Document ID: chunk:federal_register_of_legislation:F2022C00909:front:0:p3
Version: federal_register_of_legislation:F2022C00909
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Character Range: 5968–8991

are defined in the Schedule 1 - Dictionary.
     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, inflammatory bowel disease or death from inflammatory bowel disease is connected with the circumstances of a person's relevant service:
(1)          taking a nonsteroidal anti-inflammatory drug on at least ten days per month, for a continuous period of at least two months before the clinical onset of inflammatory bowel disease and the last dose of the drug was taken within the 14 days before the clinical onset of inflammatory bowel disease;
(2)          taking an interferon or a tumour necrosis factor antagonist for at least the seven days before the clinical onset of inflammatory bowel disease;
(3)          taking an immune checkpoint inhibitor within the one year before the clinical onset of inflammatory bowel disease;
(4)          taking a combined oral contraceptive pill for a continuous period of at least one year before the clinical onset of inflammatory bowel disease and where taking the combined oral contraceptive pill has ceased, the clinical onset of inflammatory bowel disease has occurred within one year of cessation;
(5)          undergoing organ or tissue transplantation, excluding corneal transplant, before the clinical onset of inflammatory bowel disease;
            Note: organ or tissue transplantation is defined in the Schedule 1 - Dictionary.
(6)          for Crohn disease only, having smoked at least two pack-years of tobacco products before the clinical onset of Crohn disease, and where smoking has permanently ceased, the clinical onset of Crohn disease has occurred within four years of cessation;
            Note: one pack-year is defined in the Schedule 1 - Dictionary.
(7)          for ulcerative colitis only, in a person with a prior history of a regular smoking habit as specified, permanently ceasing to smoke between one and 20 years before the clinical onset of ulcerative colitis;
            Note: regular smoking habit as specified is defined in the Schedule 1 - Dictionary.
(8)          taking a drug from the specified list of drugs for at least the seven days before the clinical worsening of inflammatory bowel disease;
            Note: specified list of drugs is defined in the Schedule 1 - Dictionary.
(9)          taking an immune checkpoint inhibitor within the one year before the clinical worsening of inflammatory bowel disease;
(10)      taking a combined oral contraceptive pill for a continuous period of at least one year before the clinical worsening of inflammatory bowel disease and where taking the combined oral contraceptive pill has ceased, the clinical worsening of inflammatory bowel disease has occurred within one year of cessation;
(11)      undergoing organ or tissue transplantation, excluding corneal transplant, before the clinical worsening of inflammatory bowel disease;
            Note: organ or tissue transplantation is defined