Annexure - B

MEDICAL CONDITIONS WHICH SHOULD BE CONSIDERED WHEN DECIDING WHETHER TO ISSUE MEDICAL CERTIFICATES TO SEAFARERS

          The following medical conditions generally render a person unfit for work at sea.  The medical examiner should consider with regard to the individual examinee whether such conditions render him or her unfit for the duties he or she is expected to perform and the shipping operation contemplated, and, if so, whether the condition or conditions may be remedied or sufficiently mitigated to allow such work.  The medical examiner should not only consider the health and safety of the examinee but also the health and safety of other seafarers and passengers, as well as the safety of the ship.  If a seafarer is granted a medical certificate while experiencing such conditions the exceptions should be justified and any restrictions should be clearly noted.  The medical examiner should bear in mind that it is not possible to develop a comprehensive list of contra-indications but that this list may provide some guidance.  It cannot replace sound medical judgement.

1.       INFECTIOUS AND PARASITIC DISEASES

Acquired Immune Deficiency Syndrome (AIDS)
Enteritis, active
Hepatitis, active or chronic, within 6 months
Sexually transmitted diseases, active
Tuberculosis, active (The examining physician should take into account the advice of a chests physician, whether the lesion is fully healed and whether the patient has completed a full course of chemotheraphy.  Cases where either one or both lungs have been seriously affected are rarely suitable for re-employment.)
Typhoid, active or carrier
Malaria
Lice
Scabies
Any other infectious or parasitic diseases in its communicable or carrier state which would present a health hazard to other crew members or passengers through casual contract.
2.       MALIGNANT NEOPLASMS
Malignancies of any type which could be considered to disqulify a seafarer from until evaluated, Any malignancy currently receiving treatment renders a person unfit for work at sea. (Exceptions may be appropriate for serving seafarers after treatment and without signs of recurrence.
3.       IMMUNITY DISORDERS
AIDS
Adrenal insufficiency, uncontrolled
 Diabetes Mellitus
 Immunosupressive therapy
Obesity, incapacitating
Thyroid disease
Abnormal liver or kidney functions
Any disease of the endocrinal glands
4.       DISEASES OF THE BLOOD AND BLOOD FORMING ORGANS  (Seafarers
           serving on broad chemical bulk carriers should have their blood tested every 12 months.
           The tests should include liver function tests and leucocyte count and be evaluated by a
            medical examiner.)
Anaemia. symptomatic
Myelodysplasia
Splenomegaly, symptomatic or not defind
There should be no significant disease of the haemopoetic system.
5.       MENTAL DISORDERS
Active alcohol, substance abuse or dependence, if persistent and affecting health causing physical or behavioural disorder.
Acute psychosis, whether organic, schizophrenic or any other listed in the International
Classification of Diseases
Psychoneurosis major depression or mania
Dementia
Depression, active, requiring medication
Personality disorder, active (Observation of acute manifestations of a psychiatric disorder will indicate the need for psychiatric evaluation.)
6.       CONDITIONS OF THE NERVOUS SYSTEM AND SENSE ORGANS
Ataxia, vertigo, active
Convulsive disorder, any
Epilepsy
Unsteadiness of gait
Impairment of central nervous system function, secondary or active medical disorders (diabetes, toxic reaction, thyroid disorders)
........................................
Post concussion syndrome, active
 Stroke
Tremors, active, interfering with fine motor function
Migraine, frequent attacks causing incapacity
Syncope and other disturbances of consciousness
Meniere's disease
Hearing loss, sudden or progressive, if sufficient to interfere with communication. (The use of a satisfactory hearing aid at work could be considered only in catering staff.  The hearing aid should be sufficiently effective to allow communication at normal conversational levels of sound.  Serving radio and engineering officers should be given audiometric examinations during periodic medical examinations.)  (See also HEARING below)
Epistaxis, frequent
Sinusitis, recurrent, draining
7.       CONDITIONS OF THE CARDIOVASCULAR SYSTEM
Conditions requiring anticoagulant medication
Aortic aneurysm, Angina pectoris
Arrhythmia
Blood pressure, above 150/90 mmHg (in new candidates); 160/100 mmHg or above in seving seafarers under age 50 years; 175/100 mmHg in serving seafarers aged over 50 years; or blood pressure maintained below these levels by any antihypertension therapy without significant side-effects
Hypertension, treated, with, medication needing close monitoring Pacemaker dependent.
Coronary bypass grafting
Coronary angioplasty
Pacemaker-dependency, Heart valvular disease
Claudication
Myocardial infarction, acute
Other vascular disease, symptomatic
Any cerebrovascular accident, including transient ischaemic attacks
General cerebral arterosclerosis, including dementia and senility
Varicose veins, moderate degree, with recurrent symptoms; after operation, with symptoms; or not suitable for treatment
Chronic varicose ulcerations
Lacerant or persistent deep thrombosis or thrombophlebitis
Haemorrhoids, prolapsed, bleeding causing symptoms (unoperated)
Varicocele, with symptoms (unope
8.        CONDITIONS OF THE RESPIRATORY SYSTEM
Bronchial Asthma (Acute/Chronic)
Chronic bronchitis and /or emphysema: cases with recurring illness causing significant disability
Pneumothorax, spontaneous, within 12 months
Tumour
Pulmonory Koch's with less than 12 months treatment
CHEST - minimum 74 cm. (29 inches) with expansion range of 5cm. (2 inches).
  1. Chest should be well developed, well proportioned and there should be no evidence or history or Pulmonary Tuberculosis or other acute or chronic diseases of the lung, and/or the upper respiratory tract.
  2. An X-Ray/Screening examination of the chest will be carried out in all cases and defect, disability which disqualify a candidate shall be recorded.
  3. Candidate should be free from all diseases of respiratory system in all forms.
  4. There shall be no deformity of chest which may cause impediment to breathing.
  5. Lung Function : The resting respiratory rate should be below 20 per minute.  The holding time should not be less than 30 seconds.  The chest expansion should not be less than 5 cm. (2 inches).  Seafarers who measure poorly in these tests, to be subjected to a Vitalometry test for a definite indication of lung function.
9.       ORAL HEALTH
Mouth or gum infections, until treated
Dental defects, until treated (seafarers should be dentally fit)
Speech with impediments or loss of Speech
TEETH - The acceptance or rejection on account of loss or decay of teeth will depend on the relative position of the sound teeth and physical condition of the seafarer.  He/She must have sufficient number of teeth to enable him/her to masticate efficiently and on no account would artificial dentures be acceptable for sufficient mastication.  In order to assess whether a candidate has sufficient number of teeth to masticate effectively, the following guidelines are to be taken into consideration:
  1. Teeth which are not considered  necessary for efficient mastication are alloted ONE POINT each and those essential TWO POINTS each.  For instance, each incisor, canine, 1st and 2nd premolars will have have a value of one point provided their corresponding lower teeth are present.
  2. Each 1st and 2nd molar and well developed 3rd molar will have a value of two points provided they are in good opposition to corresponding teeth in the lower jaw.  In the case the 3rd molar is not well developed, it will have a value of one point only.
  3. When all the 16 teeth are present in the upper jaw and in good functional opposition to corresponding teeth in the lower jaw, the total value will be 20 or 22 points according to whether the 3rd molars are well developed or not.
  4. The following teeth will be present in the upper jaw and in good functional opposition to corresponding teeth in the lower jaw:

  5. -  Any 4 of the 6 anterior; and
    -  Any 6 of the 10 posterior.
  6. Provided there are at least 14 dental points in the mouth, all these teeth must be sound and repairable.  The minimum number of points required is 14.
  7. Seafarers with severe pyorrhea are to be rejected.  If Pyorrhea is slight and teeth are otherwise sound, the seafarer may be accepted if, in the opinion of Dental doctor, he/she can be cured by normal dental treatment excluding extraction.
10.     CONDITIONS OF THE DIGESTIVE SYSTEM
Abdominal Lump
Abscess, perirectal or abdominal, active
Appendicitis
Bleeding, rectal
Cholelithiasis, symptomatic within 6 months/Gall stones
Diarrhoea, active
Gastric or intestinal ulceration
Haematemesis, within 3 months
Hepatitis, active or chronic, within 6 months
Jaundice, current
Pancreatitis, active
Peptic ulcer disease in new candidates (In the case of serving seafarers, those with proven ulceration should not return to seafering until they are free of symptoms.  There should be gastroscope of healing and the seafarer should have been on ordinary diet, without treatment, for atleast 6 months.  Persons who have had gastro intestinal bleeding, perforation, recurrent peptic ulceration (despite treatment) or complications after surgery should be classified as unfit for work on ship.)
Cirrhosis of the liver, where the condition is serious or progressive and/or where complications such as sesophageal varices or ascites are present.
Spleenomegally
Hepatomegally
Fissure/Fistula in Ano (Unless operated)
Abcesses (Unless operated)
11.     CONDITIONS OF THE GENITO URINARY SYSTEM
All cases of proteinuria, glycosuria, or other urinary abnormalities
Nephritis, acute, subacute, or chronic
Urinary obstructions, if not remediable
Renal or ureteric calculus, untreated
Removal of kidney (Exceptions may be appropriate for serng seafarers.)
Renal transplant
Renal insufficiency, active
Incontinence of urine, if irremediable
Prostatism with retention, untreated
Urethral discharge, active
Hydrocele, large and recurren
Hernia-Direct & Indirect
Gynaecological conditions, acute or chronic, likely to cause trouble on the voyage or affect working capacity.
12.     PREGNANCY

13.     CONDITIONS OF THE SKIN

All infections of the skin, until satisfactorily treated
Acute eczema
Dermatoses, severe or uncontrolled
Manifestations of systemic disease (e.g. lupus, allergy).
Carcinoma
14.     CONDITIONS OF THE MUSCULOSKELETAL SYSTEM
Seafarers should have no defect of the musculoskeletal system that could interfere with the discharge of their duties (muscular power, balance, mobility and coordination should be unimpaired).  A limb prosthesis would not be acceptable.
15.     HEARING
Candidates : unaided average threshold higher than 40db in both ears at 500, 1000, 2000 and 3000 hz and/or functional speech discrimination less than 90% at 55 db in both ears.  Serving seafarers : unaided average threshold higher than 70 db in both ears at 500, 1000, 2000 and 3000 Hz and or functional speech discrimination less than 80% at 55 db in both ears.
EARS:
    1. There should be no impaired hearing, discharge from or disease of either ear, unhealed perforation of the tympanic membrane or signs of acute or chronic supportive otitis media or evidence of radical or modified radical mastoid operation, and no congenital mlaformation of the ear.
    2. Should be able to hear a whisper at a distance of 5 meters on each side.  No disease should be present.  No hearing aid shall be permitted.
16.    EYESIGHT
A.   The standards for Pre-Sea medical examination are given below:
1.    There should not be any degree of squint or any morbid condition of either eye or the eyelids, pressure of trachome and iris complications sequela.  Candidates must possess good binocular vision (fusion faculty and full field of vision in both eyes).  Movement of the eyeballs must be full in all directions and the pupils should react normally to light and accomdation.
2.   Deck Department (including Deck and General-Purpose Crew)
Distance Vision (Unaided) 1.0 (Values given in Snellen Decimal Notation.) (6/6) in better eye and 0.67 (Values given in Snellen Decimal Notation.) (6/9) in other eye.
Normal colour Vision (To be tested by Ishiara test chart)
In addition, Deck cadets and Deck Officers for certification upto Master are required to pass sight tests, conducted by Mercantile Marine Department as given in paragraph 17, below.
3.   Engine Department (including Engine-room Crew)
Distance Vision (Unaided):  0.5 (Values given in Snellen Decimal Notation.) (6/12) in each eye; or 0.67 (Values given in Snellen Decimal Notation.) (6/9) in better eye and 0.33 (Values given in Snellen Decimal Notation) (6/18) in other eye.
Normal colour vision (To be tested by Ishiara test chart)
4.   Catering Department (including Bhandaries and Utility Hands)
Distance Vision (Unaided):  0.33 (Values given in Snellen Decimal Notation) (6/18) in each eye; or 0.5 (Values given in Snellen Decimal Notation) (6/12) in better eye and 0.25 (Values given in Snellen Decimal Notation) (6/24) in other eye.
Normal colour vision (To be tested by Ishiara test chart)
5.   Audio officers and electrical/electronic officer
Distance Vision (Unaided):  0.5 (Values given in Snellen Decimal Notation) (6/12) in each eye; or 0.67 (Values given in Snellen Decimal Notation) (6/9) in better eye and 0.33 (Values given in Snellen Decimal Notation) (6/18) in other eye.
Normal colour vision (to be tested by Ishiara test chart)

B.   The standards for Periodic medical examination are given in STCW 95, table B-1/9.
      Persons requiring the use of spectacles or contact lenses to perform duties should have a spare conveniently available on board the ship.  Any need to wear visual aids to meet the required standards should be recorded on each certificate and endorsement issued.  Eyes of seafarers should be free of disease.  Any permanent or progressing debilitating pathology without recovery should be cause for determination of unfitness.

17.     SIGHT TESTS
PART  I
1.  Letter Test:  The first test which the candidate shall have to undergo be the letter test conducted on Snellen's principle by means of sheets of letters.  On each sheet the fifth, sixth and seventh lines correspond to standards 0.5 (Values given in Snellen Decimal Notation) (6/12), 0.67 (Values given in Snellen Decimal Notation) (6/9) and 1.0 (Values given in Snellen Decimal Notation) (6/6) respectively.
2.  Before the commencement of the test, the candidate who is not a new entrant shall advise the examiner whether or not he intends to use artificial aids to form vision.
     Such aids to form vision shall constitute of either spectacles or contact lenses.  Tinted lenses shall not be permitted.
3.   Standard of vision required:
  1. Candidate will be tested in each eye separately;
  2. A candidate, other than a new entrant, who attempts the sight test without the use of aids to form vision shall be required to read down to and including the seventh line with the better eye and down to including the sixth line with the other eye
  3. A candidate other than a new entrant who attempts the sight test using aids to form vision shall be required:

  4.  (i)  with aids to form vision, to read correctly down to and        including the seventh line with the better eye and down to and including the sixth line with the other eye; and
    (ii)  without aids to form vision, to read correctly down to and including the fifth line with the better eye and down to and including and the third line with the other eye.
  5. A candidate who is a new entrant; i.e., a candidate who is going to serve in the deck department for the first time, shall be tested with each eye separately.  He shall be required to read down to and including the seventh line with the better eye and to read down to and including the sixth line with the other eye.  He shall also be required to read all letters in the seventh line with both the eyes.  A new entrant shall not to be permitted to use aids to form vision.
4.  Method of testing:
  1. The test card shall be mounted at a convenient height, and shall be properly illuminated.  Daylight shall not be used.  The testing room shall be moderately lighted so that extreme between the test card and background is avoided.
  2. The candidate shall stand exactly 6 meters from the card facing it squarely.  He shall then be required to read the letters on the sheet from left to right, beginning at the top and going downwards.
  3. Care shall be taken by varying the order of the test sheets to guard against the possibility of any deception on the part of the candidate.
5.   Failure:
      If the candidate fails to reach the standard required on the first sheet, he shall be tested with at least 4 sheets.  If he fails to reach the standard in at least 3 of the 4 sheets the following alternatives may be explained to him:
    1. He may break off the test and present himself for re-testing in not less than three months.  In which case a certificate of failure shall be issued to him; or
    2. If he is not a new entrant and has not used aids to form vision at his first attempt, he may present himself for re-testing any time with artificial aids to form vision; or
    3. He may proceed to the lantern test.  In this case, a record of all mistakes made in the letter test and all mistakes, if any, made in the lantern test shall be forwarded to the Chief Examiner, who shall decide whether the candidate has passed or failed in the sight test.


    PART  II

6.  Lantern test-Apparatus
    1. A special lantern and a mirror shall be provided for this test.  The test is to be conducted in a room so darkened as to exclude all light.
    2. The lantern shall be placed directly in front of the mirror, so that the front part of the lantern shall be exactly 3.05 metres from the mirror, and in such a position that the lights reflected in the mirror show clearly when viewed by the candidate on the left of the lantern.
7.  (1)  A candidate other than a new entrant who has used artificial aids to form vision in the letter test may continue to use such aids in the lantern test.
     (2)  Darkness adaptation: If a candidate makes mistakes at the beginning of the lantern test, he shall be kept in a completely or partially darkened room for at least a quarter, of an hour, and shall then begin the tests again.
     (3)  Method of testing:
           (a)  The lantern supplied for the test shall be so constructed as to allow 1 large or 2 small lights to be visible, and is fitted with 9 glasses of 3 colours red, white and green.  At the beginning of the test the candidate shall be shown a series of lights through the large apperture, and he shall be required to name the colours as they appear.  Care shall be taken in showing the fact that this light is not a pure white.  If a candidate makes a mistake in calling this light "red", a proper red light shall be shown immediately after and this attention directed to the difference between the two.
              (b)  After a series of lights through the large aperture has been shown, 4 circuits and 1 broken circuit with the 2 small apertures shall be made with the candidate naming the colours of each set  of 2 lights from left or right.

8.  Passing or failure:
     (1)  If a candidate does not make any mistake in the lantern test after passing the letter test, he shall be deemed to have passed the whole test and the examiner shall issue a certificate to that effect.
     (2)  If, with either the large aperture of the lantern, a candidate mistakes red or green or green or red, he shall be considered to have failed in the lantern test.
     (3)  If a candidate makes any other mistakes with the lantern i.e. if he calls white "red" or red "white" or confuses green and white, his case shall be submitted to the Chief Examiner, and he shall be informed that the decision as to whether he is passed or failed, or must undergo a further test, shall be communicated to him in due course.  Pending the receipt of the Chief Examiner's instructions, a candidate shall only be allowed to proceed with his examination for a Certificate of Competency on the express understanding that this examination will be cancelled in the event of failure in the sight tests.  In every such case the candidate shall be notified by the examiner of his success or failure or that his case has been referred for special consideration.
9.  Retesting of unsuccessful candidate:
     A candidate who fails to pass the local lantern test shall not again be tested locally, unless the Chief Examiner directs that he may be so tested.  The certificate issued to the candidate shall state whether or not he may be tested locally.

PART  III
Special Examination & Appeals
10.  Special Examination-Referred Cases:
       In the case of any candidate who is referred to the Chief Examiner under the provisions of sub-paragraph 11 (2), the Chief Examiner may make arrangements for a special examination.  In any such case, no additional fee shall be charged for the special examination.

11.  Appeals
       (1)  A candidate who is adjudged to have failed in the local lantern test may appeal for a review.  In every such case, the Chief Examiner shall make arangements for examination of the candidate by a special body of examiners.
       (2)  Every such appellant shall pay an appropriate fees as prescribed in appendix I which shall be refunded to him if he is declared to have passed the appeal examination.

12.  Examination Board
       The special and appeal examinations shall be conducted by a Board consisting of Chief Examiner of Masters and Mates or his nominee and a specialist advisor on eye sight appointed by the Chief Examiner.

13.  Intimation regarding examination
       When any special or appeal examination by Board is arranged, the Chief Examiner shall give a sufficient advance notice of the date and time of such examination to the candidate.

14.  Punctual attendance:
       (1)  Every candidate shall acknowledge notice received by him from the Chief Examiner regarding date and time of special, or as the case may be, appeal examination.  Any candidate who is unable to attend examination shall immediately inform the Chief Examiner of his inability and reasons therefore.  If satisfied of such reasons, the Chief Examiner may alter the programme of examination and give notice to the candidate of revised time schedule of the examination.
       (2)  If any candidate, being a candidate referred to Chief Examiner under paragraph 13, fails to appear for the examination at the appointed date and time, the Chief Examiner may defer his special examination by an indefinite period.
       (3)  If any candidate, being an appellant under paragraph 14 fails to appear for the examination at the appointed date and time, the fee paid by him shall be forfeited.  Arrangement for his examination by the Board on any other date may be made on his payment of a further fee under paragraph 11.

15.  Failures
       (1)  Where, on examination,  any candidate appearing before the Board under sub-paragraph 10 or 11 is found to have a permanent defect in his eye sight which renders him unfit for a sea career, such candidate shall be finally rejected and may not permitted to appear for sight test on any occasion in future:
               Provided that any candidate declared failed at the examination by Board may apply for re-examination by the Board under provisions of sub-paragraph 16 in the presence of an opthalmic surgeon appearing in his behalf.
       (2)  Any candidate who fails in the examination but is not finally rejected by reason of being found to be free from any permanent eye defect, may, at his choice appear before the Board for examination as an appellant under sub-paragraph 11 after a lapse of three months from the date of examination or seek re-examination under paragraph 16, in either case, on payment of appropriate fees.

16.  Re-examination
       Any candidate seeking re-examination by the Board shall pay an appropriate fee as prescribed in Appendix I.  This fee shall not be refundable whether the candidate is finally adjudged passed or failed.

NOTE:   All candidates who have passed the sight tests with artificial aids, are advised to use such aids when on watch-keeping duties at sea and in port and to carry a spare pair of properly corrected spectacles at all times for use in emergency.

17.  The format of the application form for sight test, Form EST(Annexure C)and the format of  a sight test certificate, Form STC(Annexure D), are given below.

18.     HEIGHT AND WEIGHT
The minimum requirements in respect of new entrants are:
Height 157 cm.  (5'22")
Weight 48kg  (105lbs.)
Weight to be proportionate to height and age, 10% acceptable, Average values are enclosed herewith.  In case of Lakshadweep, Amindivi, the Andamans and Nicobar Islands, Gorkhas, Nepalese, Assamese and other hilly areas, including those from Nagaland, Mizoram, Meghalaya, Arunachal Pradesh, Manipur, Tripura, Garhwal, Sikkim, the candidate's height may be reduced by 5 cm.  (2") and proportionately the minimum weight should be 45 kg.  (100lbs.)
HEIGHT and WEIGHT OF ADULTS (AVERAGE)
Height (without shoes) Average weight in pounds and kilograms (in indoor clothing)
17-19 yrs. 20-24 yrs. 25-29 yrs. 30-39 yrs. 40-49 yrs. 50-59 yrs. 60-69 yrs.
ft. ins. cm. lb. kg. lb. kg. lb. kg. lb. kg. lb. kg. lb. kg. lb. kg.
M
E
N
5
5
5
5
5
5
5
5
5
5
5
6
6
6
6
1
2
3
4
5
6
7
8
9
10
11
0
1
2
3
155
157.5
160
162.6
165.1
167.6
170.2
172.7
175.3
177.8
180.3
182.9
185.4
188
190.5
119
123
127
131
135
139
143
147
151
155
160
164
168
172
176
54
55.8
57.6
59.4
61.2
63
64.9
66.7
68.5
70.3
72.6
74.4
76.2
78
79.8
128
132
136
139
142
145
149
153
157
161
166
170
174
178
181
58.1
59.9
61.7
63
64.4
65.8
67.6
69.4
71.2
73
75.3
77.1
78.9
80.0
82.5
134
138
141
144
148
151
155
159
163
167
172
177
182
186
190
60.8
62.6
64
65.3
67.1
68.5
70.3
72.1
73.9
75.8
78
80.3
82.6
84.4
86.2
137
141
145
149
153
157
161
165
170
174
179
183
188
193
199
62.1
64
65.8
67.6
69.4
71.2
73
74.8
77.1
78.9
81.2
83
85.3
87.5
90.3
140
144
148
152
156
161
165
169
174
178
183
187
192
197
203
63.5
65.3
67.1
68.9
70.8
73
74.8
76.7
78.9
80.8
83
84.8
87.1
89.4
92.1
142
145
149
153
157
162
168
170
175
180
185
189
194
199
205
64.6
65.6
67.6
69.4
71.2
73.5
75.3
77.1
79.4
81.6
83.9
85.7
88
90.3
93
139
142
146
150
154
159
163
168
173
178
183
188
193
198
204
63
64.4
66.2
68
69.9
72.1
73.0
76.2
78.5
80.8
83
85.3
87.5
89.8
92.5
W
O
M
E
N
4
4
5
5
5
5
5
5
5
5
5
5
5
5
10
11
0
1
2
3
4
5
6
7
8
9
10
11
147.3
149.9
152.4
154.9
157.5
160
162.6
165.1
167.6
170.2
172.7
175.3
177.8
180.3
102
105
109
113
116
120
124
127
130
134
138
142
147
152
46.3
47.6
49.4
51.3
52.6
54.4
56.2
57.6
59
60.8
62.6
64.4
56.7
68.9
105
108
112
115
118
121
125
129
132
136
140
144
149
154
47.6
49
50.8
52.2
53.5
54.9
56.7
58.5
59.9
61.7
63.5
65.3
67.6
69.9
110
113
116
119
122
125
129
133
136
140
144
148
153
158
49.9
51.3
52.6
54
55.3
56.7
58.5
60.3
61.7
63.5
65.3
67.1
69.4
71.7
117
120
123
126
129
132
135
139
142
146
150
154
159
164
53.1
54.4
55.8
57.2
58.5
59.9
61.2
63
64.4
66.2
68
69.9
72.5
74.4
124
127
130
133
136
140
143
147
151
155
159
164
169
174
56.2
57.6
59
60.3
61.7
63.5
64.9
66.7
68.5
70.3
72.1
74.4
76.7
78.9
127
130
133
136
140
144
148
152
156
160
164
169
174
180
57.6
59
60.3
61.7
63.5
65.3
67.1
68.9
70.8
72.6
74.4
76.7
78.9
81.6
129
131
134
137
141
145
149
153
157
161
165
-
-
-
58.5
59.4
60.8
62.1
64
65.8
67.6
69.4
71.2
73
74.8
-
-
-

IDEAL BODY WEIGHT CHART

 
                     WEIGHT (Kg)
HEIGHT (M)
                                   WOMEN
Acceptable 
    range
Obese                    MEN
Acceptable range
Obese
1.45
1.48
1.50
1.52
1.54
1.56
1.58
1.60
1.62
1.64
1.66
1.68
1.70
1.72
1.74
1.76
1.78
1.80
1.82
1.84
1.86
1.88
1.90
1.92
42-53
42-54
43-55
44-57
44-58
45-58
46-59
48-61
49-62
50-64
51-65
52-66
53-67
55-69
56-70
58-72
59-74
64
65
66
68
70
70
71
73
74
77
78
79
80
83
84
86
89
51-64
52-65
53-66
54-67
55-69
56-71
58-73
59-74
60-75
62-77
64-79
65-80
66-82
67-84
69-86
71-88
73-90
75-93
 
77
78
79
80
83
85
88
89
90
92
95
96
98
101
102
106
108
112

Height without shoes : weight in indoor clothing
From the recommendations of the Fogarty Center Conference on Obesity 1973 (Bray 1979) & based on the original Metropolitian Life Insurance Tables (1959).
 

     
 
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