Statement of Principles concerning mesangial IgA glomerulonephritis No. 64 of 2001 (Cth)
Instrument No.64 of 2001
Determination
of
Statement of Principles
concerning
MESANGIAL IGA GLOMERULONEPHRITIS
Veterans’ Entitlements Act 1986
This Statement of Principles is determined by the Repatriation Medical Authority under subsection 196B(3) of the Veterans’ Entitlements Act 1986 (the Act).
Kind of injury, disease or death
(a) This Statement of Principles is about mesangial IgA glomerulonephritis and death from mesangial IgA glomerulonephritis.
(b)For the purposes of this Statement of Principles, “mesangial IgA glomerulonephritis” means a disease of the kidneys characterised by a predominance of immunohistologically proven IgA deposits in the renal mesangium and recurring and intermittent episodes of haematuria or proteinuria. This definition includes primary mesangial IgA glomerulonephritis and secondary mesangial IgA glomerulonephritis.
Basis for determining the factors
On the sound medical-scientific evidence available, the Repatriation Medical Authority is of the view that it is more probable than not that mesangial IgA glomerulonephritis and death from mesangial IgA glomerulonephritis can be related to relevant service rendered by veterans or members of the Forces.
Factors that must be related to service
Subject to clause 6, at least one of the factors set out in clause 5 must be related to any relevant service rendered by the person.
Factors
The factors that must exist before it can be said mesangial IgA glomerulonephritis or death from mesangial IgA glomerulonephritis that, on the balance of probabilities, are connected with the circumstances of a person’s relevant service are:
(a)for secondary mesangial IgA glomerulonephritis only, suffering from cirrhosis of the liver at the time of the clinical onset of mesangial IgA glomerulonephritis; or
(b)for secondary mesangial IgA glomerulonephritis only, suffering from Schonlein-Henoch purpura at the time of the clinical onset of mesangial IgA glomerulonephritis; or
(c)inability to obtain appropriate clinical management for mesangial IgA glomerulonephritis.
Factors that apply only to material contribution or aggravation
Paragraph 5(c) applies only to material contribution to, or aggravation of, mesangial IgA glomerulonephritis where the person’s mesangial IgA glomerulonephritis was suffered or contracted before or during (but not arising out of) the person’s relevant service; paragraph 8(1)(e), 9(1)(e) or 70(5)(d) of the Act refers.
Inclusion of Statements of Principles
In this Statement of Principles if a relevant factor applies and that factor includes an injury or disease in respect of which there is a Statement of Principles then the factors in that last mentioned Statement of Principles apply in accordance with the terms of that Statement of Principles.
Other definitions
For the purposes of this Statement of Principles:
“cirrhosis of the liver” means a pathologically defined entity involving irreversible chronic injury of the hepatic parenchyma and includes extensive fibrosis in association with regenerative nodules;
“death from mesangial IgA glomerulonephritis” in relation to a person includes death from a terminal event or condition that was contributed to by the person’s mesangial IgA glomerulonephritis;
“ICD-10-AM code” means a number assigned to a particular kind of injury or disease in The International Statistical Classification of Diseases and Related Health Problems, 10th revision, Australian Modification (ICD-10-AM), Second Edition, effective date of 1 July 2000, copyrighted by the National Centre for Classification in Health, Sydney, NSW, and having ISBN 1 86487 271 3;
“primary mesangial IgA glomerulonephritis” means predominant IgA mesangial deposits in the absence of clinical or laboratory evidence of any other associated systemic disease, and is also known as Berger's disease or idiopathic IgA nephropathy;
“relevant service” means:
(a) eligible war service (other than operational service); or
(b) defence service (other than hazardous service);
“Schonlein-Henoch purpura” means a systemic vasculitis affecting small calibre vessels, causing a characteristic clinical syndrome of vascular purpura in the lower limbs, abdominal pain, joint pain and nephritis;
“secondary mesangial IgA glomerulonephritis” means predominant IgA mesangial deposits in the presence of clinical or laboratory evidence of any other associated systemic disease;
“terminal event” means the proximate or ultimate cause of death and includes:
(a) pneumonia;
(b) respiratory failure;
(c) cardiac arrest;
(d) circulatory failure; or
(e) cessation of brain function;
Dated this Fourteenth day of August 2001
The Common Seal of the )
Repatriation Medical Authority )
was affixed to this instrument )
in the presence of )
KEN DONALD
CHAIRMAN
0
0
0