Serology blood tests

Serology blood tests is widely used in OH fitness medicals,

It is consists of: HCV, HBS Ag, HIV, Blood group and RPR (syphilis).

The serology is required for GCC residence permit (RP) according to the Rules and Regulations of the Medical Examination of Expats requited for work in the Executive Board of the Health Ministers’ Council for GCC States (GCC 2010).

 

- Screen for hepatitis C and B virus infection: The USPSTF concludes that there is a moderate net benefit to screening in populations at high risk for infection.

Identification of chronic HBV infection based on serologic markers is considered accurate. Immunoassays for detecting hepatitis B surface antigen (HBsAg) have a reported sensitivity and specificity of greater than 98%.

Anti-HCV antibody testing followed by confirmatory polymerase chain reaction testing accurately identifies patients with chronic HCV infection.

- The USPSTF recommends screening for HIV infection in persons at high risk for infection and pregnant women.

Frequency: a reasonable approach may be to rescreen groups at very high risk for new

HIV infection at least annually and individuals at increased risk at somewhat longer intervals (for example, 3 to 5 years).

Routine rescreening may not be necessary for individuals who have not been at increased risk. Women screened during a previous pregnancy should be rescreened in subsequent pregnancies.

- The USPSTF recommend Screening for syphilis infection in pregnancy (USPTF 2014).

 

International standards

  • Offshore medical:
  • SEROLOGY is not a routine test; may be requested at the discretion of the examining doctor. (Norwegian Directorate of Health 2012)
  • Offshore medical: SEROLOGY is not a routine test; may be performed at the discretion of the examining doctor. (UK Offshore Oil and Gas 2008)
  • Offshore medical: SEROLOGY is not a routine test; may be performed at the discretion of the examining doctor. (GoM BP 2012)
  • Firefighters:
    • SEROLOGY is a required test ;) (NFPA 2012).
    • Firefighters; post vaccination serology e.g. for hep B, hep A is required (AFAC 2006).
  • Divers SEROLOGY is not a routine test. (HSE UK, MA1, 2011)
  • Hazardous occupations:
  • The test is not routinely required (Hong Kong 2004).
  • OSHA Standard; Hazardous Waste Operations and Emergency Responses (HAZWOPER): SEROLOGY is required for HAZMAT team members and emergency response team (OSHA, 2009).
  • Drivers; SEROLOGY is not a routine test; unless deemed necessary by the examining doctor. (UK DVLA 2014)

 

 Serology is only required for:

  1. Pre-employment, new comers for the purpose of residence permit in case it is a government requirement.
  2. Firefighters and healthcare workers.

 

References

  1. GCC, Rules & Regulations for Medical Examination of Expatriates Recruited for work in the GCC States, 2010.
  2. Kronick, R. (2014). The Guide to Clinical Preventive Services. USPSTF. Retrieved from http://www.ahrq.gov/professionals/clinicians-providers/guidelines-recommendations/guide/cpsguide.pdf
  3. Guidelines - health requirements for persons working on installations offshore. Norwegian Directorate of Health 2012.
  4. Medical Aspects of Fitness for Work Offshore ( 2008 The United Kingdom Offshore Oil and Gas)
  5. GoM Medical Aspects of Fitness for Offshore Work Safety Work Practice (BP 2012)
  6. NFPA 1582, Chapter 6 Medical Evaluations of Candidates - 2012
  7. Australasian Fire Authorities Council (AFAC) Medical Guidelines for Firefighters, 2006
  8. HSE UK, The medical examination and assessment of divers (MA1) 2011, http://www.hse.gov.uk/Diving/ma1.pdf
  9. Doctors’ Guide to Medical Examinations for Workers engaged in Hazardous Occupations in Industrial Undertakings - Occupational Safety and Health – 2004, Hong Kong.
  10. OSHA, Screening and Surveillance: A Guide to OSHA Standards, 2009 https://www.osha.gov/Publications/osha3162.pdf
  11. At a glance Guide to the current Medical Standards of Fitness to Drive'. Drivers Medical Group, DVLA, UK, May 2014

 

Parent Category: Fitness for Work