Document ID: chunk:federal_register_of_legislation:F2019L00888:reg:9
Version: federal_register_of_legislation:F2019L00888
Segment Type: reg
Provision Reference: reg 9
Character Range: 4053–5676

9               Factors that must exist
At least one of the following factors must as a minimum exist before it can be said that a reasonable hypothesis has been raised connecting strongyloidiasis or death from strongyloidiasis with the circumstances of a person's relevant service:
(1)          being a prisoner of war before the clinical onset of strongyloidiasis;
(2)          having cutaneous or mucosal contact with Strongyloides stercoralis roundworm larvae before the clinical onset of strongyloidiasis;
             Note 1:  Contact with Strongyloides stercoralis is most likely to occur from ingestion of, or skin contact with, moist soil, sediment or mud contaminated with human or animal faeces, most frequently in warm and damp conditions, where facilities for the hygienic disposal of human waste are minimal.
             Note 2:  Examples of activities involving contact with contaminated moist soil, sediment or mud contaminated with human or animal faeces include, but are not limited to, walking barefoot, farming, mining and tunnelling.
(3)          having a solid organ transplant, where the organ is infected with Strongyloides stercoralis, within the one year before the clinical onset of strongyloidiasis;
(4)          being in an immunocompromised state as specified at the time of the clinical worsening of strongyloidiasis;
Note: immunocompromised state as specified is defined in the Schedule 1 – Dictionary.
(5)          having alcohol use disorder at the time of the clinical worsening of strongyloidiasis;
(6)          inability to obtain appropriate clinical management for strongyloidiasis.