Reasonable Hypothesis SOP [1] | 29 of 2023 |
Balance of Probabilities SOP [2] | 30 of 2023 |
SOP Bulletin 236 [3]
ICD-10-AM Code: B01
Chickenpox is an acute self-limiting viral infection by the Varicella-Zoster virus. It manifests as a vesicular skin rash but can also produce systemic effects which can be serious such as pneumonia, or encephalitis. The incubation period is between 10-21 days. The virus is highly contagious. Infectivity is generally considered to last from 48 hours prior to the onset of the rash until the skin lesions have fully crusted. The condition can be more severe if contracted as an adult rather than as a child.
The reactivation of a quiescent latent infection is ‘Shingles’ and is this covered by a separate SOP. A claim of chicken pox should generally be determined as “Chicken pox – resolved”.
The diagnosis is typically made clinically, but can be confirmed by testing the vesicular fluid, or by serology.
The relevant medical specialist is an infectious disease physician.
* another SOP applies
The clinical onset will be when the first symptoms, subsequently confirmed to be due to chickenpox, developed.
There are no worsening factors except for inability to obtain appropriate clinical management. Treatment is usually symptomatic only unless the patient is immunocompromised, or complications develop. If clinical worsening is being considered an opinion from an infectious disease physician should be sought, on whether there has been a clinical worsening out of keeping with the natural history of the underlying pathology.
The chicken pox instruments at the RMA Website (Page 'C' [5]) will contain the latest SOP Factors.
Chicken pox - Being in an immunocompromised state Factor
Last reviewed for CCPS 26 September 2007.
Preliminary questions [7417]
13472 [6] there is some evidence that being in an immunocompromised state may be a factor in the development or worsening of the condition under consideration.
7445 [6] the veteran has been in an immunocompromised state at some time. 10098 — the veteran's immunocompromised state was due to an illness or injury which is identifiable. [Default true] 37967 — the veteran has established the causal connection between the immunocompromised state and VEA service for the condition under consideration. 7448 — the veteran has established the causal connection between the immunocompromised state and VEA service for the clinical onset of the condition under consideration. 7449 — the veteran has established the causal connection between the immunocompromised state and operational service for the clinical onset of the condition under consideration. or 7450 — the veteran has established the causal connection between the immunocompromised state and eligible service for the clinical onset of the condition under consideration. or 37968 — the veteran has established the causal connection between the immunocompromised state and VEA service for the clinical worsening of the condition under consideration. 37970 — the veteran has established the causal connection between the immunocompromised state and operational service for the clinical worsening of the condition under consideration. or 37971 — the veteran has established the causal connection between the immunocompromised state and eligible service for the clinical worsening of the condition under consideration. Clinical onset and operational service [7449] 7451 — the identified illness or injury which caused the immunocompromised state is causally related to operational service. [11] [12] Clinical onset and eligible service [7450] 7452 — the identified illness or injury which caused the immunocompromised state is causally related to eligible service. [13] [12] Clinical worsening and operational service [37970] 7451 — the identified illness or injury which caused the immunocompromised state is causally related to operational service. [14] [12] Clinical worsening and eligible service [37971] 7452 — the identified illness or injury which caused the immunocompromised state is causally related to eligible service. [16] [12]
Chicken pox - Exposure to the varicella-zoster virus Factor
Last reviewed for CCPS 26 September 2007.
Investigative Documents
Claimant Report - Exposure to the Chicken Pox Virus - Chicken Pox [CR9021] Preliminary questions [7481] 7485 — the veteran has been exposed to the varicella-zoster virus at some time. 7492 — the veteran was exposed to the varicella-zoster virus between 10 and 21 days prior to the clinical onset of chicken pox. [Default true] 7486 — the veteran has established the causal connection between the exposure to the varicella-zoster virus and VEA service for the clinical onset of chicken pox. 7489 — the veteran has established the causal connection between the exposure to the varicella-zoster virus and operational service for the clinical onset of chicken pox. or 7490 — the veteran has established the causal connection between the exposure to the varicella-zoster virus and eligible service for the clinical onset of chicken pox. Clinical onset and operational service [7489] Clinical onset and eligible service [7490]
Chicken pox - Having live attenuated varicella virus Factor
Last reviewed for CCPS 26 September 2007.
Investigative Documents
Medical Report - Varicella Vaccine [MR9378] Preliminary questions [7483]
38567 [24] the veteran has vaccine strain chicken pox. 37972 — the veteran has had live attenuated varicella vaccine at some time. 38568 — the veteran had live attenuated varicella vaccine between 5 and 45 days before the clinical onset of chicken pox. 38569 — the veteran has established the causal connection between the live attenuated varicella vaccine and VEA service for the clinical onset of chicken pox. 38570 — the veteran has established the causal connection between the live attenuated varicella vaccine and operational service for the clinical onset of chicken pox. or 38571 — the veteran has established the causal connection between the live attenuated varicella vaccine and eligible service for the clinical onset of chicken pox. Clinical onset and operational service [38570] Clinical onset and eligible service [38571]
Chicken pox - Inability to obtain appropriate clinical management for chicken pox Factor
Type | Title | PDF Format | Word Format |
---|---|---|---|
Medical Report |
Inability to obtain Appropriate Clinical Management | GQACM.pdf [28] | GQACM.docx [29] |
11109 the condition under consideration has been accepted on the basis of inability to obtain appropriate clinical management for the condition under consideration.
7066 there is some evidence that an inability to obtain appropriate clinical management for the condition under consideration may be a factor in the worsening of the condition under consideration.
7334 [30] the clinical onset of the condition under consideration occurred after the end of the veteran's last period of VEA service. [9]
7335 [9] the condition under consideration permanently worsened. [10]
7378 [10] the veteran was unable to obtain appropriate clinical management for the condition under consideration at some time.
7379 [31] the inability to obtain appropriate clinical management for the condition under consideration contributed to the clinical worsening of the condition under consideration. [32]
11234 [32]the veteran has established the causal connection between the inability to obtain appropriate clinical management for the condition under consideration and VEA service for the clinical worsening of the condition under consideration.
11235 [32]the veteran has established the causal connection between the inability to obtain appropriate clinical management for the condition under consideration and operational service for the clinical worsening of the condition under consideration.
or [32]
11236 [32]the veteran has established the causal connection between the inability to obtain appropriate clinical management for the condition under consideration and eligible service for the clinical worsening of the condition under consideration.
Clinical worsening and operational service [11235] [32]
7384 [32] the veteran was unable to obtain appropriate clinical management for the condition under consideration, which contributed to the clinical worsening of the condition under consideration, during operational service. [33]
21084 [33] the veteran was unable to obtain appropriate clinical management for the condition under consideration, which contributed to the clinical worsening of the condition under consideration, during operational service, as a causal result of operational service. [34]
7387 [34] the veteran's inability to obtain appropriate clinical management for the condition under consideration during operational service was due to the veteran's serious default, wilful act or serious breach of discipline. [21]
or [21]
7389 [21] the veteran was unable to obtain appropriate clinical management for the condition under consideration, which contributed to the clinical worsening of the condition under consideration, because of an illness or injury which is identifiable. [35]
7390 [35]the identified illness or injury which prevented the veteran from obtaining appropriate clinical management for the condition under consideration is causally related to operational service.
7392 [35] the clinical onset of the condition under consideration occurred prior to that part of operational service to which the identified illness or injury that prevented the veteran from obtaining appropriate clinical management for the condition under consideration is causally related. [36]
Clinical worsening and eligible service [11236] [36]
7385 [36] the veteran was unable to obtain appropriate clinical management for the condition under consideration, which contributed to the clinical worsening of the condition under consideration, during eligible service. [37]
7386 [37] the veteran was unable to obtain appropriate clinical management for the condition under consideration, which contributed to the clinical worsening of the condition under consideration, during eligible service, as a causal result of eligible service. [38]
7388 [38] the veteran's inability to obtain appropriate clinical management for the condition under consideration during eligible service was due to the veteran's serious default, wilful act or serious breach of discipline. [21]
or [21]
7389 [21] the veteran was unable to obtain appropriate clinical management for the condition under consideration, which contributed to the clinical worsening of the condition under consideration, because of an illness or injury which is identifiable. [35]
7391 [35] the identified illness or injury which prevented the veteran from obtaining appropriate clinical management for the condition under consideration is causally related to eligible service.
7393 [35] the clinical onset of the condition under consideration occurred prior to that part of eligible service to which the identified illness or injury that prevented the veteran from obtaining appropriate clinical management for the condition under consideration is causally related.
Links
[1] http://www.rma.gov.au/assets/SOP/2023/9d7a028351/029.pdf
[2] http://www.rma.gov.au/assets/SOP/2023/da201c7815/030.pdf
[3] https://clik.dva.gov.au/system/files/media/SOP%20Bulletin%20236.pdf
[4] https://clik.dva.gov.au/user/login?destination=comment/reply/63360%23comment-form
[5] http://www.rma.gov.au/SOP/alpha_ind/c.htm
[6] clikpopup://CCPS/Immunocompromised state
[7] clikpopup://CCPS/reject7445No
[8] clikpopup://CCPS/reject7447No
[9] clikpopup://CCPS/Reject/OnsetAfterService
[10] clikpopup://CCPS/Reject/NoPermanentWorsening
[11] clikpopup://CCPS/reject37969No
[12] clikpopup://CCPS/reject7451,7452No
[13] clikpopup://CCPS/reject7452No
[14] clikpopup://CCPS/reject7451No
[15] clikpopup://CCPS/Onset of chicken pox before Op service to which immunocompromised state is related
[16] clikpopup://CCPS/reject16248No
[17] clikpopup://CCPS/Onset of chicken pox before El service to which immunocompromised state is related
[18] clikpopup://CCPS/reject16249No
[19] https://clik.dva.gov.au/ccpsclaimant-101
[20] https://clik.dva.gov.au/reasons-decision-188
[21] clikpopup://CCPS/rejectwilful
[22] clikpopup://CCPS/reject7495No
[23] https://clik.dva.gov.au/ccpsmedical-278
[24] https://clik.dva.gov.au/standard-commentary-114
[25] clikpopup://CCPS/reject38567No
[26] clikpopup://CCPS/reject38572No
[27] clikpopup://CCPS/reject38573No
[28] https://clik.dva.gov.au/system/files/media/GQACM_18.pdf
[29] https://clik.dva.gov.au/system/files/media/GQACM_18.docx
[30] https://clik.dva.gov.au/node/71360
[31] clikpopup://CCPS/Chicken pox/ACM - contributed to worsening
[32] clikpopup://CCPS/ACM/NoContribution
[33] clikpopup://CCPS/ACM/NotOpService
[34] clikpopup://CCPS/ACM/NotOperDuties
[35] clikpopup://CCPS/ACM/NoIllness
[36] clikpopup://CCPS/ACM/OnsetFailOper
[37] clikpopup://CCPS/ACM/NotEligService
[38] clikpopup://CCPS/ACM/NotEligDuties