SoP LibraryAscariasis

Statement of Principles

Ascariasis — DVA SoP factors

Every factor in the Repatriation Medical Authority Statements of Principles for Ascariasis. DVA can only accept a claim for Ascariasis if at least one of these factors is met and connected to your service. Reasonable Hypothesis (RH) applies to operational service; Balance of Probabilities (BoP) applies to peacetime service.

Source: Repatriation Medical Authority Statements of Principles as held by the Veterans Health Centre. SoPs are amended and replaced regularly; always confirm the current instrument at rma.gov.au before relying on it.

Ascariasis

RH No. 9 of 2017 · BoP No. 10 of 20178 factors

Meaning of ascariasis: For the purposes of this Statement of Principles, ascariasis means an infection with the intestinal roundworm Ascaris lumbricoides or Ascaris suum. (3) While ascariasis attracts ICD-10-AM code B77, in applying this Statement of Principles the meaning of ascariasis is that given in subsection (2). (4) For subsection (3), a reference to an ICD-10-AM code is a reference to the code assigned to a particular kind of injury or disease in The International Statistical Classification of Diseases and Related Health Problems, Tenth Revision, Australian Modification (ICD-10-AM), Ninth Edition, effective date of 1 July 2015, copyrighted by the Independent Hospital Pricing Authority, ISBN 978-1-76007-020-5.

Reasonable Hypothesis (RH) — Statement of Principles No. 9 of 2017

At least one of the following factors must as a minimum exist before it can be said that a reasonable hypothesis has been raised connecting ascariasis or death from ascariasis with the circumstances of a person's relevant service:

  1. (1)
    being exposed to Ascaris lumbricoides or Ascaris suum within the two years before the clinical onset of ascariasis;

    Note: being exposed to Ascaris lumbricoides or Ascaris suum is defined in the Schedule 1 - Dictionary.

  2. (2)
    being in a tropical or subtropical region, where facilities for disposal of human waste are minimal and there is a high likelihood of the environment being contaminated with human faeces, within the two years before the clinical onset of ascariasis;
  3. (3)
    living or working in warm and damp conditions, in the presence of material contaminated with human faeces such as may occur in mines or tunnels, within the two years before the clinical onset of ascariasis;
  4. (4)
    inability to obtain appropriate clinical management for ascariasis;

Aggravation-only factors: the factors in subsection 9(4) apply only to material contribution to, or aggravation of, the condition where it was suffered or contracted before or during (but did not arise out of) the person’s relevant service.

Balance of Probabilities (BoP) — Statement of Principles No. 10 of 2017

4 factors

At least one of the following factors must exist before it can be said that, on the balance of probabilities, ascariasis or death from ascariasis is connected with the circumstances of a person's relevant service:

  1. (1)
    being exposed to Ascaris lumbricoides or Ascaris suum within the two years before the clinical onset of ascariasis;

    Note: being exposed to Ascaris lumbricoides or Ascaris suum is defined in the Schedule 1 - Dictionary.

  2. (2)
    being in a tropical or subtropical region, where facilities for disposal of human waste are minimal and there is a high likelihood of the environment being contaminated with human faeces, within the two years before the clinical onset of ascariasis;
  3. (3)
    living or working in warm and damp conditions, in the presence of material contaminated with human faeces such as may occur in mines or tunnels, within the two years before the clinical onset of ascariasis;
  4. (4)
    inability to obtain appropriate clinical management for ascariasis;

Aggravation-only factors: the factors in subsection 9(4) apply only to material contribution to, or aggravation of, the condition where it was suffered or contracted before or during (but did not arise out of) the person’s relevant service.

A VHC Diagnostic Assessment addresses each of these factors one by one against your service record and clinical history. See how a VHC DVA claim works, see all fees ($600 + GST per stage) or book an appointment.

About Dr Thomas Perkins

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Founding doctor of the Veterans Health Centre in Ipswich, Queensland, and one of Australia's most experienced practitioners in veterans' medicolegal medicine.

Dr Perkins has spent more than thirteen years working exclusively with current and former ADF members — treating their conditions, writing their reports and navigating the DVA system alongside them. With over 100,000 claims submitted and 2,000 Permanent Impairment Assessments completed, he has seen precisely what separates an accepted claim from a rejected one at every level, from initial liability to the Veterans' Review Board.

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