Statement of Principles concerning dengue fever No. 16 of 2001

Administered by Department of Veterans' Affairs

Legislation au F2005B01695 Not in force Legislative Instrument

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Instrument No.16 of 2001

 

Revocation and Determination

of

Statement of Principles

concerning

 

DENGUE FEVER

 

ICD-10-AM CODES: A90, A91

 

Veterans’ Entitlements Act 1986

 

 

1. The Repatriation Medical Authority under subsection 196B(3) of the Veterans’ Entitlements Act 1986 (the Act):

 

(a)               revokes Instrument No.140 of 1995; and

 

(b) determines in its place the following Statement of Principles.

 

Kind of injury, disease or death

2. (a) This Statement of Principles is about dengue fever and death from dengue fever.

 

(b)              For the purposes of this Statement of Principles, “dengue fever” means a clinical illness due to:

(i)                a viral infection due to dengue viruses types 1, 2, 3, or 4, or

(ii)              dengue haemorrhagic fever,

attracting ICD-10-AM code A90 or A91.

 

Basis for determining the factors

3. On the sound medical-scientific evidence available, the Repatriation Medical Authority is of the view that it is more probable than not that dengue fever and death from dengue fever can be related to relevant service rendered by veterans or members of the Forces.

 

Factors that must be related to service

4. 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

5. The factors that must exist before it can be said that, on the balance of probabilities, dengue fever or death from dengue fever is connected with the circumstances of a person’s relevant service are:

 

(a) being infected with dengue viruses types 1, 2, 3, or 4 within the 14 days immediately before the clinical onset of dengue fever; or

 

(b)              for dengue haemorrhagic fever only, being infected with dengue viruses types 1, 2, 3, or 4 within the 20 years immediately before the clinical onset of dengue fever; or

 

(c) inability to obtain appropriate clinical management for dengue fever.

 

Factors that apply only to material contribution or aggravation

6. Paragraph 5(c) applies only to material contribution to, or aggravation of, dengue fever where the person’s dengue fever 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

7. 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

8. For the purposes of this Statement of Principles:

 

“death from dengue fever” in relation to a person includes death from a terminal event or condition that was contributed to by the person’s dengue fever;

 

“dengue haemorrhagic fever” means a complication of infection with dengue virus that is characterised by high fever, and haemorrhagic phenomena.  The pathophysiological changes underlying the condition are an increased vascular permeability and disordered haemostasis;

 

“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;

 

“relevant service” means:

 

(a) eligible war service (other than operational service); or

(b) defence service (other than hazardous service);

 

“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.

 

Application

9. This Instrument applies to all matters to which section 120B of the Act applied.

 

 

Dated this  Twenty-second  day of     February   2001

 

 

The Common Seal of the    )

Repatriation Medical Authority   )

was affixed to this instrument  )

in the presence of:    )

KEN DONALD

CHAIRMAN

Overview

The Repatriation Medical Authority, under subsection 196B(3) of the Veterans' Entitlements Act 1986, has revoked Instrument No.140 of 1995 and determined a new Statement of Principles concerning dengue fever. The purpose of this legislative instrument is to address the medical-scientific evidence suggesting that dengue fever and death from dengue fever can be linked to the service rendered by veterans or members of the Forces. The Repatriation Medical Authority is of the view that it is more probable than not that these conditions can be related to relevant service. This new Statement of Principles identifies specific factors that must exist before a connection can be made between dengue fever or death from dengue fever and the circumstances of a person's relevant service, such as being infected with certain dengue viruses within a specified timeframe before the clinical onset of dengue fever or the inability to obtain appropriate clinical management for dengue fever. The instrument also outlines how other related Statements of Principles apply in accordance with their terms.

Scope and Application

This legislative instrument, numbered 16 of 2001, pertains to the Veterans' Entitlements Act 1986 and specifically addresses dengue fever and death from dengue fever within the veteran community. The instrument revokes Instrument No.140 of 1995 and introduces a new Statement of Principles concerning the diagnosis and relatedness of dengue fever to service rendered by veterans or members of the Forces. This legislation applies to veterans and current or former members of the Australian Defence Force who contracted dengue fever or died from dengue fever. The instrument outlines the circumstances under which dengue fever or death from dengue fever can be related to the service, such as being infected with dengue viruses types 1, 2, 3, or 4 within specific timeframes relative to the onset of symptoms, or the inability to obtain appropriate clinical management. The scope of the Act extends to the Commonwealth jurisdiction, covering all matters to which section 120B of the Act applied. There are no stated exclusions or exemptions within this instrument; however, it does specify conditions under which certain factors apply, such as the material contribution or aggravation of dengue fever where the infection predates or coincides with relevant service but is not arising out of that service.

Key Provisions

This legislative instrument revokes the previous Statement of Principles concerning dengue fever and replaces it with new provisions (section 1). The new Statement of Principles applies to dengue fever and death from dengue fever, defined as a clinical illness due to a viral infection from dengue viruses types 1, 2, 3, or 4, or dengue haemorrhagic fever (section 2). The Repatriation Medical Authority has determined that, based on available medical-scientific evidence, it is more probable than not that dengue fever and death from dengue fever can be related to relevant service rendered by veterans or members of the Forces (section 3). To establish a connection between dengue fever or death from dengue fever and relevant service, at least one of the factors in section 5 must be related to that service (section 4). These factors include being infected with dengue viruses types 1, 2, 3, or 4 within 14 days before the onset of dengue fever, or within 20 years before the onset of dengue haemorrhagic fever, or inability to obtain appropriate clinical management for dengue fever (section 5). The inability to obtain appropriate clinical management applies only to material contribution to, or aggravation of, dengue fever where the person’s dengue fever was suffered or contracted before or during (but not arising out of) the person’s relevant service (section 6). If a relevant factor includes an injury or disease in respect of which there is another Statement of Principles, then the factors in that Statement of Principles apply (section 7). This instrument applies to all matters to which section 120B of the Veterans’ Entitlements Act 1986 applied (section 9). The obligations under this Act primarily concern the Repatriation Medical Authority, which must determine the factors that establish a connection between dengue fever or death from dengue fever and relevant service rendered by veterans or members of the Forces. The Authority must also ensure that the new Statement of Principles is applied in all relevant matters, replacing the previous provisions. This involves reviewing claims and assessing whether the specified factors have been met to establish a probable connection between the illness or death and the relevant service. For breaches of the provisions of this Act, there are potential civil or criminal consequences, although specific penalties are not outlined in the Act itself. Generally, breaches of legislative instruments in Australia can result in penalties such as fines or imprisonment, depending on the severity of the breach and the specific provisions of the Act under which the breach is prosecuted. The maximum penalties would typically be determined by the relevant courts based on the specific nature of the breach and the applicable laws.

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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.