus the medical requirements determined in the corresponding graphs of the schedule of diseases according to appendix 1 to this Instruction are imposed to condition of their health.

25. Chairmen of VLK of military commissariats of areas, the Air Force and troops of air defense within ten days after the end of medical examination represent to TsVVK of the data on results of medical examination of the citizens arriving in military educational institutions on training of aircrew.

26. Cadets of military educational institutions on training of aircrew are subject to annual medical examination in VLK. Before it it conducts fluorographic (radiological) research of bodies of thorax, clinical blood test, the general analysis of urine, the ECG in 12 assignments at rest and after loading (step test or 15 squats in 30 seconds), researches calla on eggs of helminths and tsist of protozoa, medical examination with participation of specialists doctors of VLK, if necessary sanitation of oral cavity (to cadets of the first rate blood test on group and Rhesus factor which result is entered in the medical book and the military ID is conducted). Cadets of final year before medical examination of VLK are subject to barokamerny testing for shipping of moderate degrees of hypoxia and differences of barometric pressure.

27. In the presence of medical indications cadets go for physical examination and medical examination in stationary conditions in VLK 432 GVKMTs.

28. Persons from among aircrew sent for education to the organizations of foreign states for training of aircrew with training term six and less months are fit for training at the basis of the last conclusion of VLK about the validity to flight work if the term of its action does not expire during training. In case of training term more than six months they are subject to medical examination in VLK according to Item 8 of this Instruction with filling of column 3 of the card of medical examination of the citizen arriving in military educational institution on training of aircrew. On the serviceman recognized suitable for flight training the conclusion of VLK in the form of the reference in form according to appendix 8 to this Instruction in duplicate which is subject to approval in TsVVK is drawn up. The reference and the personal record of the serviceman go to the organization of foreign state for training of aircrew. The card of medical examination of the citizen arriving in military educational institution on training of aircrew, and the second copy of the reference are stored in cases of TsVVK.

29. Students of military educational institutions on training of aircrew undergo medical examination in VLK according to the procedure established for aviation personnel.

Chapter 3. Procedure for passing of medical examination of the military personnel from among aviation personnel

30. The military personnel from among aviation personnel of Armed Forces annually is subject to planned medical examination according to the schedule which is approved by the commander of the Air Force and troops of air defense, and the chairman of VLK Air Force and troops of air defense controls its accomplishment.

31. Pilots of supersonic destructive and destructive and bombing aircraft, test pilots undergo the first medical examination in stationary conditions in year of execution of 25 years by it regardless of earlier carried out medical examination in stationary conditions. In subsequent their medical examination in stationary conditions is carried out time in two years.

The pilots flying by planes of other types and helicopters undergo the first medical examination in stationary conditions in year of execution of 30 years by it. They are subject to the next medical examination in stationary conditions in two years on third.

Other members of flight crew (flight engineers, flight mechanics, operators, bortradist and others) undergo the first medical examination in stationary conditions in year of execution of 35 years by it. They are subject to the next medical examination in stationary conditions in four years on the fifth.

Other military personnel from among aviation personnel is subject to annual medical examination in out-patient conditions. Their medical examination in stationary conditions is carried out on medical indications.

The military personnel passing military service not on aircrew positions in case of primary appointment to the specified positions is subject to medical examination in stationary conditions.

Medical examination of the military personnel from among aviation personnel in stationary conditions is carried out to VLK 432 GVKMTs.

32. The direction on medical examination in VLK is performed by the direct chief from the commander of military unit above on representation of the chief of health service.

At the same time to the serviceman are handed out:

the direction on medical examination with indication of military rank, surname, own name, middle name (if that is available), birth dates, military unit (the name of the organization), the purpose (with indication of columns of the schedule of diseases according to which it is necessary to carry out medical examination);

food certificate;

medical book;

office and medical characteristics;

the motivated conclusion about circumstances and causal relationship of damage suffered of life or to health of insured person with execution of obligations of military service by it.

The medical characteristic which is constituted by the chief of health service of military unit shall contain the following main data:

since what time the serviceman consists under medical observation in military unit;

date, previous diagnosis and conclusion of VLK;

when and where the last time underwent medical examination in stationary conditions;

general characteristic of physical condition and professional working capacity during the intercommission period;

data of medical observation of the state of health (claims, requests for medical care, the number of days of temporary disability, the applied treatment, its efficiency and so on);

data of medical observation of flight work (shipping of flights, accelerations and other flight loadings, the medical analysis of the most often repeating mistakes in case of accomplishment of flight tasks, influence of flight work on the course of the available disease);

specific psychological features;

focus on continuation of flight work;

cases of release or discharge from flight work on medical indications, their reasons;

the direction reason on medical examination;

opinion of the doctor of military unit on further use at flight work.

The medical characteristic on commanders of air military units is constituted by the higher chief of health service.

The office characteristic which is signed by the commander of military unit shall contain the following main data:

military rank, flight profession, flight qualification class;

when and what military educational institution on training of aircrew finished;

general raid, raid during the intercommission period, the mastered types of planes (helicopters);

since what time at flight work and in military unit;

quality of accomplishment of flight work and fulfillment of duties of military service;

cases of release or discharge from flight work for 6 months and more, their reasons;

whether variations in the state of health affect flight work;

the commander's conclusion about possibility of continuation of flight work.

The office characteristic on the commander of air military unit is constituted by the higher commander.

Medical and office characteristics are represented in one copy.

Responsibility for timely appearance of the military personnel in military organization of health care is born by the serviceman and the commander of military unit.

33. By preparation for the next medical examination of the military personnel from among aviation personnel the chief of health service of military unit fills in Sections of their medical books according to the requirements stated in regulations on the flight book of aircrew, the book of the head by flights, the medical book of aircrew, the parachute book of the state aircraft of the Republic of Belarus approved by the resolution of the Ministry of Defence of the Republic of Belarus of May 25, 2005 No. 18 (The national register of legal acts of the Republic of Belarus, 2005, No. 104, 8/12733).

34. The amount of obligatory laboratory, radiological, tool and ad hoc methods of researches in case of medical examination in out-patient and stationary conditions is determined according to requirements according to appendix 9 to this Instruction.

Military personnel from among aviation personnel is allowed to the next medical examination after carrying out sanitation of oral cavity.

In day of medical examination the military personnel is exempted from fulfillment of duties of military service.

35. The conclusion of VLK about the validity to flight work, flights, flight training, parachute jumps, management of flights is taken out based on medical inspection which is performed by specialists doctors, results of laboratory, radiological, tool and special researches, data reflected in medical and office characteristics. In the conclusion of VLK the diagnosis, the conclusion about causal relationship of mutilation (wound, injury, contusion), diseases, Articles, Items and graphs of the schedule of diseases, the validity to flight work, flights, flight training, parachute jumps, management of flights are specified and actions for medical support which accomplishment is obligatory are determined.

In case of identification in the state of health osvidetelstvuyemy the changes difficult for diagnostics in out-patient conditions, when progressing of the available diseases the specialist doctor of VLK takes out the conclusion about need of its medical examination for stationary conditions.

36. Upon completion of medical examination results of physical examination, the conducted researches, surveys of specialists doctors, the conclusion of VLK are brought in appropriate sections of the medical book of aircrew, the book of protocols of meetings of VLK.

Military personnel from among aviation personnel is represented on VLK at which meeting the conclusion is taken out, and the chairman brings it to osvidetelstvuyemy. The conclusion which is subject to approval in TsVVK is reported as preliminary.

In case of refusal obligatory amount of laboratory, radiological, tool and special researches, osvidetelstvuyemy from carrying out, according to appendix 9 to this Instruction its further physical examination stops and it is written out in military unit. In the medical book of aircrew in the Section "Conclusion of the Medical and Flight Commission" the chairman of VLK makes entry: "It is written out without medical examination in connection with refusal of physical examination", and the written message to the commander of military unit goes.

Results of medical examination of the military personnel from among aviation personnel the chief of health service of the Air Force and troops of air defense reports on the commander of the Air Force and troops of air defense, and also submits the report in TsVVK in form and in the terms established in the legislation.

37. Members of VLK in case of medical examination of the military personnel from among aviation personnel in out-patient conditions have the right:

establish the diagnosis of disease in case of the changes in the state of health which are not interfering continuation of flight work, flights, flight training, parachute jumps, managements of flights and not providing individual assessment of the validity to flight work;

change the diagnosis of disease established earlier (if Article of the schedule of diseases providing individual assessment of the validity to flight work was not applied) in case of recovery or disappearance in the state of health of osvidetelstvuyemy functional nature of changes if it does not involve change of the validity to flight work. If the validity to flight work changes, medical examination is carried out in stationary conditions.

In case of identification of the insignificant passing functional violations, monosymptom (sign) which are not the basis for establishment of the diagnosis of disease it is necessary to reflect them as feature of the objective status in appropriate sections of the medical book.

38. Medical examination of the military personnel from among aviation personnel leaving in official journeys lasting more than three months to the states with adverse climatic conditions in the territory of radioactive pollution owing to catastrophic crash on the Chernobyl NPP, other radiation accidents, is carried out for determination of contraindications to accomplishment of flight work, flights, parachute jumps, managements of flights for health reasons in the direction of the commander of military unit in which the state with adverse climatic conditions or the territory of radioactive pollution where the serviceman goes is specified.

The military personnel from among aviation personnel leaving in the territory of radioactive pollution owing to catastrophic crash on the Chernobyl NPP, other radiation accidents will be examined according to Item 136 of the Instruction on procedure for the organization and conducting military-medical examination in Armed Forces of the Republic of Belarus and transport troops of the Republic of Belarus approved by the resolution of the Ministry of Defence of the Republic of Belarus of November 2, 2010 No. 44 (The national register of legal acts of the Republic of Belarus, 2011, No. 9, 8/23124), and leaving to the states with adverse climatic conditions, - according to Item 140 of the Instruction on procedure for the organization and conducting military-medical examination in Armed Forces of the Republic of Belarus and transport troops of the Republic of Belarus.

In case of departure osvidetelstvuyemy to the state with unsuccessful epidemic situation the procedure for carrying out preventive inoculations is determined in public institution "23rd sanitary and epidemiologic center of Armed Forces of the Republic of Belarus" by coordination in the Ministry of Health of the Republic of Belarus.

Medical examination of the military personnel from among aviation personnel specified in parts of first or third of this Item is carried out based on the list of medical contraindications according to appendix 4 to this Instruction.

If the conclusion of VLK about the validity to accomplishment of flight work, flights, parachute jumps, managements of flights in the state with adverse climatic conditions is not realized within six months from the date of its removal or in the state of health of examined there were changes which are the basis for review of earlier taken out conclusion, repeated medical examination is carried out it.

39. For the purpose of the timely direction on medical examination in case of changes in the state of health treatment of the military personnel from among aviation personnel is carried out to VLK in infirmaries of medical aid stations of air military units, military educational institutions on training of aircrew, the medical centers Air Force and troops of air defense, 432 GVKMTs. In case of rendering medical care to them in stationary conditions on urgent indications in other state or military organizations of health care they in case of the first opportunity shall be translated for continuation of treatment in 432 GVKMTs or the medical centers of the Air Force and troops of air defense.

Military personnel from among aviation personnel shall be directed to medical examination in VLK 432 GVKMTs according to the decision of the chief 432 GVKMTs in case of identification at them during physical examination or treatment in stationary conditions in 432 GVKMTs changes in the state of health causing the necessity of change of the validity to flight work, flights, parachute jumps, management of flights, provisions of medical leave, release from flights with execution of other obligations of military service, release from fulfillment of duties of military service. The decision on the direction on medical examination in VLK is told the commander of military unit (with request of the medical book of aircrew in case of its absence), registers in the medical record of the inpatient and is certified by the signature of the chief 432 GVKMTs.

If the postponed disease does not require change of the previous conclusion of VLK, the military personnel from among aviation personnel is written out without medical examination in VLK. In this case in vypisny epikriz and the medical book the chief of department 432 GVKMTs (according to the conclusion of the chairman of VLK 432 GVKMTs) makes entry: "The postponed disease does not interfere with continuation of flight work according to the last conclusion of VLK".

The military personnel from among aviation personnel who was on hospitalization in other state or military organizations of health care after the statement on arrival in military unit has extraordinary medical examination and in the presence of indications on representation of the chief of health service of air military unit goes for medical examination in VLK 432 GVKMTs.

40. The military personnel from among aviation personnel recognized unusable to flight work, flights, parachute jumps, management of flights and appointed to the military positions which are not connected with flight work, flights, parachute jumps, management of flights shall be under medical observation of specialists of health service of military unit.

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