---

Appendix 10 - Medical conditions deemed to impose significant costs and/or...

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

In This Chapter

Medical conditions

* 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

Exceptions are:

1. treated minor skin malignancies (not melanoma)
2. malignancies where the interval since treatment is such that the probability of cure is > 90%, e.g.: early stage (I & IIA) breast cancer at 5 years; low risk prostate cancer at 5 years; early stage (Dukes A & B1) colorectal cancer at 5 years; childhood leukaemia at 5 years

* Solid organ transplants, excluding corneal grafts more than 6 months old
* Chronic renal failure or progressive renal disorders
* Diseases or disorders such as osteoarthritis with a high probability of arthroplasty in the next four years
* Central Nervous System disease, including motor neurone disease, complex partial seizures, poorly controlled epilepsy, prion disease, Alzheimer's and other dementia, and including paraplegia and quadriplegia
* Cardiac disease including ischaemic heart disease, cardiomyopathy or valve disease requiring surgical and/or other procedural intervention
* Chronic obstructive respiratory disease with limited exercise tolerance and requiring oxygen
* Genetic or congenital disorders: muscular dystrophies, cystic fibrosis, thalassaemia major, sickle cell anaemia if more than one sickle crisis in 4 years, severe haemophilia, and severe primary immunodeficiencies
* Severe autoimmune disease, currently being treated with immuno-suppressants other than prednisone
* In a person up to the age of 21 years, a severe (71-90 decibels) hearing loss or profound bilateral sensori-neural hearing loss
* In a person up to the age of 21 years, a severe vision impairment with visual acuity of 6/36 or beyond after best possible correction, or a loss restricting the field of vision to 15-20 degrees
* In a person up to the age of 21 years, a severe physical disability, where they are unable to stand and walk without support, and cannot independently dress, eat, hold a cup, or maintain their stability when sitting.

---