Document ID: chunk:federal_register_of_legislation:F2018L00195:reg:9
Version: federal_register_of_legislation:F2018L00195
Segment Type: reg
Provision Reference: reg 9
Character Range: 4425–6659

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, systemic sclerosis or death from systemic sclerosis is connected with the circumstances of a person's relevant service:
(1)          inhaling respirable crystalline silica dust, at the time material containing crystalline silica was being:

(a)          produced;
(b)          excavated;
(c)          drilled, cut or ground; or
(d)          used in construction, manufacturing, cleaning or blasting,

         for a cumulative period of at least 5 000 hours before the clinical onset of systemic sclerosis;
(2)          being treated with bleomycin at the time of the clinical onset of systemic sclerosis;

(3)          inhaling, ingesting or having cutaneous contact with trichloroethylene for a cumulative period of at least 5 000 hours within a period of ten consecutive years, before the clinical onset of systemic sclerosis;

(4)          inhaling respirable crystalline silica dust, at the time material containing crystalline silica was being:

(a)          produced;
(b)          excavated;
(c)          drilled, cut or ground; or
(d)          used in construction, manufacturing, cleaning or blasting,

         for a cumulative period of at least 5 000 hours before the clinical worsening of systemic sclerosis;
(5)          being treated with bleomycin at the time of the clinical worsening of systemic sclerosis;

(6)          inhaling, ingesting or having cutaneous contact with trichloroethylene for a cumulative period of at least 5 000 hours within a period of ten consecutive years, before the clinical worsening of systemic sclerosis;

(7)          for clinical worsening of systemic sclerosis manifesting as scleroderma renal crisis only, being treated with 15 milligrams or more per day of prednisone, or equivalent oral glucocorticoid therapy, for a period of at least four weeks within the six months before the clinical worsening of systemic sclerosis;

Note: equivalent oral glucocorticoid therapy and scleroderma renal crisis are defined in the Schedule 1 - Dictionary.
(8)          inability to obtain appropriate clinical management for systemic sclerosis.