Document ID: chunk:federal_register_of_legislation:F2019L00007:reg:9:p3
Version: federal_register_of_legislation:F2019L00007
Segment Type: reg
Provision Reference: reg 9 (pt 3/4)
Character Range: 9279–12458

the ten years before the clinical worsening of Dupuytren disease;
            Note: Alcohol consumption is calculated utilising the Australian Standard of ten grams of alcohol per standard alcoholic drink.
(16)      having alcohol use disorder at the time of the clinical worsening of Dupuytren disease;
(17)      having cirrhosis of the liver or steatohepatitis before the clinical worsening of Dupuytren disease;
(18)      having trauma to the hand, wrist or forearm of the affected side, within the one year before the clinical worsening of Dupuytren disease;
Note 1: trauma is defined in the Schedule 1 - Dictionary.
            Note 2: Examples of trauma include, but are not limited to, laceration, sprain or crush injury, fracture or surgery, and a thermal, electrical or chemical burn.
(19)      having a clinically significant infection involving the palmar surface of the affected hand, within the three months before the clinical worsening of Dupuytren disease;
Note:  clinically significant infection involving the palmar surface of the affected hand is defined in the Schedule 1 - Dictionary.
(20)      for bilateral Dupuytren disease only:
(a)          having trauma to the hand, wrist or forearm before the clinical worsening of Dupuytren disease, and where:
                (i)            Dupuytren disease first worsened on the side affected by trauma; and
                (ii)         Dupuytren disease worsened in both hands within the one year following the trauma; or
Note 1: trauma is defined in the Schedule 1 - Dictionary.
                Note 2: Examples of trauma include, but are not limited to, laceration, sprain or crush injury, fracture or surgery, and a thermal, electrical or chemical burn.
(b)          having a clinically significant infection involving the palmar surface of the affected hand before the clinical  worsening of Dupuytren disease, and where:
                (i)            Dupuytren disease first worsened on the side affected by the infection; and
                (ii)         Dupuytren disease worsened in both hands within the three months following the infection;
               Note: clinically significant infection involving the palmar surface of the affected hand is defined in the Schedule 1 - Dictionary.
(21)      performing any combination of:
(a)          repetitive, strenuous or forceful activities using the affected hand; or
(b)          activities using a hand-held, vibrating or percussive tool in the affected hand;
for a cumulative period of at least 10 000 hours before the clinical worsening of Dupuytren disease, and where these activities have ceased, the clinical worsening of Dupuytren disease has occurred within five years of cessation;
            Note 1: Examples of repetitive, strenuous or forceful activities include, but are not limited to, handling, lifting, moving or carrying a load greater than ten kilograms; using large, hand-held power machinery; lifting, digging or shovelling; and participating in sports involving repetitive, strenuous or forceful activities such as tennis, rock climbing, hockey or baseball.
            Note 2: Examples of a hand-held, vibrating or percussive tool