Tropical fitness test G35

Tropical fitness test G35


Working abroad under special climatic or health conditions

Medical examination and advice is required by law for professional stays abroad (Principle G35)

The following factors must be given special attention in the risk assessment:
  • Risk of infection
  • Climatic stresses
  • Adverse environmental factors
  • Hygienic deficiencies
  • Deficient infrastructure (e.g. drinking water supply, emergency services)
  • Medical care
  • Geographical features (e.g. activity at high altitude)
  • Increased exposure to UV radiation.
Preliminary examination
Prior to each stay abroad within the meaning of the selection criteria, a medical consultation by an authorised physician is required who understands the particular climatic and health conditions and who understands the medical capacity at the intended place of deployment. The advice includes, in particular, the necessary malaria and vaccination prophylaxis. In the event of special conditions, depending on the location and type of deployment (e.g. particularly poor medical care, constantly changing location, particularly high risk of infection, special occupational stress), a medical examination is required regardless of the duration of the work stay. An initial examination is not necessary before beginning a period abroad if the return examination was not more than one year ago.

Follow-up examination after returning from abroad
A follow-up examination is usually carried out at the end of the period abroad, and again 24-36 months later. The only exceptions are illnesses or physical impairments lasting several weeks after the trip, which could give rise to health concerns.

New pregnancies, or a change to a country with significantly different climatic conditions, also necessitate an early follow-up examination.



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