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work-relatedness of an illness and the matter of compensability. The
former concept merely relates to the assumption that the seafarer's illness,
albeit not listed as an occupational disease, may have been contracted
during and in connection with one's work, whereas compensability pertains
to the entitlement to receive compensation and benefits upon a showing
that his work conditions caused or at least increased the risk of contracting
the disease. This can be gathered from Section 32-A of the 2000 POEA-SEC
which already qualifies the listed disease as an "occupational disease" (in
other words, a "work-related disease"), but nevertheless, mentions certain
conditions for said disease to be compensable:
SECTION 32-A OCCUPATIONAL DISEASES
For an occupational disease and the resulting disability or death to
be compensable, all of the following conditions must be satisfied:
1. The seafarer's work must involve the risks described herein;
2. The disease was contracted as a result of the seafarer's exposure to the
described risks;
3. The disease was contracted within a period of exposure and under such
other factors necessary to contract it;
4. There was no notorious negligence on the part of the seafarer.
As differentiated from the matter of work-relatedness, no legal prescription
of compensability is accorded in favor of the seafarer. As such, he bears the
burden of proving that these conditions are met.[59](Emphasis, italics, and
underscoring supplied)
Therefore, while Chronic Hepatitis C is not a listed occupational disease, the same
standards laid down in Section 32-A of the POEA-SEC should be applied in determining
the compensability of Rosales' illness.
There are two phases of Hepatitis C, "acute," meaning a new infection, and "chronic,"
meaning lifelong infection. Acute Hepatitis C "occurs within the first 6 months after
someone is exposed to the hepatitis C virus. Hepatitis C can be a short-term illness, but
for most people, acute infection leads to chronic infection."[60] After this period has
lapsed, "the hepatitis C virus enters what is known as the 'chronic phase'. This is when
hepatitis C becomes a chronic of long-term infection."[61]
In this case, it is clear, as it is highly probable, that Rosales contracted the Hepatitis C
virus while he was on board the vessel. The incubation period or the time from the
moment of exposure to an infectious agent until signs and symptoms of the disease
appear for Hepatitis C ranges from two weeks to six months.[62] It should be pointed
out that Rosales boarded the vessel Queen Mary 2 on November 26, 2012[63] and that
he began complaining of abdominal muscle and joint pains on June 25, 2013, or more
than six months from the time he boarded the vessel.[64] Regardless of the phase or
stage of his illness at the time he consulted the physician on board and began
manifesting the symptoms of the illness, the chronology of the events leading to his
repatriation and his medical treatments in the Philippines coincide with the incubation
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