What diseases qualify as a disability? What refers to disability due to a general disease. Diseases of internal organs

Must have the opportunity to study in regular educational institutions and engage in labor activities. In addition, the conditions include the ability to navigate both in time and space and the ability to communicate. Based on the above points, diseases were created, the presence of which determines belonging to group 3. The reason for assigning this group is social inferiority, which requires social assistance. The reason for such inferiority may be a health disorder with varying degrees of disorders of body functions.

Nowadays, the decision to assign a certain disability group is made by the Medical-Social Expertise.

Disability group 3 diseases

The main diseases include:

Diseases internal organs, malignant neoplasms, as well as those neoplasms that cannot be removed;
- diseases of the central nervous system (central nervous system), who have persistent severe impairments of motor, visual and speech functions;
- diseases and diseases of the ear, nose and throat, which include complete blindness or decreased quality of vision in both eyes, congenital deafness and complete deafblindness;
- anatomical and surgical diseases (diseases that require surgical treatment);
- kidney diseases such as renal failure;
- nervous, mental, neuromuscular diseases;

These include progressive paralysis, infectious diseases Central nervous system with severe chronic courses.

This list is supplemented by diseases of the respiratory organs, cirrhosis of the liver, some congenital anomalies, Parkinson's disease, damage to the spinal cord or brain, coronary heart disease, urinary or fecal fistulas and stomas, defects of the jaw, hard palate, provided that prosthetics does not solve the problem, but also the presence of any defects of the lower and upper extremities. It is worth noting that in each country the list of diseases classified as disability group 3 differs from others.

The main condition for registration is that if the disabled person has contraindications to driving, the persons registered and living with him or her can be transferred the right to drive a car. If there are none (or they are not registered or do not live with the disabled person), the disabled person is not registered.

At the same time, there is an opinion among Russians that there is a list of diseases, according to which a certain disability status can be obtained. However, not all diseases listed on this list qualify for disability. So, for example, a person with cancer, after completing all courses of long-term rehabilitation therapy, may be sent for examination to obtain the status of a disabled person of a certain degree, and the commission will decide the issue of either extending sick leave without establishing a disability group, or determining the status of a disabled person 2nd group for a period of one year, after which, after re-examination, the disability is removed or extended again. It is believed that the duration of continuous sick leave should not exceed 4 months, with breaks - 6 months.

List of diseases for which disability group 3 is established

For residents of Russia, where cardiovascular diseases occupy first place in the list of common diseases, the issue of obtaining disabled status is especially acute. In this article we will talk about what diseases are the basis for receiving group III incapacity, as well as how and where to get it.

According to the law “On social protection of disabled people in Russian Federation”, as well as Order of the Ministry of Labor No. 1024 of December 17, 2020, a person may be recognized as disabled due to certain criteria and diseases that limit his capabilities in work or everyday life.

Disability due to general illness

A general disease, as a cause of disability, is prescribed when a person becomes disabled after an injury that is not related to labor (work). When a person is assigned a survivor's benefit, then he is prescribed the reason for his disability - due to a general illness.

• when the disability was acquired during work experience;
• purchased after graduation work activity, educational activities in universities, secondary specialized institutions, special schools and courses preparing personnel, graduate school, residency, which at the same time was a consequence of certain diseases (injuries) and does not depend on an occupational disease, injury acquired in industrial places, illness (or injury, shell shock or injury) during military service.

What diseases belong to disability group 3?

A particular disability group is awarded only after passing a special examination called “medical and social”. Actions to refer a citizen for such an examination can be carried out by both a medical institution, pension structures, and social protection authorities.

1st degree disability means, among other things, the inability to perform work with previous qualifications. But a person can work with reduced qualifications, and this does not cause him any inconvenience. The third degree, in the worst case, involves complete inability to work.

How to get group 2 or 3 disability for a general disease

1. Disabled people due to old age. These include women who have turned 50 full years, and men over 60 years of age.
2. 2nd and 1st disability groups. If a citizen's degree does not change or deteriorates over a 15-year period, they become officially eligible for permanent appointment.
3. 1st, 2nd disability groups of WWII veterans, persons who participated in the Second World War and received partial incapacity before the war.
4. A military person who received status during his service due to illness or injury.

By receiving such status, citizens are automatically equated to veterans. The list of benefits that are due during this registration corresponds to the proposed reliefs and payments for WWII participants. The reasons that led to the receipt of disability status in this case are documented. A note, for example, is made in an act drawn up by a special commission, then added to a certificate of the appropriate sample. For reasons of general illness, any group can be assigned. And the resulting category determines the benefits and size of the social pension entitled to the citizen.

Degrees of disability

1. 1st, 2nd degree (serious disability) - this is when a person has the opportunity to serve himself independently, while spending a lot of time, and to reduce the volume he cannot do without the help of technical means.
2. 3rd degree - a person practically cannot take care of himself, he needs outside help.

But the presence of one degree or another of the disease does not give a person the right to automatically receive disability; only a commission, having examined all the documents that confirm the presence of pathology and deformation in the joint, will be able to assign the status of a disabled person or not. Thanks to modern diagnostic techniques, today this has become much easier and faster. It will be enough to provide the commission with an x-ray that confirms the presence of joint pathology and the results of arthroscopy. After studying the documents, which also confirm the fact that the patient cannot independently care for himself and has limitations in his ability to work, the commission makes a decision and assigns a disability of the second or third degree.

What diseases give disability (list)

To answer the question of how to get disability, list of diseases There is no point in looking for a license that gives the right to do this - it simply doesn’t exist. For example, diabetes mellitus - patients with such a disorder of the endocrine system can qualify for any of 3 possible disability groups, or never receive it at all. That is, everything depends on the course of the disease and its consequences.

The dysfunction of the body in this case is quite moderate - varies in the range from 40 to 60%. The ability to move independently in disabled people of group 3, as a rule, is fully preserved, but this requires them more time than others. The same applies to other criteria of life activity - for example, when assessing health by the level of ability to navigate in space, a group 3 disabled person is defined as a person who is able to do this, but only in a more or less familiar environment.

List of diseases by disability

A citizen is recognized as disabled after passing a special examination. The condition of his body is being assessed by a medical and social expert commission ( MSEC), which establishes his social, everyday, educational, professional and labor status. The procedure is carried out in absentia, in a hospital or at home.

• Complete or partial deafness.
• Oncological diseases accompanied by radiation or chemical therapy.
• Liver damage with no improvement after treatment.
• Joint endoprosthetics.
• Pulmonary failure in the chronic stage (absence of one lung).
• Absence of one lower limb and dysfunction of the other limb.
• Blindness (ptosis in both eyes).
• Paralysis of one limb.
• Transplantation of internal organs.
• Serious defects of the skull.
• Mental disorders that last more than 10 years.

List of diseases for disability in 2020

1. Respiratory diseases, developmental pathologies:

• asthma;
• presence of a transplanted lung;
• pulmonary sarcoidosis;
• tuberculosis.

1. Diseases of the circulatory system:

• hypertension;
• angina pectoris;
• cardiac ischemia;
• aneurysm;
• the presence of implants in the organ;
• heart rhythm disturbances;
• atherosclerosis.

1. Digestive diseases:

• defects of the jaw, facial bone;
• ulcers, colitis, enteritis;
• hepatitis;
• cholecystitis;
• chronic pancreatitis.

1. Diseases of the genitourinary system:

• pyelonephritis;
• renal failure;
• urolithiasis disease;
• absence of a kidney;
• diseases of male and female genital organs.

1. Diseases of the blood and other organs of an immunological nature:

• anemia of various forms;
• agranulocytosis;
• presence of a transplanted organ or tissue;
• bleeding disorders;
• hemophilia;
• immunodeficiencies;

1. Connective tissue diseases:

• rheumatoid arthritis;
• systemic lupus erythematosus;
• sclerosis.

1. CNS diseases:

• migraine;
• head injuries, contusions;
• multiple sclerosis;
• cerebral palsy;
• Parkinson's disease;
• nerve and spinal cord injuries.

1. Mental disorders:

• autism;
• Asperger's syndrome;
• mental retardation;
• neurological disorders;
• schizophrenia.

1. Diseases of the eye and its adnexa:

• corrected visual acuity (tested, for example, for hypermetropia);
• narrowing of visual fields;
• scotomas in the central field of view.

1. Ear diseases, speech disorders:

• hearing loss;
• deaf-blindness;
• tracheostomy.

1. Endocrine system diseases:

• hypothyroidism;
• diabetes mellitus with neurological disorders;
• hyper- and hypoparateriosis;
• adrenal gland disorders.

1. Skin diseases:

• skin infections;
• pyoderma;
• dermatitis;
• eczema;
• psoriasis.

1. Diseases of the musculoskeletal tissue:

• osteomyelitis;
• short stature;
• spinal injuries;
• pathologies and injuries of the limbs.

1. Neoplasms and oncology:

• malignant tumors;
• some period after removal of tumors and radiation therapy;
• leukemia, lymphoma;
• leukemia;
• other oncological diseases.

• Diseases that cause group 1 disability are persons with class IV severity of diseases and dysfunctions of the body, which belong to the third degree of limitation of the above abilities (cannot take care of themselves or move around the apartment). For example, categories with significant forms of neuropsychiatric diseases, visual impairment, neurogia, and limb deformities are suitable ( full list presented in Order No. 664n).

• Diseases that cause disability of the 2nd group - persons with mildly expressed disorders and defects of the body, who periodically require the help of outsiders. These violations relate to the third degree of severity of diseases, the definition of which is regulated by regulations and laws on the establishment of disability. The second group is working, but requires additional conditions for comfortable work disabled person When hired, such persons are familiarized with the working conditions against a signature.

• Diseases that cause group 3 disability are people who are included in the category with the second degree of severity of defects. At the same time, injuries complicate a person’s normal life activities and create restrictions on choosing and obtaining work. As a rule, the establishment of this category is suitable for persons with diseases of the central nervous system, cardiovascular system, internal organs, musculoskeletal system and other disorders, the list of which is presented in Order No. 664n.

List of diseases for obtaining disability

8. The criterion for determining the first group of disability is a person’s health impairment with a persistent, significant disorder of body functions, caused by diseases, consequences of injuries or defects, leading to limitation of one of the following categories of life activity or a combination of them and necessitating his social protection:

Disability is a person's condition with the inability to perform mental, physical or mental activities. The procedure for establishing disability in the Russian Federation is carried out by the relevant authorities, and at the same time carries medical and legal significance. Determination of disability gives the right to receive a number of benefits and pension payments, despite the fact that a person who has received a certain degree of disability cannot work partially or fully. IN modern society The concept of “disabled person” is considered to be a more correct term “person with disabilities.”

For what heart diseases is a disability group given? This issue worries residents of Russia, since 30% of the population suffers from one or another type of cardiovascular pathology. Dysfunction of the circulatory system affects a person’s physical capabilities, including his ability to work.

Who is given disability?

Disability is due to pathologies that cause dysfunction of vital organs. The list of such heart diseases includes:

1. Myocardial infarction. Violations lead to insufficient blood supply to organs and tissues, which provokes functional disorders of the heart and death of its tissues. As a result of diseases, a person’s physical inability to perform work is formed. Smoking and coronary heart disease contribute to the progression of the disease.
2. Stage 3 hypertension. Accompanied by high blood pressure and crises, which affect the blood supply to the brain and lead to paralysis.
3. Severe heart disease and circulatory disorders of the last stage.

In addition, disability is granted to people who have undergone complex heart surgery - bypass surgery, valve replacement, etc.

Disability groups

Disability is assigned based on the following characteristics that determine general state health:

• injuries and damage to the organs of the circulatory system, resulting in the inability to perform basic everyday activities;
• loss of a person’s ability to move independently;
• congenital defects in the structure of the heart, which led to the impossibility of working;
• identifying a person’s need for rehabilitation and special care.

There are 3 disability groups:

• Group 1 – patients need constant care from other people;
• Group 2 – people partially lose their physical abilities. Assigned for moderate heart disease. These patients are able to care for themselves if favorable conditions are created for them;
• Group 3 – people are able to take care of themselves, but have restrictions on working in their specialty.

Groups for IHD

In people with coronary disease there are contraindications for work:

Disability groups for ischemic heart disease are presented in the table

Degree of disability due to hypertension

People with hypertension also have the right to receive disability if we are talking about complicated forms of the pathology. Receiving benefits is indicated for stage 3 hypertension, accompanied by frequent crises, impaired cerebral blood supply, and damage to internal systems and organs.

For angina pectoris, temporary disability is usually prescribed:

• for FC 1 (functional class) – up to 10 days;
• for FC 2 - up to 3 weeks;
• for FC 3 – up to 5 weeks.

Groups for CHF (chronic heart failure)

Depending on the severity, chronic failure is classified into 4 functional classes.

There are 2 degrees of CHF. In grade 1, the symptoms of the disease are mild and occur when a person performs physical activity. The main signs of the disease: an increase in the size of the liver, attacks of suffocation and a displacement of the left border of the heart.

In case of stage 1 CHF, there are clear signs of circulatory disorders: weakness, rapid heartbeat, inability to remain in a supine position, expansion of the borders of the liver.

Disability in chronic heart failure is correlated as follows:

• CHF 1st degree FC 1,2,3 – disability is not established;
• CHF 1st degree FC 4 – 3rd group;
• CHF 2 degrees FC 1 – 3 group;
• CHF 2 degrees FC 2,3,4 – group 2.

Disability after heart surgery

Disability is issued after heart surgery. The group is determined depending on the complexity of the intervention and how the patient himself underwent the operation.

After bypass

After the intervention, patients are temporarily unable to work. A medical examination decides to assign a disability group to a person. Group 1 is prescribed to people who have suffered severe CHF and are in need of care. Group 2 is given to people who underwent rehabilitation after CABG with complications. Disability group 3 is assigned to people with an uncomplicated rehabilitation period who have 1-2 functional classes of heart failure and angina pectoris.

After valve replacement

Heart disease eventually causes heart failure. Replacing a valve cannot with 100% certainty solve all the problems a person has. The issue of assignment of disability is considered in each individual case based on the results of diagnostic measures: stress test, pharmacological tests, echocardiography and others. Based on the results of the examination, specialists identify the degree of “wear and tear” of the heart. The presence of symptoms of CHF is a reason for transferring a person to light work or establishing a disability group for him.

After ablation

Previously, after cardiac ablation, disability group 2 was assigned for up to 1 year. Modern methods interventions have made RFA surgery and recovery easier.

Currently, the decision to assign disability after RFA is based on the degree of circulatory impairment. With a NC of 0.1 degree, disability is not issued. For NK of 2nd degree, disability group 2 is assigned, for NK of 3rd degree - 1st group.

Registration of disability

Registration of disability requires time and medical examination. To get a group, you need to visit a cardiologist and leave with him a statement of intention to obtain disability. The doctor performs an examination, enters data into the patient’s medical record and gives referrals to specialists in other fields. A complete examination to make an accurate diagnosis is performed in an inpatient setting.

After a complete diagnosis, you can collect a package of documents:

• referral to a commission;
• passport;
• a copy of the work book;
• medical card;
• an extract from the institution at the place of examination;
• statement.

Survey

In case of cardiovascular diseases, disability is issued for a temporary period. Patients regularly need to be examined once a year for groups 1 and 2 and once every 6 months for group 3. For disabled children re-commission prescribed depending on the severity of the pathology.

A person may be refused to extend his disability. This decision must be appealed to the ITU Bureau within a month.

Advice! There is the possibility of an independent review that is not associated with ITU. If the results of the ITU and the independent examination do not correspond, they file a claim in court to resolve the controversial issue.

Amount of disability benefits

In case of cardiovascular diseases associated with impaired functioning of internal organs and a person’s loss of ability to work, disability is prescribed. The disability group depends on the severity of the pathology and concomitant diseases. ITU gives a disability group after studying all necessary documents. A person needs to be examined regularly to renew benefits and allowances.

On modern stage social development, carrying out activities for social adaptation and protection of people with disabilities is one of the main directions of state policy of the Russian Federation.

That is why, in order to receive this rehabilitation and material support, the question of the concept of disability, its establishment and for what diseases it is given is relevant for many people.

Legislative regulation

The concept of disability is a physical condition of a person that imposes restrictions on daily activities due to the presence of certain diseases that cause the need for social protection.

A disabled person is a person who, due to his mental, physical or mental disabilities, has limitations in normal functioning in society.

The legal framework that regulates state protection and services for people with disabilities, the procedure for registration and recognition of a citizen as a disabled person, includes the following: legislative acts:

Criteria for determining disability

To obtain disabled status it is necessary compliance with the following criteria:

• deterioration of health with a pronounced impairment of the basic functionality of the body, which is caused by illness or injury;
• complete or partial deprivation of the ability to move, communicate, learn, work, self-control, and most importantly, self-care;
• the need for social adaptation and protection.

Disability category is determined in accordance with Order of the Ministry of Labor and Social Protection of the Russian Federation No. 664n dated September 29, 2014 “On the categories and conditions applied when carrying out MSE of persons by federal municipal institutions ITU".

Diseases that may become the basis for obtaining disabled status

It is worth considering that this order does not have a specific list of diseases for which disability is recognized, due to the fact that disability is established by the severity of disturbances in the functioning of the body that do not allow a person to perform certain actions for normal life.

According to the Order of the Ministry of Labor and Social Protection of the Russian Federation, a citizen can be declared disabled in 2019 if presence of one or more diseases from the following groups of violations:

Order of assignment to various categories

At the moment, according to the legislation of the Russian Federation, there are the following categories of disability:

Disability Group I is one of the most difficult groups, since assignment to this category is carried out in the event of a severe deterioration in the functioning of the functions of the human body. Often disabled people of group 1 ordinary life cannot do without the help of other people.

To deviations of persons of the 1st disability group often referred to :

• complete or partial absence of organs;
• hereditary diseases that damage the central nervous system;
• absence of lower limbs;
• damage to the hearing organs by more than 80% and others.

Disability Group II. This group includes people who can perform minimal self-care activities without the help of other persons or with the help of technical means.

The most common disorders of the body of a disabled person of group 2 include the following:

• cirrhosis of the liver;
• disruption of the visual organs;
• paraplegia;
• fistula;
• disarticulation of the thigh;
• the presence of 1 lung in the body or pulmonary insufficiency of the 2nd degree.

Disability Group III Often received by people who have limitations due to a previous illness or injury. Group 3 disabled people do not have any special restrictions in their work activities and receive salaries at the level of ordinary employees, but they, like all disabled people, are provided with social and material support by the state.

Common deviations in the functioning of the human body recognized as a group 3 disabled person are:

The legislation classifies disability as a separate group. This concept includes children under 18 years of age who have limitations in everyday life due to impaired ability to move, communicate and self-care, as well as deviations in the development of growth and mental abilities child.

The legislation of the Russian Federation provides a list of benefits for disabled children themselves, as well as for their parents (guardians). For example, providing preferential travel on municipal passenger transport (with the exception of taxis).

Appointment and registration procedure

A person is recognized as disabled with the help of medical and social examination (MSE) when analyzing the general state of health according to the criteria defined by the Ministry of Health of the Russian Federation and the Ministry of Social Protection of the Population of the Russian Federation. This examination determines a person’s need for social protection, and subsequently the category and group of disability.

To begin the disability registration procedure, you need medical documents, indicating the presence of abnormalities in the body (patient’s outpatient card, extracts from inpatient medical institutions, X-rays, and so on). They can be obtained from the medical institution where the citizen is undergoing treatment and examination.

The next step is to obtain referrals to ITU(form No. 088/у-06). This document is issued only after reviewing all medical examinations at a medical institution, pension insurance authority or social protection authority.

ITU is carried out in the institution by patient location. If a physiological need arises, MSE can take place in an outpatient or inpatient medical facility, or, with rare exceptions, at the patient’s place of residence.

In addition, to mandatory documents To undergo MSA, a citizen’s application containing all the necessary information reflected in the Order of the Ministry of Labor and Social Protection of the Russian Federation “On approval of the regulations for conducting MSA” is required.

No later than five days after submitting the application form, the citizen is provided with information about the appointed time and place (address, office number) of the MSE. At the ITU, the municipal medical authority is given 30 calendar days. The calculation also begins from the date of receipt and registration of the application.

Solution recognition of disability or refusal of recognition is decided collegiately by the specialists who conducted the examination. Data on the examination performed are entered into the minutes of the ITU meeting and into the inspection report. The final conclusion is communicated to the citizen in the presence of all medical specialists who made the decision based on the results of the medical examination.

Upon completion of the ITU the citizen is issued:

• if recognized as disabled, the citizen receives a certificate of disability indicating the category, as well as an IPR card - an individual rehabilitation program;
• in case of refusal to recognize disability, the person undergoing the examination has the right to receive a certificate of the results of the examination.

In case of disagreement with the decision made by the ITU institution, the citizen has the right to appeal, which is possible within a month from the date of the examination.

For information on the rules for registering disability, watch the following video:

Prime Minister Dmitry Medvedev signed a decree amending the rules for recognizing a person as disabled - the innovations should improve the procedure for passing a medical and social examination. The document expanded the list of diseases, defects, irreversible morphological changes, dysfunctions of organs and body systems, as well as indications and conditions for establishing a disability group and the category of “disabled child”. Thus, the rules now contain a list of diseases for which, already at the initial application, disability will be established indefinitely for adults, and for disabled children - immediately up to 18 years of age. At the same time, the list of diseases remained a separate block with some changes, in which permanent disability will be established no later than two years after the initial recognition as disabled. A section has also appeared that specifies the indications and conditions under which the category “disabled child” will be assigned for a period of 5 years or until the age of 14. In addition, cases have been identified when it is possible to obtain disability through an absentee examination. Innovations in the rules also make it possible to make changes to individual program rehabilitation or habilitation of a disabled person without revising the disability group or the period for which it is established.

“Thus, the possibility of determining the period for determining disability at the discretion of the ITU specialist will be excluded,” says the explanatory note to the resolution.

Thus, according to the list, upon initial application, permanent disability for adults or children under 18 years of age will be established in the presence of the following diseases and conditions:

1. Chronic kidney disease stage V in the presence of contraindications to kidney transplantation.
2. Liver cirrhosis with hepatosplenomegaly and grade III portal hypertension.
3. Congenital incomplete (imperfect) osteogenesis.
4. Hereditary metabolic disorders, uncompensated by pathogenetic treatment, having a progressive severe course, leading to pronounced and significantly impaired body functions (cystic fibrosis, severe forms of acidemia or aciduria, glutaric aciduria, galactosemia, leucinosis, Fabry disease, Gaucher disease, Niemann-Pick disease, mucopolysaccharidosis , a cofactor form of phenylketonuria in children (phenylketonuria II and III types) and others).
5. Hereditary metabolic disorders that have a progressive, severe course, leading to pronounced and significantly impaired body functions (Tay-Sachs disease, Krabbe disease and others).
6. Juvenile arthritis with severe and significant disturbances of skeletal and movement-related (static-dynamic) functions, the blood system and the immune system.
7. Systemic lupus erythematosus, a severe course with a high degree of activity, rapid progression, a tendency to generalization and involvement of internal organs in the process with persistent, significant impairment of body functions, without the effect of treatment using modern methods.
8. Systemic sclerosis: diffuse form, severe course with a high degree of activity, rapid progression, tendency to generalization and involvement of internal organs in the process with persistent, significant impairment of body functions, without effect from treatment using modern methods.
9. Dermatopolymyositis: severe course with a high degree of activity, rapid progression, tendency to generalization and involvement of internal organs in the process with persistent, significant impairment of body functions, without the effect of treatment using modern methods.
10. Individual disorders involving the immune mechanism with a severe course, recurrent infections and oslonia, severe syndromes of immune dysregulation, requiring constant (lifelong) replacement and (or) immunomodulatory therapy.
11. Congenital epidermolysis bullosa, severe form.
12. Congenital defects of various organs and systems of the child’s body, for which only palliative correction of the defect is possible.
13. Congenital anomalies of the development of the spine and spinal cord, leading to persistent, pronounced and significantly impaired neuromuscular, skeletal and movement-related (static-dynamic) functions and (or) dysfunction of the pelvic organs, when surgical treatment is impossible or ineffective.
14. Congenital anomalies (defects), deformations, chromosomal and genetic diseases (syndromes) with a progressive course or unfavorable prognosis, leading to persistent, pronounced and significantly impaired body functions, including mental dysfunction to the level of moderate, severe and profound mental retardation. Complete trisomy 21 (Down syndrome) in children, as well as other autosomal numerical and unbalanced structural chromosomal abnormalities.
15. Schizophrenia ( various shapes), including the childhood form of schizophrenia, leading to severe and significantly impaired mental functions.
16. Epilepsy is idiopathic, symptomatic, leading to severe and significantly impaired mental functions and (or) resistant attacks to therapy.
17. Organic diseases of the brain of various origins, leading to persistent, pronounced and significantly impaired mental, linguistic and speech functions.
18. Cerebral palsy with persistent severe and significant impairment of neuromuscular, skeletal and movement-related (static-dynamic) functions, mental, language and speech functions. Age and social skills are lacking.
19. Pathological conditions of the body caused by blood clotting disorders (hypoprothrombinemia, hereditary deficiency of factor VII (stable), Stewart-Prower syndrome, von Willebrand disease, hereditary deficiency of factor IX, hereditary deficiency of factor VIII, hereditary deficiency of factor XI with persistent severe, significantly impaired blood function and/or immune system).
20. HIV infection, stage of secondary diseases (stage 4B, 4B), terminal 5th stage.
21. Hereditary progressive neuromuscular diseases (pseudohypertrophic Duchenne muscular dystrophy, Werdnig-Hoffmann spinal amyotrophy) and other forms of hereditary rapidly progressive neuromuscular diseases.
22. Complete blindness in both eyes if treatment is ineffective; a decrease in visual acuity in both eyes and in the better-seeing eye up to 0.04 with correction or a concentric narrowing of the visual field in both eyes up to 10 degrees as a result of persistent and irreversible changes.
23. Complete deaf-blindness.
24. Bilateral sensorineural hearing loss of III-IV degree, deafness.
25. Congenital arthrogryposis multiplex.
26. Paired amputation of the hip joint area.
27. Ankylosing spondylitis with persistent, significant impairment of body functions.

A list of diseases and conditions for which disability can be established during an absentee examination is also presented - it contains 14 points.

1. Diseases of the respiratory system with significant impairment of the functions of the respiratory system, characterized by a severe course with chronic respiratory failure of the third degree; chronic pulmonary heart failure stage IIB, III.
2. Diseases of the circulatory system with significant impairment of the functions of the cardiovascular system: angina pectoris of functional class IV - severe, significantly pronounced degree of impairment of coronary circulation (occurring in combination with chronic heart failure up to stage III inclusive).
3. Diseases characterized by high blood pressure with severe complications from the central nervous system (with persistent severe disturbances of neuromuscular, skeletal and movement-related (statodynamic) functions, language and speech, sensory (vision) functions, dysfunctions of the cardiovascular system (accompanied by insufficiency blood circulation IIB -III degree and coronary insufficiency of III-IV functional class), with chronic renal failure(chronic kidney disease stage 2-3).
4. Diseases of the nervous system with a chronic progressive course, including neurodegenerative diseases of the brain (parkinsonism plus), with persistent severe impairments of neuromuscular, skeletal and movement-related (static-dynamic) functions, language and speech, sensory (vision) functions.
5. Extrapyramidal and other movement disorders with persistent significant impairment of neuromuscular, skeletal and movement-related (static-dynamic) functions, mental, language and speech functions.
6. Cerebrovascular diseases with persistent significant impairment of neuromuscular, skeletal and movement-related (static-dynamic) functions, mental, sensory (vision), language and speech functions.
7. Diabetes with significantly pronounced multiple dysfunctions of organs and body systems (with chronic arterial insufficiency stage IV in both lower limbs with the development of gangrene with the need for high amputation of both limbs and the impossibility of restoring blood flow and performing prosthetics).
8. Unremovable fecal and urinary fistulas, stomas - with ileostomy, colostomy, artificial anus, artificial urinary tract.
9. Malignant neoplasms (with metastases and relapses after radical treatment; metastases without an identified primary focus when treatment is ineffective; severe general condition after palliative treatment; disease incurability).
10. Malignant neoplasms of lymphoid, hematopoietic and related tissues with severe symptoms of intoxication and severe general condition.
11. Inoperable benign neoplasms of the brain and spinal cord with persistent pronounced and significantly severe impairments of neuromuscular, skeletal and movement-related (statodynamic) functions, mental, sensory (vision), language and speech functions, severe liquorodynamic disorders.
12. Congenital epidermolysis bullosa, generalized moderate-severe, severe forms (simple epidermolysis bullosa, borderline epidermolysis bullosa, dystrophic epidermolysis bullosa, Kindler syndrome).
13. Severe forms psoriasis with persistent, significant impairment of body functions, not controlled by immunosuppressive drugs.
14. Congenital forms of ichthyosis and ichthyosis-associated syndromes with pronounced, significantly impaired function of the skin and related systems.

It is noted that when establishing disability during an absentee examination, in addition to severe health conditions, ITU specialists will take into account residence in remote and hard-to-reach areas. Also, as stated in the text of the document, a medical and social examination can be carried out in absentia if the rehabilitation or habilitation of a disabled person does not bring positive results.

Doctor Peter