List of serious illnesses, long-term treatable diseases required to implement policies and regulations in the military in Vietnam

Which serious illnesses are required to implement policies and regulations in the military in Vietnam?

According to Section 1 of the List of serious illnesses, long-term treatable diseases issued with Circular 26/2014/TT-BQP, the list of serious illnesses is as follows:

[1] Cancer

Including all types of cancer that have or have not been treated, developed to the final stage (invasive tumors, metastasized in multiple parts of the body, with multiple complications, severe physical deterioration, bedridden). Poor prognosis, short remaining lifespan.

[2] Nervous system diseases

- Central nervous system injuries caused by various reasons resulting in irreversible sequelae: Tetraplegia, paraplegia, inability to sit up and walk independently, severe physical deterioration, requires continuous medical care.

- Severe intellectual decline, complete memory loss, state of brain damage requiring continuous medical care.

- Complete loss of consciousness, state of brain damage after head trauma.

- Parkinson's disease in the late stage with complications, requires medical care.

- Seizures (grand mal) that are frequent or continuous.

[3] Liver diseases

End-stage liver cirrhosis: Significant ascites, frequent occurrence; complications of gastrointestinal bleeding due to esophageal varices rupture, recurrent occurrences; hepatorenal syndrome; severe physical deterioration, unable to self-care.

[4] Urinary system diseases

Stage 4 chronic kidney failure with loss of function requiring dialysis for more than 12 hours per week, severe anemia, complications of subcutaneous bleeding, frequent gastrointestinal bleeding; severe physical deterioration, requires assistance.

[5] Metabolic diseases

Type 1 and 2 diabetes in the late stage, with severe complications in target organs (eyes, heart, kidneys, blood vessels) causing serious health impacts, requires regular assistance.

[6] Respiratory diseases

Chronic pulmonary diseases (chronic obstructive pulmonary disease - COPD; multifocal pulmonary atrophy type A; pulmonary fibrosis, extensive pneumoconiosis; fibrotic tuberculosis, drug-resistant tuberculosis) in the end-stage with severe complications such as:

- Complete respiratory failure with severe exacerbations, frequent occurrences.

- Severe physical deterioration; loss of self-care ability.

[7] Circulatory system diseases

End-stage heart failure with complete loss of function due to various reasons, no recovery with treatment; frequent difficulty in breathing, unable to walk independently.

[8] Musculoskeletal diseases

Muscle weakness disease with ineffective treatment, requiring long-term mechanical ventilation.

Joint diseases with deformities and stiffness in multiple joints, limited body movement, unable to walk, loss of self-care ability.

[9] Immune deficiency syndrome

HIV infection in the stage with clinical symptoms (AIDS), severe physical deterioration.

List of serious illnesses, long-term treatable diseases required to implement policies and regulations in the military in Vietnam - image from internet

Which long-term treatable diseases are required to implement policies and regulations in the military in Vietnam?

According to Section 2 of the List of serious illnesses, long-term treatable diseases issued with Circular 26/2014/TT-BQP, the list of long-term treatable diseases is as follows:

[1] Cancer and other tumors

- All types of cancer that are being treated.

- Benign tumors causing compression, affecting organ function, or complications, recurring after treatment.

[2] Infectious diseases and sequelae

- Various types of tuberculosis during treatment and sequelae.

- Leprosy (Hansen's disease) and sequelae.

- Sequelae of bacterial, viral, parasitic, or fungal meningitis and encephalitis.

[3] Nervous system diseases

- Neurological disorders causing paralysis of all four limbs; paralysis of one side of the body or both lower limbs; complete paralysis of one limb.

- Epilepsy with tonic-clonic seizures.

- Motor speech disorders (Broca's aphasia, Wernicke's aphasia, etc.).

- Complete damage to one of the cranial nerves with no recovery.

- Peripheral neuropathy.

- Unstable vestibular syndrome.

- Complete damage to one of the spinal nerve plexuses.

- Amyotrophic lateral sclerosis.

- Muscle weakness disorders with ineffective treatment.

[4] Circulatory system diseases

- Pericarditis, myocarditis with complications.

- Primary heart disease.

- Chronic localized myocardial ischemia: Angina pectoris affecting daily activities (from grade 2, 3 onwards) or with complications, internal medicine treatment without results or limited results requiring interventional treatment.

- Stable acute myocardial infarction.

- Unstable angina pectoris.

- Valve and endocardium disorders with limited results or limited results with internal medicine treatment, requiring interventional or surgical treatment.

- Cardiac arrhythmias.

- Stage 3, 4 heart failure due to various causes.

- Hypertension with complications.

- Other arterial disorders with complications or requiring interventional or surgical treatment.

- Deep vein thrombosis with complications.

[5] Respiratory diseases

- Chronic obstructive pulmonary disease with irreversible airflow limitation.

- Bronchiectasis with complications.

- Interstitial lung diseases with irreversible airflow limitation.

- Lung membrane disorders causing thickening and irreversible airflow limitation.

- Chronic respiratory failure.

- Restrictive lung disease, grade 3, 4.

[6] Digestive system diseases

- Progressive chronic hepatitis.

- Liver fibrosis and cirrhosis.

- Biliary disorders treated surgically but still unstable.

- Severe liver dysfunction.

- Pancreatic disorders treated surgically but still unstable.

- Non-cancerous esophageal disorders causing strictures, affecting eating and requiring gastric bypass.

- Peptic ulcers, diverticula with complications, internal medicine treatment without results, surgical resection still unstable.

- Permanent artificial openings of the digestive tract.

- Intestinal disorders causing complications in episodes, recurring multiple times affecting health or requiring surgical resection.

[7] Urinary - reproductive - obstetric diseases

- Chronic kidney failure due to various causes.

- Renal impairment syndrome.

- Chronic glomerulonephritis, interstitial nephritis.

- Permanent artificial openings of the urinary tract.

- Failed ectopic pregnancy treatment or with complications.

- Failed female genital prolapse surgery.

[8] Endocrine and metabolic diseases

- Dysfunction of the entire thyroid gland.

- Unstable treatment of Basedow's disease with complications.

- Adrenal insufficiency.

- Diabetes with complications.

- Gout with complications.

[9] Musculoskeletal diseases

- Inflammatory and degenerative joint diseases with complications, muscle atrophy, joint adhesions, joint deformities affecting joint function and mobility.

- Lumbar spine diseases causing spinal inflammation or undergoing spinal fusion surgery.

- Pathological fractures.

[10] Skin and subcutaneous tissue diseases

- Systemic lupus erythematosus.

- Scleroderma.

- Dermatomyositis.

- Pemphigus.

- Psoriasis with involvement of 20% or more of the body surface area or with complications (kidneys, joints, etc.).

- Vasculitis.

- Erythroderma.

[11] Blood and hematopoietic organ diseases

- Idiopathic thrombocytopenic purpura.

- Primary autoimmune hemolytic anemia.

- Complications of bone marrow failure.

- Complications of blood coagulation factor deficiencies affecting organs and tissues.

- Inherited or autoimmune hemolytic anemia.

- Multiple myeloma.

[12] Visual organ diseases

- Blindness in one or both eyes due to pathologies of the eyeball.

- Narrowing of the visual field in both eyes.

- Homonymous hemianopia (due to visual pathway lesions) on both sides of the vertical meridian.

[13] Ear - nose - throat diseases

- Severe deafness in one ear, both ears (hearing loss of 76% or more).

- Cholesteatoma (types B, C, D).

- Diseases of the throat, larynx affecting speech, swallowing, breathing (without recovery):

- Difficulty swallowing and needing to eat through a tube or have a gastric bypass;

- Loss of voice and needing to communicate in writing or with pictures;

- Difficulty breathing regularly, even at rest.

[14] Immune system diseases

Immune deficiency syndrome in humans (HIV/AIDS).

[15] Organ transplantation and post-transplant treatment

Condition requiring immunosuppressive therapy after organ transplantation.

Who has the authority to assess and certify severe illnesses for individuals under the management of the Ministry of Defense of Vietnam?

According to Article 2 of Circular 26/2014/TT-BQP, which regulates the authority to assess conclusions on severe illnesses and long-term medical treatment needs by the Ministry of Defense, the following provisions apply:

Councils of assessment and medical experts at various levels of the Ministry of Defense are responsible for assessing conclusions to determine individuals with severe illnesses listed in the List of Severe Illnesses and the degree of labor capacity reduction for individuals requiring long-term treatment.

Medical units of the military at the division level and above are responsible for determining individuals with illnesses listed in the List of Long-Term Medical Treatment Needs.

As regulated above, the authority to assess severe illnesses and the degree of labor capacity reduction for individuals requiring long-term treatment belongs to the Councils of assessment and medical experts at various levels of the Ministry of Defense.