Document ID: chunk:federal_register_of_legislation:F2020L00212:reg:9:p1
Version: federal_register_of_legislation:F2020L00212
Segment Type: reg
Provision Reference: reg 9 (pt 1/3)
Character Range: 3577–6529

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, acute pancreatitis or death from acute pancreatitis is connected with the circumstances of a person's relevant service:
(1)          smoking at least 15 pack-years of cigarettes, or the equivalent thereof in other tobacco products, before the clinical onset of acute pancreatitis, and where smoking has ceased, the clinical onset of acute pancreatitis has occurred within ten years of cessation;
            Note: pack-years of cigarettes, or the equivalent thereof in other tobacco products is defined in the Schedule 1 - Dictionary.
(2)          consuming an average of at least 420 grams of alcohol per week for at least the ten years before the clinical onset of acute pancreatitis;
            Note: Alcohol consumption is calculated utilising the Australian Standard of ten grams of alcohol per standard alcoholic drink.
(3)          having cholelithiasis at the time of the clinical onset of acute pancreatitis;
(4)          having biliary microlithiasis or biliary sludge at the time of the clinical onset of acute pancreatitis;
Note: biliary microlithiasis or biliary sludge is defined in the Schedule 1 - Dictionary.
(5)          having pancreatic outflow obstruction due to a disorder from the specified list at the time of the clinical onset of acute pancreatitis;
Note: pancreatic outflow obstruction is defined in the Schedule 1 - Dictionary.
(6)          having penetrating or major blunt trauma to the upper abdomen or to the back, within the seven days before the clinical onset of acute pancreatitis;
(7)          having a spinal cord injury within the seven days before the clinical onset of acute pancreatitis;
(8)          undergoing a procedure from the specified list of procedures, within the 30 days before the clinical onset of acute pancreatitis;
Note: specified list of procedures is defined in the Schedule 1 - Dictionary.
(9)          undergoing endoscopic retrograde cholangio-pancreatography, endoscopic sphincterotomy of the sphincter of Oddi, or manometry of the sphincter of Oddi within the seven days before the clinical onset of acute pancreatitis;
(10)      undergoing a course of peritoneal dialysis or haemodialysis for renal disease at the time of the clinical onset of acute pancreatitis;
(11)      having a solid organ transplant before the clinical onset of acute pancreatitis;
(12)      being treated with a drug or a drug from a class of drugs from the specified list of drugs, at the time of the clinical onset of acute pancreatitis;
Note: specified list of drugs is defined in the Schedule 1 - Dictionary.
(13)      being treated with a drug which is associated in the individual with:
(a)          the development of the symptoms or signs of acute pancreatitis within 30 days of commencing drug therapy; and
(b)          the cessation of the symptoms or