回复: 加拿大公布最新体检程序
2012[FONT=宋体]
[FONT=宋体]年[/FONT][/FONT]
11[FONT=宋体]
[FONT=宋体]月[/FONT][/FONT]
1[FONT=宋体]
[FONT=宋体]日[/FONT][/FONT][FONT=宋体]
[FONT=宋体],移民局发表了体检程序变更的说明,请参考下面官方链接:[/FONT][/FONT]
http://www.cic.gc.ca/english/resources/manuals/bulletins/2012/ob471.asp
[FONT=宋体]
[FONT=宋体]主要变化如下:[/FONT][/FONT]
1.[FONT=宋体]
[FONT=宋体]移民局将使用新版电子体检表格(由医院负责填写),主要增加了精神疾病的审查、[/FONT][/FONT]
HIV[FONT=宋体]
[FONT=宋体]检查、婴儿发育评估、及特殊疾病评估(特殊疾病需由专家评估)[/FONT][/FONT]
2.[FONT=宋体]
[FONT=宋体]关于怀孕妇女的体检须知:如果怀孕周期在[/FONT][/FONT]
3[FONT=宋体]
[FONT=宋体]个月之内,不能接受[/FONT][/FONT]
X-RAY[FONT=宋体]
[FONT=宋体]检查(其他体检项目可正常操作)。如怀孕周期大于[/FONT][/FONT]
3[FONT=宋体]
[FONT=宋体]个月,可以接受[/FONT][/FONT]
X-RAY[FONT=宋体]
[FONT=宋体]检查(可以由客户自行决定在怀孕周期内接受[/FONT][/FONT]
X-RAY[FONT=宋体]
[FONT=宋体]检查或分娩之后再接受[/FONT][/FONT]
X-RAY[FONT=宋体]
[FONT=宋体]检查)。建议建议申请人先到医院咨询,可以到医院进行除[/FONT][/FONT]
X-RAY[FONT=宋体]
[FONT=宋体]以外的其他体检项目。文件顾问需要通知大使馆体检延迟。[/FONT][/FONT]
3.[FONT=宋体]
[FONT=宋体]体检完成之后,医院会给每位申请人一份体检收据,请申请人务必保留好该体检收据并交给相关文件顾问留档。(特别是在国外进行体检的客户,一定要将该收据给文件顾问留档)[/FONT][/FONT]
4.[FONT=宋体]
[FONT=宋体]如果有肺结核病史的客户,请在体检的时候携带好当时的病史记录(包括胸片和报告)。[/FONT][/FONT]
[FONT=宋体]
[FONT=宋体]具体事项请参考《体检注意事项》。[/FONT][/FONT]
[FONT=宋体]([/FONT]2012-4-12[FONT=宋体]更新)[/FONT]
[FONT="]1. [/FONT][FONT=宋体]接到通知[/FONT]45[FONT=宋体]天内请一定到指定的加拿大体检站体检;[/FONT]
[FONT=宋体](体检站列表:[/FONT]
http://www.cic.gc.ca/dmp-md/medical.aspx[FONT=宋体])[/FONT]
[FONT="]2. [/FONT][FONT=宋体]每一位体检者带好身份证和护照原件;[/FONT]
[FONT="]3. [/FONT][FONT=宋体]携电脑打印的体检通知参加体检[/FONT];
[FONT="]4. [/FONT][FONT=宋体]请每一位体检者带好[/FONT]2[FONT=宋体]寸近期照片[/FONT]4[FONT=宋体]张;[/FONT]
[FONT="]5. [/FONT][FONT=宋体]请事先和加拿大认可的体检站预约;[/FONT]
[FONT="]6. [/FONT][FONT=宋体]体检费用:[/FONT]15[FONT=宋体]岁(包含)以上人士[/FONT]1450[FONT=宋体]元人民币[/FONT]/[FONT=宋体]人;[/FONT]15[FONT=宋体]周岁以下[/FONT]1250[FONT=宋体]元人民币[/FONT]/[FONT=宋体]人;[/FONT]
[FONT="]7. [/FONT][FONT=宋体]具体查验内容包括:身高、体重等常规检查、胸透、验血、小便,肝指标不查小三阳和大三阳,主要查传染性疾病等;[/FONT]
[FONT="]8. [/FONT][FONT=宋体]如您或家人得过肺结核,即使已经痊愈,请带好以前的[/FONT]X[FONT=宋体]光片子和诊断痊愈的医生报告,可能可以避免复检,以便节省时间;[/FONT]
[FONT="]9. [/FONT][FONT=宋体]早上可以吃少量清淡早餐,但不能吃甜食,尽量多喝水;女士请避开例假期间。[/FONT]
补充一些关于很多人关心的是否进行乙肝丙肝检查的规定:
Instructions for the screening of clients at risk of hepatitis/liver disease in the context of the Canadian immigration medical examination (IME).
Goal/objective
These instructions are provided to ensure that Panel Physicians (PPs) follow a consistent and appropriate process in their:
• Identification of clients at risk of hepatitis/liver disease;
• Further investigation of clients at risk of hepatitis/liver disease; and
• Completion and grading of an IME of client at risk of hepatitis/liver disease.
Instructions
Rationale
It is particularly important to assess the risk of hepatitis/liver disease as these conditions may pose a danger to Canadian public health as well as create a
significant burden on Canadian medical services through the need of expensive medication and specialized treatment such as ultimately liver transplantation.
Screening and Testing
During the medical history and physical examination, PPs are expected to be vigilant for the presence of risk of hepatitis/liver diseases such as hepatitis B or C or liver cirrhosis. If an interpreter is used, PPs must select and ensure that the interpreter is unbiased and has no connection to the client. Family members or friends cannot act as an interpreter for a client. The use of a professional interpreter is at the client’s expense.
The identification of clients at risk of hepatitis/liver disease is based upon a careful review of risk factors and medical and surgical history as well as a review of symptoms and physical examination.
Risk factors for hepatitis B and C include:
• Substance use (includes sharing, drug snorting, smoking or injection equipment);
• High-risk sexual activity or sexual partner with viral hepatitis;
• Immigration from hepatitis B and/or C endemic countries;
-- Hepatitis B is endemic in China, South East Asia, the Amazon, eastern and central Europe, the Middle East and the Indian subcontinent.
-- Hepatitis C is endemic in Egypt, Pakistan, and China.
• Household contact with an infected person especially if personal items (e.g., razors, toothbrushes, nail clippers) are shared;
• Recipient of unscreened blood products (screening of donated blood products for hepatitis C began in 1990 in Canada);
• Needle-stick injury or other occupational exposure (e.g., healthcare workers);
• Children born to mothers with chronic hepatitis B or C infection;
• Tattoos and body piercing;
• History of incarceration;
• HIV or oter sexually transmitted infection; and
• Haemodialysis.
。。。。
Additional investigation required for ALL clients
• All clients with any risk factor for hepatitis B or C must be investigated and tested for hepatitis B and C serology (HBsAg and HCV antibodies).
• All clients with history of hepatitis B or C/liver disease or signs/symptoms of liver disease must be investigated and tested for hepatitis B and C serology (HBsAg and HCV antibodies).
• All clients found with active Tuberculosis (TB), and for HIV or syphilis positive through the IME must be investigated and tested for hepatitis B and C serology (HBsAg and HCV antibodies).
• For all clients found to have positive serology for hepatitis B or C, we also require testing for liver enzyme ALT and referral to a gastroenterologist, liver specialist or an appropriate alternative specialist for assessment and determination of the prognosis and the requirement for treatment.
Screening for HIV, if not already done, is also required regardless of age.
Reporting
• All available additional reports (liver function testing, hepatitis testing, specialist report, etc) must be attached to the IME report.
• Any specialist report that may be available from previous consultations should also be attached.
Grading
All IME’s with hepatitis/liver disease must be graded B.