Document ID: chunk:federal_register_of_legislation:F2022L01127:reg:9
Version: federal_register_of_legislation:F2022L01127
Segment Type: reg
Provision Reference: reg 9
Character Range: 4921–6967

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, malignant neoplasm of the anus and anal canal or death from malignant neoplasm of the anus and anal canal is connected with the circumstances of a person's relevant service:
(1)          having smoked tobacco products:
(a)          in an amount of at least 10 pack-years before the clinical onset of malignant neoplasm of the anus or anal canal; and
(b)          commencing at least 5 years before the clinical onset of malignant neoplasm of the anus or anal canal; and
         if smoking has ceased before the clinical onset of malignant neoplasm of the anus or anal canal, then that onset occurred within 20 years of cessation;
Note: one pack-year is defined in the Schedule 1 - Dictionary.
(2)          having infection of the epithelium of the anal canal with a specified human papillomavirus before the clinical onset of malignant neoplasm of the anus or anal canal;
            Note: specified human papillomavirus is defined in the Schedule 1 – Dictionary.
(3)          having receptive anal intercourse at least 2 years before the clinical onset of malignant neoplasm of the anus or anal canal;
(4)          having infection with human immunodeficiency virus before the clinical onset of malignant neoplasm of the anus or anal canal;
(5)          taking an immunosuppressive drug for organ or tissue transplantation for at least the 1 year before the clinical onset of malignant neoplasm of the anus or anal canal;
            Note: organ or tissue transplantation is defined in the Schedule 1 - Dictionary.
(6)          having perianal manifestations of Crohn disease for at least the 3 years before the clinical onset of malignant neoplasm of the anus or anal canal;
            Note: perianal manifestations of Crohn disease is defined in the Schedule 1 - Dictionary.
(7)          inability to obtain appropriate clinical management for malignant neoplasm of the anus and anal canal.