Document ID: chunk:federal_register_of_legislation:F2022C00897:reg:9
Version: federal_register_of_legislation:F2022C00897
Segment Type: reg
Provision Reference: reg 9
Character Range: 5410–7378

9               Factors that must exist
At least one of the following factors must exist before it can be said that, on the balance of probabilities, chronic pancreatitis or death from chronic pancreatitis is connected with the circumstances of a person's relevant service:
(1)          having smoked at least 20 pack-years of tobacco products before the clinical onset of chronic pancreatitis, and where smoking has ceased, the clinical onset of chronic pancreatitis has occurred within ten years of cessation;
            Note: one pack-year is defined in the Schedule 1 - Dictionary.
(2)          having consumed a cumulative total of at least 90 kilograms of alcohol within any five year period before the clinical onset of chronic pancreatitis and where alcohol consumption has ceased, the clinical onset of chronic pancreatitis has occurred within five years of cessation;
Note: Alcohol consumption is calculated utilising the Australian Standard of ten grams of alcohol per standard alcoholic drink.
(3)          undergoing a course of therapeutic radiation for cancer, where the pancreas was in the field of radiation, at least two years before the clinical onset of chronic pancreatitis;
(4)          having complete or partial obstruction of the ductal system draining the secretions of the exocrine pancreas at the time of the clinical onset of chronic pancreatitis;
(5)          having cholelithiasis at the time of the clinical onset of chronic pancreatitis;
(6)          having hyperparathyroidism at the time of the clinical onset of chronic pancreatitis;
(7)          having hypertriglyceridaemia resulting in triglyceride levels above 11.3 millimoles per litre (or 1,000 milligrams per decilitre) at the time of the clinical onset of chronic pancreatitis;
(8)          having an episode of acute pancreatitis before the clinical onset of chronic pancreatitis;
(9)          inability to obtain appropriate clinical management for chronic pancreatitis.