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a. Deficiency diseases-scurvy, beriberi, pellagra.

b. Diseases of metabolism-obesity, diabetes mellitus, gout.

c. Diseases of the digestive system-ulcer of the stomach, cirrhosis of the liver, appendicitis, enteroptosis, various forms of jaundice.

d. Diseases of the respiratory system-bronchial asthma, chronic bronchitis, emphysema, abscess of the lung, chronic pleurisy, affections of the mediastinum.

e. Diseases of the genito-urinary system-the various forms of nephritis, pyelitis, nephrolithiasis, cystitis.

f. Vasomotor and trophic diseases-Raynaud's disease, hemiatrophy and hemihypertrophy of the body.

g. Diseases of the glands of internal secretion-diseases of the adrenal glands, diseases of the thyroid gland, infantilism. For instructions regarding class B certification of nonepileptic convulsions, pulmonary fibrosis, and noninfectious syphilis, see part II, chapters 1 (section A), 2, and 3, respectively.

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General

1. Among class C conditions are anatomical anomalies; minor defects such as flat feet without symptoms, and loss of finger; minor refractive errors; color blindness; moles and minor skin blemishes; findings of pulmonary calcification only; and certain cases of noninfectious syphilis (see part II, ch. 3).

Oral Conditions

2. The following are certifiable as class C:

a. Benign tumors.

b. Missing teeth.

c. Caries.

d. Impacted teeth.

e. Malocclusion (functional).

f. Unsatisfactory replacement of missing teeth.
g. Gingivitis from any cause.

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1. Medical officers assigned for duties under the immigration laws shall confine their activities to the medical functions involved. The administration of the immigration laws is the responsibility of the immigration authorities in the United States and of the consular authorities in foreign countries. When medical officers note anything of a nonmedical nature that may be of assistance in enforcement of immigration laws, they should notify the proper authorities.

2. Medical officers should work in close relationship with consular and immigration authorities, and should obtain their approval before taking action regarding such matters as: the conduct of aliens appearing for examination; replies to inquiries (from outside the Public Health Service) on the status of visa applicants or immigration cases; reexaminations; evidence of fraud in connection with examinations.

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3. The duty of determining which persons are subject to medical examination or inspection rests entirely with consular and immigration authorities. Public Health Service officers shall rely on those officials to present and identify the persons they desire medically examined or inspected.

4. Medical officers shall devise and maintain an organization and procedure that will handle both the medical work and the

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