Document ID: chunk:federal_register_of_legislation:F2024L00488:reg:9
Version: federal_register_of_legislation:F2024L00488
Segment Type: reg
Provision Reference: reg 9
Character Range: 4475–6007

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, malignant neoplasm of the gallbladder or death from malignant neoplasm of the gallbladder is connected with the circumstances of a person's relevant service:
(1)          having cholelithiasis before clinical onset;
(2)          having a chronic biliary infection of Salmonella typhi or Salmonella paratyphi detected on at least 2 separate occasions, at least a month apart, and within 2 years before clinical onset;
Note: A biliary infection by Salmonella can be ascertained by detection of specific antibodies in serum or detection of Salmonella sp. in stool samples.
(3)          having primary sclerosing cholangitis before clinical onset;
Note: primary sclerosing cholangitis is defined in the Schedule 1 – Dictionary.
(4)          having had an intravascular injection of Thorotrast (thorium dioxide) before clinical onset;
(5)          being obese for at least 10 years within the 20 years before clinical onset;
Note: being obese is defined in the Schedule 1 – Dictionary.
(6)          having diabetes mellitus for at least 10 years before clinical onset;
(7)          having chronic infection with hepatitis B or C virus before clinical onset;
Note: chronic infection with hepatitis B or C virus is defined in the Schedule 1 - Dictionary.
(8)          inability to obtain appropriate clinical management for malignant neoplasm of the gallbladder before clinical worsening.