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Medical surveillance on arrival for inactive TB

Medical surveillance on arrival for inactive TB

Old Jan 24th 2011, 11:45 am
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Default Medical surveillance on arrival for inactive TB

Andy has a form attached to his COPR form saying that he has to register for medical surveillance within 30 days of arrival because apparently he has inactive TB. First he's ever heard about it! - Now he's a bit worried and is going to have further testing with his doctor here anyway.

We plan to land in Toronto and stay for 4-5 days in March, then return to the UK. We won't be living in Canada until late 2012 and then it will be Vancouver Island and not Toronto, we are only landing in Toronto because it's a shorter flight, cheaper for a family of 4, and we can only go for a very short period.

So common sense tells me that we register with the health authority where & when we intend to reside but that isn't what the form seems to say.....

Anyone had this experience?

A search tells me that there are other members who've had a similar diagnosis but not what happens if you are landing and returning to the UK.
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Old Jan 24th 2011, 12:20 pm
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Default Re: Medical surveillance on arrival for inactive TB

Is there a number on the form that you have to call ( memory tells me that there is )
I would call them, explain the situation and see what they say. Worse case scenario you have to keep them periodically updated as to your whereabouts. I can't imagine that moving ariund the country would be a problem either

They certainly can't stop you travelling.

Personally I think it borders on criminally irresponsible to "diagnose" someone with inactive TB and neglect to tell them. Once you've got your shiny new PR card in hand , I would be very tempted to complain. I'd also be tempted to call your DMP , did they know?

Hope all goes well
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Old Jan 24th 2011, 12:51 pm
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Default Re: Medical surveillance on arrival for inactive TB

Hi Robin,

I received the same letter i think and it says to call within 30 days of receiving the letter , I called them and they are very helpful .

We had a bit of a shock to see the letter too cos its first line is to say that 'you have inactive TB' . The doctor i had seen had cleared me of any sort of TB and diagnosed that something else had caused the 'irregular xray'

give the number a call and explain, they seemed knowledgble enough on the immigration stuff.
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Old Jan 24th 2011, 10:11 pm
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Default Re: Medical surveillance on arrival for inactive TB

Originally Posted by Zoe Bell
Is there a number on the form that you have to call ( memory tells me that there is )
I would call them, explain the situation and see what they say. Worse case scenario you have to keep them periodically updated as to your whereabouts. I can't imagine that moving ariund the country would be a problem either

They certainly can't stop you travelling.

Personally I think it borders on criminally irresponsible to "diagnose" someone with inactive TB and neglect to tell them. Once you've got your shiny new PR card in hand , I would be very tempted to complain. I'd also be tempted to call your DMP , did they know?

Hope all goes well
Originally Posted by Mdunny
Hi Robin,

I received the same letter i think and it says to call within 30 days of receiving the letter , I called them and they are very helpful .

We had a bit of a shock to see the letter too cos its first line is to say that 'you have inactive TB' . The doctor i had seen had cleared me of any sort of TB and diagnosed that something else had caused the 'irregular xray'

give the number a call and explain, they seemed knowledgble enough on the immigration stuff.
Thanks guys, I'll give them a call. I'm away from home for a couple of weeks but I'll be back to say what they advised in case this applies to anyone else. to be honest.....Andy is quite worried and a bit anxious about this diagnosis and is going to see his own GP about it because there's never been any associated symptoms so what's it about? He needs some reassurance.
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Old Jan 24th 2011, 10:57 pm
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Default Re: Medical surveillance on arrival for inactive TB

I'm very angry on your behalf , any doctor , no matter who they are acting for has a duty of care towards their patients

They can't just find something and then not do anything

While the TB is inactive he's not "sick" as such and not contagious but he needs to be at least aware of it

This link might help to reassure
http://www.lung.ca/diseases-maladies...oi/index_e.php

I'm sure it says in the dmp handbook about their responsibilities if they discover anything, this situation is just wrong
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Old Jan 24th 2011, 11:10 pm
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Default Re: Medical surveillance on arrival for inactive TB

Hi

Originally Posted by Zoe Bell
I'm very angry on your behalf , any doctor , no matter who they are acting for has a duty of care towards their patients

They can't just find something and then not do anything

While the TB is inactive he's not "sick" as such and not contagious but he needs to be at least aware of it

This link might help to reassure
http://www.lung.ca/diseases-maladies...oi/index_e.php

I'm sure it says in the dmp handbook about their responsibilities if they discover anything, this situation is just wrong
1. Remember the DMP isn't the radiologist who reads the x-ray. The radiologist reports the evidence of a scar or shadow on the x-ray to the Regional Medical Centre.
2. If the Regional Medical Centre Dr. decide there is a possibility of TB active or inactive, then they send a sealed letter (I have never heard otherwise) to the applicant who takes it to the DMP. Then sputum tests are performed and incubated for 6-8 weeks and a further x-ray taken.
3. If the sputum test is negative, then the applicant is given a medical surveillance form at "landing" where they are to report to the provincial authorities, so they can be monitored.
4. So the DMP tells the applicant of any disease/conditions they discover on examination, but they don't examine the x-ray.

From the DMP handbook

6.1 General Medical Issues

During the course of an immigration medical examination, DMPs may note or discover the presence of a serious disease or illness not known to the applicant. When such events occur, DMPs are to provide appropriate advice and counsel regarding the situation. In so doing, they are to uphold normal professional and ethical standards with respect to referral back to the applicant’s usual attending physician, or the applicable referral to an appropriate specialist, if the applicant so requests.
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Old Jan 25th 2011, 9:27 am
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Default Re: Medical surveillance on arrival for inactive TB

by the way Robin, i understand that when you call to register with the public health authority that youve landed and are ready for the surveillance , you will be required to make an appointment for repeat chest x-rays. i was told id need to do one 6 months after arriving and again a year after landing.

What 'S' code is on the form? S-2 is less serious than s-1 and (again from what they told me) means you just need follow up x-rays and no medication.

good luck.
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Old Jan 25th 2011, 5:37 pm
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Default Re: Medical surveillance on arrival for inactive TB

Thanks for all the advice in your responses. I will get onto it when I return home, (to the forms) on 4th Feb.
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Old Jan 26th 2011, 12:55 am
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Default Re: Medical surveillance on arrival for inactive TB

Hi Robin,
Been there and done that, highly unlikely that there is anything to worry about, you don't need to do anything yet (unless Andy is really worried). The only thing I am now sure about is that fact that you are landing and activating PR, and not staying, so you might need to check how that changes the time scale of when and how to do things.

I rang the number on the form and they sent me a letter to take to my doctor. I went to the doctors, I had to answer some questions about my general health, whether or not I had contact with someone who had contracted TB, etc etc.

I also had to have x-rays, blood tests, TB skin test, and sputum tests. The end result of that was that I was told never ever ever to have the skin test again as I reacted quite violently to it.

Having done some research myself, I found that quite often you get a false positive on the skin test if you have had the BCG injection (which I had in school).

When the results came back in my doctor referred me to a respiratory specialist, I had the feeling that this was just her following the protocol laid down by those who shall be obeyed. Off to the specialist agreed with me that it was indeed a false positive, I have another x ray in twelve months time, job done....

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Old Jan 26th 2011, 10:14 am
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Default Re: Medical surveillance on arrival for inactive TB

Originally Posted by Robin (The Gadget family)
Thanks for all the advice in your responses. I will get onto it when I return home, (to the forms) on 4th Feb.
Don't worry, I'm in the same boat to.

My 'inactive TB' diagnosis was my own fault really because I gave a copy of an old CT scan to my DMP when I had my medical. I've never had TB but the scan shows some scarring due to another ailment and therefore I've ben flagged for a follow up just to make sure. The regular x-ray and sputum tests all came back clear but I still have to do the follow up. It's nothing to worry about .

Our landing trip (3-weeks ago) was only 10-days long. I went to the local health authority and they filled in the form etc in order to keep CiC happy. I was told that when I arrive back permanently I'm to go back and see them and they'll do the follow up tests. They were very helpful and flexible.

Hope this helps

Joe
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Old Jan 26th 2011, 9:43 pm
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Default Re: Medical surveillance on arrival for inactive TB

Originally Posted by joepublic
Don't worry, I'm in the same boat to.

My 'inactive TB' diagnosis was my own fault really because I gave a copy of an old CT scan to my DMP when I had my medical. I've never had TB but the scan shows some scarring due to another ailment and therefore I've ben flagged for a follow up just to make sure. The regular x-ray and sputum tests all came back clear but I still have to do the follow up. It's nothing to worry about .

Our landing trip (3-weeks ago) was only 10-days long. I went to the local health authority and they filled in the form etc in order to keep CiC happy. I was told that when I arrive back permanently I'm to go back and see them and they'll do the follow up tests. They were very helpful and flexible.

Hope this helps

Joe
Thanks Joe, Guess we'll be visiting the local health authority on either Friday or Monday of our fleeting long weekend visit then!
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Old Jan 26th 2011, 9:45 pm
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Default Re: Medical surveillance on arrival for inactive TB

Originally Posted by Clematis
Hi Robin,
Been there and done that, highly unlikely that there is anything to worry about, you don't need to do anything yet (unless Andy is really worried). The only thing I am now sure about is that fact that you are landing and activating PR, and not staying, so you might need to check how that changes the time scale of when and how to do things.

I rang the number on the form and they sent me a letter to take to my doctor. I went to the doctors, I had to answer some questions about my general health, whether or not I had contact with someone who had contracted TB, etc etc.

I also had to have x-rays, blood tests, TB skin test, and sputum tests. The end result of that was that I was told never ever ever to have the skin test again as I reacted quite violently to it.

Having done some research myself, I found that quite often you get a false positive on the skin test if you have had the BCG injection (which I had in school).

When the results came back in my doctor referred me to a respiratory specialist, I had the feeling that this was just her following the protocol laid down by those who shall be obeyed. Off to the specialist agreed with me that it was indeed a false positive, I have another x ray in twelve months time, job done....

Clematis ()
Thanks Clematis....think we'll do what Joe says
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