Document ID: chunk:federal_register_of_legislation:F2022C00580:front:0:p3
Version: federal_register_of_legislation:F2022C00580
Segment Type: other
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Character Range: 5905–9136

– Dictionary.
     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 hypopituitarism or death from hypopituitarism with the circumstances of a person's relevant service:
(1)          having an autoimmune disorder involving the pituitary gland at the time of the clinical onset of hypopituitarism;
(2)          having a disorder from the specified list of infiltrative, inflammatory or granulomatous disorders, involving the pituitary gland or hypothalamus, at the time of the clinical onset of hypopituitarism;
            Note: specified list of infiltrative, inflammatory or granulomatous disorders is defined in the Schedule 1 - Dictionary.
(3)          having infection with human immunodeficiency virus before the clinical onset of hypopituitarism;
(4)          having a viral, bacterial, fungal or protozoal infection of the pituitary gland, hypothalamus, brain or cerebral meninges, within the five years before the clinical onset of hypopituitarism;
(5)          having Hantavirus haemorrhagic fever with renal syndrome within the five years before the clinical onset of hypopituitarism;
Note: Hantavirus haemorrhagic fever with renal syndrome is defined in the Schedule 1 - Dictionary.
(6)          having moderate to severe traumatic brain injury within the ten years before the clinical onset of hypopituitarism;
(7)          having concussion within the five years before the clinical onset of hypopituitarism;
(8)          participating in a high impact contact activity involving blows to the head:
(a)        on at least 50 occasions within a continuous period of 20 years; and
(b)        where the first occasion occurred at least five years before the clinical onset of hypopituitarism;
            Note: blows to the head and high impact contact activity are defined in the Schedule 1 - Dictionary.
(9)          having a subarachnoid haemorrhage within the ten years before the clinical onset of hypopituitarism;
(10)      having haemorrhage or ischaemia involving the pituitary gland or hypothalamus within the ten years before the clinical onset of hypopituitarism;
            Note: Haemorrhage or ischaemia of the pituitary gland includes pituitary apoplexy.
(11)      having severe peripartum or postpartum haemorrhage before the clinical onset of hypopituitarism;
(12)      having cerebral oedema from diabetic ketoacidosis within the five years before the clinical onset of hypopituitarism;
(13)      having surgery involving the pituitary gland, or intracranial surgery, within the ten years before the clinical onset of hypopituitarism;
(14)      undergoing a course of therapeutic radiation for cancer, where the pituitary or hypothalamus was in the field of radiation, before the clinical onset of hypopituitarism;
(15)      having a space occupying lesion that involves, or impinges on, the pituitary gland or hypothalamus at the time of the clinical onset of hypopituitarism;
(16)      taking an immune checkpoint inhibitor or an interferon within the one year before the clinical onset of hypopituitarism;
            Note: immune checkpoint inhibitor is defined in the