Statement of Principles concerning Kaposi's sarcoma No. 160 of 1996

Administered by Department of Veterans' Affairs

Legislation au F2008B00550 Not in force Legislative Instrument

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Instrument No.160 of 1996

 

Determination

of

Statement of Principles

concerning

KAPOSI'S SARCOMA

ICD CODE: 176

 

Veterans’ Entitlements Act 1986

 

 

1. 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

2. (a) This Statement of Principles is about Kaposi's sarcoma and death from Kaposi's sarcoma.

 

 (b) For the purposes of this Statement of Principles, “Kaposi's sarcoma” means a multicentric neoplasm of vascular origin consisting of multiple vascular nodules appearing in multiple tissues and organs including skin, mucous membranes, and viscera, attracting ICD code 176.

 

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 Kaposi's sarcoma and death from Kaposi's sarcoma 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, the factors set out in at least one of the paragraphs 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, Kaposi's sarcoma or death from Kaposi's sarcoma is connected with the circumstances of a person’s relevant service are:

 

(a) being infected with HIV before the clinical onset of Kaposi’s sarcoma; or

 

(b) having received systemic immunosuppressive drug therapy within the ten years immediately before the clinical onset of Kaposi’s sarcoma; or

 

(c) inability to obtain appropriate clinical management for Kaposi's sarcoma.

 

Factors that apply only to material contribution or aggravation

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

 

Other definitions

7. For the purposes of this Statement of Principles:

 

“systemic immunosuppressive drug therapy” means the therapeutic administration of a drug such as cyclophosphamide, or azathioprine continuously for a period of at least three months, for organ transplantation; or for the treatment of a chronic immunological disorder;

 

“being infected with HIV” means serological evidence of infection with Human Immunodeficiency Virus, attracting ICD code 042 or 079.53;

 

“ICD code” means a number assigned to a particular kind of injury or disease in the Australian Version of The International Classification of Diseases, 9th revision, Clinical Modification (ICD-9-CM), effective date of 1 July 1996, copyrighted by the National Coding Centre, Faculty of Health Sciences, University of Sydney, NSW, and having ISBN 0 642 24447 2;

 


“relevant service” means:

 

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

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

 

 

Dated this Ninth day of  December  1996

 

 

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 Kaposi's Sarcoma, determined by the Repatriation Medical Authority under the Veterans’ Entitlements Act 1986, addresses the issue of veterans who developed Kaposi's sarcoma, a vascular neoplasm, and subsequently died from it. This legislation was enacted to bridge the gap in recognition and compensation for veterans whose health conditions may be linked to their service, particularly focusing on Kaposi's sarcoma and its association with service-related factors. The objective is to ensure that veterans who contracted Kaposi's sarcoma, potentially due to their service, receive appropriate recognition and benefits under the Act. The determination underscores the probability of a connection between the disease and relevant military service, particularly when veterans were infected with HIV before the onset of Kaposi's sarcoma, received systemic immunosuppressive drug therapy, or were unable to obtain appropriate clinical management for the disease.

Scope and Application

This legislative instrument, known as the Statement of Principles concerning Kaposi's Sarcoma, is determined by the Repatriation Medical Authority under the Veterans’ Entitlements Act 1986. It pertains to Kaposi's sarcoma and death resulting from this condition, aiming to establish the connection between such conditions and the relevant service rendered by veterans or members of the Defence Forces. The Act applies to individuals diagnosed with Kaposi's sarcoma or those who died from the disease, focusing on those who have served in eligible war service or defence service, excluding operational or hazardous service. The factors that must be related to service to establish a probable link include infection with HIV before the onset of Kaposi's sarcoma, receipt of systemic immunosuppressive drug therapy within ten years before the onset, or inability to obtain appropriate clinical management for Kaposi's sarcoma. The instrument does not apply to situations where Kaposi's sarcoma was contracted after the relevant service unless there is a material contribution or aggravation of the condition. The determination aims to provide a clear framework for veterans to seek entitlements related to their service and health conditions.

Key Provisions

The main operative sections of this Statement of Principles focus on the determination and definition of Kaposi's sarcoma and its connection to the service of veterans and members of the forces. Section 1 establishes that this Statement is determined by the Repatriation Medical Authority under the Veterans’ Entitlements Act 1986. Section 2 specifies that the Statement is about Kaposi's sarcoma and death resulting from this condition, providing a definition for Kaposi's sarcoma in terms of its characteristics and ICD code. Section 3 explains the basis for determining the factors linking the condition to service, while Section 4 stipulates that the factors must be related to the relevant service rendered by the person. Section 5 lists the specific factors that must exist for a connection to be made between Kaposi's sarcoma or death from Kaposi's sarcoma and the person's relevant service, which include infection with HIV prior to the onset of Kaposi's sarcoma, receipt of systemic immunosuppressive drug therapy within the ten years prior to onset, and inability to obtain appropriate clinical management for Kaposi's sarcoma. The obligations and requirements imposed by this Act are primarily focused on ensuring that the factors linking Kaposi's sarcoma to service are met and properly documented. The Repatriation Medical Authority must consider the sound medical-scientific evidence available to determine the probability of a connection between Kaposi's sarcoma or death from Kaposi's sarcoma and relevant service. Additionally, the definition of "systemic immunosuppressive drug therapy" and "being infected with HIV" are specified, ensuring clarity and consistency in the application of these terms. Relevant service is also clearly defined to include eligible war service and defence service, excluding operational and hazardous service respectively. These definitions and requirements are crucial in assessing claims related to Kaposi's sarcoma under the Veterans’ Entitlements Act 1986. There are no specific offences, penalties, or civil/criminal consequences outlined in this Statement of Principles. However, the implications of non-compliance with the requirements of the Act could potentially lead to disputes or denials in claims related to Kaposi's sarcoma. While the Statement of Principles itself does not prescribe penalties, the broader framework of the Veterans’ Entitlements Act 1986 may impose administrative or legal consequences for incorrect or fraudulent claims. It is important for claimants and practitioners to ensure that all factors are accurately and thoroughly documented to avoid potential issues with their claims.

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