Instrument No.268 of 1995
Statement of Principles
concerning
INFLUENZA
ICD CODE: 487
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 influenza and death from influenza 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, influenza or death from influenza is connected with the circumstances of that service, are:
(a) being exposed to the influenza virus immediately before the clinical onset of influenza; or
(b) inability to obtain appropriate clinical management for the influenza.
2. Subject to clause 3 (below) at least one of the factors set out in paragraphs 1(a) to 1(b) must be related to any service rendered by a person.
3. The factor set out in paragraph 1(b) applies only where:
(a) the person’s influenza was contracted before a period, or part of a period, of service to which the factor is related; and
(b) the relationship suggested between the influenza 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:
“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;
“influenza” means a highly contagious acute respiratory disease caused by infection with the influenza virus and characterised by systemic signs, such as fever, prostration, headaches and myalgia as well as inflammation of the respiratory mucous membranes, attracting ICD code 487;
“influenza virus” means the virus being a member of the Orthomyxoviridae family and known as type A, B or C influenza virus.
Dated this Twenty-first day of June 1995
The Common Seal of the )
Repatriation Medical Authority )
was affixed to this instrument )
in the presence of: )
KEN DONALD
CHAIRMAN
Overview
The Veterans’ Entitlements Act 1986 was enacted by the Parliament of Australia to provide for the payment of pensions and other benefits to eligible veterans and members of the Australian Defence Force (ADF). A significant gap identified by the legislation was the need to establish clear criteria for determining the connection between certain diseases, including influenza, and the service rendered by veterans and ADF members. This was necessary to ensure that appropriate benefits were provided to those who had contracted diseases during their service, especially when such diseases could be linked to the circumstances of their service. The Repatriation Medical Authority, under subsection 196B(3) of the Act, issued a Statement of Principles concerning Influenza on 21 June 1995 to address this gap. The policy objective was to provide a sound medical-scientific basis for linking influenza, or death from influenza, to the service rendered by veterans and ADF members, thereby facilitating the determination of related benefits.
Scope and Application
The Statement of Principles concerning Influenza, as specified under the Veterans’ Entitlements Act 1986, applies to veterans and members of the Australian Defence Forces who have contracted influenza or died from it under certain circumstances related to their service. Specifically, the Statement addresses situations where there is a probable connection between the influenza and the service rendered, particularly where the individual was exposed to the influenza virus immediately before the clinical onset of the illness or was unable to obtain appropriate clinical management for the influenza. The criteria outlined ensure that there is a balance of probabilities linking the influenza to the service conditions, which can potentially entitle veterans and members of the Defence Forces to certain benefits under the Act. The Statement is geographically applicable within Australia, as it is issued under Commonwealth legislation. It does not, however, automatically extend to state or territory laws unless specifically incorporated therein. Any subordinate instruments or regulations that may further define or refine the application of these principles would need to be reviewed for additional details and stipulations.
Key Provisions
The Statement of Principles under the Veterans’ Entitlements Act 1986, specifically subsection 196B(3), outlines the criteria required to establish a connection between influenza, or death from influenza, and eligible war service or defence service. According to the Repatriation Medical Authority, this connection can be established if either exposure to the influenza virus immediately before the clinical onset of influenza, or an inability to obtain appropriate clinical management for the influenza, is related to the service rendered by the individual (subsection 196B(3)(a)-(b)). At least one of these factors must be related to the service in question.
The Statement of Principles further specifies that the inability to obtain appropriate clinical management applies only if the person's influenza was contracted before the period, or part of the period, of service to which the factor is related, and if the relationship suggested between the influenza and the service is one of the relationships set out in paragraphs 8(1)(e), 9(1)(e), or 70(5)(d) of the Act (subsection 196B(3)(b)). These conditions aim to ensure that the influenza or death from influenza is plausibly connected to the service circumstances.
In terms of obligations, parties involved must ensure that evidence of exposure to the influenza virus or the inability to obtain appropriate clinical management is documented and relates to the service period. The onus is on the veteran or member of the forces to provide such evidence to substantiate their claim for entitlements related to influenza or death from influenza connected to their service.
Failure to comply with these provisions, or providing false information to support a claim, may lead to serious consequences. Under the Act, there could be both civil and criminal penalties for misrepresentation or providing false information. While the specific penalties are not detailed in the Statement of Principles, it is generally understood that penalties for such breaches can include fines and potential imprisonment, depending on the severity and intent behind the breach. These consequences underscore the importance of accuracy and honesty in claims related to veterans' entitlements.