Cigarette smoking

Malignant neoplasm of the lung - Cigarette smoking Factor

This factor deals with the personal use of cigarettes ie it does not include passive smoking.

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

• the quantity smoked (either tailor-made cigarettes per day or hand-rolled cigarettes in ounces per week or a combination of both);
• 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 18 July 2007.

Investigative Documents

Preliminary questions [3761]

5803     the veteran has ever smoked cigarettes.

3762     the veteran has established the causal connection between the cigarette smoking and VEA service for the clinical onset of malignant neoplasm of the lung.

3765     the veteran has established the causal connection between the cigarette smoking and operational service for the clinical onset of malignant neoplasm of the lung.

or

3766     the veteran has established the causal connection between the cigarette smoking and eligible service for the clinical onset of malignant neoplasm of the lung.

Clinical onset and operational service [3765]

5804     the veteran has a malignant neoplasm of the lung of the first kind.

5816     the veteran has a squamous cell carcinoma of the lung.

or

5817     the veteran has a carcinosarcoma of the lung.

or

5818     the veteran has a small cell or oat cell carcinoma of the lung.

or

5819     the veteran has a malignant neoplasm of the lung of undetermined histology.

or

5821     the veteran has a large cell carcinoma of the lung.

5810     the veteran had smoked at least one half of a pack-year of cigarettes prior to the clinical onset of the malignant neoplasm of the lung of the first kind.

31623 the veteran commenced the service related cigarette smoking at least 5 years before the clinical onset of the condition under consideration.

3116     the veteran has some period or periods of cigarette smoking that are causally related to operational service.

or

5820     the veteran has an adenocarcinoma of the lung.

5814     the veteran had smoked at least three pack-years of cigarettes prior to the clinical onset of the malignant neoplasm of the lung of the second kind.

Clinical onset and eligible service [3766]

5804     the veteran has a malignant neoplasm of the lung of the first kind.

5816     the veteran has a squamous cell carcinoma of the lung.

or

5817     the veteran has a carcinosarcoma of the lung.

or

5818     the veteran has a small cell or oat cell carcinoma of the lung.

or

5819     the veteran has a malignant neoplasm of the lung of undetermined histology.

or

5821     the veteran has a large cell carcinoma of the lung.

5810     the veteran had smoked at least one half of a pack-year of cigarettes prior to the clinical onset of the malignant neoplasm of the lung of the first kind.

31622 the veteran commenced the service related cigarette smoking at least 10 years before the clinical onset of the condition under consideration.

3521     the veteran has some period or periods of cigarette smoking that are causally related to eligible service.

or

5820     the veteran has an adenocarcinoma of the lung.

5814     the veteran had smoked at least three pack-years of cigarettes prior to the clinical onset of the malignant neoplasm of the lung of the second kind.