Statement of Principles concerning acute sinusitis No. 209 of 1995 (Cth)
Statement of Principles
Concerning
ACUTE SINUSITIS
Instrument No. 209 of 1995 as amended
made under section 196B(2) of the
Veterans’ Entitlements Act 1986
This compilation was prepared on 27 November 2007 taking into account Amendment of Statement of Principles concerning acute sinusitis (Instrument No. 328 of 1995)
Prepared by the Repatriation Medical Authority Secretariat, Brisbane.
Statement of Principles
concerning
ACUTE SINUSITIS
ICD CODE: 461
Veterans’ Entitlements Act 1986
subsection 196B(2)
1. Being of the view that there is sound medical-scientific evidence that indicates that acute sinusitis and death from acute sinusitis can be related to operational service rendered by veterans, peacekeeping service rendered by members of Peacekeeping Forces and hazardous service rendered by members of the Forces, the Repatriation Medical Authority determines, under subsection 196B(2) of the Veterans’ Entitlements Act1986 (the Act), that the factors that must as a minimum exist before it can be said that a reasonable hypothesis has been raised connecting acute sinusitis or death from acute sinusitis with the circumstances of that service, are:
(a) suffering from a viral respiratory tract infection immediately before the clinical onset of acute sinusitis; or
(b) being infected with HIV before the clinical onset of acute sinusitis; or
(c) being in an immuno-compromised state before the clinical onset of acute sinusitis; or
(d) being intubated with a nasal tracheal or nasal gastric tube for more than 48 hours immediately before the clinical onset of acute sinusitis; or
(e) suffering from head trauma involving the paranasal sinuses immediately before the clinical onset of acute sinusitis; or
(ea) suffering from sinus barotrauma immediately before the clinical onset of acute sinusitis; or
(f) inability to obtain appropriate clinical management for the acute sinusitis.
2. Subject to clause 3 (below) at least one of the factors set out in paragraphs 1(a) to 1(f) must be related to any service rendered by a person.
3. The factor set out in paragraph 1(f) applies only where:
(a) the person's acute sinusitis developed before a period, or part of a period, of service to which the factor related; and
(b) the relationship suggested between the acute sinusitis and the particular service of a person is a relationship set out in paragraph 8(1)(e), 9(1)(e), 70(5)(d) or 70(5A)(d) of the Act.
4. For the purposes of this Statement of Principles:
“acute sinusitis” means an inflammation of the paranasal sinuses lasting for three months or less, due to a viral, bacterial or fungal infection of the sinus, attracting ICD code 461;
“being infected with HIV ” means serological evidence of infection with Human Immunodeficiency Virus, attracting ICD codes in the range 42-44;
“ICD code” means a number assigned to a particular kind of injury or disease in the tenth edition of the International Classification of Diseases 9th Revision, effective date of 1 October 1993, copyrighted by the US Commission on Professional and Hospital Activities, and having the Library of Congress number 77-94472;
“immuno-compromised state” means a state where the immune response has been attenuated by administration of immunosuppressive drugs, or by irradiation, certain types of infection, malnutrition, or a malignant disease process;
“sinus barotrauma” (also known as aerosinusitis or barosinusitis) means fluid accumulation and inflammation of the mucosa of one or more paranasal sinuses due to an inability to equilibrate the difference in pressure between the surrounding atmosphere and the air within the sinus cavity, causing clinical symptoms of sinus pain, sinus haemorrhage or x-ray changes to the sinus cavity, attracting ICD code 993.1;
“viral respiratory tract infection” means an acute infection of the respiratory epithelium by a range of viruses including rhinovirus, coronavirus, influenza virus, causing such illnesses as the common cold, laryngotracheobronchitis, tracheitis, bronchitis and pneumonia.
Notes to Statement of Principles concerning ACUTE SINUSITIS (Instrument No. 209 of 1995)
The Statement of Principles concerning (Instrument No. 209 of 1995) in force under section 196B(2) of the Veterans’ Entitlements Act 1986, as shown in this compilation is amended as indicated in the Tables below.
Table of Instruments
| Title | Date of notification | Date of | Application, saving or |
| Statement of Principles concerning acute sinusitis (Instrument No. 209 of 1995) | 7 June 1995 (see Gazette 1995, No. GN22) | 7 June 1995 | |
| Amendment of Statement of Principles concerning acute sinusitis (Instrument No. 328 of 1995) | 6 September 1995 (see Gazette 1995, No. GN35) | 6 September 1995 |
Table of Amendments
| ad. = added or inserted am. = amended rep. = repealed rs. = repealed and substituted | ||
| Provision affected | How affected | |
| Paragraph 1(ea) – ‘suffering from sinus barotrauma immediately before the clinical onset of acute sinusitis; or’ | ad. Instrument No.328 of 1995 | |
| Paragraph 4 – ‘ “sinus barotrauma” (also know as aerosinusitis or barosinusitis) means fluid accumulation and inflammation of the mucosa of one or more paranasal sinuses due to an inability to equilibrate the difference in pressure between the surrounding atmosphere and the air within the sinus cavity, causing clinical symptoms of sinus pain, sinus haemorrhage or x-ray changes to the sinus cavity, attracting ICD code 993.1;’ | ad. Instrument No.328 of 1995 | |
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