Reasonable Hypothesis SOP [1] | 47 of 2016 |
Balance of Probabilities SOP [2] | 48 of 2016 |
SOP Bulletin 190 [3]
Clonorchiasis is a parasitic infection of the bile ducts by a type of liver fluke. It is acquired by eating raw or undercooked fresh water fish from certain Asian countries.
The diagnosis needs to be confirmed by laboratory testing. This involves microscopic identification of eggs in stool specimens or from duodenal aspirate. An enzyme-linked immunosorbent assay (ELISA) method for detecting antigen in the stool may also be used.
* Another SOP applies
Most infections are asymptomatic. Acute clinical infection may present with abdominal pain with associated nausea and diarrhea. Clinical manifestations of chronic infections include fatigue, abdominal discomfort, anorexia, weight loss, diarrhea, and jaundice. The usual incubation period is 3 to 4 weeks. Clinical onset can be based on the time of diagnosis, or backdated if relevant symptoms consistent with clinical infection have been present.
The only worsening factor is for inability to obtain appropriate clinical management.
Place holder node for Rulebase for clonorchiasis
Clonorchiasis - Inability to obtain appropriate clinical management for clonorchiasis Factor
Last reviewed for CCPS 10 March 1995.
Investigative Documents
Medical Report - Inability to Obtain Appropriate Clinical Management - [GQACM] Preliminary questions [8346]
8360 [6] the clinical onset of the veteran's clonorchiasis occurred after the end of the veteran's last period of VEA service. the veteran's clonorchiasis permanently worsened. the veteran was unable to obtain appropriate clinical management for clonorchiasis at some time.
8363 [9] the inability to obtain appropriate clinical management for clonorchiasis contributed to the clinical worsening of the veteran's clonorchiasis. 8365 — the veteran has established the causal connection between the inability to obtain appropriate clinical management for clonorchiasis and VEA service for the clinical worsening of clonorchiasis. 8366 — the veteran has established the causal connection between the inability to obtain appropriate clinical management for clonorchiasis and operational service for the clinical worsening of clonorchiasis. or 8367 — the veteran has established the causal connection between the inability to obtain appropriate clinical management for clonorchiasis and eligible service for the clinical worsening of clonorchiasis. Clinical worsening and operational service [8366] or 8374 — the identified illness or injury which prevented the veteran from obtaining appropriate clinical management for clonorchiasis is causally related to operational service. [14] [15] Clinical worsening and eligible service [8367] or 8375 — the identified illness or injury which prevented the veteran from obtaining appropriate clinical management for clonorchiasis is causally related to eligible service. [14] [15]
Clonorchiasis - Ingestion of fish from an area endemic with the parasite Clonorchis Sinensis Factor
Last reviewed for CCPS 10 March 1995.
Preliminary questions [8345]
8352 — the veteran ingested raw, undercooked, pickled or smoked fish from an area in which the trematode Clonorchis sinensis was endemic, at some time.
8353 — the veteran ingested raw, undercooked, pickled or smoked fish from an area in which the trematode Clonorchis sinensis was endemic, prior to the clinical onset of clonorchiasis. [Default true]
8347 — the veteran has established the causal connection between the ingesting of fish and VEA service for the clinical onset of clonorchiasis.
8350 — the veteran has established the causal connection between the ingesting of fish and operational service for the clinical onset of clonorchiasis.
or
8351 — the veteran has established the causal connection between the ingesting of fish and eligible service for the clinical onset of clonorchiasis.
Clinical onset and operational service [8350]
8354 [22] the veteran ingested raw, undercooked, pickled or smoked fish from an area in which the trematode Clonorchis sinensis was endemic, prior to the clinical onset of clonorchiasis, on operational service. the ingestion of raw, undercooked, pickled or smoked fish from an area in which the trematode Clonorchis sinensis was endemic, prior to the clinical onset of clonorchiasis, on operational service, was due to the veteran's serious default, wilful act or serious breach of discipline. Clinical onset and eligible service [8351]
Links
[1] http://www.rma.gov.au/assets/SOP/2016/047.pdf
[2] http://www.rma.gov.au/assets/SOP/2016/048.pdf
[3] https://clik.dva.gov.au/system/files/media/2016-05%20Bulletin%20190%20new%20SOPs.pdf
[4] https://clik.dva.gov.au/user/login?destination=comment/reply/63416%23comment-form
[5] https://clik.dva.gov.au/ccpsother-31
[6] https://clik.dva.gov.au/screening-questions-1
[7] clikpopup://CCPS/Reject/OnsetAfterService
[8] clikpopup://CCPS/Reject/NoPermanentWorsening
[9] clikpopup://CCPS/Clonorchiasis/ACM - contributed to worsening
[10] clikpopup://CCPS/ACM/NoContribution
[11] clikpopup://CCPS/ACM/NotOpService
[12] clikpopup://CCPS/ACM/NotOperDuties
[13] clikpopup://CCPS/rejectwilful
[14] clikpopup://CCPS/ACM/NoIllness
[15] clikpopup://CCPS/reject8374,8375No
[16] clikpopup://CCPS/Clonorchiasis/ACM - onset prior to operational service
[17] clikpopup://CCPS/ACM/OnsetFailOper
[18] clikpopup://CCPS/ACM/NotEligService
[19] clikpopup://CCPS/ACM/NotEligDuties
[20] clikpopup://CCPS/Clonorchiasis/ACM - onset prior to eligible service
[21] clikpopup://CCPS/ACM/OnsetFailElig
[22] clikpopup://CCPS/Ingested fish from area in which trematode clonorchis sinensis was endemic on operational service
[23] clikpopup://CCPS/reject8354No
[24] clikpopup://CCPS/reject8355No
[25] clikpopup://CCPS/reject8356No