Cigar smoking

Malignant neoplasm of the lung - 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; 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 [4914]

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.

4916     the veteran has established the causal connection between the cigar smoking and VEA service for the clinical onset of malignant neoplasm of the lung.

14762   the veteran has established the causal connection between the cigar smoking and operational service for the clinical onset of malignant neoplasm of the lung.

or

14763   the veteran has established the causal connection between the cigar smoking and eligible service for the clinical onset of malignant neoplasm of the lung.

Clinical onset and operational service [14762]

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.

14766  the veteran had smoked at least one half of a pack-year of cigars prior to the clinical onset of the malignant neoplasm of the lung of the first kind.

31751 the veteran commenced the service related cigar smoking at least 5 years 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.

or

5820     the veteran has an adenocarcinoma of the lung.

14767  the veteran had smoked at least three pack-years of cigars prior to the clinical onset of the malignant neoplasm of the lung of the second kind.

Clinical onset and eligible service [14763]

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.

14766  the veteran had smoked at least one half of a pack-year of cigars prior to the clinical onset of the malignant neoplasm of the lung of the first kind.

31753 the veteran commenced the service related cigar smoking at least 10 years 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.

or

5820     the veteran has an adenocarcinoma of the lung.

14767  the veteran had smoked at least three pack-years of cigars prior to the clinical onset of the malignant neoplasm of the lung of the second kind.