Cigar smoking

Atherosclerotic peripheral vascular disease - Cigar smoking Factor

Cigar smoking

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; and
• the 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.

LAST REVIEWED FOR CCPS 20 DECEMBER 2002.

INVESTIGATIVE DOCUMENTS

PRELIMINARY QUESTIONS [9246]

26916 there is some evidence that cigar smoking may be a factor in the development or worsening of the condition under consideration.

4915     the veteran has ever smoked cigars.

9271     the veteran has established the causal connection between the cigar smoking and VEA service for atherosclerotic peripheral vascular disease.

9272     the veteran has established the causal connection between the cigar smoking and VEA service for the clinical onset of atherosclerotic peripheral vascular disease.

9274     the veteran has established the causal connection between the cigar smoking and operational service for the clinical onset of atherosclerotic peripheral vascular disease.

or

9275     the veteran has established the causal connection between the cigar smoking and eligible service for the clinical onset of atherosclerotic peripheral vascular disease.

or

7334     the clinical onset of the condition under consideration occurred after the end of the veteran's last period of VEA service.

7335     the condition under consideration permanently worsened.

9273     the veteran has established the causal connection between the cigar smoking and VEA service for the clinical worsening of atherosclerotic peripheral vascular disease.

9276     the veteran has established the causal connection between the cigar smoking and operational service for the clinical worsening of atherosclerotic peripheral vascular disease.

or

9277     the veteran has established the causal connection between the cigar smoking and eligible service for the clinical worsening of atherosclerotic peripheral vascular disease.

CLINICAL ONSET AND OPERATIONAL SERVICE [9274]

9278     the veteran had smoked at least 1 cigar per day for at least 3 years prior to the clinical onset of the condition under consideration with at least some smoking being maintained in the 20 years prior to the clinical onset of the atherosclerotic peripheral vascular disease of side and site of the body.

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

CLINICAL ONSET AND ELIGIBLE SERVICE [9275]

9279     the veteran had smoked at least 1 cigar per day for at least 3 years prior to the clinical onset of the condition under consideration with at least some smoking being maintained in the 10 years prior to the clinical onset of the atherosclerotic peripheral vascular disease of side and site of the body.

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

CLINICAL WORSENING AND OPERATIONAL SERVICE [9276]

9280     the veteran had smoked at least 1 cigar per day for at least 3 years prior to the clinical worsening of the condition under consideration with at least some smoking being maintained in the 20 years prior to the clinical worsening of the atherosclerotic peripheral vascular disease of side and site of the body.

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

9282     the clinical onset of the veteran's atherosclerotic peripheral vascular disease of side and site of the body occurred prior to that part of operational service to which the period or periods of cigar smoking are causally related.

CLINICAL WORSENING AND ELIGIBLE SERVICE [9277]

9281     the veteran had smoked at least 1 cigar per day for at least 3 years prior to the clinical worsening of the condition under consideration with at least some smoking being maintained in the 10 years prior to the clinical worsening of the atherosclerotic peripheral vascular disease of side and site of the body.

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

9283     the clinical onset of the veteran's atherosclerotic peripheral vascular disease of side and site of the body occurred prior to that part of eligible service to which the period or periods of cigar smoking are causally related.