Medical Checks - Hepatitis B

Old May 21st 2009, 8:11 am
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Default Medical Checks - Hepatitis B

Hi All,

My hepatitis B is positive. I have done a rountine check and the specialist said i am fit and should not have any problem.

My question is whether i should asked for a specialist report or should I just ask my GP to provide a report for me. The difference between them is 'money' as my GP will charge me 50 pounds for his report but the specialist will charge about 150 pounds!!

I am not sure which one will be accepted by INZ?

Any suggestions?

Thanks
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Old May 23rd 2009, 5:18 pm
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Default Re: Medical Checks - Hepatitis B

Anyone?
Originally Posted by Henryjohn View Post
Hi All,

My hepatitis B is positive. I have done a rountine check and the specialist said i am fit and should not have any problem.

My question is whether i should asked for a specialist report or should I just ask my GP to provide a report for me. The difference between them is 'money' as my GP will charge me 50 pounds for his report but the specialist will charge about 150 pounds!!

I am not sure which one will be accepted by INZ?

Any suggestions?

Thanks
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Old May 23rd 2009, 6:31 pm
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Default Re: Medical Checks - Hepatitis B

[QUOTE=Henryjohn;7598142]Anyone?[/QUOTE

Hi..
I had some medical issues,got infomation from GP, but NZIS still requested a further report from a specialist.......
The specialist i saw only charged me £50 for the report required....
Hope this helps
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Old May 23rd 2009, 11:11 pm
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Default Re: Medical Checks - Hepatitis B

Originally Posted by Henryjohn View Post
Hi All,

My hepatitis B is positive. I have done a rountine check and the specialist said i am fit and should not have any problem.

My question is whether i should asked for a specialist report or should I just ask my GP to provide a report for me. The difference between them is 'money' as my GP will charge me 50 pounds for his report but the specialist will charge about 150 pounds!!

I am not sure which one will be accepted by INZ?

Any suggestions?

Thanks
Hep B is listed by NZIS as a condition deemed to pose significant costs to NZ.
This listing is found in appendix 10 of the NZIS operations manual ( click the link)

Originally Posted by nzis operations manual - extract appendix 10

Appendix 10 - Medical conditions deemed to impose significant costs and/or demands on New Zealand's health and/or education services

* HIV infection
* Hepatitis B surface antigen positive, with abnormal liver function
* Hepatitis C, RNA positive, with abnormal liver function
* Malignancies of solid organs and haematopoietic tissue, including past history of, or currently under treatment...........
My suggestion is that you go for a specialist consultant report. You will need to show that your condition will not deteriorate over the forthcoming years and that you are unlikely to pose a financial burden to the NZ health system in the future. In monetary terms this means over $25K

The report will need to be extremely comprehensive if you are to stand a chance of being accepted.
The minute an NZIS officer sees Hep. they will immediately refer the application to a medical assessor. Best to be prepared.

Please read the Health Requirements below:-

Originally Posted by NZIS operations manual
1. Applicants for residence visas and permits must have an acceptable standard of health unless they have been granted a medical waiver. An application for residence must be declined if any person included in that application is assessed as not having an acceptable standard of health and a medical waiver is not granted (see A4.60).

2. Applicants for residence are considered to have an acceptable standard of health if they are:
1. unlikely to be a danger to public health; and
2. unlikely to impose significant costs or demands on New Zealand's health services or special education services; and
3. (unless the applicant is sponsored for residence by a person who holds refugee status in New Zealand) able to undertake the work on the basis of which they are applying for a visa or permit, or which is a requirement for the issue or grant of the visa or permit.

3. The conditions listed in Appendix 10 are considered to impose significant costs and/or demands on New Zealand's health and/or special education services. Where a visa or 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.
4. If a visa or immigration officer is not initially satisfied that an applicant for residence has an acceptable standard of health, they must refer the matter for assessment to an Immigration New Zealand medical assessor (or the Ministry of Education as appropriate).
.


You may wish to consider approaching a specialist NZ immigration agent about your case to jointly consider your chances and options.

To find a suitable agent please contact NZAMI and ask them to provide you with a list of licensed and registered agents which have in depth knowledge in the health requirements area. Agents charge varying rates for their services.
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Old May 25th 2009, 9:50 pm
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Question Re: Medical Checks - Hepatitis B

Thank you...

I think specialist report will be the option for me.

Also, i have a question about the application form. I was found to be Hepatitis B surface antigen (carrier) but not Hepatitis B active.

With regard to the question in the application:

"Have you been exposed to or diagnosed with any infectious or communicable disease?"

When i applied for the EOI, i put 'No' but now i am not sure whether i should put 'Yes' or not. This is because Hepatitis B surface antigen postive is not an infectious or communicable disease.

What should I put?

Any help please
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Old May 26th 2009, 2:51 pm
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Default Re: Medical Checks - Hepatitis B

I was asked (twice) for a "well written report" stating:
-Current state
-Treatment
-Prognosis
-Future Medical/Surgical needs

I am not suggesting that this is what they will require for Hep! Just my own experience for my kidney's problems...

I would send an email to NZIS through their website explaining your situation asking them which additional paperwork would be needed. However, I anticipate they'll tell you to wait n here back from the Medical assessors (through your CO!)

Good luck!
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Old May 26th 2009, 11:10 pm
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Default Re: Medical Checks - Hepatitis B

Maybe have a read of the Medical Practioners Handbook. It may help you decide what is the correct thing to put down. No-one can decide that but you, as it is your application. We will all try to support and help though.

From the handbook it has this to say

Hepatitis B surface antigen
Hepatitis B antibody tests are not considered adequate and are not required. Where there is a suspicion or history
of Hepatitis B the medical examiner is to also request a Hepatitis B E antigen test.
So, your medical will require that you undergo extra blood tests.

It also says this

Counselling
Where new medical diagnoses are made, for example Hepatitis B, Hepatitis C, HIV or cancer, ensure that pre- and
post-test counselling is carried out in accordance with local protocols and standards. For example, please include
advice on vaccination for close contacts of those testing positive to Hepatitis B antigen
I know this is not a new diagnosis but this does mention vaccination for those that have been in close contact.

It's only my thoughts and opinion as I'm no doctor, NZIS officer or NZIS Medical Assessor but I feel they will want to have proof of your health and whether you are infectious.

If you had answered Yes to Q C5 about the
Have you been exposed to or diagnosed with any infectious or communicable disease?
then you would have explained further in the box provided below this question & submitted your medical certificate as required.

As you answered no, you will be required to provide further blood test and most likely a specialist report as it will probably be a medical referral.

Did you not note this condition in the box provided below the health questions?
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Old May 31st 2009, 10:41 am
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Default Re: Medical Checks - Hepatitis B

Thank you for the informaiton. It is very helpful
I have checked the medical certificate papers, there is not Q C5. May be they had a newer version recently.

I have put No as the answer

Originally Posted by BEVS View Post
Maybe have a read of the Medical Practioners Handbook. It may help you decide what is the correct thing to put down. No-one can decide that but you, as it is your application. We will all try to support and help though.

From the handbook it has this to say

So, your medical will require that you undergo extra blood tests.

It also says this

I know this is not a new diagnosis but this does mention vaccination for those that have been in close contact.

It's only my thoughts and opinion as I'm no doctor, NZIS officer or NZIS Medical Assessor but I feel they will want to have proof of your health and whether you are infectious.

If you had answered Yes to Q C5 about the then you would have explained further in the box provided below this question & submitted your medical certificate as required.

As you answered no, you will be required to provide further blood test and most likely a specialist report as it will probably be a medical referral.

Did you not note this condition in the box provided below the health questions?
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Old May 31st 2009, 11:27 am
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Default Re: Medical Checks - Hepatitis B

Q C5 refers to the EOI. ? Sorry . That is my written english causing confusion.
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Old May 31st 2009, 1:50 pm
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Default Re: Medical Checks - Hepatitis B

No worries, got it.
Originally Posted by BEVS View Post
Q C5 refers to the EOI. ? Sorry . That is my written english causing confusion.
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