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Medical Check for Residence Permit - Rejected for Treated Syphilis?

JCB Japan

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Well, this is a sensitive subject.


When applying to work in China one has a medical exam outside of the country.  And then another medical check (in China) when apply for residency permit.


A medical check outside of China that includes an RPR test for screening Syphilis would only show an active case, not a past treated case.


Is the Syphilis screening for the residency medical check (in China) a RPR test (which screens for an active case of Syphilis) or a TPPA test (which screens for Syphilis antibodies)?  


If someone was treated long ago for Syphilis, his or her body shows Syphilis antibodies for life.  Can someone confirm that residency permit medical checks are screening for active cases of syphilis?  Or, if the residency permit shows Syphilis antibodies from a past treated case of Syphilis, will his/her residency permit application be rejected?


Thank you for considering these questions.

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I don't have an answer to your question, but thanks for asking it. I'm sure you're not the first or the last person running into this issue, and hopefully someone here will know the answer, which will be helpful to others as well.

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On the out-of-country exam form there's a fairly ambiguous box where the doctor is supposed to summarise the lab results.




On the out-of-country tests that I've had for visas, the doctor has just written "Syphilis, HBsAg, HIV - non-reactive" in that box, along with general comments about any out of range results for things like liver function etc.


(Despite what it says in that box, I've never attached full lab test results to the form.)


However, looking at the lab results for the in-country medical check that you have to do on arrival, it clearly specifies Anti-HCV, HBsAg, TPPA and Anti-HIV.


(The lab results for blood and urine are pretty detailed, covering Cholesterol, ALT, AST, MPV, MCHC, MCV, MCH... etc.)


Whether the TPPA test being positive means they don't issue the blue "certificate of verification" (which also doesn't have the lab results attached), I couldn't say. But it does seem that that's the test they do.



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