Document ID: chunk:federal_register_of_legislation:F2022L01126:reg:9
Version: federal_register_of_legislation:F2022L01126
Segment Type: reg
Provision Reference: reg 9
Character Range: 4781–7080

9               Factors that must exist
At least one of the following factors must as a minimum exist before it can be said that a reasonable hypothesis has been raised connecting malignant neoplasm of the anus and anal canal or death from malignant neoplasm of the anus and anal canal with the circumstances of a person's relevant service:
(1)          having smoked tobacco products:
(a)          in an amount of at least 10 pack-years before the clinical onset of malignant neoplasm of the anus or anal canal; and
(b)          commencing at least 5 years before the clinical onset of malignant neoplasm of the anus or anal canal; and
         if smoking has ceased before the clinical onset of malignant neoplasm of the anus or anal canal, then that onset occurred within 20 years of cessation;
Note: one pack-year is defined in the Schedule 1 - Dictionary.
(2)          having infection of the epithelium of the anal canal with a specified human papilloma virus before the clinical onset of malignant neoplasm of the anus or anal canal;
Note: specified human papillomavirus is defined in the Schedule 1 – Dictionary.
(3)          having receptive anal intercourse at least 2 years before the clinical onset of malignant neoplasm of the anus or anal canal;
(4)          having infection with human immunodeficiency virus before the clinical onset of malignant neoplasm of the anus or anal canal;
(5)          taking an immunosuppressive drug for organ or tissue transplantation for at least the 1 year before the clinical onset of malignant neoplasm of the anus or anal canal;
Note: organ or tissue transplantation is defined in the Schedule 1 - Dictionary.
(6)          having perianal manifestations of Crohn disease for at least the 3 years before the clinical onset of malignant neoplasm of the anus or anal canal;
Note: perianal manifestations of Crohn disease is defined in the Schedule 1 - Dictionary.
(7)          having systemic lupus erythematosus for at least 3 years before the clinical onset of malignant neoplasm of the anus or anal canal;
(8)          having psoriasis for at least 3 years before the clinical onset of malignant neoplasm of the anus or anal canal;
(9)          inability to obtain appropriate clinical management for malignant neoplasm of the anus and anal canal.