Amendment Statement of Principles

concerning

Cirrhosis of the liver

No. 81 of 2011

for the purposes of the

Veterans’ Entitlements Act 1986

and

Military Rehabilitation and Compensation Act 2004

1. This Instrument may be cited as Statement of Principles concerning cirrhosis of the liver No. 81 of 2011.

2.                     The Repatriation Medical Authority amends, under subsection 196B(8) of the Veterans’ Entitlements Act 1986, Statement of Principles concerning cirrhosis of the liver Instrument No. 107 of 2007 by:

(A)        Replacing existing factor "(j)" in clause 6 with the following:

"(j) having received a cumulative equivalent dose of at least 0.4 sievert of ionising radiation to the liver before the clinical onset of cirrhosis of the liver; or";

(B)         Replacing existing factor "(jj)" in clause 6 with the following:

"(jj) having received a cumulative equivalent dose of at least 0.4 sievert of ionising radiation to the liver before the clinical worsening of cirrhosis of the liver; or";

(C)         Deleting existing factors "(k)", "(l)", "(kk)" and "(ll)" from clause 6;

(D)        Re-numbering existing factors "(m)" to "(jj)" in clause 6 as "(k)" to "(hh)" respectively;

(E)         Re-numbering existing factors "(mm)" to "(aaa)" in clause 6 as "(ii)" to "(ww)" respectively;

(F)          Replacing "6(aa) to 6(aaa)" in clause 7 with "6(y) to 6(ww)";

(G)        Replacing the existing definition of "cumulative equivalent dose" in clause 9 with the following:

'"cumulative equivalent dose" means the total dose of ionising radiation received by the particular organ or tissue. The formula used to calculate the cumulative equivalent dose allows doses from multiple types of ionising radiation to be combined, by accounting for their differing biological effect. The unit of equivalent dose is the sievert. For the purposes of this Statement of Principles, the calculation of cumulative equivalent dose excludes doses received from normal background radiation, but includes therapeutic radiation, diagnostic radiation, cosmic radiation at high altitude, radiation from occupation-related sources and radiation from nuclear explosions or accidents;'; and

(H)        Deleting the definition of "atomic radiation" from clause 9.

3.                     The amendment made by this instrument applies to all matters to which Instrument No. 107 of 2007, section 120A of the Veterans’ Entitlements Act 1986 and section 338 of the Military Rehabilitation and Compensation Act 2004 apply.

4.                     The amendment made by this instrument takes effect from 25 May 2011.

Dated this   ninth   day of   May   2011

The Common Seal of the  )

Repatriation Medical Authority )

was affixed to this instrument  )

in the presence of:   )

KEN DONALD

CHAIRPERSON