Document ID: chunk:federal_register_of_legislation:F2020L00201:reg:8:p1
Version: federal_register_of_legislation:F2020L00201
Segment Type: reg
Provision Reference: reg 8 (pt 1/2)
Character Range: 3372–6403

8               Factors that must exist
At least one of the following factors must exist before it can be said that, on the balance of probabilities, osteonecrosis or death from osteonecrosis is connected with the circumstances of a person's relevant service:
(1)          experiencing blunt or penetrating trauma, including surgery, to the affected bone within the two years before the clinical onset of osteonecrosis;
(2)          having a fracture, dislocation of a joint or subluxation of a joint of the affected bone within the two years before the clinical onset of osteonecrosis;
(3)          smoking at least 20 pack-years of cigarettes, or the equivalent thereof in other tobacco products, before the clinical onset of osteonecrosis, and where smoking has ceased, the clinical onset of osteonecrosis has occurred within five years of cessation;
            Note: pack-years of cigarettes, or the equivalent thereof in other tobacco products is defined in the Schedule 1 - Dictionary.
(4)          consuming an average of at least 320 grams of alcohol per week, for at least six months within the one year before the clinical onset of osteonecrosis;
            Note: Alcohol consumption is calculated utilising the Australian Standard of ten grams of alcohol per standard alcoholic drink.
(5)          having a solid organ malignancy at the time of the clinical onset of osteonecrosis;
(6)          having an autoimmune disorder from the specified list of autoimmune disorders at the time of the clinical onset of osteonecrosis;
Note: specified list of autoimmune disorders is defined in the Schedule 1- Dictionary.
(7)          having a haematological disease from the specified list of haematological diseases at the time of the clinical onset of osteonecrosis;
            Note: specified list of haematological diseases is defined in the Schedule 1- Dictionary.
(8)          having a hypercoagulable state as specified at the time of the clinical onset of osteonecrosis;
Note: hypercoagulable state as specified is defined in the Schedule 1- Dictionary.
(9)          having chronic renal failure at least one year before the clinical onset of osteonecrosis;
Note: chronic renal failure is defined in the Schedule 1 – Dictionary.
(10)      having dyslipidaemia at the time of the clinical onset of osteonecrosis;
Note: dyslipidaemia is defined in the Schedule 1 – Dictionary.
(11)      having Cushing syndrome at the time of the clinical onset of osteonecrosis;
(12)      having infection with human immunodeficiency virus at the time of the clinical onset of osteonecrosis;
(13)      having a localised bacterial, viral or fungal infection at the affected site at the time of the clinical onset of osteonecrosis;
(14)      having osteomyelitis at the affected site at the time of the clinical onset of osteonecrosis;
(15)      having glucocorticoid therapy as specified, before the clinical onset of osteonecrosis, and where the glucocorticoid therapy as specified has ceased or decreased, the last dose of the therapy