GCC GUIDELINES

Expatriates should not have suffered from any of the following diseases:
1. Neurological or psychiatric diseases; and to be free of any symptoms or clinical signs of
these diseases.
2. Heart disease
3. Lung diseases such as bronchial asthma.
4. Renal disease, Renal failure, or chronic Renal disease that leads to Renal failure.
5. Liver disease or failure.
6. Any type of hernia or intra-abdominal swelling or inflammation.
7. Congenital/pathological limb or vertebral anomalies
8. Chronic skin conditions or viral skin diseases.
9. Rheumatism or Lymphadenoma.
10. Anemia, leukemia, or other blood diseases.
11. All allergic diseases or clinical signs of allergies.

Includes the General and the systemic medical examination.

1. General Examination
a) Weight and height
b) Blood pressure: Within normal limits
c) Heart rate: Regular and within the normal limits.
d) Visual acuity: Adequate for the duty. Taking in consideration the occupations that require an eyesight of not less than 6/6 or 6/9 in each eye (with or without glasses).
e) Color vision: Normal

2. Systemic examination
a) Circulatory system:
Normal heart function. Not suffering from any congenital heart defects or organic cardiovascular disease.
b) Respiratory system:
Normal lung function tests.
c) Digestive system:
Should be free from any type of hernias (whether umbilical or inguinal) or ascites. No
intra-abdominal organs enlargement or inflammation and no tumor.

d) Motor system:
Extremities should be free from any congenital or pathological abnormalities and legs
should be free from varices, and the vertebral column should also be free from any abnormality or disk prolapse.
e) Genitourinary system:
No symptoms or clinical signs of any venereal disease.
f) Skin:
Should be free from leprotic pathological manifestations and other chronic skin diseases
such as (Eczema and psoriasis) or any other infectious skin diseases such as (chronic tinea,
other fungal skin infections and scabies).
g) Sensory nervous system
-Normal pupil size and visual field and no apparent squint, with normal near visual acuity.
-No contagious eye diseases such as (granular conjunctivitis, purulent conjunctivitis, trachoma), and other eye diseases that require prolonged medical treatment or surgical
operations such as (cataracts and glaucoma).
-Normal hearing levels

h) Mental Status Examination
1. General Observations
a. Appearance
•Physical: healthy, ill, distress
•Hygiene: clean, body odor, shaven, grooming
•Dress: clean, dirty, neat, ragged, climate appropriate — anything unusual?
b. Speech
•General: accent, clarity, stuttering, lisp
•Rate: fast (push of speech) or slow
•Latency (pauses between questions and answers): increased or decreased
•Volume: whispered, soft, normal, loud
c. Behavior
•General (Psychomotor activities): increased activity (restlessness, agitation, hyperactive,
lethargic), decreased activity.
•Eye Contact: decreased, normal, excessive, intrusive
•Manners: motivated, negativistic
d. Cooperativeness
•Cooperative, friendly, reluctant, hostile

2.Thinking
a. Thought Process
•Tight, logical, goal directed, loosened, circumstantial, tangential, flight of ideas, word
salad
b. Thought Content
•Future oriented, suicidal ideation, homicidal ideation, fears, ruminative ideas
c. Perceptions
•Hallucinations (auditory, visual, olfactory)
•Delusions (paranoid, grandiose, bizarre)

3. Emotion
a. Mood
•Candidate describes in own words
b. Affect
•Type: depressed/sad, anxious, euphoric, angry
•Range: full range, labile, restricted, blunted/flattened

4. Cognition
a.Orientation/Attention
•Time, place, person, situation
b.Memory
•Immediate, short and remote
c.Insight/Judgment
•Good, limited or poor (based on actions, awareness of illness, plans for the future)

i)Other
1.Swollen lymph nodes, goiter, and any apparent tumors.
2.Breast check for women
3.For females: Applicant shall not pregnant and shall not suffer from any type of vaginal
bleeding, uterine prolapse and breast tumors.

1. Blood:
a. Complete blood count (CBC) with normal results and hemoglobin level of not less than
7gm/100ml.
b. Perform blood smears to determine the presence of malaria.
c. Normal blood sugar levels
d. Normal renal and liver function
e. HBsAg and Anti-HCV results should be “Negative”
f. HIV test should be “Negative”
g. TPHA or VDRL test

2. Urine
Complete urinalysis testing that show normal results with no sugar or albumin traces and
no Schistosomal infections (bilharzia) in endemic areas.

3. Stool
Stool analysis (ova and parasite exam) to check for parasites and intestinal worms in the
stool and a stool culture to investigate the presence of salmonella, Shigella and Cholera in
endemic areas.

-Chest X-ray to detect any lung diseases*
Pregnant women joining the family, the following conditions shall apply:

First trimester of pregnancyChest x-ray to be postponed until
the second trimester of pregnancy
Second trimester of pregnancyTo explain to the pregnant woman
that an X-ray during the second
trimester of pregnancy does not
cause any harm and to get her
consent before performing the
X-ray. If she refuses, the X-ray is to
be delayed until after delivery
Third trimester of pregnancyTo explain to the pregnant woman
that an X-ray during the second
trimester of pregnancy does not
cause any harm and to get her
consent before performing the
X-ray. If she refuses, the X-ray is to
be delayed until after delivery.

Infectious Diseases
1-HIV positive (AIDS)
2-Hepatitis (B) Surface Antigen Positive
3-Hepatitis C Antibody – positive
4-Microfilaria and Malaria
5-Leprosy
6-Any abnormal chest X-ray manifestations including, but not limited to:
a.Active or past evidence of T.B.
b.Pulmonary fibrosis and pulmonary calcification
c.Pleural effusion.
d.Lymphadenopathy.

Non-infectious diseases
1.Renal failure
2.Liver failure or hepatic insufficiency
3.Heart failure
4.Uncontrolled Hypertension
5.Uncontrolled diabetes.
6.Different types of cancer.
7.Psychiatric and neurological disorders.
8.Any distortion, amputation or physical disability impeding the applicant’s performance.
9.Hemoglobin below 7g/100dl.

Other
1.Pregnancy when applying for work visa