SOP Bulletin No. 128

Decision Support Unit

1 — st Floor Blackburn House, 199 Grenfell St, Adelaide                            12 — th Floor, 300 Latrobe St, Melbourne

Intranet site:  http://intranet/service_delivery_support/compensa…

1 September 2008

THE FOLLOWING RMA SOPS ARE TO TAKE EFFECT ON 3 September, 2008

New SOPs	Nil
Revocations & Replacements	Hepatitis B Hepatitis C Hepatitis D Malignant Neoplasm of the Brain Fibromuscular Dysplasia Ascariasis Hookworm Disease (replaces SOPs for Ancylostomiasis) Animal Envenomation
Amendments	Nil

IMPORTANT OPERATIONAL FEATURES

Hepatitis B

Revocation – 52 & 53 of '08 Replaces 11  and 12 of '99

The SOPs for hepatitis B, C and D have been reviewed in accordance with a legal requirement to revisit each SOP every ten years.  The SOP factors have been reworded and reorganised.  Previous fact — or — s have been subsumed into new factors, but none have been removed.

• Hepatitis B is now defined as inflammation of the liver due to infection with the hepatitis B virus.  The previous definition did not require inflammation.  The definition now specifically includes acute and chronic infection, which are both defined.
• For both acute infection and chronic infection, there are onset factor — s in RH and BOP for being exposed to the hepatitis B virus (which is defined), with time requirements.
• For chronic infection, there are onset factors in RH only for having been a POW(J) and for having served in South-East Asia, the Mediterranean or the Pacific in WW2.
• All other factor — s as described below apply for every type of hepatitis B.
• There is an onset factor in RH and BOP for being in an area where the prevalence of hepatitis is at least 2%, with time requirements.
• There are wors — ening factors in RH and BOP for:

• bein — g in an immunosuppressed state;
• undergoing a course of therapeutic radiation;
• being infected with the hepatitis A, hepatitis C, hepatitis D or hepatitis E virus, and
• consuming a specified quantity of alcohol,

all with time requirements.

• There is a worsening factor in RH only for having diabetes for at least two years before the clinical worsening.

Hepatitis C

Revocation – 54 & 55 of '08 Replaces 43 and 44 of '95, as amended by 9 and 10 of '97

• The h — epatitis C is now also defined as inflammation of the liver due to infection, with specified testing to confirm infection with hepatitis C virus.
• There is an onset factor in RH and BOP for being exposed to the hepatitis virus at least one week before the clinic — al onset.
• There are worsening factor — s in RH and BOP for:

• being in an immunosuppressed state;
• being infected with the hepatitis A, hepatitis B, hepatitis D or hepatitis E virus;
• consuming a specified quantity of alcohol;
• being obese;
• having severe hepatic iron overload; and
• being infected with Schistosoma mansoni or Schistosoma japonicum,

all with time requirements.

• There is a new worsening factor in RH only for smoking at least 15 packets of cigarettes, with time requirements.

Hepatitis D

Revocation – 56 & 57 of '08 Replaces 45 and 46 of '95

• Again the new definition requires inflammation of the liver, due here to co-infection or super-infection with the hepatitis D virus, in the presence of hepatitis B virus infection.  The testing to confirm hepatitis D infection is specified in the definition.
• There in an onset factor in RH and BOP for being exposed to the hepatitis D virus at least 14 days before the clinical onset.

Malignant Neoplasm of the Brain

Revocation – 58 & 59 of '08 Replaces 17 and 18 of '03

• This SOP has been reviewed in accordance with a legal requirement to rev — isit each SOP every ten years.
• The only change is in the at — omic radiation factor in the BOP SOP, wher — e the dose of 0.5 Sv must now be accumulated at least ten years before the clinical onset.

Fibromuscular Dysplasia

Revocation – 60 & 61 of '08 Replaces 51 and 52 of '97

• Again this SOP has been reviewed in accordance with a legal requirement to rev — isit each SOP every ten years.
• The format of the SOPs has been updated, but there are no other changes.  The only factor remains inability to obtain appropriate clinical management.

Ascariasis

Revocation – 62 & 63 of '08 Replaces 135 and 136 of '95

• Again this SOP has been reviewed in accordance with a legal requirement to rev — isit each SOP every ten years.
• The onset factor — s in RH and BOP are now:

• ingesting food or drink contaminated with Ascaris lumbricoides ; and
• being in an area endemic for Ascaris lumbricoides ,

within the two years before the clinical onset.

• An endemic area is now defin — ed by a list of countries.  A map is no longer included.

Hookworm Disease

Revocation – 64 & 65 of '08 Replaces 137 and 138 of '95

• Again this SOP has been reviewed in accordance with a legal requirement to rev — isit each SOP every ten years.
• The onset factors in RH and BOP now are:

• having cutaneous or mucosal contact with Ancylostoma duodenale or Necator americanus; and
• being in an area endemic for Ancylostoma duodenale or Necator americanus,

within the six weeks before the clinical onset.

• The endemic areas are again defined by a list of countries.  A map is no longer included.

Animal envenomation

Revocation – 66 & 67 of '08 Replaces 162 and 163 of '95

• Again this SOP has been reviewed in accordance with a legal requirement to rev — isit each SOP every ten years.
• The definition of disease has been simplified without change in meaning.
• The onset factors in RH and BOP now are having external contact with or internal absorption of venom from a venomous animal, both with time requirements.

Remember! If you are having any problems with SOPs, or SOPs in CCPS, talk to us!