Cigarette smoking

Ischaemic heart disease - 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 27 April 2010.

Investigative Documents

Preliminary questions [7882]

5803     the veteran has ever smoked cigarettes.

9176     the veteran has established the causal connection between the cigarette smoking and VEA service for ischaemic heart disease.

7941     the veteran has established the causal connection between the cigarette smoking and VEA service for the clinical onset of ischaemic heart disease.

7942     the veteran has established the causal connection between the cigarette smoking and operational service for the clinical onset of ischaemic heart disease.

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

or

7943     the veteran has established the causal connection between the cigarette smoking and eligible service for the clinical onset of ischaemic heart disease.

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

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.

9177     the veteran has established the causal connection between the cigarette smoking and VEA service for the clinical worsening of ischaemic heart disease.

9178     the veteran has established the causal connection between the cigarette smoking and operational service for the clinical worsening of ischaemic heart disease.

9188     the clinical onset of the condition under consideration occurred prior to that part of operational service to which the period or periods of cigarette smoking are causally related.

or

9179     the veteran has established the causal connection between the cigarette smoking and eligible service for the clinical worsening of ischaemic heart disease.

9189     the clinical onset of the condition under consideration occurred prior to that part of eligible service to which the period or periods of cigarette smoking are causally related.

Clinical onset and operational service [7942]

26906 the veteran had ceased smoking cigarettes at the time of the clinical onset of the condition under consideration.

27801  the veteran has established the causal connection between the tobacco smoking which had ceased prior to the clinical onset of ischaemic heart disease and operational service for the clinical onset of ischaemic heart disease.

26911   the veteran smoked at least 20 pack years of operational service cigarettes before the clinical onset of ischaemic heart disease.

or

26909   the veteran smoked 5 or more, but less than 20, pack years of operational service cigarettes and the clinical onset of the condition under consideration occurred within fifteen years of smoking cessation.

or

27841   the veteran smoked 5 pack years of operational service cigarettes before the clinical onset of ischaemic heart disease.

27840   the veteran smoked 1 or more, but less than 5, pack years of operational service cigarettes and the clinical onset of the condition under consideration occurred within five years of smoking cessation.

or

27838  the veteran has established the causal connection between the tobacco smoking which had not ceased prior to the clinical onset of ischaemic heart disease and operational service for the clinical onset of ischaemic heart disease.

27842   the veteran smoked an average of at least 5 operational service cigarettes per day for at least the 1 year before the clinical onset of the condition under consideration.

or

27843   the veteran smoked at least 1 pack year of cigarettes before the clinical onset of the condition under consideration.

Clinical onset and eligible service [7943]

26906 the veteran had ceased smoking cigarettes at the time of the clinical onset of the condition under consideration.

27802  the veteran has established the causal connection between the tobacco smoking which had ceased prior to the clinical onset of ischaemic heart disease and eligible service for the clinical onset of ischaemic heart disease.

27300   the veteran smoked at least 5 pack years of cigarettes and the clinical onset of the condition under consideration occurred within five years of smoking cessation.

or

26908   the veteran smoked 5 pack years of cigarettes before the clinical onset of ischaemic heart disease.

26907   the veteran smoked 1 or more, but less than 5, pack years of cigarettes and the clinical onset of the condition under consideration occurred within three years of smoking cessation.

or

27799  the veteran has established the causal connection between the tobacco smoking which had not ceased prior to the clinical onset of ischaemic heart disease and eligible service for the clinical onset of ischaemic heart disease.

7944     the veteran smoked an average of at least 5 cigarettes per day for at least the 1 year before the clinical onset of ischaemic heart disease.

or

27805   the veteran smoked at least 1 pack year of cigarettes before the clinical onset of ischaemic heart disease.

Clinical worsening and operational service [9178]

26912 the veteran had ceased smoking cigarettes at the time of the clinical worsening of the condition under consideration.

27803  the veteran has established the causal connection between the tobacco smoking which had ceased prior to the clinical worsening of ischaemic heart disease and operational service for the clinical worsening of ischaemic heart disease.

26915   the veteran smoked at least 20 pack years of operational service cigarettes before the clinical worsening of ischaemic heart disease.

or

26914   the veteran smoked 5 or more, but less than 20, pack years of operational service cigarettes and the clinical worsening of the condition under consideration occurred within 15 years of smoking cessation.

or

27845   the veteran smoked at least 5 pack years of operational service cigarettes prior to the clinical worsening of ischaemic heart disease.

27844   the veteran smoked 1 or more, but less than 5, pack years of operational service cigarettes and the clinical worsening of the condition under consideration occurred within five years of smoking cessation.

or

27839  the veteran has established the causal connection between the tobacco smoking which had not ceased prior to the clinical worsening of ischaemic heart disease and operational service for the clinical worsening of ischaemic heart disease.

27846   the veteran smoked an average of at least 5 operational service cigarettes per day for at least the 1 year before the clinical worsening of the condition under consideration.

or

27847   the veteran smoked at least 1 pack year of cigarettes before the clinical worsening of the condition under consideration.

Clinical worsening and eligible service [9179]

26912 the veteran had ceased smoking cigarettes at the time of the clinical worsening of the condition under consideration.

27804  the veteran has established the causal connection between the tobacco smoking which had ceased prior to the clinical worsening of ischaemic heart disease and eligible service for the clinical worsening of ischaemic heart disease.

27301   the veteran smoked at least 5 pack years of cigarettes and the clinical worsening of the condition under consideration occurred within five years of smoking cessation.

or

26910   the veteran smoked at least 5 pack years of cigarettes prior to the clinical worsening of ischaemic heart disease.

26913   the veteran smoked 1 or more, but less than 5, pack years of cigarettes and the clinical worsening of the condition under consideration occurred within three years of smoking cessation.

or

27800  the veteran has established the causal connection between the tobacco smoking which had not ceased prior to the clinical worsening of ischaemic heart disease and eligible service for the clinical worsening of ischaemic heart disease.

9180     the veteran smoked an average of at least 5 cigarettes per day for at least the 1 year before the clinical worsening of ischaemic heart disease.

or

27806   the veteran smoked at least 1 pack year of cigarettes before the clinical worsening of ischaemic heart disease.