My fiance was provided a Refusal Letter on 03/15/2024 at the consulate in Nairobi that was very vague. He failed his medical exam due to an apparent use of Khat. It reads, "Your visa application has been refused under Section 221(g) of the Immigration and Nationality Act (INA). For our case to be considered further by an officer, please submit all the requested documents in the specific manner requested below. Some may be sent via DHL while others will be uploaded through the CEAC portal (see instruction sheets provided)."
There is a handwritten X beside "Medical Examination from Migration Health Assessment Center. To book an appointment at IOM in Nairobi:" No further guidance was verbally given to him which left us confused.
We would through time discover that IOM would randomly contact him to appear for drug testing over the next 12 months. He had to pay for the exams. During that time the consulate returned his passport which confused us even more. Finally after 12 months of drug testing IOM contacted him for another medical exam. Shortly after that the consulate sent a request for him to resubmit his passport by courier. As of 11/14/2025 we are in the process of doing so.
He advised that his consulate appointment wasn't bad. Just that no cell phones were allowed so he had to rent a box to store it outside. It just would have been helpful to have received more verbal information from the officer during his interview, but I guess that is exactly the point...to keep you confused so maybe you might give up and drop off. Occasionally between drug screenings he would have to call IOM to make sure they had submitted his results. A few times they had not which delayed his case status from being updated on the CEAC website. We noticed tha whenever he took a drug text, the site would update his case status date indicating that his record had been reviewed.
Consulate / USCIS Member Review #33839
Review on November 15, 2025:
