Document ID: chunk:federal_register_of_legislation:F2024L01051:front:0:p2
Version: federal_register_of_legislation:F2024L01051
Segment Type: other
Provision Reference: 
Character Range: 2850–5844

the person's ingrown nail.
Note: terminal event is defined in the Schedule 1 – Dictionary.
 1.                Basis for determining the factors
The Repatriation Medical Authority is of the view that there is sound medical-scientific evidence that indicates that ingrown nail and death from ingrown nail can be related to relevant service rendered by veterans, members of Peacekeeping Forces, or members of the Forces under the VEA, or members under the MRCA.
Note: MRCA, relevant service and VEA are defined in the Schedule 1 – Dictionary.
 1.                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 ingrown nail or death from ingrown nail with the circumstances of a person's relevant service:
 1.           having an acquired deformity of the affected digit which causes the nail to be pushed into the proximate soft tissue at the time of clinical onset;
Note:  Examples of such a deformity include, but are not limited to hallux valgus, subungual exostosis, or deformity caused by systemic disease.
 1.           having an injury to the affected nail or the affected nail bed, within the 6 months before clinical onset or clinical worsening;
 2.           being treated with;
         1.           an oral retinoid;
         2.           indinavir;
         3.           an epidermal growth factor inhibitor;
         4.           cyclosporine (cyclosporin);
within the 6 months before clinical onset or clinical worsening;
 1.           having excessive trimming of the affected toenail or rounding the corners of the affected toenail rather than cutting the nail straight across the top within 14 days before clinical onset or clinical worsening;
 2.           wearing footwear that causes compression of the toes or pressure on the affected toenail. This includes but is not limited to footwear that is too narrow or too short, or has inadequate depth in the toe box on the affected foot, for at least 8 hours within the 4 weeks before clinical onset or clinical worsening;
 3.           having hyperhidrosis affecting the feet within the 7 days before the clinical onset or clinical worsening;
 4.           having  an inability to regularly wash feet or socks within the 7 days before clinical worsening;
 5.           having diabetes mellitus at the time of clinical onset or clinical worsening;
 6.           having a fungal infection involving the affected nail within the 1 year before clinical onset or clinical worsening;
 7.       inability to obtain appropriate clinical management for ingrown nail before clinical worsening.
 1.            Relationship to service
         1.           The existence in a person of any factor referred to in section 9, must be related to the relevant service rendered by the person.
         2.           The clinical worsening aspect of factors set out in section 9 apply only to material contribution to, or aggravation