2 conditions in the Repatriation Medical Authority's Statements of Principles list alpha-1 antitrypsin deficiency as a factor. If DVA has accepted your alpha-1 antitrypsin deficiency, each of these has a documented pathway to a further claim.
Some Statement of Principles factors are not about service at all — they name another condition. Where DVA has already accepted your alpha-1 antitrypsin deficiency, and another condition's SoP lists alpha-1 antitrypsin deficiency as a factor, that part of the next claim is already established on your file. How a secondary claim works, in full →
Quoted from the instrument. A pathway existing is not the same as a claim succeeding — each factor carries thresholds your record has to satisfy.
RH No. 17 of 2023 · BoP No. 18 of 2023
Reasonable Hypothesis — factor (12): “having alpha-1 antitrypsin deficiency at the time of the clinical onset of chronic obstructive pulmonary disease” [clinical onset] — factor (27): “having alpha-1 antitrypsin deficiency at the time of the clinical worsening of chronic obstructive pulmonary disease” [worsening]
Balance of Probabilities — factor (11): “having alpha-1 antitrypsin deficiency at the time of the clinical onset of chronic obstructive pulmonary disease” [clinical onset] — factor (25): “having alpha-1 antitrypsin deficiency at the time of the clinical worsening of chronic obstructive pulmonary disease” [worsening]
RH No. 1 of 2017 · BoP No. 2 of 2017
Reasonable Hypothesis — factor (18): “having alpha-1 antitrypsin deficiency before the clinical onset of cirrhosis of the liver” [clinical onset] — factor (45): “having alpha-1 antitrypsin deficiency before the clinical worsening of cirrhosis of the liver” [worsening]
Balance of Probabilities — factor (18): “having alpha-1 antitrypsin deficiency before the clinical onset of cirrhosis of the liver” [clinical onset] — factor (43): “having alpha-1 antitrypsin deficiency before the clinical worsening of cirrhosis of the liver” [worsening]
If any of these is also on your file, it reaches some of the same conditions alpha-1 antitrypsin deficiency does.
A claim is tested against the definition first. If the diagnosis on your file does not meet this wording, the factors below never get reached — so it is worth checking that what your doctor wrote matches what the instrument requires.
Alpha-1 antitrypsin deficiency, for the purposes of the Statement of Principles, for the purposes of this Statement of Principles, alpha-1 antitrypsin deficiency means a genetic disorder of plasma protein metabolism which involves reduced serum levels of alpha-1 antitrypsin.
Aggravation-only factors. In this instrument, subsections 9(1) apply only to material contribution to, or aggravation of, alpha-1 antitrypsin deficiency where it was already present before or during service. If service caused alpha-1 antitrypsin deficiency outright, those factors are not available to you.
RH No. 33 of 2023 · BoP No. 34 of 2023 · 2 factors

Reviewed by Dr Thomas Perkins
Founding doctor, Veterans Health Centre · former RAAF aviation medical officer · 13 years working exclusively with ADF members and veterans. Full profile →
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