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Guide

GAMCA Medical Unfit: Reasons and Next Steps

The conditions listed in the Gulf Health Council regulation, and what an unfit result means for a visa file.

Last reviewed: October 2026 · Jeewan Overseas Employment, OEP Licence 2621/KAR, Karachi

Short answer

Under the Gulf Health Council regulation, a worker is declared unfit for a GCC work visa if the medical finds certain infectious diseases (HIV, hepatitis B or C, malaria, microfilaria, leprosy, or tuberculosis or another abnormality on the chest x-ray), certain serious or uncontrolled conditions (such as kidney, liver or heart failure, uncontrolled diabetes or blood pressure, cancer, or haemoglobin below 7 g/dL), or pregnancy in a woman applying for a work visa. An unfit result stops that visa file.

The conditions listed in the regulation

Infectious diseases

  • HIV / AIDS
  • Hepatitis B and hepatitis C
  • Malaria and microfilaria
  • Leprosy
  • Tuberculosis, or other abnormal findings on the chest x-ray

Non-communicable conditions

  • Kidney, liver or heart failure
  • Uncontrolled high blood pressure or uncontrolled diabetes
  • Cancer
  • Certain psychiatric and neurological disorders
  • Physical disabilities that prevent the work
  • Haemoglobin below 7 g/dL

Other

  • Pregnancy, for women applying for a work visa

This is a summary. The full regulation is published on wafid.com, and the medical centre's doctors apply it, not the agency.

Note the word "uncontrolled"

For blood pressure and diabetes, the regulation refers to uncontrolled conditions. A worker who knows he has one of these should follow his doctor's treatment before the examination, and take his prescription records with him.

What happens after an unfit result

  • The result is recorded on Wafid against the passport, and the visa file for that worker cannot proceed.
  • Whether, and when, the worker can be examined again depends on the condition. That is decided under the Gulf Health Council rules, not by the agency or the employer.
  • After arrival in the GCC, the destination country's Ministry of Health carries out its own examination as well.

A warning about "clearing" results

No agency can change a Wafid result. Anyone who offers to clear an unfit result for money is offering something that cannot be done honestly. Do not pay them.

Why we do the medical first

In our files the medical is the first step, before the Wakala and the other visa costs. If the result is unfit, nothing has yet been spent on the visa side, and the employer can replace the worker early.

Questions

Frequently Asked Questions

Can a worker be re-examined after being declared unfit?+
It depends on the condition. The Gulf Health Council rules decide whether and when a re-examination is possible; an agency cannot override them.
Is high blood pressure an automatic fail?+
The regulation refers to uncontrolled high blood pressure. A worker who is on treatment should follow it and take his records to the examination.
Does the worker get examined again in Saudi Arabia?+
Yes. The regulation provides for a further medical examination by the destination country's Ministry of Health after arrival.
Can an agent fix an unfit result?+
No. Results are recorded centrally on Wafid. Anyone offering to change one for money should not be paid.