Document ID: chunk:federal_register_of_legislation:F2022L00009:reg:9:p1
Version: federal_register_of_legislation:F2022L00009
Segment Type: reg
Provision Reference: reg 9 (pt 1/2)
Character Range: 4079–6904

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, Graves disease or death from Graves disease is connected with the circumstances of a person's relevant service:
(1)          having iodine excess within the 3 months before the clinical onset of Graves disease;
             Note 1: Iodine excess may be due to consuming foods dietary supplements or medications with a high content of iodine.
Note 2: iodine excess is defined in the Schedule 1 - Dictionary.
(2)          taking a drug from the specified list of drugs within the 1 year before the clinical onset of Graves disease;
Note: specified list of drugs is defined in the Schedule 1 - Dictionary.
(3)          being treated with alemtuzumab or antithymocyte globulin within the 10 years before the clinical onset of Graves disease;
(4)          taking amiodarone for a continuous period of at least 6 weeks, within the 1 year before the clinical onset of Graves disease;
(5)          undergoing a course of therapeutic radiation for cancer, where the thyroid gland was in the field of radiation, within the 25 years before the clinical onset of Graves disease;
(6)          having received iodine-131 (radioactive iodine) for the treatment of nodular goitre within the 10 years before the clinical onset of Graves disease;
(7)          having smoked tobacco products:
(a)          in an amount of at least 5 pack-years before the clinical onset of Graves disease; and
(b)          if smoking has ceased before the clinical onset of Graves disease, then that onset occurred within 5 years of cessation;
Note: one pack-year is defined in the Schedule 1 - Dictionary.
(8)          being pregnant or within the 18 months postpartum at the time of the clinical onset of Graves disease;
(9)          having ethanol injection into the thyroid gland for the treatment of a thyroid adenoma within the 6 months before the clinical onset of Graves disease;
(10)      having trauma to the eye within the 6 months before the clinical onset of Graves disease;
Note: Trauma to the eye may include blunt or penetrating physical injury to the eye.
(11)      for Graves disease first presenting as thyrotoxic crisis only, having an acute precipitating event within the 48 hours before the clinical onset of Graves disease;
Note: acute precipitating event and thyrotoxic crisis are defined in the Schedule 1 – Dictionary.
(12)      having iodine excess within the 3 months before the clinical worsening of Graves disease;
             Note 1: Iodine excess may be due to consuming foods, dietary supplements or medications with a high content of iodine.
Note 2: iodine excess is defined in the Schedule 1 - Dictionary.
(13)      taking a drug from the specified list of drugs within the 1