1956-HKRS30-8-46_Part02 — Page 13

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Cases of compensated nephrectomy without hypertension or uraemia may be assessed as fit.

An applicant who has undergone a major surgical operation on the bilary passages or the digestive tract or its adnexae, or the urinary system, which has involved a total or partial excision or a diversion of any of these organs will be assessed as unfit until such time as the medical examiner having access to the details of the operation concerned con- siders that the effects of the operation are not liable to cause sudden incapacity in the air.

(e) General medical examination.

The heart shall not possess any abnormality, congenital or acquired, which is likely to interfere with the safe performance of the duties. Respiratory arrhythmia, occasional extra systoles which disappear on exercise, increase of pulse rate from excitement or exercise, or a slow pulse not associated with auriculoventricular dissociation may be regarded as coming within "normal" limits.

The systolic and diastolic blood pressures shall be within normal limits.

There shall be no significant functional nor structural abnormality of the circulatory tree.

There shall be no acute disability of the Jungs nor any active disease of the structures of the lungs, mediastinum ör pleura. In the case of an examination for the first grant of a licence radiography will form a part of the chest examino- tion, and similar radiographic examinations will be carried out as necessary thereafter.

Cases of pulmonary emphysema will not be assessed as unft unless the condition is causing symptoms.

Cases of active pulmonary tuberculosis will be assessed as unfit. Cases of quiescent or healed lesions which are known to be tuberculous or are presumably tuberculous in origin, may be assessed as fit, Cases of doubt about the activity of a lesion, where symptoms of activity of the disease are lacking, clinically, will be assessed as temporarily unfit for a period of not less than three months from the date of

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the medical examination. At the end of the three months' period, a further radiographic record will be made and compared carefully with the original. If there is no sign of extension of the disease and there are no general symptoms nor symptoms referable to the chest, the applicant may be assessed as fit for a period of three months. There. after provided there continues to be no sign of extension of the disease as shown by radiographic examinations carried out at the end of each three months' period, the validity of the licence will be restricted to consecutive periods of three months. When the applicant has been under observa- tion under this scheme for a total period of at least two years and comparison of all the radiographic records shows no changes or only retrogression of the lesion, the lesion will be regarded as "quiescent" or "healed".

Cases of disabling disease with important impairment of the functioning of the gastro-intestinal tract and its adnexae will be assessed as unGL.

Cases of significant metabolic, nutritional or endocrine disorders will be assessed as unfit. Proven cases of diabetes mellitus will be assessed as permanently unfit; doubtful cases will be assessed as unfit until the condition is proven to be non-diabetic.

Cases of severe and moderate enlargement of the spleen persistently below the costal margin will be assessed as unfit.

Cases of significant localized and general enlargement of the lymphatic glands and of diseases of the blood will be assessed as unfit; those due to a transient condition may be assessed as temporarily unfit.

Cases presenting any signs of organic disease of the kidneys will be assessed as unfit; those due to a transient condition may be assessed as temporarily unfit. The urine shall contain no abnormal element considered by the medical examiner to be pathological. Cases of affections of the urinary passages and of the genital organs will be assessed as unfit; those due to transient conditions may be assessed as temporarily unfit.

An applicant who has a personal history of syphilis shall be required to furnish evidence, satisfactory to the medical examiner, that he has undergone adequate treatment.