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✓ Occupation-Any aspects of jobs or environment which can increase the
                                 condition
                                 ✓ Smoking Habit (past and current)
                                 ✓ Time off work
                                 ✓ Limitation of functional capacity or exercise tolerance


                       2.3 Emphysema

                          Emphysema is a long-term, progressive disease of the lungs in which there
                          permanent damage to air sacs or alveoli. It causes shortness of breath due over
                          inflation of the alveoli (air sacs in the lung). In people with emphysema lung tissue
                          involved in exchange of gases (oxygen and carbon dioxide impaired or destroyed.

                       2.4 COPD (Chronic Obstructive Pulmonary Disease)


                          It is a condition in which there is chronic irreversible obstruction of airflow
                          secondary to chronic bronchitis and /or emphysema. COPD makes it difficult to
                          push air out of the lungs. The oxygen-poor air w ill build up and there is no room
                          for fresh, oxygen-rich air.

                       2.5 Tuberculosis


                          It is an infectious disease caused by the bacteria Mycobacterium tuberculosis. The
                          predominant point of entry for tuberculosis infection is the lungs.

                          The lungs are also the main site of most tuberculosis infections although the
                          clinical form of the disease depends upon the immune response of infected
                          individuals. Primary infection with tubercle bacilli is most often clinically silent
                          and is identified only by it positive skin test which may be falsely negative in acute
                          infection.

                          Underwriting considerations for tuberculosis


                          ✓ Full details regarding diagnosis
                          ✓ Treatment (duration of treatment)
                          ✓Any relapse or multi-drug resistance
                          ✓ HIV antibody status


                          With use of modern Anti-TB treatment regiments pulmonary tuberculosis in HIV
                          negative individual has an excellent prognosis and once the treatment course is
                          completed without complications mortality risk is minimal.














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