Statement of Principles concerning acute sinusitis No. 210 of 1995

Administered by Department of Veterans' Affairs

Legislation au F2008B00010 Not in force Legislative Instrument

Legislation content

 

Statement of Principles

Concerning

 

ACUTE SINUSITIS

Instrument No. 210 of 1995 as amended

made under section 196B(3) 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. 329 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(3)

1. Being of the view that on the sound medical-scientific evidence available to the Repatriation Medical Authority, it is more probable than not that acute sinusitis and death from acute sinusitis can be related to eligible war service (other than operational service) rendered by veterans and defence service (other than hazardous service) rendered by members of the Forces, the Repatriation Medical Authority determines, under subsection 196B(3) of the Veterans’ Entitlements Act 1986 (the Act), that the factors that must exist before it can be said that, on the balance of probabilities, acute sinusitis or death from acute sinusitis is connected 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 is 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) or 70(5)(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. 210 of 1995)

The Statement of Principles concerning  (Instrument No. 210 of 1995) in force under section 196B(3) 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
in Gazette or FRLI registration

Date of
commencement

Application, saving or
transitional provisions

Statement of Principles concerning acute sinusitis (Instrument No. 210 of 1995)

7 June 1995

(see Gazette 1995, No. GN22)

7 June 1995

 

Amendment of Statement of Principles concerning acute sinusitis  (Instrument No. 329 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.329 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.329 of 1995

 

 

Overview

The Statement of Principles Concerning Acute Sinusitis Instrument No. 210 of 1995, as amended, was enacted under section 196B(3) of the Veterans’ Entitlements Act 1986 to address the issue of determining the connection between acute sinusitis or death from acute sinusitis and the service rendered by veterans and members of the forces. The Repatriation Medical Authority, established by the Act, is the enacting body responsible for determining the requisite factors that must exist before it can be said that acute sinusitis or death from acute sinusitis is connected with the circumstances of eligible war service or defence service rendered by veterans and members of the forces. The policy objective of this legislative instrument is to provide a framework for assessing the likelihood of a causal relationship between acute sinusitis and the service in question, thereby facilitating the provision of appropriate entitlements and benefits to affected individuals. This legislative instrument specifies certain factors that must exist for a connection to be established between acute sinusitis and the relevant service. These factors include suffering from a viral respiratory tract infection, being infected with HIV, being in an immuno-compromised state, being intubated with a nasal tracheal or nasal gastric tube for more than 48 hours, suffering from head trauma involving the paranasal sinuses, suffering from sinus barotrauma, or being unable to obtain appropriate clinical management for the acute sinusitis. The determination of these factors is essential in assessing the entitlement to benefits and compensation for veterans and members of the forces who have developed acute sinusitis or died from the condition as a result of their service.

Scope and Application

The Statement of Principles concerning Acute Sinusitis, as outlined in Instrument No. 210 of 1995 and amended by Instrument No. 329 of 1995, applies to veterans and members of the Australian Defence Forces who have rendered eligible war service or defence service, respectively. It specifically pertains to cases where acute sinusitis or death from acute sinusitis can be linked to these services. The factors necessitating such a connection include suffering from a viral respiratory tract infection, being infected with HIV, being in an immuno-compromised state, being intubated with a nasal tracheal or nasal gastric tube for more than 48 hours, suffering from head trauma involving the paranasal sinuses, suffering from sinus barotrauma, or the inability to obtain appropriate clinical management for the condition. The Statement of Principles is administered under the Veterans’ Entitlements Act 1986 and is applicable nationally across Australia. The Act extends its reach to veterans and Defence Force members who meet the criteria set forth, providing them with potential entitlements related to their service-connected acute sinusitis. The application of the Act is subject to amendment through subordinate instruments, as evidenced by the amendments listed in the Tables of Instruments and Amendments.

Key Provisions

The Statement of Principles Concerning Acute Sinusitis, as outlined in Instrument No. 210 of 1995, sets out the criteria that must be met for acute sinusitis or death from acute sinusitis to be considered connected to eligible war service or defence service under the Veterans’ Entitlements Act 1986 (section 196B(3)). According to this instrument, for a connection to be established, there must be a specific factor present before the clinical onset of acute sinusitis, such as a viral respiratory tract infection, HIV infection, being in an immuno-compromised state, intubation with a nasal tracheal or nasal gastric tube for more than 48 hours, head trauma involving the paranasal sinuses, or sinus barotrauma (section 1(a)-(f)). Additionally, if the inability to obtain appropriate clinical management for acute sinusitis is a factor, it must have developed before the service in question, and the relationship between the sinusitis and the service must be specified in the Act (section 3). Under this legislation, parties must demonstrate that at least one of the specified factors was present and related to the service rendered. This requirement ensures that the connection between the service and the acute sinusitis is substantiated by medical evidence and documented circumstances (section 1). The Repatriation Medical Authority is responsible for evaluating the evidence and determining the existence of these factors. Medical evidence and documentation are crucial in substantiating the claims made by veterans and members of the Forces. Breach of the obligations set out in this legislation can result in civil and criminal consequences. While specific offences and penalties are not detailed in the Statement of Principles itself, any misrepresentation or fraudulent claims made in relation to the entitlements provided under the Veterans’ Entitlements Act 1986 can lead to penalties under other sections of the Act. These can include fines and imprisonment, depending on the severity of the offence. The precise penalties would be governed by the relevant sections of the Veterans’ Entitlements Act 1986 and other applicable laws.

Legal classification tags

Area of Law
Veterans’ Law
Instrument
Legislative Instrument
Concepts
Definitions & Interpretation
Reporting & Disclosure Obligations
Regulatory Standards

Interactions

Authorises

All Versions

Sourced from the Federal Register of Legislation at 26 August 2026. For the latest information on Australian Government law please go to https://www.legislation.gov.au.