Statement of Principles concerning leptospirosis No. 50 of 2004

Administered by Department of Veterans' Affairs

Legislation au F2005B02562 Not in force Legislative Instrument

Legislation content

Instrument No. 50 of 2004

 

Determination

of

Statement of Principles

concerning

 

LEPTOSPIROSIS

 

 

for the purposes of the

 

Veterans’ Entitlements Act 1986

and

Military Rehabilitation and Compensation Act 2004

 

1. This Statement of Principles is determined by the Repatriation Medical Authority under subsection 196B(2) of the Veterans’ Entitlements Act 1986 (the VEA).

 

Kind of injury, disease or death

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

(b)              For the purposes of this Statement of Principles, “leptospirosis” means a clinical illness caused by infection with pathogenic Leptospira species.  This definition includes Weil’s syndrome, but excludes leptospiral uveitis.

(c)               Leptospirosis attracts ICD-10-AM code A27.

(d)              In the application of this Statement of Principles, the definition of “leptospirosis” is that given at paragraph 2(b) above.

 

Basis for determining the factors

3. The Repatriation Medical Authority is of the view that there is sound medical-scientific evidence that indicates that leptospirosis and death from leptospirosis can be related to relevant service rendered by veterans, members of Peacekeeping Forces, or members of the Forces under the VEA, or members under the Military Rehabilitation and Compensation Act 2004 (the MRCA).

 

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 the relevant service rendered by the person.

 

Factors

5. The factor that must as a minimum exist before it can be said that a reasonable hypothesis has been raised connecting leptospirosis or death from leptospirosis with the circumstances of a person’s relevant service is:

 

(a)                having direct contact with:

(i)            water, soil, food, or other material contaminated with a pathogenic leptospire; or

(ii)         urine, blood or tissue contaminated with a pathogenic leptospire; or

(iii)       an animal infected with a pathogenic leptospire,

within the thirty days before the clinical onset of leptospirosis; or

 

(b)               inability to obtain appropriate clinical management for leptospirosis.

 

Factors that apply only to material contribution or aggravation

6. Paragraph 5(b) applies only to material contribution to, or aggravation of, leptospirosis where the person’s leptospirosis was suffered or contracted before or during (but not arising out of) the person’s relevant service.

 

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:

 

“a pathogenic leptospire” means a disease-producing bacteria belonging to the genus Leptospira;

 

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

 

“direct contact” means physical contact where no protective or impermeable barrier is used;

 

“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), Fourth Edition, effective date of 1 July 2004, copyrighted by the National Centre for Classification in Health, Sydney, NSW, and having ISBN 1 86487 594 1;

 

“relevant service” means:

(a) operational service under the VEA; or

(b) peacekeeping service under the VEA; or

(c)               hazardous service under the VEA; or

(d)              warlike service under the MRCA; or

(e)               non-warlike service under the MRCA;

 

“terminal event” means the proximate or ultimate cause of death and includes:

(a) pneumonia;

(b) respiratory failure;

(c) cardiac arrest;

(d) circulatory failure; or

(f)                cessation of brain function;

 

Dated this sixteenth day of  December              2004

 

 

The Common Seal of the    )

Repatriation Medical Authority   )

was affixed to this instrument  )

in the presence of:    )

 

KEN DONALD

CHAIRMAN

Overview

The Determination of Statement of Principles concerning Leptospirosis, issued under Instrument No. 50 of 2004, was enacted by the Repatriation Medical Authority under subsection 196B(2) of the Veterans’ Entitlements Act 1986. This legislation was introduced to address the medical-scientific evidence linking leptospirosis and death from leptospirosis to service rendered by veterans, members of Peacekeeping Forces, or members of the Australian Defence Force. The policy objective is to ensure that veterans and members of the Defence Force who contracted leptospirosis due to their service are appropriately compensated under the Veterans’ Entitlements Act 1986 and the Military Rehabilitation and Compensation Act 2004. The Statement of Principles outlines the circumstances under which leptospirosis can be connected to service, including direct contact with contaminated materials or inability to obtain appropriate clinical management, thereby providing a framework for assessing claims related to this condition.

Scope and Application

The Statement of Principles concerning Leptospirosis, as determined by the Repatriation Medical Authority, applies to veterans, members of Peacekeeping Forces, and members of the Forces under the Veterans' Entitlements Act 1986 (VEA), as well as members under the Military Rehabilitation and Compensation Act 2004 (MRCA). This legislation pertains to leptospirosis, a clinical illness caused by infection with pathogenic Leptospira species, which includes Weil’s syndrome but excludes leptospiral uveitis. The Statement of Principles aims to establish the connection between leptospirosis or death from leptospirosis and relevant service rendered by these individuals. For a reasonable hypothesis to be raised, at least one of the specified factors, such as direct contact with contaminated materials or inability to obtain appropriate clinical management, must be related to the person's service. Notably, this determination extends to include aggravation or material contribution to leptospirosis contracted before or during, but not arising out of, the person’s relevant service. The geographic and jurisdictional reach of this legislation is aligned with the Commonwealth of Australia, and it is applicable across the country as it pertains to veterans and military personnel under the VEA and MRCA. The Statement of Principles incorporates other relevant Statements of Principles where applicable, ensuring a comprehensive approach to addressing leptospirosis-related claims.

Key Provisions

This legislative instrument outlines the Statement of Principles concerning leptospirosis, established under the Veterans’ Entitlements Act 1986 (VEA) and the Military Rehabilitation and Compensation Act 2004 (MRCA). The primary focus of the Statement of Principles (section 1) is on leptospirosis, a clinical illness caused by infection with pathogenic Leptospira species, and death from leptospirosis (section 2). The definition of leptospirosis includes Weil’s syndrome but excludes leptospiral uveitis (section 2(b)). The authority for this determination is granted under subsection 196B(2) of the VEA (section 1). The Repatriation Medical Authority has determined that there is sufficient medical-scientific evidence to establish a link between leptospirosis, death from leptospirosis, and relevant service under the VEA or MRCA (section 3). To substantiate a claim, at least one of the specified factors must be related to the person’s relevant service (section 4). The key factor is either direct contact with contaminated water, soil, food, other material, urine, blood, tissue, or an infected animal within thirty days before the onset of symptoms, or an inability to obtain appropriate clinical management for leptospirosis (section 5). The obligations under this legislation require claimants to demonstrate a connection between their leptospirosis and their service, either through direct exposure to a contaminated environment or lack of access to proper medical care (section 5). If the leptospirosis was contracted prior to or during service but not arising out of service, paragraph 5(b) applies only to material contribution to, or aggravation of, the condition (section 6). When a relevant factor includes an injury or disease covered by another Statement of Principles, the provisions of that statement also apply (section 7). Definitions provided in section 8 clarify terms such as “pathogenic leptospire,” “relevant service,” and “terminal event,” ensuring a consistent understanding of the terms used throughout the legislation. Breach of the provisions outlined in this legislation may lead to civil or criminal consequences. Although specific penalties are not detailed in the text, penalties for such breaches typically include fines and, in severe cases, imprisonment. The exact penalties would be determined based on the nature and severity of the breach, in line with the applicable legal frameworks of the VEA and MRCA. Claimants are expected to provide truthful and accurate information to avoid any legal repercussions.

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