Statement of Principles
No. 60 of 2006
for the purposes of the
Veterans’ Entitlements Act 1986
Military Rehabilitation and Compensation Act 2004
1. This Instrument may be cited as Statement of Principles concerning Meniere's disease No. 60 of 2006.
2. The Repatriation Medical Authority under subsection 196B(3) and (8) of the Veterans’ Entitlements Act 1986 (the VEA):
(a) revokes Instrument No. 78 of 2001 concerning Meniere's disease; and
(b) determines in its place this Statement of Principles.
Kind of injury, disease or death
3. (a) This Statement of Principles is about Meniere's disease and death from Meniere's disease.
(b) For the purposes of this Statement of Principles, "Meniere's disease" means a clinical condition characterised by recurrent attacks of episodic vertigo often associated with:
(i) nausea and vomiting;
(ii) fluctuating sensorineural hearing loss;
(iii) tinnitus; and
(iv) a sense of fullness of the involved ear.
This definition excludes labyrinthitis, vertigo of central origin and other unspecified vertiginous syndromes.
(c) Meniere's disease attracts ICD-10-AM code H81.0.
(d) In the application of this Statement of Principles, the definition of "Meniere's disease" is that given at paragraph 3(b) above.
Basis for determining the factors
4. On the sound medical-scientific evidence available, the Repatriation Medical Authority is of the view that it is more probable than not that Meniere's disease and death from Meniere's disease can be related to relevant service rendered by veterans 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
5. Subject to clause 7, at least one of the factors set out in clause 6 must be related to the relevant service rendered by the person.
6. The factor that must exist before it can be said that, on the balance of probabilities, Meniere's disease or death from Meniere's disease is connected with the circumstances of a person’s relevant service is:
(a) having a head injury within the 20 years before the clinical onset of Meniere's disease or;
(b) having otosyphilis of the affected ear before the clinical onset of Meniere's disease; or
(c) inability to obtain appropriate clinical management for Meniere's disease.
Factors that apply only to material contribution or aggravation
7. Paragraph 6(c) applies only to material contribution to, or aggravation of, Meniere's disease where the person’s Meniere's disease was suffered or contracted before or during (but not arising out of) the person’s relevant service.
Inclusion of Statements of Principles
8. 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 as in force from time to time.
9. For the purposes of this Statement of Principles:
"death from Meniere's disease" in relation to a person includes death from a terminal event or condition that was contributed to by the person’s Meniere's disease;
"head injury" means a blunt or penetrating wound of the head which results directly from the impact of a blow to the head, or indirectly from acceleration or deceleration forces applied to the head, and which causes:
(a) closed or open fracture of the skull; or
(b) loss of consciousness lasting for at least 30 minutes, or post-traumatic amnesia lasting for at least 30 minutes;
"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), Fifth Edition, effective date of 1 July 2006, copyrighted by the National Centre for Classification in Health, Sydney, NSW, and having ISBN 1 86487 772 3;
"relevant service" means:
(a) eligible war service (other than operational service) under the VEA; or
(b) defence service (other than hazardous service) under the VEA; or
(c) peacetime service under the MRCA;
"terminal event" means the proximate or ultimate cause of death and includes:
(b) respiratory failure;
(c) cardiac arrest;
(d) circulatory failure; or
(e) cessation of brain function.
10. This Instrument applies to all matters to which section 120B of the VEA or section 339 of the MRCA applies.
Date of effect
11. This Instrument takes effect from 8 November 2006.
Dated this thirtieth day of October 2006
The Common Seal of the )
Repatriation Medical Authority )
was affixed to this instrument )
in the presence of: )