Smoking tobacco products - material contribution

This contention covers all types of smoking – cigarettes, pipe and cigars - with rulebase questions to ascertain whether or not VEA service made a material contribution to the SOP requirements.  This may entail addressing issues that have already been covered in the smoking module because it has not been possible to isolate specific facts established within that module.

The smoking tobacco products factor is a combined factor that can be used as an alternative to the smoking module to manually calculate material contribution by VEA service to Cigarette smoking, Cigar smoking and Pipe smoking.

LAST REVIEWED FOR CCPS 20 DECEMBER 2002.

INVESTIGATIVE DOCUMENTS

PRELIMINARY QUESTIONS [34059]

30303 the veteran has smoked cigarettes, cigars or pipe tobacco at some time.ý

34062  the veteran has established the causal connection between smoking tobacco products and VEA service for atherosclerotic peripheral vascular disease.

34063   the veteran has established the causal connection between smoking tobacco products and VEA service for the clinical onset of atherosclerotic peripheral vascular disease.

34065  the veteran has established the causal connection between smoking tobacco products and operational service for the clinical onset of atherosclerotic peripheral vascular disease.

or

34066  the veteran has established the causal connection between smoking tobacco products 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.

34064   the veteran has established the causal connection between smoking tobacco products and VEA service for the clinical worsening of atherosclerotic peripheral vascular disease.

34067  the veteran has established the causal connection between smoking tobacco products and operational service for the clinical worsening of atherosclerotic peripheral vascular disease.

or

34068  the veteran has established the causal connection between smoking tobacco products and eligible service for the clinical worsening of atherosclerotic peripheral vascular disease.

CLINICAL ONSET AND OPERATIONAL SERVICE [34065]

34083 the veteran smoked at least 5 cigarettes per day or the equivalent thereof in other tobacco products for at least 3 years prior to the clinical onset of the condition under consideration.

34084 where the veteran smoked at least 5 cigarettes per day or the equivalent thereof in other tobacco products for at least 3 years prior to the clinical onset of the condition under consideration, some smoking was maintained in the 20 years prior to the clinical onset of this condition.

34085 where the clinical onset of the condition under consideration occurred within twenty years of cessation, smoking as a causal result of operational service made a material contribution to 5 cigarettes per day or the equivalent in other tobacco products for at least 3 years before the clinical onset of this condition.

CLINICAL ONSET AND ELIGIBLE SERVICE [34066]

34083 the veteran smoked at least 5 cigarettes per day or the equivalent thereof in other tobacco products for at least 3 years prior to the clinical onset of the condition under consideration.

34086 where the veteran smoked at least 5 cigarettes per day or the equivalent thereof in other tobacco products for at least 3 years prior to the clinical onset of the condition under consideration, some smoking was maintained in the 10 years prior to the clinical onset of this condition.

34087 where the clinical onset of the condition under consideration occurred within ten years of cessation, smoking as a causal result of eligible service made a material contribution to 5 cigarettes per day or the equivalent in other tobacco products for at least 3 years before the clinical onset of this condition.

CLINICAL WORSENING AND OPERATIONAL SERVICE [34067]

34088 the veteran smoked at least 5 cigarettes per day or the equivalent thereof in other tobacco products for at least 3 years prior to the clinical worsening of the condition under consideration.

34089 where the veteran smoked at least 5 cigarettes per day or the equivalent thereof in other tobacco products for at least 3 years prior to the clinical worsening of the condition under consideration, some smoking was maintained in the 20 years prior to the clinical worsening of this condition.

34220 the veteran's smoking of at least 5 cigarettes per day or the equivalent thereof in other tobacco products for at least 3 years prior to the clinical worsening of the condition under consideration took place after the clinical onset of atherosclerotic peripheral vascular disease.

34094 where the clinical worsening of the condition under consideration occurred within twenty years of cessation, smoking as a causal result of operational service made a material contribution to 5 cigarettes per day or the equivalent in other tobacco products for at least 3 years before the clinical worsening of this condition.

33454 the clinical onset of the condition under consideration occurred prior to that part of operational service to which the smoking is causally related.

CLINICAL WORSENING AND ELIGIBLE SERVICE [34068]

34088 the veteran smoked at least 5 cigarettes per day or the equivalent thereof in other tobacco products for at least 3 years prior to the clinical worsening of the condition under consideration.

34090 where the veteran smoked at least 5 cigarettes per day or the equivalent thereof in other tobacco products for at least 3 years prior to the clinical worsening of the condition under consideration, some smoking was maintained in the 10 years prior to the clinical worsening of this condition.

34220 the veteran's smoking of at least 5 cigarettes per day or the equivalent thereof in other tobacco products for at least 3 years prior to the clinical worsening of the condition under consideration took place after the clinical onset of atherosclerotic peripheral vascular disease.

34095 where the clinical worsening of the condition under consideration occurred within ten years of cessation, smoking as a causal result of eligible service made a material contribution to 5 cigarettes per day or the equivalent in other tobacco products for at least 3 years before the clinical worsening of this condition.

33459 the clinical onset of the condition under consideration occurred prior to that part of eligible service to which the smoking is causally related.