Diabetes mellitus - 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.
Note: 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 12 March 2008.
Investigative Documents
| Type | Title | PDF Format | Word Format |
|---|---|---|---|
| Claimant Report | Smoking | ||
| Claimant Report | Smoking |
Preliminary questions [28219]
26927 there is some evidence that pipe smoking may be a factor in the development or worsening of the condition under consideration.
10548 the veteran has non-insulin dependent diabetes mellitus (type 2).
28319 the veteran has established the causal connection between the pipe smoking and VEA service for diabetes mellitus.
28320 the veteran has established the causal connection between the pipe smoking and VEA service for the clinical onset of diabetes mellitus.
28323 the veteran has established the causal connection between the pipe smoking and operational service for the clinical onset of diabetes mellitus.
or
28324 the veteran has established the causal connection between the pipe smoking and eligible service for the clinical onset of diabetes mellitus.
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.
28321 the veteran has established the causal connection between the pipe smoking and VEA service for the clinical worsening of diabetes mellitus.
28322 the veteran has established the causal connection between the pipe smoking and operational service for the clinical worsening of diabetes mellitus.
or
28325 the veteran has established the causal connection between the pipe smoking and eligible service for the clinical worsening of diabetes mellitus.
Clinical onset and operational service [28323]
28214 the veteran smoked at least 10 pack years of pipe tobacco before the clinical onset of the condition under consideration and, where smoking had ceased, the clinical onset of the condition under consideration occurred within 10 years of cessation.
4911 the veteran has some period or periods of pipe smoking that are causally related to operational service.
Clinical onset and eligible service [28324]
28213 the veteran smoked at least 10 pack years of pipe tobacco before the clinical onset of the condition under consideration and, where smoking had ceased, the clinical onset of the condition under consideration occurred within 5 years of cessation.
4913 the veteran has some period or periods of pipe smoking that are causally related to eligible service.
Clinical worsening and operational service [28322]
28212 the veteran smoked at least 10 pack years of pipe tobacco before the clinical worsening of the condition under consideration and, where smoking had ceased, the clinical worsening of the condition under consideration occurred within 10 years of cessation.
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 [28325]
28215 the veteran smoked at least 10 pack years of pipe tobacco before the clinical worsening of the condition under consideration and, where smoking had ceased, the clinical worsening of the condition under consideration occurred within 5 years of cessation.
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.