Hepatitis B and NZ Immigration

Old Dec 26th 2016, 9:48 am
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Default Hepatitis B and NZ Immigration

Hello,

I need guidelines that why asking query, sorry for inconvenience:

My family medical conducted last week and surprisingly my spouse hepatitis b identified in report but her liver function test was completely OK.

I need suggestion that either my new Zealand immigration will be rejected due to this health test or what are the possibilities, if anyone went through such kind of scenario please guide me as I am main applicant and all my medical are clear

Regards,
Khurram Iqbal
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Old Dec 26th 2016, 10:44 pm
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Default Re: Hepatitis B and NZ Immigration

I dont know the answer but a large portion of even the western world have been exposed to Hep B some time in their lives and it will show up in tests. I wouldnt think it would be a problem if your spouse has no symptoms and the tests show she was exposed a long time ago. But you would need to check with official channels or someone else might know more. If it was Hep C I think your prospects would be different.
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Old Dec 26th 2016, 11:34 pm
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Default Re: Hepatitis B and NZ Immigration

From the New Zealand immigration operations manual.

A4.10
The conditions listed in A4.10.1 are considered to impose significant costs and/or demands on New Zealand's health and/or special education services. Where an immigration officer is satisfied (as a result of advice from an Immigration New Zealand medical assessor) that an applicant has one of the listed conditions, that applicant will be assessed as not having an acceptable standard of health.

A4.10.1 Medical conditions deemed to impose significant costs and/or demands on New Zealand's health and/or education services
........................
Hepatitis B-surface antigen positive and meeting criteria for anti-viral treatment in New Zealand
Hepatitis C-RNA positive and meeting criteria for anti-viral treatment in New Zealand............
This will go to an NZIS medical assessor but will likely be seen as not meeting the NZ health standard.

You should prepare to apply for a medical waiver for your wife. It does not matter if your own medical is OK.
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Old Dec 27th 2016, 4:32 am
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Default Re: Hepatitis B and NZ Immigration

I think it depends on which test she has tested positive for. If its the antigen test then she currently has the virus. Most people clear Hep B naturally at which point they become positive for the antibodies. If your wife is just antibody positive and has cleared the virus then she is perfectly healthy and requires no treatment. A small number of people dont clear the Hep B virus. This is when she may become a burden on the taxpayer. Hep C is different because most people dont clear it without expensive drugs. I think half the population have the hep b antibodies. So i suggest you find out which test she is positive to.
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Old Dec 27th 2016, 4:47 am
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Default Re: Hepatitis B and NZ Immigration

Mind you, if your wife was just antibody positive then the doctor probably wouldnt have mentioned it. So maybe antigen positive.
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Old Dec 27th 2016, 4:57 am
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Default Re: Hepatitis B and NZ Immigration

Well yes. It is clear it is the antigen test . I wouldn't have written as I did if it was more general. NZIS will only be interested in those conditions per A4.10.1 Medical conditions deemed to impose significant costs and/or demands on New Zealand's health and/or education services

Originally Posted by nzis Guide for panel physicians
Hepatitis B surface antigen (Hep B sAg) (exam code 708 in eMedical)
Hepatitis C antibody test (exam code 716 in eMedical)
and further

Positive tests
If an applicant’s blood tests are positive the Panel
Physician should either:
• arrange for a second consultation; and/or
• refer the applicant to his or her own doctor for
appropriate follow-up.
The following points need to be covered in discussion with the applicant, bearing in mind local ethical standards and requirements:
• Information about the tests.
• Implications and possible prognosis.
• Ways of transmission of the organism/s.
• Ways of protecting others from infection with the organisms, in particular, the vaccination of close contacts of hepatitis B carriers.
• Ways of minimising future complications.
• Referral for further information and support.
• Referral for medical intervention.

The Panel Physician is to detail any referral in the
‘General supporting comments’ field.
If asked about the effect that a positive test result may have on an applicant’s likelihood of meeting the INZ definition of an acceptable standard of health, the Panel Physician should state that this is a matter for INZ to consider.
Originally Posted by Info for panel doctors
• Add hepatitis B e-antigen, liver function tests and, if over 30 years of age, add alphafetoprotein.
• If hepatitis B e-antigen negative, add HBV-DNA.
• A specialist report and further investigations are required if:
• HBeAg positive and ALT above 40 U/L, or
• HBeAg negative and ALT above 40 U/L, or
• HBeAg negative and HBV-DNA over 2000 IU/mL, or
• Alphafetoprotein positive.
The OP will have been advised by the panel doctor about this.
His question is will it stall the application. My response is that it will certainly stall the application.
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Old Dec 27th 2016, 5:17 am
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Default Re: Hepatitis B and NZ Immigration

Her Hep Bs Ag (Qualitative) is Positive S/CO 5176.29
HCV Ab Negative
Syphilis TP antibody Naegative
ALT is 27 IU/L Normal
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Old Dec 27th 2016, 6:11 am
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Default Re: Hepatitis B and NZ Immigration

In that case I would agred 100% with what BEVs has written..
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Old Mar 2nd 2017, 12:12 pm
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Default Re: Hepatitis B and NZ Immigration

Hi Khurram,

I have been to this site before while researching about Hepatitis B. My husband is a Registered Nurse with chronic hepa b. He is currently asymptomatic. Last dec 2016 we applied for a tourist visa in new zealand so that he can complete the training to become an RN. The CO asked that he undergo full medical since he was a nurse and that there is a possibility that he will get a job after registering. To make the story short, He was referred to the MA last Feb 5 for further assessment. Today, March 2 we received an approval saying he is in acceptable standard of health. I believe its a case to case basis. I dont want to give you false hope but given that he is a nurse and they are very strict with those type of professions, I look forward for your wife being approve as well. Cheers!
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