Pipe smoking

Atherosclerotic peripheral vascular disease - Pipe smoking Factor

Pipe smoking

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.

NB  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 20 DECEMBER 2002.

INVESTIGATIVE DOCUMENTS

PRELIMINARY QUESTIONS [9247]

26927 there is some evidence that pipe smoking may be a factor in the development or worsening of the condition under consideration.

4880     the veteran has ever smoked pipe tobacco.ý

9284     the veteran has established the causal connection between the pipe smoking and VEA service for atherosclerotic peripheral vascular disease.

9285     the veteran has established the causal connection between the pipe smoking and VEA service for the clinical onset of atherosclerotic peripheral vascular disease.

9287     the veteran has established the causal connection between the pipe smoking and operational service for the clinical onset of atherosclerotic peripheral vascular disease.

or

9288     the veteran has established the causal connection between the pipe smoking and eligible service for the clinical onset of atherosclerotic peripheral vascular disease.

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.

9286     the veteran has established the causal connection between the pipe smoking and VEA service for the clinical worsening of atherosclerotic peripheral vascular disease.

9289     the veteran has established the causal connection between the pipe smoking and operational service for the clinical worsening of atherosclerotic peripheral vascular disease.

or

9290     the veteran has established the causal connection between the pipe smoking and eligible service for the clinical worsening of atherosclerotic peripheral vascular disease.

CLINICAL ONSET AND OPERATIONAL SERVICE [9287]

9291     the veteran had smoked at least 5 grams of pipe tobacco per day for at least 3 years prior to the clinical onset of the condition under consideration with at least some smoking being maintained in the 20 years prior to the clinical onset of the atherosclerotic peripheral vascular disease of side and site of the body.

4911     the veteran has some period or periods of pipe smoking that are causally related to operational service.

CLINICAL ONSET AND ELIGIBLE SERVICE [9288]

9292     the veteran had smoked at least 5 grams of pipe tobacco per day for at least 3 years prior to the clinical onset of the condition under consideration with at least some smoking being maintained in the 10 years prior to the clinical onset of the atherosclerotic peripheral vascular disease of side and site of the body.

4913     the veteran has some period or periods of pipe smoking that are causally related to eligible service.

CLINICAL WORSENING AND OPERATIONAL SERVICE [9289]

9293     the veteran had smoked at least 5 grams of pipe tobacco per day for at least 3 years prior to the clinical worsening of the condition under consideration with at least some smoking being maintained in the 20 years prior to the clinical worsening of the atherosclerotic peripheral vascular disease of side and site of the body.

4911     the veteran has some period or periods of pipe smoking that are causally related to operational service.

9295     the clinical onset of the veteran's atherosclerotic peripheral vascular disease of side and site of the body 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 [9290]

9294     the veteran had smoked at least 5 grams of pipe tobacco per day for at least 3 years prior to the clinical worsening of the condition under consideration with at least some smoking being maintained in the 10 years prior to the clinical worsening of the atherosclerotic peripheral vascular disease of side and site of the body.

4913     the veteran has some period or periods of pipe smoking that are causally related to eligible service.

9296     the clinical onset of the veteran's atherosclerotic peripheral vascular disease of side and site of the body occurred prior to that part of eligible service to which the period or periods of pipe smoking are causally related.