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Q: US Immigration and medical exam ( Answered 3 out of 5 stars,   0 Comments )
Question  
Subject: US Immigration and medical exam
Category: Miscellaneous
Asked by: captain77-ga
List Price: $20.00
Posted: 28 Jun 2005 13:52 PDT
Expires: 28 Jul 2005 13:52 PDT
Question ID: 537987
Is having "genital herpes" a reason for not granting an immigration
application to the US (Green Card)?
I am looking for an specific and verifiable answer.
I already found the following that
does not satisfy my question from the US Citizenship and Immigration
Services (http://uscis.gov/graphics/exec/cs/index.asp):

What is a communicable disease of public health significance? 
A ?communicable disease of public health significance? is defined in
the HHS regulations that cover the required medical exam for
immigration purposes and includes the following 9 infectious medical
conditions:


severe acute respiratory syndrome (SARS) 
tuberculosis (TB) 
leprosy 
human immunodeficiency virus (HIV/AIDS) 
syphilis (infectious state) 
chancroid (STD, similar to syphilis and herpes) 
gonorrhea 
granuloma inguinale (STD, donovanosis) 
lymphogranuloma (STD, chlamydia) 

It is not clear from this list if herpes is considered as grounds from
immigration status denial.
Thank you
Answer  
Subject: Re: US Immigration and medical exam
Answered By: hummer-ga on 28 Jun 2005 16:51 PDT
Rated:3 out of 5 stars
 
Hi captain77,

I agree, they've sort of muddied the waters by putting in the
parenthesis "(STD, similar to syphilis and herpes)". It's always more
difficult to prove something that doesn't exist versus something that
does.  Our first clue is that Syphilis is listed but Herpes is not.
Moving onward, we can do a bit of research to try and find out just
how "similar" Chancroid and Herpes are to each other.

According to the CDC (Center for Disease Control), the Communicable
Diseases of Public Health Significance currently include:

   1. Tuberculosis
   2. Human Immunodeficiency Virus (HIV) Infection
   3. Syphilis
   4. Chancroid
   5. Gonorrhea
   6. Granuloma Inguinale
   7. Lymphogranuloma Venereum
   8. Hansen's Disease (Leprosy)
http://www.cdc.gov/ncidod/dq/diseases.htm

If you had seen this list rather than the one at the USCIS website, I
don't think you would've felt so frustrated because clearly, Herpes is
not listed although other STDs are.

Chancroid and Herpes are two very different diseases although both are
STDs. Chancroid is caused by a bacteria and is uncommon in the United
States, whereas, Herpes is a virus and is very common in the United
States.

CHANCROID
"Chancroid ( human genital ulcer disease) is an STD caused by exposure to:
    * Haemophilus ducreyi (a small gram-negative rod organism) which
occurs mainly in developing countries, especially the African, Asian
and Latin American nations. "
"Chancroid is a bacterial disease causing painful, irregularly shaped
sores, but is a localized infection which can be treated and cured and
has no long-term effects. "
Treatment: antibiotics
HERPES SIMPLEX VIRUS (HSV)
"Herpes is a sexually transmitted disease (STD) caused by the herpes
simplex virus (HSV)."
"Genital herpes infection is very common and on the increase in the
United States.  Nationwide 45 million people aged 12 and older (1 out
of 5 of the total adolescent and adult population) are infected with
HSV-2."
The Herpes Virus - 2 types, both are viral
HSV-type 1
    * causes fever blisters on the mouth or face (oral herpes) 
HSV-type 2
    * typically affects the genital area (genital herpes) 
Treatment: antiviral medication
http://herpes-coldsores.com/std/chancroid.htm

CHANCROID
"Background: Chancroid is a sexually transmitted disease (STD)
characterized by painful ulcers and painful regional lymphadenopathy.
While the disease is uncommon in industrialized nations, it is a
frequent cause of genital ulcer disease in developing countries. In
some areas of the US, chancroid is endemic, and it is known to occur
in discrete outbreaks.
In the US: The peak incidence of chancroid occurred in 1987 when 5,035
cases were reported to the Centers for Disease Control and Prevention
(CDC). The number of cases has declined steadily since then, with 773
cases reported in 1994."
Causes: Chancroid is an STD caused by exposure to H ducreyi.
Antibiotic Treatment"
http://www.emedicine.com/EMERG/topic95.htm

HERPES SIMPLEX
"The herpes simplex viruses comprise 2 distinct types, HSV-1 and HSV-2.
# In the US: Approximately 70-90% of adults have antibodies to HSV-1,
whereas antibodies to HSV-2 are found in approximately 22% of the
population.
# In sexually transmitted disease (STD) clinics, HSV-2 seropositivity
approaches 40-50%."
Antiviral drugs.
http://www.emedicine.com/EMERG/topic246.htm

So, although they are both STDs (that is, transmitted sexually), the
diseases are actually quite different and I think we can infer that if
Herpes isn't named on CDC' list, then it is not considered to be a
"Communicable Diseases of Public Health Significance".  Unfortunately,
there is not an opposing list titled "These are Not Considered to be
Communicable Diseases of Public Health Significance".

I hope this is what you were hoping for. If this doesn't satisfy your
request, or if you have any questions, please post a clarification
request *before* closing/rating my answer and I'll be happy to reply.

Thank you,
hummer

Google Search Terms Used:

chancroid
herpes

Request for Answer Clarification by captain77-ga on 29 Jun 2005 08:09 PDT
Is there a way to verify a 100% that Herpes is excluded from the list?
Thank you

Clarification of Answer by hummer-ga on 29 Jun 2005 08:42 PDT
Hi captain77,

I'm sorry you are unhappy with my answer and I wish you had waited for
me to respond to your clarification before you closed and rated it (as
I had requested).

Is there a way to verify a 100% that Herpes is excluded from the list?

Yes, by the link I gave you:
http://www.cdc.gov/ncidod/dq/diseases.htm

Herpes is not on the list, it's as simple as that. Syphilis, along
with other STDs are, but Herpes is not.

You could phone your local Health Department (scroll down to States):
http://www.cdc.gov/doc.do/id/0900f3ec80226c7a#states

Also phone your local immigration office:
USCIS Field Offices by State:
http://uscis.gov/graphics/fieldoffices/alphaa.htm

Regards,
hummer
captain77-ga rated this answer:3 out of 5 stars
I wish the answer could state with a 100% certainty that Herpes is not
included in the list of Communicable
Diseases of Public Health Significance.

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