Required Evaluations - Other Sexually Transmitted Diseases

Technical Instructions for Medical Examination Of Aliens

Updated April 17, 2013

Table of Contents

Preface

• III. Required Evaluations
  1. Communicable Diseases of Public Health Significance
     • 4. 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 visa medical examination is one means of evaluating the health of aliens applying for entry into the United States.

These instructions are for the use of panel physicians and consular officers who are evaluating aliens applying for immigrant visas and aliens applying for refugee status at locations outside the United States.* Other aliens who are not applying for an immigrant visa may in some instances be referred for an examination. These technical instructions also apply to those examinations. This document supersedes the 1991 Technical Instructions for Medical Examination of Aliens.

*Other instructions have been prepared for the examination of aliens applying for adjustment of status at locations within the United States.

III. Required Evaluations

A. Communicable Diseases of Public Health Significance

4. Other Sexually Transmitted Diseases (chancroid, gonorrhea, granuloma inguinale, and lymphogranuloma venereum)

a. Required Evaluation

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

b. Treatment

• Chancroid, granuloma inguinale, and lymphogranuloma venereum

  All applicants who need treatment for oOther 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, panel physicians should refer to CDC's 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, panel physicians should follow CDC’s updated treatment guidelines.

c. 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 in the remarks section. Once the recommended treatment has been completed, chancroid, gonorrhea, granuloma inguinale, and lymphogranuloma venereum are neither Class A nor Class B conditions.