Cigar smoking

Malignant neoplasm of the bladder - Cigar smoking Factor

If there is a history of cigar smoking it will be necessary to obtain information about:

• the quantity smoked (the number of cigars smoked per week);·   when this took place; andthe reasons for smoking.
• The evidence gathered should be as complete and accurate as possible.  Information already held in departmental files, eg in previous statements and clinical notes, should not be overlooked.  Conflicting evidence should be resolved.
• Before a causal link between a smoking habit and service may be established, consideration must be given to Repatriation Commission Guideline CM5030 - Guideline for claims assessors on smoking and alcohol related conditions and military service.

INVESTIGATIVE DOCUMENTS

PRELIMINARY QUESTIONS [11714]

22889 there is some evidence that cigar smoking may be a factor in the development of the condition under consideration.

11770  the veteran has established the causal connection between the cigar smoking and VEA service for the clinical onset of malignant neoplasm of the bladder.

11771   the veteran has established the causal connection between the cigar smoking and operational service for the clinical onset of malignant neoplasm of the bladder.

or

11772   the veteran has established the causal connection between the cigar smoking and eligible service for the clinical onset of malignant neoplasm of the bladder.

CLINICAL ONSET AND OPERATIONAL SERVICE [11771]

11773  the veteran smoked at least 2.5 pack years of cigars before the clinical onset of the condition under consideration.

4921     the veteran has some period or periods of cigar smoking that are causally related to operational service.

CLINICAL ONSET AND ELIGIBLE SERVICE [11772]

11774  the veteran smoked at least 5 pack years of cigars before the clinical onset of the condition under consideration.

4922     the veteran has some period or periods of cigar smoking that are causally related to eligible service.