Statement of Principles concerning hepatitis D No. 45 of 1995

Administered by Department of Veterans' Affairs

Legislation au C2010L00051 Not in force Legislative Instrument

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Instrument No.45 of 1995

 

 

Statement of Principles

concerning

HEPATITIS D

ICD CODES: 070.42, 070.52

Veterans’ Entitlements Act 1986
subsection 196B(2)

 

1. Being of the view that there is sound medical-scientific evidence that indicates that hepatitis D and death from hepatitis D 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 Act 1986, that the factors that must as a minimum exist before it can be said that a reasonable hypothesis has been raised connecting hepatitis D or death from hepatitis D with the circumstances of that service, are:

 

(a) having received a blood transfusion or blood product injection or organ transplant, that was not screened for hepatitis D, more than three weeks before the existence of the evidence of the hepatitis D infection; or

 

(b) having had an injection or dental procedure or surgical procedure (including tattooing) more than three weeks before the existence of the evidence of the hepatitis D infection, and for which the instruments were not sterilised; or

 

(c) having had a wound, laceration, or other injury or disease disrupting skin integrity that may have been contaminated by the body fluids of a person not shown to be hepatitis D negative, and that contamination having occurred more than three weeks before the existence of evidence of the hepatitis D infection; or

 

(d) being a parenteral drug user and sharing needles more than three                             weeks before the existence of the evidence of the hepatitis D                                           infection; or

 

(e) having had unprotected sexual intercourse with a person not                              proven to be negative for hepatitis D more than three weeks                                           before the existence of the evidence of the hepatitis D infection;                             or

 

(f) inability to obtain appropriate clinical management for hepatitis D.             

 

2. Subject to clause 3 (below) at least one of the factors set out in  paragraphs 1(a) to (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 hepatitis D was contracted prior to a period, or part of a period, of service to which the factor is related; and

 

(b) the relationship suggested between the hepatitis D 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:

 

“blood product injection” means injection with a substance derived from human blood;

 

“body fluids” means blood, serum, serous discharge, saliva, tears, seminal fluid, bile or vaginal secretions;

 

“hepatitis D” means an infection with the hepatitis D virus, which is an RNA virus which coinfects with and requires the helper function of the hepatitis B virus (or other hepadnaviruses) for its replication and expression:  the hepatitis D virus has a coat of hepatitis D surface antigen, and a genome of single stranded ribonucleic acid, and the infection by this virus attracts an ICD code of 070.42 or 070.52;

 


“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;

 

“parenteral drug user” means a person who injects or causes to be injected addictive or recreational drugs into their body;

 

“sexual intercourse” means sexual intercourse in which there is an exchange of body fluids.

 

 

Dated this  Twentieth    day of   February 1995

 

 

 

 

The Common Seal of the    )

Repatriation Medical Authority   )

was affixed to this instrument  )

in the presence of:    )

 

 

 

KEN DONALD

CHAIRMAN

Overview

The Statement of Principles concerning Hepatitis D, enacted in 1995, was established to provide guidance on the connection between Hepatitis D and certain services rendered by veterans, peacekeeping forces, and the Australian Defence Force. This legislative instrument aims to ensure that veterans who contracted Hepatitis D or died from it due to specific circumstances during their service can be appropriately recognised and compensated. The Repatriation Medical Authority, as part of the legislative process, determined the necessary factors that must exist to establish a reasonable hypothesis linking Hepatitis D or death from Hepatitis D with service circumstances. This statement serves as a foundational document for veterans seeking compensation and assistance for conditions related to their service. The primary objective of this Statement of Principles is to address the problem of recognising and compensating veterans for Hepatitis D infections contracted under specific conditions related to their service. By outlining the necessary factors for establishing a connection between Hepatitis D and service, the document provides clarity and support for affected veterans. The instrument is instrumental in ensuring that the Veterans’ Entitlements Act 1986 can be applied fairly and effectively to those who have served and subsequently suffered from Hepatitis D due to their service-related activities.

Scope and Application

The Statement of Principles concerning Hepatitis D issued under the Veterans’ Entitlements Act 1986 applies to veterans, members of peacekeeping forces, and members of the Australian Defence Force who may have contracted hepatitis D or died from it due to circumstances related to their service. Specifically, the principles are designed to establish a causal connection between hepatitis D infection or death from hepatitis D and the service rendered by the individual, which could include operational, peacekeeping, or hazardous service. The legislation focuses on situations where hepatitis D could have been contracted through specific activities or exposures, such as unscreened blood transfusions, non-sterilised medical procedures, injuries contaminated by body fluids, parenteral drug use with shared needles, unprotected sexual intercourse with an untested individual, or inadequate clinical management. The principles are applicable under the Commonwealth jurisdiction and are meant to guide the assessment of claims related to hepatitis D in the context of service. The legislation does not explicitly exclude any categories but focuses on establishing a causal link through specific service-related factors.

Key Provisions

This legislative instrument, numbered 45 of 1995, outlines specific principles regarding hepatitis D infection and death from hepatitis D in relation to veterans, peacekeeping forces, and hazardous service personnel. Under section 1, the Repatriation Medical Authority has determined that certain factors must exist to establish a reasonable hypothesis connecting hepatitis D or death from hepatitis D with the circumstances of the service. These factors include exposure to unscreened blood transfusions or products, non-sterilized medical instruments, wounds contaminated with potentially infected body fluids, parenteral drug use with shared needles, unprotected sexual contact with an individual not proven to be hepatitis D negative, and failure to receive appropriate clinical management for hepatitis D. At least one of these factors must be related to the service rendered by the individual (section 2). The specific factor concerning lack of appropriate clinical management applies only if the hepatitis D was contracted before the service period and if the relationship between the hepatitis D and the service aligns with certain specified provisions in the Act (section 3). The instrument imposes obligations on the parties involved, primarily ensuring that the criteria set out in the principles are met to establish a connection between the hepatitis D infection or death and the service rendered. This involves proving or demonstrating one of the specified factors that predate the service period and linking it to the circumstances of the service (sections 1 and 2). The onus is on the individual to provide evidence that aligns with the criteria outlined in the legislation to substantiate their claim for relatedness between the infection and the service (section 3). Failure to comply with the provisions set out in this legislative instrument may result in consequences, though specific offences, penalties, or legal ramifications are not detailed within the instrument itself. However, given the context of veterans' entitlements and the serious nature of the claims involved, any breach or misrepresentation of facts could potentially lead to civil or administrative penalties, including the denial of entitlements or compensation. The precise consequences would depend on the broader legal framework within which this instrument operates and any additional legislation or regulations that may apply.

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