Statement of Principles concerning malaria No. 173 of 1995

Administered by Department of Veterans' Affairs

Legislation au F2008B00325 Not in force Legislative Instrument

Legislation content

Instrument No.173 of 1995

 

 

Statement of Principles

concerning

MALARIA

ICD CODE: 084

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 malaria and death from malaria 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, malaria or death from malaria is connected with the circumstances of that service, are:

 

(a) being in an area described in the Schedule before the clinical onset of malaria; or

 

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

 

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 malaria 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 malaria 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:

 

“being in an area described in the Schedule” means being in an area indicated by the shaded area on a map contained in the Schedule, at a time when the area is specified by the Schedule, such an area being an area in which the transmission of malaria has occurred;

 

“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;

 

“malaria” means infection by a parasite of the genus Plasmodium, being Plasmodium falciparum, P. vivax, P. malariae or P. ovale, attracting ICD code 084.

 

 


Schedule

 

Table 1— areas of malarial transmission before 1 January 1950

 

The following States within the United States of America:

 Alabama

 Arkansas

 California

 Delaware

 District of Colombia

 Florida

 Georgia

 Indiana

 Iowa

 Kansas

 Kentucky

 Louisiana

 Michigan

 Mississippi

 Missouri

 North Carolina

 Ohio

 Oklahoma

 Oregon

 Pennsylvania

 South Carolina

 Tennessee

 Texas

 Virginia

 Washington

 West Virginia

 Wisconsin

Mexico

West Indies

Central America

Colombia

Venezuela

Guyana

Suriname

French Guiana

Brazil

Ecuador

Peru

Bolivia

Paraguay

 

Table 1 (continued)

 

Continental Europe, excluding Scandinavia

Finland

Sweden

England

Islands within the Mediterranean Sea

All that part of the continent of Asia south of 60 degrees North, excluding Mongolia

The continent of Africa and related islands, excluding Libya and South Africa

Madagascar

Islands in the Indian Ocean north of 24 degrees South

Indonesia

Japan

Taiwan

Philippines

Malaysia

Singapore

Brunei

Papua New Guinea

Solomon Islands

New Hebrides

That part of Australia north of 24 degrees South

 

Note: where an area is identified by the name of a country, the area is the geographic area of the relevant country as at 1995.

 

Note: the shaded areas shown in the map are indications of the areas described above.

 

 

 

 


Table 2— areas of malarial transmission on or after 1 January 1950
but before 1 January 1969

 

The following States within the United States of America:

 Alabama

 Arkansas

 Florida

 Georgia

 Illinios

 Indiana

 Kansas

 Louisiana

 Mississippi

 Missouri

 Oklahoma

 South Carolina

 Texas

Mexico

West Indies

Central America

Colombia

Venezuela

Guyana

Suriname

French Guiana

Brazil

Ecuador

Peru

Bolivia

Paraguay

The continent of Africa and related islands, excluding Libya and South Africa

Madagascar

Islands in the Indian Ocean north of 24 degrees South

All that part of the continent of Asia south of 60 degrees North, excluding Europe and Mongolia

Belarus

Ukraine

Greece

Albania

The former Yugoslav Republic of Macedonia

Bulgaria

Sri Lanka

Malaysia

Indonesia

Taiwan

Philippines

Brunei

Papua New Guinea

Solomon Islands

New Hebrides

That part of the Northern Territory north of 15 degrees South

 

Note: where an area is identified by the name of a country, the area is the geographic area of the relevant country as at 1995.

 

Table 2 (continued)

 

 

Note: the shaded areas shown in the map are indications of the areas described above.

 

 

 


Table 3—areas of malarial transmission on or after 1 January 1969

 

Mexico

West Indies

Central America

Colombia

Venezuela

Guyana

Suriname

French Guiana

Brazil

Ecuador

Peru

Bolivia

Paraguay

The continent of Africa and related islands (excluding Libya, Egypt, Algeria, Tunisia, Morocco, South Africa and Lesotho)

Madagascar

Yemen

Turkey

Cyprus

Syria

Iraq

Iran

Jordan

Israel

Lebanon

Afghanistan

Pakistan

India

Bangladesh

Nepal

Bhutan

Sri Lanka

That area of China (excluding Taiwan) south of a line between 30 degrees latitude North, 95 degrees longitude East and 34 degrees latitude North, 120 degrees longitude East.

Myanmar (Burma)

Thailand

Malaysia

Indonesia

Vietnam

Laos

Cambodia

Philippines

Papua New Guinea

Solomon Islands

New Hebrides

 

Note: where an area is identified by the name of a country, the area is the geographic area of the relevant country as at 1995.

 

Table 3 (continued)

 

 

Note: the shaded areas shown in the map are indications of the areas described above.

 

 

 

 

 

Dated this  Twenty-fifth day of  May 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 Malaria, issued in 1995 under the Veterans’ Entitlements Act 1986, was enacted to address the medical-scientific evidence suggesting a probable connection between malaria and death from malaria and eligible war service rendered by veterans and defence service rendered by members of the Forces, excluding operational and hazardous service respectively. This legislative instrument was issued by the Repatriation Medical Authority, an entity established under the Act, to provide clarity on the circumstances that would establish a connection between malaria and the relevant service. The policy objective was to ensure that veterans and service members who contracted malaria during their service, or were unable to obtain appropriate clinical management for malaria, could be recognised for the potential link to their service, thereby facilitating their access to appropriate entitlements and support. The Statement of Principles sets out specific factors that must exist for malaria or death from malaria to be considered connected with the service in question, including being in an area where malaria transmission has occurred before the clinical onset of the disease or being unable to obtain appropriate clinical management for malaria. These factors are intended to be applied in conjunction with the provisions of the Veterans’ Entitlements Act, providing a framework for assessing claims related to malaria contracted during service. The detailed maps and descriptions of areas with malarial transmission provided in the Schedule aim to assist in determining whether the conditions set out in the Statement of Principles have been met.

Scope and Application

The Statement of Principles concerning Malaria under the Veterans’ Entitlements Act 1986 outlines the criteria for determining the connection between malaria contracted by veterans and their service, specifically focusing on areas where malaria transmission has occurred. This legislative instrument applies to veterans and defence personnel who contracted malaria during their service, with the determination made based on their presence in a malarial area before the onset of the disease or their inability to obtain appropriate clinical management for malaria. The geographic scope of the Statement covers various regions around the world, including specific states within the USA, parts of Europe, Asia, Africa, and Australia, as delineated in the Schedule attached to the instrument. The application of this Statement is subject to the specific time periods mentioned in the Schedule, indicating areas of malarial transmission before 1 January 1950, between 1 January 1950 and 1 January 1969, and on or after 1 January 1969. The application extends to those who were in these areas before their clinical onset of malaria or those who contracted the disease prior to their service and were unable to receive adequate treatment. The determination of connection to service is also subject to the criteria set out in the Veterans’ Entitlements Act 1986. The Statement of Principles also provides for the exclusion of certain relationships between the service and the malaria, specifying that the inability to obtain appropriate clinical management applies only if the malaria was contracted before the service or if the relationship falls under specific subsections of the Act. This legislative instrument is integral to the process of validating claims made by veterans regarding the connection between their service and their health conditions, thereby facilitating their eligibility for benefits under the Act.

Key Provisions

The Statement of Principles concerning Malaria (F2008B00325, Instrument No.173 of 1995) sets out the conditions under which malaria contracted by veterans or members of the Australian Defence Force can be linked to their service, particularly when the service was not operational or hazardous. According to section 1, a connection between malaria and service can be made if the person was in a specified area before the onset of symptoms, or if they could not obtain appropriate clinical management for the disease. This is elaborated in section 2, which requires that at least one of these conditions must be related to the service rendered. Additionally, section 3 clarifies that the inability to obtain clinical management applies only if the malaria was contracted before the service and if the relationship between the disease and the service falls under specific subsections of the Veterans’ Entitlements Act 1986. The obligations imposed by this Statement of Principles are primarily on the Repatriation Medical Authority, which must assess whether the conditions set out in the principles are met in individual cases. The Authority must also determine whether the veteran or member of the Defence Force was in a specified area before the onset of malaria, and whether they were unable to obtain appropriate clinical management, as outlined in the document. Furthermore, the Authority must consider the specific relationship between the malaria and the service, as delineated in the Act. Failure to comply with the conditions outlined in the Statement of Principles can result in significant consequences. While the document does not explicitly detail offences, penalties, or consequences for breach, it is implied that such non-compliance could affect the eligibility of veterans or Defence Force members for certain entitlements under the Veterans’ Entitlements Act 1986. Given the legislative context, breaches might also be subject to the general legal consequences for non-compliance with statutory requirements, which could include civil or administrative penalties as prescribed by the relevant legislation.

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