Document ID: chunk:federal_register_of_legislation:F2019L00240:reg:9
Version: federal_register_of_legislation:F2019L00240
Segment Type: reg
Provision Reference: reg 9
Character Range: 4963–7853

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 Alzheimer disease or death from Alzheimer disease with the circumstances of a person's relevant service:
(1)          having moderate to severe traumatic brain injury at least ten years before the clinical onset of Alzheimer disease;
(2)          smoking at least 20 pack-years of cigarettes, or the equivalent thereof in other tobacco products, before the clinical onset of Alzheimer disease, and where smoking has ceased, the clinical onset of Alzheimer disease has occurred within five years of cessation;
            Note: pack-years of cigarettes, or the equivalent thereof in other tobacco products is defined in the Schedule 1 - Dictionary.
(3)          undergoing a course of therapeutic radiation for cancer, where the brain was in the field of radiation, at least ten years before the clinical onset of Alzheimer disease;
(4)          having received a cumulative dose of at least ten microTesla-years of extremely low frequency electromagnetic field (ELF-EMF), at least ten years before the clinical onset of Alzheimer disease;
            Note: cumulative dose and extremely low frequency electromagnetic field (ELF-EMF) are defined in the Schedule 1 - Dictionary.
(5)          being obese for at least ten years before the clinical onset of Alzheimer disease;
Note: being obese is defined in the Schedule 1 - Dictionary.
(6)          having dyslipidaemia before the age of 65 years and at least ten years before the clinical onset of Alzheimer disease;
Note: dyslipidaemia is defined in the Schedule 1 - Dictionary.
(7)          having diabetes mellitus for at least the ten years before the clinical onset of Alzheimer disease;
(8)          having hypertension at least ten years before the clinical onset of Alzheimer disease;
(9)          having hyperhomocysteinaemia at least ten years before the clinical onset of Alzheimer disease;
Note: hyperhomocysteinaemia is defined in the Schedule 1 - Dictionary.
(10)      having major depressive disorder at least ten years before the clinical onset of Alzheimer disease;
(11)      having posttraumatic stress disorder at least ten years before the clinical onset of Alzheimer disease;
(12)      an inability to undertake any physical activity greater than three METs for at least five years, at least ten years before the clinical onset of Alzheimer disease;
Note: MET is defined in the Schedule 1 - Dictionary.
(13)      being treated with an anticholinergic drug from the specified list of anticholinergic drugs, at the time of the clinical worsening of Alzheimer disease;
Note: specified list of anticholinergic drugs is defined in the Schedule 1 – Dictionary.
(14)      inability to obtain appropriate clinical management for Alzheimer disease.