Pipe smoking

Erectile dysfunction - Pipe smoking Factor

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

• the quantity smoked (ascertain tobacco smoked per week in grams or ounces; 1 ounce = 28 grams);
• 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.

NB:  The SOP factor dealing with pipe smoking covers only the smoking of tobacco.  It does not include non-tobacco products such as marijuana or hashish.  This is because the RMA SOP factors refer to "cigarettes or the equivalent thereof in other tobacco products".

Last reviewed for CCPS 5 October 2005.

Investigative Documents

Preliminary questions [22883]

26927 there is some evidence that pipe smoking may be a factor in the development or worsening of the condition under consideration.

35227  the veteran has established the causal connection between the pipe smoking and VEA service for erectile dysfunction.

22896   the veteran has established the causal connection between the pipe smoking and VEA service for the clinical onset of erectile dysfunction.

22897  the veteran has established the causal connection between the pipe smoking and operational service for the clinical onset of erectile dysfunction.

or

22898  the veteran has established the causal connection between the pipe smoking and eligible service for the clinical onset of erectile dysfunction.

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.

35228   the veteran has established the causal connection between the pipe smoking and VEA service for the clinical worsening of erectile dysfunction.

35229  the veteran has established the causal connection between the pipe smoking and operational service for the clinical worsening of erectile dysfunction.

or

35230  the veteran has established the causal connection between the pipe smoking and eligible service for the clinical worsening of erectile dysfunction.

Clinical onset and operational service [22897]

27893  the veteran smoked at least ten pack years of pipe tobacco before the clinical onset of erectile dysfunction.

4911     the veteran has some period or periods of pipe smoking that are causally related to operational service.

Clinical onset and eligible service [22898]

27894  the veteran smoked at least fifteen pack years of pipe tobacco before the clinical onset of erectile dysfunction.

4913     the veteran has some period or periods of pipe smoking that are causally related to eligible service.

Clinical worsening and operational service [35229]

22899  the veteran smoked at least ten pack years of pipe tobacco before the clinical worsening of erectile dysfunction.

4911     the veteran has some period or periods of pipe smoking that are causally related to operational service.

9204     the clinical onset of the condition under consideration occurred prior to that part of operational service to which the period or periods of pipe smoking are causally related.

Clinical worsening and eligible service [35230]

22900  the veteran smoked at least fifteen pack years of pipe tobacco before the clinical worsening of erectile dysfunction.

4913     the veteran has some period or periods of pipe smoking that are causally related to eligible service.

9205     the clinical onset of the condition under consideration occurred prior to that part of eligible service to which the period or periods of pipe smoking are causally related.