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obtained his treatment.[76] Moreover, since petitioner's prostatitis was shown to have
been treated in 2011 with no indication that he was required to undergo further
medical attention or maintenance medication for the same, he cannot be faulted into
believing that he was completely cured and no longer suffering from said illness. This is
further bolstered by the fact that he was rehired by respondents the following year in
2012 and no longer found to be suffering from prostatitis during his PEME. Evidently,
petitioner's non-disclosure of the same in his PEME in 2013 did not amount to willful
concealment of vital information and he was in fact, truthful in answering "no" to the
query on whether or not he was "suffering" from any medical condition likely to be
aggravated by sea service or render him unfit for such service on board the vessel.
Be that as it may, the CA is nevertheless correct in holding that petitioner's illnesses,
Cystitis with Cystolithiases and BPH, were not work-related, hence, not compensable.
Section 20 (A) of the 2010 POEA-SEC is explicit that the employer is liable for disability
benefits only when the seafarer suffers from a work-related injury or illness during the
term of his contract. Thus, work-relation must be established. As a general rule, the
principle of work-relation requires that the disease in question must be one of those
listed as an occupational disease under Section 32-A thereof. Nevertheless, should it
not be classified as occupational in nature, Section 20 (A) paragraph 4[77] thereof
provides that such diseases are disputably presumed as work-related. However, the
presumption does not necessarily result in an automatic grant of disability
compensation. The claimant still has the burden to present substantial evidence that
his work conditions caused or at least increased the risk of contracting the illness.[78]
In this case, records reveal that petitioner was repatriated after having been diagnosed
with prostatitis. Prostatitis is the swelling and inflammation of the prostate gland[79]
and among its risk factors are: (a) a catheter or other instrument recently placed in the
urethra, (b) an abnormality found in the urinary tract, or (c) a recent bladder infection.
Upon further examination, the company-designated physician found petitioner to have
cystitis, or inflammation of the bladder, which is commonly caused by a bacterial
infection known as urinary tract infection (UTI),[80] and BPH, an enlargement of the
prostate gland that is common among aging men[81] which can block the flow of urine
out of the bladder and cause bladder, urinary tract or kidney problems.[82] Although the
foregoing illnesses became manifest only while petitioner was on board the vessel, such
circumstance alone is not sufficient to entitle him to disability benefits. It bears
stressing that for a disability to be compensable, the seafarer must show a reasonable
link between his work and his illness in order for a rational mind to determine that such
work contributed to, or at least aggravated, his illness. It is not enough that the
seafarer's injury or illness rendered him disabled; rather, he should be able to establish
a causal connection between his injury or illness, and the work for which he is engaged.
[83]
Here, petitioner's general averments that he was exposed to stressful demands of his
duties and responsibilities and subjected to hazardous condition of his station are mere
allegations couched in conjectures. There was no evidence presented to establish how
and why petitioner's working conditions increased the risk of contracting his illness. In
the absence of substantial evidence, the Court cannot just presume that petitioner's job
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