Document ID: chunk:federal_register_of_legislation:F2019L00007:reg:9:p1
Version: federal_register_of_legislation:F2019L00007
Segment Type: reg
Provision Reference: reg 9 (pt 1/4)
Character Range: 3626–6739

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 Dupuytren disease or death from Dupuytren disease with the circumstances of a person's relevant service:
(1)          smoking at least ten pack-years of cigarettes, or the equivalent thereof in other tobacco products, before the clinical onset of Dupuytren disease, and:
(a)          smoking commenced at least five years before the clinical onset of Dupuytren disease; and
(b)          where smoking has ceased, the clinical onset of Dupuytren disease 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.
(2)          consuming an average of at least 200 grams per week of alcohol, for at least five consecutive years within the ten years before the clinical onset of Dupuytren disease;
            Note: Alcohol consumption is calculated utilising the Australian Standard of ten grams of alcohol per standard alcoholic drink.
(3)          having alcohol use disorder at the time of the clinical onset of Dupuytren disease;
(4)          having cirrhosis of the liver or steatohepatitis before the clinical onset of Dupuytren disease;
(5)          having trauma to the hand, wrist or forearm of the affected side, within the one year before the clinical onset 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.
(6)          having a clinically significant infection involving the palmar surface of the affected hand, within the three months before the clinical onset of Dupuytren disease;
Note:  clinically significant infection involving the palmar surface of the affected hand is defined in the Schedule 1 - Dictionary.
(7)          for bilateral Dupuytren disease only:
(a)          having trauma to the hand, wrist or forearm before the clinical onset of Dupuytren disease, and where:
                (i)            Dupuytren disease first developed on the side affected by trauma; and
                (ii)         Dupuytren disease developed 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 onset of Dupuytren disease, and where:
                (i)            Dupuytren disease first developed on the side affected by the infection; and
                (ii)         Dupuytren disease developed in both hands within the three months following the infection;
               Note: clinically significant infection involving the