Medical Unfit Criteria 2025 Guide
GAMCA Official Medical Unfit Criteria 2025 - Complete Guide
Understanding the GAMCA Official unfit criteria is crucial before booking your GAMCA Official medical appointment for GCC countries. Whether you're applying for Saudi Arabia, UAE, Qatar, Bahrain, Kuwait, or Oman work visa, knowing what conditions result in unfit status helps you prepare better and avoid disappointment.
The Gulf Health Council has established specific health standards that all workers must meet before employment in GCC countries. This comprehensive guide covers all GAMCA Official medical unfit criteria, both infectious and non-infectious diseases, and what you can do if declared unfit.
What is GAMCA Official Medical Fitness Test?
The GAMCA Official medical test (also known as Wafid medical) is a mandatory health screening for all foreign workers traveling to GCC countries for employment. During your GAMCA Official appointment, doctors evaluate your health status against established criteria to determine if you're fit for employment.
Your Wafid medical report will show one of three statuses:
- Fit: Passed all tests, eligible for work visa
- Unfit: Failed medical criteria, visa rejected
- Held/Pending: Additional tests required
Complete List of GAMCA Unfit Criteria 2025
Category 1: Infectious Diseases (Automatic Unfit)
The following infectious diseases result in automatic unfit status in your GAMCA medical report:
1. HIV/AIDS
HIV positive or AIDS diagnosis results in immediate unfit status for all GCC countries. During your GAMCA medical test, blood samples are tested for HIV antibodies. There is no appeal process for HIV-positive results.
2. Hepatitis B (HBsAg Positive)
Hepatitis B surface antigen (HBsAg) positive is a common reason for unfit status. If your blood test shows active Hepatitis B infection, you'll be declared unfit. However, if you're only a carrier (HBsAg positive but with normal liver function), some GCC countries may consider exceptions.
3. Hepatitis C
Hepatitis C antibody positive results in unfit status. Active Hepatitis C infection damages the liver and is considered a serious health risk. Treatment and clearance may allow you to reapply after 6-12 months.
4. Active Tuberculosis (TB)
Active tuberculosis detected on chest X-ray or sputum test results in immediate unfit status. However, if you've completed TB treatment and have medical clearance, you can book a new GAMCA appointment with proof of treatment completion.
5. Syphilis (VDRL Positive)
Syphilis (VDRL/RPR positive) is a sexually transmitted infection that results in unfit status. Unlike HIV, syphilis is treatable. After completing treatment and retesting negative, you can reapply for your Wafid medical test.
6. Malaria and Microfilaria
Malaria parasites or microfilaria detected in blood samples lead to unfit status. Treatment is available, and after clearance, you can book a new GAMCA medical appointment.
7. Leprosy (Hansen's Disease)
Active leprosy results in automatic unfit status. However, treated and inactive cases may be reconsidered with proper medical documentation.
Category 2: Non-Infectious Chronic Diseases
8. Chronic Kidney Disease (Renal Failure)
Kidney failure or chronic renal disease detected through blood tests (elevated creatinine, reduced GFR) results in unfit status. Workers on dialysis or with severe kidney impairment are not eligible for GCC employment visas.
9. Liver Cirrhosis/Failure
Liver cirrhosis, hepatic failure, or severe liver disease detected through blood tests or ultrasound results in unfit status. This includes alcohol-related liver disease and advanced fatty liver disease.
10. Heart Disease/Cardiac Conditions
Heart failure, severe cardiac arrhythmia, valvular heart disease, or recent heart attack detected on ECG or echocardiogram leads to unfit status. Minor conditions with medical clearance may be acceptable.
11. Uncontrolled Hypertension
High blood pressure readings above 160/100 mmHg during your GAMCA medical test may result in held status. If uncontrolled despite medication, you may be declared unfit. Controlled hypertension with medication is usually acceptable.
12. Uncontrolled Diabetes Mellitus
Diabetes with complications (kidney damage, vision problems, neuropathy) results in unfit status. Well-controlled diabetes without complications is usually acceptable. Your GAMCA blood test checks fasting blood sugar and HbA1c levels.
13. Cancer (Malignancies)
Active cancer of any type results in unfit status. However, if you've been cancer-free for 5+ years after successful treatment, you may be considered fit with proper medical documentation.
14. Severe Psychiatric Disorders
Severe mental illness, including schizophrenia, bipolar disorder (severe cases), and other psychiatric conditions requiring ongoing hospitalization lead to unfit status. Mild anxiety/depression with medication is usually acceptable.
15. Drug Addiction/Substance Abuse
Drug addiction detected through urine screening results in immediate unfit status. Your GAMCA medical test includes drug testing for marijuana, cocaine, opioids, amphetamines, and other substances.
16. Epilepsy (Uncontrolled Seizures)
Uncontrolled epilepsy with frequent seizures results in unfit status. Well-controlled epilepsy without seizures for 2+ years may be acceptable with medical clearance.
Category 3: Other Conditions
17. Severe Anemia
Severe anemia (hemoglobin below 9 g/dL) detected in your blood test results in held/unfit status. Treatment with iron supplements and retesting usually resolves this issue.
18. Pregnancy
Pregnancy is not technically an unfit criterion, but many GCC countries require you to complete your GAMCA medical either before pregnancy or after delivery. Pregnant women are usually asked to reapply after childbirth.
19. Severe Vision/Hearing Impairment
Blindness or severe vision loss, and complete deafness may result in unfit status depending on your job requirements. Correctable vision problems (glasses/contacts) are acceptable.
Can You Appeal GAMCA Unfit Status?
If you receive an unfit status in your Wafid medical report, you have several options:
Option 1: Medical Treatment and Reapplication
For treatable conditions like syphilis, malaria, anemia, or TB, complete the treatment and book a new GAMCA appointment after 3-6 months. Bring medical clearance documents from your doctor.
Option 2: Second Opinion/Retest
If you believe the test results are incorrect, you can request a retest at a different GAMCA medical center. This is common for borderline cases like blood pressure or blood sugar readings.
Option 3: Appeal to Embassy
For certain non-infectious conditions, you may appeal directly to the GCC country embassy with comprehensive medical documentation proving you're fit for work despite your condition.
Option 4: Wait and Reapply
For conditions like pregnancy or temporary illnesses, wait until the condition resolves and book a new GAMCA medical.
How to Avoid GAMCA Unfit Status
1. Pre-Medical Health Check
Before booking your Wafid token, get a comprehensive health checkup at a local hospital. Test for HIV, Hepatitis B/C, blood sugar, blood pressure, and chest X-ray to identify any issues early.
2. Treat Existing Conditions
If you have diabetes, hypertension, or other chronic conditions, ensure they're well-controlled with medication before your GAMCA medical test. Bring your prescriptions and medical records.
3. Complete Vaccinations
Ensure all required vaccinations are up to date. Missing vaccinations won't make you unfit but may delay your medical certificate.
4. Avoid Drugs and Alcohol
Stop using any recreational drugs at least 30 days before your GAMCA appointment. Avoid alcohol 48 hours before the test.
5. Prepare Medical Documentation
If you have any medical history (surgery, treatment, medication), bring complete documentation to explain your condition to the GAMCA doctor.
Country-Specific Unfit Criteria Differences
Saudi Arabia (KSA)
Saudi Arabia has the strictest GAMCA medical requirements. They're particularly strict about HIV, Hepatitis B/C, and psychiatric conditions. Drug testing is mandatory.
UAE (Dubai, Abu Dhabi)
UAE has slightly more lenient criteria for controlled chronic conditions like diabetes and hypertension, but infectious diseases result in automatic unfit status.
Qatar
Qatar follows similar standards to Saudi Arabia but may allow appeals for certain non-infectious conditions with strong medical documentation.
Kuwait, Bahrain, Oman
These countries follow the general Gulf Health Council standards with minor variations. All require HIV/Hepatitis/TB clearance.
GAMCA Medical Test Components
During your GAMCA medical appointment, you'll undergo:
- Blood Tests: HIV, Hepatitis B/C, Syphilis, Malaria, Blood Sugar, Kidney/Liver Function
- Urine Test: Drug screening, kidney function, pregnancy test
- Chest X-Ray: TB screening, lung/heart conditions
- Physical Examination: Blood pressure, heart, lung examination, vision/hearing test
- ECG: Heart rhythm and cardiac health
- Stool Test: Parasites (selected cases)
Timeline After Unfit Status
If declared unfit, here's what to expect:
- Day 1-3: Receive unfit notification in your Wafid medical report
- Week 1-2: Consult with your doctor and start treatment if applicable
- Month 1-6: Complete treatment and get medical clearance
- Month 6+: Book new GAMCA appointment and undergo retest
Book GAMCA Medical Appointment
Ready to book your GAMCA medical test? We help you book Wafid token online for all GCC countries:
- Instant Wafid slip generation
- All GAMCA centers in Pakistan, India, Bangladesh
- Pre-medical consultation and guidance
- Document verification support
- 24/7 customer support
Book your GAMCA appointment today and ensure you're fully prepared to pass your medical test. Understanding the unfit criteria helps you take proactive steps to avoid disappointment and delays in your GCC employment journey.

