Required Evaluation Components: Other Sexually Transmitted Diseases

Technical Instructions for the Medical Examination of Aliens in the United States

Table of Contents

Preface

3. Required Evaluation Components
   • Communicable Disease of Public Health Significance
     3. Other Sexually Transmitted Diseases (chancroid, gonorrhea, granuloma inguinale, and lymphogranuloma venereum)
        1. Required Evaluation
        2. Treatment
        3. Reporting Results

Preface

The Centers for Disease Control and Prevention (CDC), United States Public Health Service (PHS), is responsible for ensuring that aliens entering the United States do not pose a threat to the public health of this country. The medical examination is one means of evaluating the health of aliens applying for admission or adjustment of status to permanent residents in the United States.

These instructions are for the use of civil surgeons and U.S. Department of Homeland Security (DHS) officials who are evaluating aliens applying for adjustment of status to that of permanent resident, and any other alien required by DHS to have a medical examination. This document supersedes the 1991 Technical Instructions for Medical Examination of Aliens in the United States.

III. Required Evaluation Components

• Communicable Disease of Public Health Significance
  3. 3. Other Sexually Transmitted Diseases (chancroid, gonorrhea, granuloma inguinale, and lymphogranuloma venereum)
     1. Required Evaluation

        The medical history and physical examination must include a search for symptoms or lesions consistent with chancroid, gonorrhea, granuloma inguinale, and lymphogranuloma venereum. Further testing should be done as necessary to confirm a suspected diagnosis.

     2. Treatment
        • Chancroid, granuloma inguinale, and lymphogranuloma venereum

          All applicants who need treatment for Other Sexually Transmitted Diseases (chancroid, granuloma inguinale, or lymphogranuloma venereum) should be treated according to the guidance provided in the current version of CDC's Sexually Transmitted Diseases Treatment Guidelines.

        • Gonorrhea

          For treatment of gonorrhea, civil surgeons should refer to CDC’s updated guidance for gonorrhea treatment, issued in 2012. Treatment of gonorrhea has become complicated by the ability of Neisseria gonorrhoeae to develop resistance to antibiotics used for treatment; therefore, civil surgeons should follow CDC’s updated treatment guidelines.

     3. Reporting Results

        The applicant must be treated by using a standard treatment regimen before the medical report form is completed. Mark the results of testing and write medication, dose, and date of treatment on the medical report form. Once the recommended treatment has been completed, chancroid, gonorrhea, granuloma inguinale, and lymphogranuloma venereum are neither Class A nor Class B conditions.